Patent ID: 7962348

Claim:
A system for guiding a user's examination of a patient and for generating a transcript, the system comprising: a processor in communication with an output display device and a user interface, the processor programmed to output to the display device: (a) a screen requesting patient identification information, wherein the patient identification information excludes a patient name and further requesting patient medical history information; (b) a screen requesting vital signs information; (c) a screen presenting a plurality of symptoms in text form, wherein the user can identify one or more observed symptoms as selected from among the plurality of symptoms or the user can indicate that no symptoms are observed; (d) in response to the user identifying one or more observed symptoms, a screen presents a plurality of anatomical regions for examination, the plurality of anatomical regions presented in text form, wherein the user selects an anatomical region based on the one or more observed symptoms; (e) a screen presents anatomical subregions within a selected anatomical region, the anatomical subregions presented in text form, wherein the user selects an anatomical subregion based on the one or more observed symptoms; (f) a plurality of screens displays a rendering of the selected anatomical subregion and possible findings associated with a condition of the patient as related to the selected anatomical subregion, the renderings depicting normal and abnormal conditions of the selected anatomical subregion to assist the user with selecting one or more findings, and wherein the computer presents more-detailed renderings responsive to the user rolling a cursor over regions of the renderings; (g) wherein as the user selects findings, additional renderings are presented related to the selected findings; (h) wherein one or more of the screens include an icon for allowing the user to switch from the physical examination to an examination of a radiographic image, the processor for receiving user selections from the user interface and generating a patient transcript responsive to information entered into the screens (a) through (h).