Abstract:
A method and system for single form and single click creation of a patient visit medical record via the Internet (Online Medical Record—OMR) this is simultaneously integrated with the financial requirements of the healthcare provider. There are two components to a patient visit: 1) the medical data needed to care for the patient, and 2) the financial data required to pay for the services. The system of this invention provides for better work flow in processing both medical data, patient care, and financial coverage. The first step includes a single page creation of the OMR visit form. The OMR is hosted on a server, presented over the Internet as a single scrollable HTML page, and filled in at the user's location. The second procedure is that the foregoing page contains in juxtaposition and for use drop down lists (DDLs), List Boxes (LBs), Text Entry Boxes, Profile function buttons, and search function buttons built into the page at the point of need to facilitate data entry and work flow. The third procedure is the joining on this same page of both the medical data and the financial data related to the medical visit. The diagnosis and plan section of the medical visit includes the visit CPT coes, the ICD9 diagnosis codes, in-house procedure codes, outside procedure codes, outside lab or health care provider, medication prescribed, pharmacies selected, referred provider, notes concerning the visit and return times schedule. This same medical data is required for billing information, i.e., the visit/CPT charges, procedure changes, ICD-9 data, and related numeric value charges. The data that is embodied in the medical visit is also available for outside services to direct the care of the patient, i.e., tests, prescriptions or referral. The fourth procedure of the system is that in response to a single selection of the SAVE button, the client system sends all the medical and financial data to the server system. The server system receives the information, updates the OMR, and initiates all medical and financial processes and updates pertinent queues for further processing.