Abstract: An integrated, electronic patient record system and method for providing real time point of care evaluation, management, testing, data entry, billing, and treatment via wireless, paperless medical care processing. The system includes automatic data entry from clinical equipment, structured and non-structured examination protocol templates, synoptic patient chart view, cross-linked billing and diagnosis, digital generation of medical claims, point of care data entry and laboratory results. The present invention facilitates the generation of computerized prescriptions and transfer of same and/or electronic medical records to the patient or other medical entity for which the patient has provided consent where required.