| 摘要 |
A system and method for recording patient notes by a physician. In one embodiment, the system includes a server comprising: a database; an input module, a display module; and an adaptive notes generation module in the server in communication with the database, the input module and the display module, the adaptive notes generation module receiving input data from the input module and the database and in response to the input data from the input module and the database, automatically generating a plurality of notes and note options. In one embodiment, the method includes the steps of: providing an input screen; inputting data; accessing a database to obtain patient data in response to data input to the input screen; and generating domain specific notes and note options in response to patient data and input to the input screen. |
