1. A hybrid electronic medical record system comprising: a structured database providing a plurality of records associated with particular patients and providing clinically derived medical data separated in different identified data fields; a database management engine communicating with the structured database and responding to structured queries to provide predefined reports collecting and organizing information from different fields of selected records according to the query; a document generator generating documents based on records associated with particular patients; an inverted index indexing the documents according to text terms in the documents; and a text search engine communicating with the inverted index and responding to text queries to identify multiple ranked documents based on the indexing of the inverted index.