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)


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.


EPRs work practice clinical decision support 


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© Springer International Publishing Switzerland 2014

Authors and Affiliations

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

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