Notes
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Outline
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"NGenWriter"
  • NGenWriter     Electronic Note Generator
  • NgenCharge Electronic Group Charge
  • NGenPBA Electronic Questionnaire
  • MyNoteGen Electronic Patient Assistant
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NoteGen Solutions: History
  • 1986  MIEC Practice Assessment
  • 1987  Daiden Development Corporation
  • 1988  Q.D. Clinical (DOS)
  • 1993  Q.D. Clinical (Windows)
  • 1999  Acquired by Health Quality, Inc. (Seqoia & Trident Capital) Boston, MA.
  • 2002  Re-acquisition Software rights by NoteGen Solutions
  • 2004  NoteGen Solutions PDA Products
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GUI Design
  • Simple
  • Customizable
  • Comprehensive
  • Rapid (no typing)
  • East to learn and use
  • Fun
  • Innovative


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Customizable
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Database Design
  • 44 Medical History and PE Fields
  • Granularity to Field Level (e.g., Chest Exam)
  • PDB (Palm Database)
  • Comma-delimited text file, Excel spreadsheet
  • SQL (Access, Oracle, Microsoft DB)
  • Connection to other EMRs (Q.D. Clinical)



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Demographic Data
  • Required Fields: ID, Lastname, Sex & DOB
  • Optional Fields: First name, Middle name, Marital Status, Race, SSN & PDA Name
  • 5 User-defined fields
  • All demographic data may be directly entered or transferred from Desktop


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Encounter Data
  • Tabular Data: Vital Signs, Medications, Diagnosis, Other Therapy, Laboratory


  • Text Data: QuickWrite™ Natural Language Processor
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Vital Signs
  • Tap on Value and Qualifiers; add to active vital signs box.
  • Create default values, new values, qualifiers  on the fly
  • Create new vital signs on the fly.
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Diagnosis, Medications, Other Rx
  • Tap green column adds selection to data table
  • Create new selections on the fly
  • Select from a “Quick” (short) list of values
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QuickWrite Natural Language
  • Phrases:  A sentence + Summary Macros & Clinical Macros
          • He is doing very well.
          •  HE.SHE.UC is doing very well
          •  HE.SHE.UC is taking CUR.MED
  • Macros:  Multi-step, blocks of text includes Phrases, Query Macros, Embedded (Recursive Macros)
          •  SUBJ.HX.PULM.QD
          •  PAIN.QD
          •  OBJ.EXAM.PULM.QD
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Natural Language Components
  • Summary Macro (HE.SHE.UC.QD) resolves to upper case gender-related pronoun: HE/SHE
  • Clinical Macro (MED.CHG) resolves to changes in current medication program
  • Query Macro (PATIENT.STATUS.MLQD) resolves to patient status (sgl/mult select)
  • Macro (SUB.PULM.QD) resolves to pulmonary history for this patient
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Macro Resolution Principles
  • Query, Start, and End Text Displayed
  • Macro Map
  • Tap phrase to add text
  • Press Stylus on Right Box to view text
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Matrix Selection Tool
  • Two-dimensional descriptions
  • Allow selection and grading of findings
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Comprehensive, Custom Text
  • Description accurate for this patient.
  • No keyboarding or graffiti
  • Grammatically correct.


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Flag Changes Automatically
  • See changes in Meds, DX, Oth Rx by selecting on Clinical Macros MED.CHG, DX.CHG, or OTH.CHG
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Charges
  • Suggest charges based on algorithm
  • View charge requirements
  • Add modifiers
  • Tag Diagnosis associated with Charges
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Reports
  • Print Encounter
  • Print Prescriptions
  • Beam Encounter
  • WiFi Encounter
  • Export Encounter to EMR
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Background: Richard A. Bordow, M.D.
  • 1978-Present: Member, East Bay Pulmonary Medical Group
  • 2002: Founder and CEO, Notegen Solutions, Inc.
  • 1999-2001: Chief Medical Scientist Health Quality, Inc.
  • 1987:Founder and CEO, Daiden Development Corporation (Q.D. Clinical)
  • 1981-Present VP Palm Press, Inc
  • 1978, 1980: US Patents Issued
  • 1979, 1980, 1982, 1984: Principal Author Lung Cancer and COPD and smoking. US Surgeon General Report on Smoking and Health Editor, Clinical Problems in Pulmonary Medicine last five editions.  6th Edition due out 2005. Lippincott & Co, Philadelphia, PA
  • 1976-1979: UCSD Pulmonary Medicine Fellowship
  • 1974-1976: US Army Munson Hospital; Fort Leavenworth, Kansas
  • 1971-1974: Medical Intern and Resident: Mt. Sinai Hospital
  • 1967-1971: University MD Med School (Cum Laude)
  • 1964-1967: George Washington University (No degree)