摘要 |
A system for electronic medical documentation receives a patient identifier and patient healthcare information from a user, associates the patient healthcare information with the patient identifier, and stores the patient healthcare information in an intermediate database. The system receives a command from the user and, upon receipt of the command, communicates the patient healthcare information from the intermediate database to an electronic medical record database according to a protocol that enables the electronic medical record database to store the patient healthcare information as a caregiver note in an electronic medical record pertaining to the patient identifier. The intermediate database may include patient information received from the electronic medical record database and relating only to current patients, and may be stored on a wireless handheld computing device.
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