METHOD AND SYSTEM FOR GENERATING A MEDICAL REPORT AND COMPUTER PROGRAM PRODUCT THEREFOR

A method and a system for generating, with the assistance of a computer system(12), a medical report (18) suitable for automatic billing, wherein an electronic template (39) suited for a specific patient's condition is selected out of a plurality of given electronic templates stored in storage means (15); personal data of the specific patient's and previously stored in storage means (11) are automatically entered into the selected electronic template; and medical report text passages and instructions are entered into the selected template by dictating and using a speech recognition system (13); additionally, condition data are automatically entered on the basis of condition information as far as stored in storage means (7 ) into the selected template, and code data associated with these condition information are automatically embedded in the selected template; and when entering medical report text passages, at least one predetermined voice macro stored in storage means (16) together with code data embedded therein is called in; the code data thus embedded in the medical report (18) being applicable when coding the medical report for automatic billing.