Patent ID: 7574369

Claim:
An anesthesia record data management system, comprising: a handheld computer device that includes manual input capability, digital input capability, and a display screen, wherein said handheld computer is capable of two-way communication with a main computer, wherein said at least one handheld computer device is capable of accepting data wherein said data is selected from the group consisting of patient information, drug information, and medical procedure information; further wherein said handheld device includes: a medical history module that includes a series of questions about the medical history of said patient in electronic format, where the manual input capability may be used to answer said series of questions; a notes module, wherein said notes module that displays pre-anesthesia information including an anesthesia care plan, regional anesthetic plan, monitors, invasive monitors, intubation, post-anesthesia care plan, analgesia program, and physical exam; a pre-induction assessment module that includes information about anesthesia options and risks and benefits discussed with said patient or family of said patient prior to administration of anesthesia; a timing information module that includes timing information related to a medical procedure being performed on said patient, an anesthesia process being performed on said patient, and an amount of time spent in surgery by said patient; a dosage display module that displays said drug information and said patient information in graphical format, wherein said drug information and patient information includes medications that are administered to said patient, dosages of said medications, and physiological measures that will be monitored during said procedure selected from the group consisting of EKG, O 2 saturation, CO 2 , O 2 %, temperature, and muscle relaxation; a blood pressure display module that displays blood pressure of said patient in real time and in graphical format, wherein said blood pressure display module coordinates with said dosage display module to display said blood pressure and said drug information in real time, wherein said dosage display module and said blood pressure display module integrate said blood pressure information and at least one physiological measure into a single display; an intubation and checklist module that includes information about the type of intubation performed, the quality of said intubation, the equipment used in said intubation, and patient consent data; and a main computer with an information record database, wherein said main computer generates an anesthesia record, an anesthesia billing form, a pharmacy medication charge form, and an anesthesia quality assurance report using data from said modules.