Highlights: ? First study operative report quality in kidney cancer surgery. ? First system evaluated that: (i) uses real time POC documentation embedded in the EPR; (ii) uses data fields that are searchable for research and quality assessment. ? Documentation with structured electronic templates improves quality of OR note.Abstract: Purpose: The purpose of this study was to evaluate the functionality of eKidney as a structured reporting tool in operative note generation. To do this, we compared completeness and timeliness of eKidney template-generated nephrectomy OR notes with standard narrative dictation.Methods: A group of academic uro-oncologists and medical informaticians at the University Health Network designed and adopted an electronic online, point-of-care clinical documenta….