Abstract: A computer implemented method for managing a patient's clinical status. The method includes: storing rules in a database; storing clinical domains including a set of clinical variables; storing information about the patient in the database; receiving responses to one or more questions about the patient's status for one or more clinical domains. The method then generates derived variables from the stored information, the stored clinical variable and the responses to one or more questions using one or more of the stored plurality of rules; calculates stratified domain levels for one or more of the plurality of clinical domains from the stored information, the stored clinical variables and the generated derived variables; and calculates a level of urgency from the stratified domain levels and the generated derived variables.