PURPOSE: The Computer-assisted Ophthalmic Recordkeeping (COR) System is described. Advantages and disadvantages of data entry during the patient encounter and computerized formatting of the examination report are discussed.
METHODS: The COR System allows direct computer entry of patient data by the provider. During a patient encounter, text data are stored in a central computer and are accessible from any workstation. Upon completion, the report is printed.
RESULTS: While source data entry is expensive, it reduces transcription costs, increases access to patient records, improves legibility of the patient record, and reduces transcription turnaround time.
CONCLUSION: Electronic preparation of the ophthalmic record allows immediate access to the text component, faster reporting to the referring physician, and enhanced capability of measuring outcomes.