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AUTOMATED DATA ENTRY AND TRANSCRIPTION SYSTEM, ESPECIALLY FOR GENERATION OF MEDICAL REPORTS BY AN ATTENDING PHYSICIAN
AUTOMATED DATA ENTRY AND TRANSCRIPTION SYSTEM, ESPECIALLY FOR GENERATION OF MEDICAL REPORTS BY AN ATTENDING PHYSICIAN
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机译:自动化的数据输入和转录系统,特别是用于由主治医师生成医疗报告的情况
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摘要
Written reports are composed using a terminal during or between patient encounters. Selections made on the terminal invoke standard text segments and a narrative comment is recorded, by dictation or otherwise. After a series of patient encounters, such as at the end of the day, automatically generated draft reports are reviewed, revised and dispatched by the practitioner or staff, in a batch process. The terminal accepting selections and comment can be a wireless Web-capable smart-phone or another terminal running an application to interface with the practitioner. The application presents selections for each of a menu of categories, for example common conditions and maladies encountered in specialized practices. The practitioner distinguishes between normal entries that populate the report with standardized comments (or optionally go unreported), versus noteworthy entries that populate the report with preferably speech-recognized text.
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