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Operative Report

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Surgical Documentation Intelligence

The world's best operative report extraction

Digitize surgical documentation with precision. Extract procedure details, pre-operative and post-operative diagnoses, operative findings, and technique descriptions. Support accurate coding, quality reporting, and clinical research with structured surgical data.

operative-report.pdf


Report date
Mar 20, 2024

Facility

Name

Metro Surgical Center


Address

300 Medical Plaza, Chicago, IL 60601


Patient

Name

Thomas J. Wilson


Date of birth
Sep 12, 1965

Mrn

MRN-2024-34567


Surgeon

Name

Dr. Elizabeth Martinez, MD, FACS


Npi

1234567890


Assistant

Dr. James Park, MD


Anesthesiologist

Dr. Susan Lee, MD


Anesthesia type

General endotracheal anesthesia


Date of surgery
Mar 20, 2024

Time start

08:30


Time end

10:15


Pre operative diagnosis

Right inguinal hernia


Post operative diagnosis

Right inguinal hernia, direct type


Procedure performed

Laparoscopic right inguinal hernia repair with mesh


Cpt codes
1 item
Value

49650


Icd10 codes
1 item
Value

K40.90


Findings

Direct inguinal hernia identified measuring approximately 3cm. No bowel involvement. Cord structures intact.


Technique

Standard three-port laparoscopic technique. Hernia sac dissected and reduced. 10x15cm polypropylene mesh placed in preperitoneal space with tacker fixation.


Specimens

None


Estimated blood loss

Minimal, less than 10ml


Complications

None


Drains

None


Disposition

Patient extubated and transferred to recovery in stable condition

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Integrations

Connect Operative Reports across your stack

DocuPipe captures operative reports from surgical centers, EHR systems, or transcription services. Extract procedure details, diagnoses, and surgical findings, then sync to EHR or billing systems.

Sources
EHR/EMR
Fax/eFax
D
Dictation System
Scanner
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Destinations
EHR/EMR
C
Claims Platform
P
Practice Management
API

Extract fields. Consistently.

Your business has specific documents with your own rules of how you need to understand them and act on them. Define exactly what you need to extract, reliably, for any layout and language.

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