Have you explored using Dragon NaturallySpeaking for doing the initial typing of your notes? The computer record your voice and types at the same time, Then the transcriptionist can listen to what you said and correct it if it doesn't match. I understand that having that done by the transcriptionist is much less expensive and faster that way. .
I have the name of a person who works for the company who puts out NaturallySpeaking and handles the technical issues for the VA where they use it with VistA if anyone would like me to connect up with her to find out the details of how it is done at VA hospitals. I was introduced to her by a friend at an IT vendors session at VA Headquarters were I work. Unfortunately, I could only talk with her for a few minutes, but she said having the right hardware was important, particularly enough memory. Memory is pretty cheap now. Personally, I was impressed that by feeding Dragon a few hundred of my written notes, it was able to pick up a lot of the medical vocabulary I use without my having to buy the medical vocabulary from the company, which saved a chunk of change. On Wednesday 26 January 2005 11:46 am, Kevin Toppenberg wrote: > I didn't realize that. But in my case, it wouldn't be an issue. > > Here is my plan. > > A doctor uses CPRS to partly create a note. He doesn't sign it--just > leaves it imcomplete. He might use templates to create the bulk of the > note. However, sometimes templates don't capture the essence of a > patient's problem, and narrative is required. The doctor would dictate > this part. Then, during the upload process, the transcribed portion and > the doctor's portion will be merged appropriately. This final note will be > marked as requiring a doctor's signiture. > > I think this would capture the best of both worlds -- dictation and low > cost not creation. > > Kevin > > > Dewaine Beard <[EMAIL PROTECTED]> wrote: > Remember that if you edit the text of a signed > progress note the electronic signature will become a > hashed jumble. This is a security feature designed > into the product to ensure that once a document is > signed its contents are not changed. (a watermark of > sorts) > > You would want to be able to go into court and say > with 100% confidence that the note that they printed > out is the same note you signed and that no one has > added or deleted anything since! > > So, when it comes to TIU, be careful. > > Dewaine > > --- Greg Woodhouse wrote: > > As a general rule, it is best not to touch the > > 0-node. What I recommend > > doding is extracting the file into a temporary array > > ($$GET1^DIQ will > > work), making any changes or additions you wish, and > > then filing it > > with WP^DIE. > > > > --- Kevin Toppenberg wrote: > > > So it looks like the field is stored as: > > > (...,"TEXT",x,0), with x being the subsequent > > > > lines of > > > > > the document. > > > > > > ^TIU(8925.2,238,"TEXT",0)="^^31^31^3050125^" > > > > > > The line I really want to understand is the line > > > above. Those 31's refer to the number of lines in > > > > the > > > > > document. I want to be able to insert text into a > > > > WP > > > > > field programatically. So I will need to changed > > > > the > > > > > Maxline property etc. > > > > > > So does anyone know where I can find the > > > > documentation > > > > > for these field/pieces? > > > > > > Thanks > > > Kevin > > > > > > > > > __________________________________________________ > > > Do You Yahoo!? > > > Tired of spam? Yahoo! Mail has the best spam > > > > protection around > > > > > http://mail.yahoo.com > > ------------------------------------------------------- > > > > This SF.Net email is sponsored by: IntelliVIEW -- > > > > Interactive > > > > > Reporting > > > Tool for open source databases. Create drag-&-drop > > > > reports. Save time > > > > > by over 75%! Publish reports on the web. 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