September 2012

Do perceptions of what constitutes an electronic health record affect software design?  Until recently, I hadn’t given much thought to this question.   However, as I have spent more time considering implementation issues and their relationship to software architecture and design, I have come to see this as an important, even fundamental, question. The Computer-based Patient […]


EHR Certification 2014—Darwinian Implications?

by Jerome Carter on September 17, 2012 · 2 comments

The final EHR certification criteria for 2014 were released a few weeks ago, and I am surprised by how many of the more forward-thinking proposals made it into the final set.  The proposed criteria, released in March, contained suggestions that I thought were good ideas (e.g., usability testing, price transparency, and data portability requirements), but […]


Currently, there is a thread on the AMIA Clinical Information Systems Workgroup Group listserv that focuses on the problems/issues encountered during EHR/CIS implementation.   One commentator insightfully pointed out that, over the years, there have been many efforts to understand and alleviate the problems that plague software implementations.   As I have mentioned in previous posts, implementation […]

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Are You Smarter Than a Pigeon?

by Jerome Carter on September 3, 2012 · 0 comments

Now that I am focusing on graph theory and Petri Nets, the time set aside for general discrete math topics is waning.  Thus far, I have covered logic, proofs, sets, functions, relations, and a few other topics.  Algorithm analysis, recursion, grammars, and related topics will be covered only if/when I discover a need for that […]