METHOD AND SYSTEM FOR GENERATING A MEDICAL REPORT AND COMPUTER PROGRAM PRODUCT THEREFOR

摘要

A method and a system for generating, with the assistance of a computer system (12), a medical report (18) suitable for automatic billing, where an electronic template (39) suited for a specific patient's condition is selected out of a plurality of given electronic templates stored in storage means (15); personal data of the specific patient's and previously stored in storage means (11) are automatically entered into the selected electronic template; and medical report text passages and instructions are entered into the selected template by dictating and using a speech recognition system (13); additionally, condition data are automatically entered on the basis of condition information as far as stored in storage means (7) into the selected template, and code data associated with these condition information are automatically embedded in the selected template; and when entering medical report text passages, at least one predetermined voice macro stored in the storage means (16) together with code data embedded therein is called in; the code data thus embedded in the medical report (18) being applicable when coding the medical report for automatic billing.

主权项

1. A method for generating a medical report, said method comprising:
receiving a selection of an electronic template; generating a medical report for a patient based, at least in part, on the selected template; receiving speech for entering information into a portion of the medical report corresponding to at least one section in the selected template; and invoking at least one voice macro based, at least in part, on at least a portion of the received speech, wherein the at least one voice macro, when invoked, instructs at least one processor to enter predetermined text associated with the at least one voice macro into the portion of the medical report and embed in the medical report medical billing code data corresponding to the at least one voice macro.