A client-server based electronic medical record replaces paper records in outpatient clinics. The Internet provides physicians with the ability to use a Java-based client program to generate legible, complete notes for patient encounters that comply with HCFA guidelines. A pen-like input device for entering data into an electronic medical record is provided with one end which serves as a stylus or pointing device for being placed in contact with a touch screen and another end which has a microphone element for receiving speech signals. A microphone activation button or lever is provided to enable and disable speech recognition.