| 摘要 |
A computer program for assigning medical evaluation and management codes describing a physician-patient encounter may include code adapted to detect a clinical setting parameter set by an act of the examining physician. The program may be further adapted to determine a first set of elemental clinical data fields corresponding to the clinical setting parameter. An electronic clinical form containing known-relevant elemental clinical data fields requiring input by the examining physician may be rendered. The program may eliminate data fields determined to be irrelevant. Pharmacy orders, lab orders, referrals, and/or any act of the examining physician relevant to determination of a medical evaluation and management code characterizing the physician-patient interaction may be recorded. Based on the foregoing acts and according to quantified risk, physical examination, and complexity of the physician-patient encounter a medical evaluation and management code may be assigned. |
| 主权项 |
1. A co-operable set of computer programs for recording patient interactions, comprising a set of instructions, portions of which are executable on at least a mobile computing device, the co-operable set of computer programs being adapted to carry out the acts of:
detecting a clinical setting parameter, wherein the parameter value is set by an act of an examining physician comprising initializing one of a plurality of complementary clinical computer programs; determining a first set of elemental clinical data fields corresponding to the clinical setting parameter that are potentially relevant to determination of a medical evaluation and management code characterizing a physician-patient interaction; rendering an electronic clinical form containing known-relevant elemental clinical data fields requiring input by the examining physician; displaying further elemental clinical data fields on the electronic form, or a separate electronic form, one or more of the further elemental clinical data fields being found relevant, based upon input by the examining physician, to determination of a medical evaluation and management code characterizing the physician-patient interaction; eliminating elemental clinical data fields as irrelevant to determination of a medical evaluation and management code characterizing the physician-patient interaction based upon input by the examining physician; recording pharmacy orders, lab orders, referrals, and/or any act of the examining physician relevant to determination of a medical evaluation and management code characterizing the physician-patient interaction; and assigning a medical evaluation and management code according to quantified risk, physical examination, and complexity of the physician-patient encounter. |
