Clinical Message Autocomplete and Electronic Medical Record System Integration

摘要

Systems and methods can support autocompletion of textual messages entered by a clinical user into a clinical messaging system. Clinical information comprising one or more record elements associated with a data field may be retrieved from an electronic medical records system. Textual input may be received from a clinical user. An indication of the data field may be detected within the textual input. A list of field completion suggestions may be populated from the one or more record elements associated with the data field. The list may be presented to the clinical user. A selection of one of the suggestions may be received from the clinical user. Text associated with the received selection may be inserted into the data field within the textual input. The textual input and related metadata may be stored into the electronic medical records system and a logical linkage may be established thereto.

主权项

1. A computer-implemented method for coordinating a clinical messaging system with a clinical information system, comprising:
establishing data communications between the clinical messaging system and the clinical information system; retrieving, by the clinical messaging system, clinical information from the clinical information system, wherein the clinical information comprises one or more record elements associated with a data field; receiving, by the clinical messaging system, textual input from a clinical user; detecting, by the clinical messaging system, an indication of the data field within the textual input; populating, by the clinical messaging system, a list of field completion suggestions from the one or more record elements associated with the data field; presenting, by the clinical messaging system, the list of field completion suggestions to the clinical user; receiving, by the clinical messaging system, selection of one of the field completion suggestions from the clinical user; inserting, by the clinical messaging system, text associated with the received selection into the data field within the textual input; maintaining, by the clinical messaging system, a logical linkage between the inserted text and the clinical information system; and storing, by the clinical messaging system, the textual input and related metadata into the clinical information system.