WorldCIST'14 - The 2014 World Conference on Information Systems and Technologies

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Towards structrued EPR for supporting Clinical Decision making

At present, electronic patient records (EPRs) in Western hospitals are mainly stores of free-text patient information and lack utility for purposes other than accessing such information. The need to improve support for clinical work processes, decision-making, quality-monitoring and the integration of information systems has put pressure on vendors and decision makers to put forward a strategy for enhancing the structure of EPR content. This paper reports on the first attempt to implement a structured EPR using a two-level modeling approach in Norwegian hospitals. We show that use of this new EPR in patient care planning involves challenges regarding backwards compatibility with the existing EPR, as well as with working routines. These challenges may suggest an approach focused on more than one single user-role in the development of process-support. The short-coming of defining archetypes may impede the im-plementing process as well.

Author(s):

Bente Christensen    
University of Tromsø
Norway

Gunnar Ellingsen    
University of Tromsø
Norway

 

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