Clinical structured reporting

Abstract

Systems and methods for generating clinical structured reports, allowing users to indicate findings from a medical examination without having to enter normal findings. In one aspect, a user selects a clinical structured report template for a particular type of medical examination. A default clinical structured report based on the template, and comprising normal findings for the medical examination type, is presented to the user. The user modifies one or more of the normal findings to indicate abnormal findings. A clinical structured report is generated, based on the default normal findings and the abnormal findings received from the user. The report is stored in a database or sent to one or more recipients over a network. In one aspect, the normal findings comprise text data. In another aspect, the normal findings comprise plots, graphs, diagrams, or other types of data. In one aspect, the system provides for multi-language support and translations. In one aspect, the clinical structured report is used to generate billing information. In one aspect, the clinical structured report is generated by a computer aided diagnosis tool.

What is claimed is: 
     
         1 . A method of automatically generating clinical structured reports based on clinical structured report templates, the method implemented by one or more report management computing devices, the method comprising:
 providing a clinical structured report template for a medical examination based on a received user selection input of the medical examination, the clinical structured report template associated with medical data comprising medical examination data points for the selected medical examination, wherein the clinical structured report template is automatically pre-populated with default normal data points corresponding to the medical examination data points;   receiving one or more abnormal data points related to one or more of the medical examination data points based on the medical examination of a patient;   automatically generating a clinical structured report based on the clinical structured report template, wherein the generated clinical structured report includes modifications to one or more of the automatically pre-populated default normal data points in the clinical structured report template based on the abnormal data points; and   generating and outputting executable instructions for a graphical user interface display of the clinical structured report.   
     
     
         2 . The method of  claim 1  further comprising:
 providing a default collection of abnormal data points; and 
 receiving the one or more abnormal data points based on another received user selection input from the default collection of abnormal data points. 
 
     
     
         3 . The method of  claim 1  further comprising:
 providing visually highlighting of the modifications to one or more of the automatically pre-populated default normal data points in the clinical structured report template based on the abnormal data points on the graphical user interface. 
 
     
     
         4 . The method of  claim 1 , wherein the clinical structured report further comprises additional data related to the medical examination, wherein the additional data comprises one or more of image data, audio data, or video data related to the medical examination, or data points corresponding to prior medical examination data from a prior medical examination of the patient displayed on the graphical user interface. 
     
     
         5 . The method of  claim 1  further comprising:
 distributing the clinical structured report to one or more remote recipients over a network. 
 
     
     
         6 . The method of  claim 1  further comprising:
 generating an automated billing statement based on the clinical structured report. 
 
     
     
         7 . The method of  claim 1 , wherein the one or more abnormal data points related to one or more of the medical examination data points based on the medical examination are received based on a user interaction with the graphical user interface. 
     
     
         8 . A report management computing device, comprising memory comprising programmed instructions stored thereon and one or more processors configured to execute the stored programmed instructions to:
 provide a clinical structured report template for a medical examination based on a received user selection input of the medical examination, the clinical structured report template associated with medical data comprising medical examination data points for the selected medical examination, wherein the clinical structured report template is automatically pre-populated with default normal data points corresponding to the medical examination data points;   receive one or more abnormal data points related to one or more of the medical examination data points based on the medical examination of a patient;   automatically generate a clinical structured report based on the clinical structured report template, wherein the generated clinical structured report includes modifications to one or more of the automatically pre-populated default normal data points in the clinical structured report template based on the abnormal data points; and,   generate and output executable instructions for a graphical user interface display of the clinical structured report.   
     
     
         9 . The device of  claim 8 , wherein the processors are further configured to be capable of executing the stored programmed instructions to:
 provide a default collection of abnormal data points; and   receive the one or more abnormal data points based on another received user selection input from the default collection of abnormal data points.   
     
     
         10 . The device of  claim 8 , wherein the processors are further configured to be capable of executing the stored programmed instructions to:
 provide visually highlighting the modifications to one or more of the automatically pre-populated default normal data points in the clinical structured report template based on the abnormal data points on the graphical user interface.   
     
     
         11 . The device of  claim 8 , wherein the clinical structured report further comprises additional data related to the medical examination, wherein the additional data comprises one or more of image data, audio data, or video data related to the medical examination, or data points corresponding to prior medical examination data from a prior medical examination of the patient displayed on the graphical user interface. 
     
     
         12 . The device of  claim 8 , wherein the processors are further configured to be capable of executing the stored programmed instructions to:
 distribute the clinical structured report to one or more remote recipients over a network.   
     
     
         13 . The device of  claim 8 , wherein the processors are further configured to be capable of executing the stored programmed instructions to:
 generate an automated billing statement based on the clinical structured report.   
     
     
         14 . The device of  claim 8 , wherein the one or more abnormal data points related to one or more of the medical examination data points based on the medical examination are received based on a user interaction with the graphical user interface. 
     
     
         15 . A non-transitory computer readable medium having stored thereon instructions for automatically generating clinical structured reports based on clinical structured report templates comprising executable code that, when executed by one or more processors, causes the processors to:
 provide a clinical structured report template for a medical examination based on a received user selection input of the medical examination, the clinical structured report template associated with medical data comprising medical examination data points for the selected medical examination, wherein the clinical structured report template is automatically pre-populated with default normal data points corresponding to the medical examination data points;   receive one or more abnormal data points related to one or more of the medical examination data points based on the medical examination of a patient;   automatically generate a clinical structured report based on the clinical structured report template, wherein the generated clinical structured report includes modifications to one or more of the automatically pre-populated default normal data points in the clinical structured report template based on the abnormal data points; and   generate and output executable instructions for a graphical user interface display of the clinical structured report.   
     
     
         16 . The non-transitory computer readable medium of  claim 15 , wherein the executable code, when executed by the processors further causes the processors to:
 provide a default collection of abnormal data points; and   receive the one or more abnormal data points based on another received user selection input from the default collection of abnormal data points.   
     
     
         17 . The non-transitory computer readable medium of  claim 15 , wherein the executable code, when executed by the processors further causes the processors to:
 provide visually highlighting of the modifications to one or more of the automatically pre-populated default normal data points in the clinical structured report template based on the abnormal data points on the graphical user interface.   
     
     
         18 . The non-transitory computer readable medium of  claim 15 , wherein the clinical structured report further comprises additional data related to the medical examination, wherein the additional data comprises one or more of image data, audio data, or video data related to the medical examination, or data points corresponding to prior medical examination data from a prior medical examination of the patient displayed on the graphical user interface. 
     
     
         19 . The non-transitory computer readable medium of  claim 15 , wherein the executable code, when executed by the processors further causes the processors to:
 distribute the clinical structured report to one or more remote recipients over a network.   
     
     
         20 . The non-transitory computer readable medium of  claim 15 , wherein the executable code, when executed by the processors further causes the processors to:
 generate an automated billing statement based on the clinical structured report.   
     
     
         21 . The non-transitory computer readable medium of  claim 15 , wherein the one or more abnormal data points related to one or more of the medical examination data points based on the medical examination are received based on a user interaction with the graphical user interface.