Here is another use case to consider:
1) Harried Doc quickly writes report on tablet PC
2) Report gets queued in clerk's in-basket
3) Clerk reads report, uses keyboard, tags report with searchable keywords

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----- Original Message ----- 
From: "will ross" <[EMAIL PROTECTED]>
We're agreed on the ultimate goal of capturing the data as standardised 
fields rather than rasters of handwriting. However, I know of one local 
clinic where the latter is a milestone en route to the former. 
Combining transcription saved as text files with scanned lab reports 
and other handwritten documents, they now have a complete offsite 
backup of their entire paper charts, including patient signatures 
captured on HIPAA forms in pdf. Is it searchable like an EHR? No. Is 
the electronic chart primary? No, the paper chart remains primary. But 
perhaps more importantly, they have internalised in their clinical 
documentation workflow a key interim step towards a future dependency 
upon electronic data storage and retrieval. They are now fluent in 
backup archives, and this is before thinking about EHR. When they 
finally jump to EHR in a few years, they will have an easy walk to the 
next milestone compared to their sister clinics which don't currently 
scan documents, are still all paper and have limited experience with 
data backups.

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