A Call for Intuitive EMRs

"EMR 2.0" needs to know how to adapt to clinical workflows without an IT army making changes to the code. At the current pace of development, it will take a miracle for electronic medical records software to meet health systems' meaningful use deadlines.

1 comments on "A Call for Intuitive EMRs"
Alton Brantley, MD,PhD (7/25/2012 at 12:13 PM)

Pam McNutt and Chuck Christian have hit the nail on the head. In particular, the engagement of the federal government into the development of EMRs, with the bureaucracy of federal design, certification requirements, approval of certification bodies, and the introduction of civil and criminal penalties, has created a situation where the practice of medicine is subordinated to regulatory fossilization. Alternatively, what should have been sought was a standardization of interoperability and an evolvable, versionable content structure that would enable and foster the development of exactly what Pam desires. Standards should be interoperable and overlapping so that not every software system need be upgraded to interoperate effectively - a sliding window of versions and content that enable all parts of a multi system environment to operate as each component is changed out and upgraded. Finally, coding standards that are baroque in nature like the ICD codes need to be phased out and replaced with taxonomies built in machine-parsable grammars.


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