This is one of those rare instances where the Feds CAN make a difference by mandating specific medical record formats, import and export of data, standard reporting functionality, etc.
They have done this. They problem is that have not said anything about the user interface. The result seems to be that the User Interface looks a lot like a military, hierarchical table designating every detail of an examination and diagnosis. Like:
Reflex, sensory, tactile, digit, left hand, index finger;
Reflex, sensory, tactile, digit, left hand, middle finger;
...
Each of those a mouse click and a display update, and you've got 10 digits.
The good news is that you now have explicit confirmation that feeling in each of those fingers was verified. The bad news is that you've taken a procedure that was "poke 10 fingers" and turned it into "poke 10 fingers, click 60 mouse buttons."
I'd like to think this is a natural consequence of coders living at the interface between bureaucrats and physicians, and I'd like to think that a few iterations of software will allow some of those details to be aggregated, but there's a huge difference between the old-style chart notation "Reflexes normal," and the medicare requirement that reflex testing can only be compensated if it documents a litany of specific tests.