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Why not, when scanning in consults, reports, etc, use optical character recognition to convert the image into a text document? In searching the user guide, I don't see that this is possible. This would reduce the size of the data base, enabling faster navigation of the EMR. It would also allow word searches within documents, say to find where "congestive heart failure" was mentioned. I think the downside is that the final document would require a quick proofread. A colleague told me that their EMR does this and he has noticed a speed improvement since it was implemented.
I can't speak for other provinces, but in Ontario, the CPSO only allows OCR (optical character recognition), if the original document is retained. There may be some convenience to having a searchable document, but no space would be saved if you have both a text version and the image.
There are also risks to using OCR on pages with numbers (like lab results). A poor quality fax or scan could easily mix up similar looking numbers, like 3 & 8
http://www.cpso.on.ca/policies-publications/policy/medical-records