If a trust chooses to use the speech recognition technology option for transcription, encoding is an integral feature of the system. Speech recognition technology automatically translates a physician’s dictation into a structured and encoded meaningful document, that:
brings meaning to the clinical data
automatically organises the content into sections according to the HL7 CDA standard
encodes clinical facts (e.g. medications, allergies and measurements) according to medical vocabularies such as SNOMED-CT
These features greatly improve true interoperability with a trust's electronic health records, clinical decision support, and outcome analysis and clinical research.
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