Abstract: A system of creating and maintaining medical records provides a central monitoring system for a patient-care facility. The system can include a real-time medical charting interface for consistent and objective patient data entry and logging the time identification of patient data entry. The interface can display real-time objective data and can include a first menu of first charting categories; a second menu populated with keywords based upon the charting category selected from the first menu; and a third menu populated with values for the keyword selected from the second menu. The menus can be concurrently presented for data entry allowing efficient charting of the patient's condition. Patient data can be digitized to be distributed on a network.