<p>This paper describes the advances in the TELER® system of clinical note-making and patient outcome measurements, including the new digital pen and paper format. The digital pen records clinical data by reading handwriting, while Bluetooth technology transfers data from the pen as encrypted digital files and converts them to machine readable text. The text can be used to populate many computer applications. Overall these advances provide a sophisticated, yet simple tool for delivering evidence-informed wound care and patient outcomes in routine treatment and care.</p>