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 (PORD) speech recognition software allows a user to enter problems, medications, treatments, procedures, tests, physical examination findings, diagnosis, and order information into the database. The system is not a dictation program, but an interface to the word processing program. It is designed to facilitate the user selecting specific problems, medications, treatments, tests, procedures, physical examinations and diagnosis, and orders, and dictating their information. The PORD software has a comprehensive “user” database. What the user enters, or dictates, is based on the immediate word recognition of the audio input signal. The database stores the entered data along with the recognized words, in an organized format, with the order of the recognized words changing as the user continues to dictate. The user’s notes, along with any other word recognition products, are saved in the database. Additional information on the same problem, medication, treatments, tests, procedures, diagnoses, and orders, can also be obtained from the same database. There are four programs supported by the PORD software. Dictation: Enter information into the database for later editing, using the user’s own words. The words are recognized by the computer, and they appear in the database as the computer is doing its work. The program does not have to be running to receive audio input signals. Speech Selection: A file browser or program for choosing specific problems, medications, treatments, procedures, tests, diagnoses, and orders from the database for inclusion into a note or a report. Printout: This is a report writer that can produce any document in any format. Different styles can be accessed for each problem, medication, treatment, test, procedure, diagnosis, and order. Printing Reports: This program can be used to produce user selected reports that contain information on problems, medications, treatments, diagnoses, and orders. The system includes thousands of pre-drawn reports, which can be customized to the user’s needs. The user uses the database, just like any program with a database. When they have finished a dictated note, a complete record is produced that can be saved and reused. The amount of information that can be stored in this product will vary, depending on the application. The information is associated with the recognized words, and the user selects the words they would like to use in the report.

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[RP1] The Problem Oriented Record Writer Speech Programming System. (1987, Aug. 22). NIH Publication No. 87-2042. Washington DC: The National Institutes of Health. Category:DictationOn Sunday (29 July) the stage was set for the annual Switzer Challenge FIM Motocross World Championship that could be decided by a thrilling final round. Hengke Jin (Switzerland) and Joey Savoie (USA) looked as favourites for the title after clinching the 2019 titles held on the same weekend. The former has been dominant in the FIM Motocross World Championship, competing with a front row finish in every contest since the season’s opener in Spain last year. But it wasn’t to be for Hengke on the final day of the world championship on the scenic 101-lap, nearly two-hour-long course. Hengke was leading the race by a massive margin and it looked like he would be taking home his second consecutive world title. However, a lap 12 crash that led to the bike’s front derailleur being broken near the front of his bike dropped Hengke out of the race. Starting the race with a broken derailleur wasn’t the best opportunity and Joey Savoie had a relatively easy ride to the top of the leaderboard. After leading for the first half of the race, he held on to the podium position for most of the race’s final stages. Willy Takahashi (Japan) posted the fastest time by 0.060s, while Alex de Angelis (USA) was a close second, only 0.164s off Takahashi’s time. Savoie bagged his second FIM Motocross World Championship title, while Toyoharu Tanabe (Japan) clinched his first and Jared d’Hemecourt (USA) won the motocross school class award.Peugeot Partners With Google to Release More Powerful Beemer By James R. Healey |August 26, 2011 Now here’s an interesting development in the automotive space. Peugeot, a French automaker, is teaming up with Google to release what is basically a more powerful version of its current iOn, called Beemer. That’s right, the car maker is taking a five- aa67ecbc25


Product/Program/Version: Progress Note Writer for Medical Information dictation and reporting. Summary: A first commercially available word processor using speech recognition, designed for use by medical care professionals. This program uses a database, with a combination of database and speech recognition software, and text searching tools. It was primarily developed with clinic use in mind, and to provide a resource for medical providers, for the documentation of their medical problems and diagnoses. The program allows the user to dictate and record the information, with the idea that data entry speed is a challenge for medical care providers. It enables them to enter, or record, all the information that may comprise a chronic or acute condition. The program keeps a record of all the information, so a complete record of the patient’s medical history can be printed out, or saved to a file. The Problem Oriented Record Writer incorporates a simple database structure, but allows the user a number of options, like: ‘off the cuff’ typing, documents like prescriptions, or letter, note, order lists, with the average number of words dictated, varying from one to over 100. The system can also allow the user to transcribe paper records, in the order of entry. A summary screen appears, that shows active and deleted cases, as well as last used note. The screen is linked to a search of all active and deleted notes, with the sectioned note being viewed, in the order of time. All can be printed, directly from the program. The program can also display problems, or cases, by time, the date and physician responsible for the entry of that entry. The program was written to use the SRS-400 Speech Recognition Software, in cooperation with a database, the Medical Database. The SRS-400 Software uses Speech Recognition as the primary means of input, and determines the words, dictated, and eliminates extraneous information. As the words are not transcribed, the transcribed text is not incorporated into a note, and the system does not associate automatically, with a prescribed medicine, or medical problem, and its corresponding coding. The system also includes an extensive list of codes, like ICDM, ICD-9, CPT, and others, to make the records correspond with each other. The words are easily found on a list, or in database search. A word can be processed by being attached to a condition, like tachycardia, or gestational diabetes mell

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Records are made up of information, divided by the following categories: Problem Type Status Notes Adjudication Status (Fill in Case) First Date (Check) Second Date (Check) Supply Order Patient Order Client Order Order Date (Check) Service Date Order Date (Check) Age of Op Sign Order Who Prescribed Who Admin Ordering Date Who Assigned Who Overwrote Who Reviewed Who Commented Provider Speciality Service Code Coding Type Medical Speciality Evaluation Diagnosis Observations Exam Treatment Procedure Intervention Compliance Relevant Text Comments Dose Quantity Dose/Amount Comment Administration Dosing Route Comment Administration Dose Route Comment Note Report Print Read Search Validation Date Validation Amount Validation Duration Validation Timing Validation Reason Validation 1. Change to a Problem If there are no keys recorded in the Problem category, a new problem can be manually entered to start the procedure. A problem can be entered by doing any of the following: Entering a problem description; Entering a number into the date field; Choosing a problem name from the Suggest List; Creating a problem by typing a problem name; or Clicking on a ‘+’ button to add a problem record. To add a description to the problem, click the ‘+’ button on the left side of the application window and type the text you want to add. Press the Enter key to add a new line of text. To delete the text you just typed, click on the ‘-‘ button on the left side of the application window. To add a new problem record, click the ‘+’ button on the left side of the application window and click on the ‘Add Problem’ button. Each problem record includes the following categories: Problem Type Status Notes Adjudication Status

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Minimum: OS: Windows 7 (SP1, 64-bit) Processor: 1.8 GHz dual-core processor or better Memory: 1 GB RAM Graphics: 64 MB video card Hard Drive: 6 GB available space DirectX: Version 9.0 or better Network: Broadband Internet connection Additional Notes: Sound card recommended, but optional If you encounter any issues during game play, please send your comments to