Abstract: A patient observations submission state engine uses native asynchronous web service handling (e.g. that in iOS) and manages multiple submission transaction requests for a single patient observation session. Preferably, the transactions and their results are managed by the engine, and appropriate result events (success, partial failure and full failure) are pushed back to a user interface.

Abstract: A computer network includes computing devices and a server system having an electronic health records (EHR) application. The server system includes a logic module accessible by the EHR application and providing logic by which an early warning score for a patient is calculated. The score is calculated based on, at least in part, data from an electronic patient record that is accessed by the EHR application. The EHR application communicates the calculated early warning score to a networked device, which in turn displays the calculated early warning score on a screen for view by a user. The same networked device preferably is used to make one or more observations of the patient that are recorded in the electronic patient record, and based on which the score is calculated. Whether the score is increasing, decreasing, or remaining the same over observation intervals preferably is determined and displayed with the score.