摘要 |
A record builder may include a device input module configured to capture an identifier for one or more devices used in a medical procedure, a data access component configured to capture procedure information for a procedure based on the identifier, an instruction interpretation component for analyzing the procedure information and identifying areas of variability, a combination assessment component configured for melding instructions relating to a plurality of devices, a detailed procedure dictator configured to prepare a dictation of the procedure, and a medical record population element configured to populate a medical record with the dictation. |