Some procedures, like GI procedures, may be documented with the software associated with that equipment. For GI endoscopy, for example, our hospital uses Provation. I then print a copy of the report to a thumb drive using CutePDF ad import it to Imported items. This does not speak to MU, of course, and as an imported item is not exactly part of AC in that it does not flow seamlessly into the record in the proper chronological sequence. Documenting as an addendum is a good idea, but I'd lose the pictures. But, I see that as just another example of my main rant about the state of the electronic record in general; it is one giant tower of Babel.
