A productive user environment for generating progress notes

Describes the implementation methodology of an intelligent progress note system which is designed to support physicians in writing problem-oriented progress notes. The authors are currently developing their system on PCs in Microsoft Windows 3.0 by using Spinnaker Plus. The conversion of the system from a PC base to Macintosh or OS/2 has proven to be easy. The design applies cognitive models of memory as well as hypermedia to provide a creative and productive environment for the physician. The basis of the work is observation of practicing physicians writing progress notes in today´s paper-driven world. The hope is to simulate some of the more routine parts of the thinking processes that physicians devote to producing the progress note, to save time, and to provide useful reminders, so that the users can concentrate on the more complex parts of the task