Abstract: Certain embodiments of the present invention provide a system and method for processing medical data. The method includes the steps of identifying text strings in medical data, associating the text strings with standardized identifiers from a library, and outputting the standardized identifiers associated with the text strings. In an embodiment, a report and/or an order including the standardized identifiers associated with the text strings may be printed and/or stored. In an embodiment, the library may be modified to accommodate the text strings. A user and/or software program may be used to review the text strings to associate the standardized identifiers with the text strings, for example. In an embodiment, the text strings may be deconstructed into a plurality of sub-strings. A standardized identifier is then associated with each sub-string. The standardized identifiers may be numeric values, for example.

Abstract: Systems and methods for electronic medical record and clinical content management are disclosed. A system for creating a medical clinical record template for at least one medical condition or encounter includes a processing unit, and a memory portion in communication with the processing unit having information stored therein to configure the processing unit to receive a first data set relating to the medical condition or encounter; extract at least two data elements from the first data set; provide the at least two data elements to a user to select data elements; receive an indicator of data elements selected by the user; and include the selected data elements into the medical record template.