The Problem Oriented Record Writer is a word processing software application developed to use speech recognition as the primary input method. Progress note and comprehensive note creation, and prescription writing are the main outcomes of the speech dictation data entry. A report writer, able to integrate all of the information entered into the database, enables a user to design printouts, or output files, suited to their individual needs.
The system will printout, or screen display, layman information, and expert/professional information on dictated problems. Problems and associated classification codes, like the ICDM codes for medical diagnoses, can be linked with procedures and their procedure codes, to produce billing data, directly from the information and coding imbedded in the database. Notes are saved and organized in reverse chronologic order.
Updated problems, and their previously entries, are saved and accessible in the database. A summary screen of the latest problem entry, along with a linked problem section, is displayed on a single screen, showing for example an active problem and order list. A list of previous problem entries and their linked sections are also viewable. From here many of the program features can be accessed. Adding new problems, or updating and editing a previously dictated problem, is quick and easy. Previously entered text can be readily incorporated into a new note.
Once a note section is dictated it can be used for a myriad of purposes. It can be printed or viewed in a prescription or note. Since all the text is searchable, and can be selected and embedded in all kinds of letters and documents, reports can be screen displayed or hard copy printed like: blood pressure and pulse rate lists, chronologic sigmoidoscopy results, work excuses, physician referrals, imaging orders, hospital orders with allergies and medications, jury duty letters, form letters. After each section is dictated, a complete note can be printed, or stored in the computer, in several predefined styles, or in a style and format of a user’s creation. Form letters and reports incorporating demographic and dictated information, can be produced and edited.
Standardized forms for problems can be created and utilized. Then only the additions, or specific segments, need to be edited; instead of producing the full report, each time a typical problem requires dictation. For example, medical problems like sinusitis, bronchitis, or routine physical examinations, can have fill in templates.
In user selected dictation segments, every dictated word can be compared to a user defined table of word associations. For example, in a medical therapy section, dictating the word Penicillin, can cause a popup list of text choices, associated with Penicillin, to appear. Then any of the choices can be selected, to incorporate in the note. For example, one of the Penicillin choices can be ‘Penicillin 250mg swallowed 4 times a day supply 10 days no refills’, which when chosen is entered into the note, and can be printed as a prescription.
Some example layman and expert information sheets are supplied with the system, but an unlimited number can be added, to supply the user, or their client’s, with viewable or printable information on a problem.
Although this program was designed for the medical care industry, any problem oriented record keeping endeavor could utilize it. The database can be configured for a wide variety of word processing applications. Although it takes time and effort to fully master a speech recognition program, and to fully master the versatility of this word processing program design, the resulting improvement in speed, ease of use, built in knowledge, make the training effort well worth while. Straight dictation and basic report printout are not very difficult, and can give a overview of the program’s capability.
However, like any complicated device, it is the ability to add and utilize the other efficiencies, like tables, searches, templates, and more, which make the system, exceptional and eventually indispensable.
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The Problem Oriented Record Writer for Speech Dictation and Typing is capable of computing and entering problems, by using speech recognition (FRD) for typing text and related information.
Its objective was to use the power of the speech recognition word processor to automate several processes usually done by hand. The software uses a speech interface which is built in to the software package, and requires the user to setup, train, and practice before the system is ready for use.
The system stores previously entered information, uses a search function to locate previously entered text, provides reference manuals to implement and use features, and provides an auto-fill function to gather vocabulary for common medical terms.
This product can produce reports on any problem, quickly and easily.
While in use the system can printout notes, which can be personalized by the user.
The record writer is fully compatible with any other phonetic spelling technology, using stand alone speech recognition programs.
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In response to the need for a more efficient records keeping solution, a more adaptable word processing software application was developed.
A Patient Care Notes database was developed for laymen, professional, medical and legal needs.
With the package, a patient care record can be easily designed, updated, and maintained. A user can add, edit, reword, search, print, and view notes. Each time a note is added, an extensive search is made, to find a note that covers the same information. This is important because the record system stores notes in reverse chronologic order.
Each note can include:
Layman: General information on the patient, history, most current illness, problem, medications, allergies, and medical records.
Procedures: Medical history, most recent visit, and diagnoses.
Layman: Symptoms, current condition, diagnosis, medication, and allergies.
Procedures: Discussion of procedure with patient, and medical history
Layman: History, most recent procedure, diagnosis, medications, current condition, and allergies
A user can view notes, print, or bring notes on specific problems into any popular word processing software. Notes can be printed in various formats, like a hard copy, a graphics mode screen display, a PDF, a text file or a printer file. A user has the option of creating a customized note, with sections, or editing any note, with all of the text, so it is suited to
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In 1956, an ‘expert’ was defined by the American Medical Association (AMA) as “a person whose education, training, experience and judgment in a specified field of medicine or surgery have distinguished him as an authority thereon.” In 2007, the AMA passed a resolution to reword this definition to state that “an expert is a person who (a) by education, training, and experience, has attained a degree of knowledge or skill that is superior to that of the average member of the public and (b) in the field of expertise, has recognized repute, prestige and recognition among others of similar training, experience and background as a qualified expert.” In other words, ‘experts’ are usually thought of as ‘professionals’ and’medical’ professionals.
