February 2015

When it comes to creating electronic systems that support clinical care, the dominant paradigm has been the electronic health record. The reason for this is obvious; for decades the paper record has had a central role in care delivery.   However, as care delivery comes to embrace care coordination, patient engagement and shared decision-making, it is […]

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Recently, I participated in a series of emails about creating teaching materials for a course on clinical software design.   This may come as a surprise, but there are no books on the topic of clinical software design.   Of course, there are plenty of books about clinical software systems, especially EHR systems, but none that describe […]


An Informatics Exploratorium for EHR Design

by Jerome Carter on February 9, 2015 · 3 comments

Experimentation is essential to the development of any new field. In the case of Biomedical informatics, and clinical software in particular, the ability to test ideas in concrete form as functioning software provides a much-needed reality check on expectations and claims. There are many aspects of software systems that must be properly aligned to make […]


Clinical Software, Innovation, and Alice v. CLS Bank

by Jerome Carter on February 2, 2015 · 0 comments

A few years ago, a defense attorney for an EHR vendor being sued for a patent violation contacted me about being an expert witness. After hearing about the case, I was shocked at what was being asserted as a patent.   Circumstances prevented my being able to take the case. However, a little while later, curiosity […]