INTEGRATED ELECTRONIC HEALTH RECORD (EHR) SYSTEM WITH TRANSCRIPTION, SPEECH RECOGNITION AND AUTOMATED DATA EXTRACTION

摘要

An integrated health record system comprises a platform including a processor coupled to a medical application. The system includes at least one input device coupled to the processor. The input device receives patient information of a patient via an electronic form and receives vital signs of the patient. The medical application integrates the patient information and the vital signs into an electronic health record (EHR) that corresponds to the patient. The medical application receives a sound file that includes information resulting from an examination of the patient, and translates the sound file into a document that comprises a clinical document architecture (CDA). The medical application parses the document and identifies a plurality of data components based on a correspondence to a plurality of data fields of the HER. The medical application populates each of the plurality of data fields with each of the data components.