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. 9. The hybrid electronic medical record system of claim 5 wherein the document generator generates documents including data from the structured database not in the predefined report but related to data used in the predefined report by structure of the database.