Abstract: An electronic medical records and medical office management system includes electronic storage, retrieval, analysis, and transmittal of patient records, and is integrated with office scheduling and billing. One embodiment of the record-keeping and office management system further includes an electronic encounter feature that integrates with billing, generates referrals, orders labs and tests, allows for medications to be prescribed, and directs for a follow-up visit, as needed; automatic electronic notification; integrated appointment scheduling; preventive care profile integration with the electronic encounter; history and exam findings entry, wherein data convert to text; note creation, which draws from a patient record, encounter data and events triggered, and patient history and exam findings; and electronic document management, including incoming mail.