Thank you for the typically sound analysis.

I once served on an Institute of Medicine committee studying the electronic 
patient record.  I was certainly the least well-known and most lacking in 
prestige person there and I enjoyed it alot.

Midway through, I said to the assembled Solons, "Look, the easiest way to 
get this process going is for Congress to pass a law consisting of the 
following sentence: AT THE END OF TWO YEARS FROM THE DATE OF ENACTMENT OF 
THIS LAW, IT WILL BE UNLAWFUL WITH PENALTIES TO BE DETERMINED TO MAKE ANY 
HANDWRITTEN ENTRIES IN A PATIENT OR MEDICAL RECORD."

I still believe that would do the trick.

I am reminded of this by your statement:

>I submit that not enough study has been done on such texts to warrant such 
>a conclusion, no matter how attractive such a situation presents to known 
>automation techniques.

Nor will it ever be done while 75% of the  medical record is illegible.

John

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