Towards a Structured Electronic Patient Record for Supporting Clinical Decision-Making

Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 276)

Abstract

At present, Electronic Patient Record systems (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 and decision-making 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. Taking a work practice perspective, we show that implementing this new EPR in patient care planning implicates several socio-technical challenges that need to be solved in the process.

Keywords

EPRs work practice clinical decision support 

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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  1. 1.Telemedicine and e-Health Research GroupUniversity of TromsøTromsøNorway

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