July 2015

Clinical Care Systems: The Next Generation

by Jerome Carter on July 27, 2015 · 2 comments

As many of you are aware, I am the editor of Electronic Health Records: Second Edition.   I will not be editing a third edition.   At first, I was ambivalent about the publisher’s decision to let the book go out of print – it was well received. However, after a while, I realized that the time […]


Current EHR and HIT thinking places significant value on immediate and downstream use of EHR data.   The expected benefits of interoperability, clinical decision support, and data analytics all depend on accurate EHR data.  Yet, somehow, data quality has not gotten the attention that it should.   While clinical researchers are increasingly focused on improving phenotyping algorithms […]


As mentioned in the last post, I am exploring a new way of developing clinical software that puts processes front-and-center from start to finish. I call the approach informatics analysis and design, and it is the approach being used for my iOS project. Informatics analysis and design (IAD) assumes that real-world clinical care processes are […]


There is no standard method or process for creating clinical software, and this bothers me – a lot.   There is no information model that everyone agrees on, no object names or properties or methods.   Even though clinical care is a collection of processes, we have no standards for naming those processes, the steps that comprise […]