5. The hybrid electronic medical record system of claim 1 wherein the database management engine provides a user interface receiving user commands to execute predefined structured queries with the database management engine to generate predefined reports and wherein the document generator generates documents that duplicate the predefined reports.
5. The hybrid electronic medical record system of claim 1 wherein the database management engine provides a user interface receiving user commands to execute predefined structured queries with the database management engine to generate predefined reports and wherein the document generator generates documents that duplicate the predefined reports. 8. The hybrid electronic medical record system of claim 5 wherein the document generator generates documents including chronological information describing a date of clinical observations of data of the predefined report in the structured database at the time of generation of the documents.