SYSTEM AND TECHNIQUES FOR CLINICAL DOCUMENTATION AND EDITING

    公开(公告)号:US20180174672A1

    公开(公告)日:2018-06-21

    申请号:US15887385

    申请日:2018-02-02

    CPC classification number: G16H15/00 G06Q10/06 G06Q50/24

    Abstract: In one example, this disclosure describes a method of processing medical data via one or more computers. The method may comprise identifying a medical code within a medical record, and identifying whether the medical code is specified or unspecified. If the medical code is specified, editing may be avoided without generating any query for further input by a physician. If the medical code is unspecified, the method further includes determining whether a suppression code appears in the medical record. If a suppression code appears, editing may be avoided without generating any query for further input by the physician. However, if a suppression code does not appear, the method further includes searching for key terms in the medical record. If key terms are present in the medical record, a query may be generated for the physician for additional clarification.

    System and Techniques for Clinical Documentation and Editing

    公开(公告)号:US20220172849A1

    公开(公告)日:2022-06-02

    申请号:US17651580

    申请日:2022-02-18

    Abstract: In one example, this disclosure describes a method of processing medical data via one or more computers. The method may comprise identifying a medical code within a medical record, and identifying whether the medical code is specified or unspecified. If the medical code is specified, editing may be avoided without generating any query for further input by a physician. If the medical code is unspecified, the method further includes determining whether a suppression code appears in the medical record. If a suppression code appears, editing may be avoided without generating any query for further input by the physician. However, if a suppression code does not appear, the method further includes searching for key terms in the medical record. If key terms are present in the medical record, a query may be generated for the physician for additional clarification.

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