EHR documentation had put Medical Doctors into a state of not able to focus on their patients if they do it in the examination room or taking excess hours to work on reports which puts them into unwanted stress of working extra hours after seeing the patients.

Dicta scribe: The doctor could dictate what he wants to be typed into the EHR and an assistant could complete it latter on, final reviewed by the doctor once report done and signed off . This could be either in a live process or done as a recorded dictation.

Data Scribe: Data send to the scribe in a hard copy as filled by the doctors while seeing the patients and this could be final sent to a scribe to put in the details to the relevant fields in the EMR which could be latter final reviewed by the doctor and closed.

Live Scribe: No dictation nor data transferred but a live scribe will be listening to the “Doctor/ Patient” conversation and will do the reports. This would require certain comprehensive capability for the scribe to understand the session between the Doctor/ patient to pick exactly what would be required for the EHR.

Conclusion: Scribing could take the typing burden out of the hands of the doctors. It does requires the doctors to do final review of the reports done before they final sign it for it to be considered as a meaningful use.