In just the past decade, speech recognition has come a long way. In the early 1980s the Bureau of Labor Statistics (BLS) concluded that only 20% of Americans had any experience with speech recognition, and only 3% considered it their first language. Speech recognition programs capable of:’speaking’ simple, short, repetitive questions or answers, or dictating a list of information, have become so easy to use, and so affordable, that there are now ‘voice-assisted’ speech recognition programs used by millions of people. More than just dictating, speech recognition is becoming a staple in all word processing programs, and with the advent of ‘common sense’ voice recognition, writing and note taking is fast becoming the next ‘natural’ function of a program. Fast, easy and natural: these are the criteria of most word processing programs, and when combined with speech recognition technology, the results are astounding.
Problems and their solutions are a good example of what is possible. A ‘problem’ can be defined as a set of circumstances, conditions, or circumstances giving rise to problems. From a speech recognition perspective, a problem is where the system is confused or cannot identify a word. The’solution’ to the problem can be represented, and accessed, in several ways. In layman terms, an accepted procedure, or, in medical speak, a ‘best practice’ or a ‘norm’, is usually represented by a set of instructions for the ‘problem’. More than just instructions, these are usually a list of circumstances, conditions, or circumstances giving rise to problems. Rules and set instructions, or a standard operating procedure, (SOP), are a good example of an accepted procedure
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The problem oriented record writer uses a database system. The user must first enter the various possible information and coding, as dictated, to create a text note in its completed form. Although complete notes are saved, the program will allow the user to add, or insert more information to an existing section, edit the information in the note, and delete, or remove a section. A panel of buttons on the front of the program provides access to all of the program features and functions.
The program has many features that would enable the user to create a wide variety of reports. Some of the options that are available to the user include: printout, watch file, text file, form letters, notes. All of the recorded notes, and the dictated word text, can be searched, and any data within the note can be used to populate a form. The program also allows the user to edit and insert notes into other notes. All of the notes and the complete database are saved, the database is portable and versatile. This allows the program to perform many of the functions of other more complex note taking programs like: medical terminology, medical codes, medical terms, physical exam, and much more.
The program includes, and utilizes, standardized questionnaires, forms, and patient data sheets for maximum data entry. Since all of the data can be searched, it is easy to incorporate the answers, or results, to a particular question into a notes, form, or letter. For example, after each section of the product data sheet is dictated, the user can immediately incorporate this information into a text note. This can be accomplished with a series of pop-up screen choices, which when chosen, is incorporated into the note. For example, to enter data on the length of the product in centimeters, a pop-up list of choices is produced, with the length of the product placed in a text box.
Since the database can be configured to suit the needs and use of the user, and is easily portable, it is feasible that the system could be utilized for a variety of medical, surgical, emergency, and non-medical medical organizations. It could be used for home and business, as well as for government agencies and organizations. It could be utilized for prescriptions, notes, medical records, medical complaints, medical testing, medical information, medical procedures, medical treatment, medical billing and coding, medical equipment, medical supplies, and many other note taking or record keeping applications.
The
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– transcription is voice recognition, speech to text, built into the program.
– the word processor is able to interpret problems to pages, and pages to notes.
– searchable database, built into the program
– uses the most intuitive and user friendly keyboard layout for data entry
– includes standardized forms and templates for records like medical therapy, report forms, or prescription orders
– ability to import or export sections of the database into or out of the program
– ability to access user defined problem and solution databases
– database can be configured as a custom platform
The Problem Oriented Record Writer was created by Situation Graphics, in Hamilton, New Zealand. By developing the software, we are able to utilize the speech recognition software to substantially increase the ease, speed, and accuracy of word processing. The program includes the following main features:
Dictation
Simple reports, and layman reports
Customized form screens, with add to or fill in buttons
Printing and saving to any format (screen)
Database creation and management of parts of the database
Customizable for medical, legal, accounting, insurance, and any other record keeping endeavors
Can use any word processing or database software and not be limited to any specific platform
Multiple user accessible databases
Unlimited sections
Easily change or remove sections
Easily modify or manage sections
Easily display sections or parts of the database in many different formats
Easily add new sections or sections to any of the existing sections
Easily create any type of database report
Viewable, or printable reports
Easily import and export sections from/to the database
User defined tools for easy data management or analysis of previous or current data
Easy search capabilities
Notes
External links
Situation Graphics, New Zealand
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Category:Science software for Windows
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System Requirements For Records:
• Windows 7/8/10
• Dual Core Processor
• 2 GB RAM
• 400 MB free space
• Internet connection
• DirectX 11.0 Compatible graphics card
• Multimedia Card Reader
• Keyboard and Mouse
• 0.8 GHz Graphics card for Low Resolution settings (1080P)
• 1024 X 768 Graphics for High Resolution settings (4K)
• OS & Language: English
• Hardware & Sound: 1080p60 Stereo / Auralimax Audio / 7