Updated November 26, 2018 (Page is updated monthly on the 26th. For more frequent resource alerts, follow EHR Science on Twitter:@ehrscience.)
The Architecture and Design page has been created to serve as a resource for those who are interested in building EHR systems and/ or understanding how they work. To that end, I have included links to EHR standards, open source projects, and programming/technology information. Data exchange, decision support, and content-related materials (e.g. SNOMED, LOINC) are included only if they directly address issues encountered when designing and building systems.
Freeman E, Freeman E, Bates B, Sierra K, Robson E. Head First Design Patterns. 2004
McLaughlin BD, Pollice G, West D. Head First Object-Oriented Analysis and Design. 2006
Microsoft Application Architecture Guide, Second Edition. 2009
Bass L, Clements P, Kazman R. Software Architecture in Practice, Third Edition. 2012
Object Mentor Resources – Great information on object-oriented programminf and software design
Software Engineering Institute – Among other things, offers a range of resources on software architecture
The Guide to the Software Engineering Body of Knowledge (SWEBOK) – Provides a great overview of the main issues/areas of software engineering
A Robust Health Data Infrastructure, 2014
EHR Architecture and Design
American Society of Testing Materials
Food and Drug Administration
Mobile Medical Applications – Guidance for Industry and Food and Drug Administration Staff, 2013
Health Level Seven
EHR Functional Profiles
International Standards Organization (ISO)
TC 25 Health Informatics Standards
Designing Clinical Care Systems – a look at the issues and principles associated with creating electronic systems that intimately support clinical care.
Building Clinical Care Software Systems, Part I: Issues and Challenges
Building Clinical Care Software Systems, Part II: Patient Information
Building Clinical Care Software Systems, Part III: The Electronic Health Record
Building Clinical Care Software Systems, Part IV: Process Information
Building Clinical Care Software Systems, Part V: Supporting Clinical Work
Audit Trails and Data Access – these posts discuss MU audit requirements and audit trail design.
EHR Design, Timelines, and Audit Trails: Getting a Sense of What Has Happened
EHR Design Basics: Tracking Data Changes and Accesses
From Idea to System: A Story of Architecture and Design
Coupling and Cohesion: A View of Software Design from the Inside Out
Software Architecture and Design, First Steps
Rethinking the Design of Electronic Health Record Systems
What If EHRs Were More Like Content Management Systems?
Moving Beyond Paper-based Thinking in EHR Design
Requirements, Usability, and Petri Nets
Architecture and Design
Motifs in EHR Research
The EHR As an Object Worthy of Study
EHRs and Architectural Styles, Peeking Under the Hood
Investigating NoSQL for EHR Systems: MongoDB
Exchanging Data with JSON
SaaS EHRs, MVC, Flexibility and Innovation
Clinical Algorithms and Data Structures
From Data to Data + Processes: A Different Way of Thinking about EHR Software Design
The Informaticist-Programmer Interface: What Do You Mean By That…?
Making Clinical Concepts Computable
The Nuances of Clinical Data
Null Codes: A Mechanism for Understanding the Reasons for Missing EHR Data Values
Sittig DF, Wright A. What makes an EHR “open” or interoperable? J Am Med Inform Assoc. 2015 Jun 15. [E]
Sittig DF, Murphy DR, Smith MW, Russo E, Wright A, Singh H. Graphical Display of Diagnostic Test Results in Electronic Health Records: A Comparison of 8 Systems. J Am Med Inform Assoc. 2015 Mar 18. [E]
Sinsky CA, Beasley JW, Simmons GE, Baron RJ. Electronic health records: design, implementation, and policy for higher-value primary care. Ann Intern Med. 2014 May 20;160(10):727-8.
Krist AH, Beasley JW, Crosson JC, Kibbe DC, et al. Electronic health record functionality needed to better support primary care. J Am Med Inform Assoc. 2014 Jan 15. [E]
Hyppönen H, Saranto K, Vuokko R, Mäkelä-Bengs P, Doupi P, Lindqvist M, Mäkelä M. Impacts of structuring the electronic health record: A systematic review protocol and results of previous reviews. Int J Med Inform. 2013 Dec 8. [E]
Xiaomu Zhou, Kai Zheng, Mark Ackerman, and David Hanauer. 2012. Cooperative documentation: the patient problem list as a nexus in electronic health records. In Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work (CSCW ’12). ACM, New York, NY, USA, 911-920.
Bisbal J, Berry D. An analysis framework for electronic health record systems. Interoperation and collaboration in shared healthcare. Methods Inf Med. 2011;50(2):1809.
Blobel B, Pharow P. Analysis and evaluation of EHR approaches. Methods Inf Med. 2009;48(2):162-9.
Greenhalgh T, Potts HW, Wong G et al. (2009) . Tensions and paradoxes in electronic patient record research: a systematic literature review using the meta-narrative method. Milbank Q vol. 87, (4) 729-788.
Miller J. Cohesion and Coupling. MSDN Magazine. October 2008.
Häyrinen K, Saranto K, Nykänen P. Definition, structure, content, use and impacts of electronic health records: a review of the research literature. Int J Med Inform. 2008 May;77(5):291-304.
[New October 27 – November 26, 2018] [E] = e-pub date
Winterstein AG, Jeon N, Staley B, Xu D, Henriksen C, Lipori GP. Development and validation of an automated algorithm for identifying patients at high risk for drug-induced hypoglycemia. Am J Health Syst Pharm. 2018 Nov 1;75(21):1714-1728
Zhang Y, Trepp R, Wang W, Luna J, Vawdrey DK, Tiase V. Developing and maintaining clinical decision support using clinical knowledge and machine learning: the case of order sets. J Am Med Inform Assoc. 2018 Nov 1;25(11):1547-1551.
Wright A, Wright AP, Aaron S, Sittig DF. Smashing the strict hierarchy: three cases of clinical decision support malfunctions involving carvedilol. J Am Med Inform Assoc. 2018 Nov 1;25(11):1552-1555.
Theriault BM, Burger CF, Schlesinger JJ. EMR implementation of default opioid prescription quantities. J Gen Intern Med. 2018 Nov;33(11):1827.
Khajouei R, Abbasi R, Mirzaee M. Errors and causes of communication failures From hospital information systems to electronic health record: A record-review study. Int J Med Inform. 2018 Nov;119:47-53.
Wiitala WL, Vincent BM, Burns JA, Prescott HC, Waljee AK, Cohen GR, Iwashyna TJ. Variation in Laboratory Test Naming Conventions in EHRs Within and Between Hospitals: A Nationwide Longitudinal Study. Med Care. 2018 Nov 1. [E].
Hoopes M, Angier H, Raynor LA, Suchocki A, Muench J, Marino M, Rivera P, Huguet N. Development of an algorithm to link electronic health record prescriptions with pharmacy dispense claims. J Am Med Inform Assoc. 2018 Oct 1;25(10):1322-1330.
Santiso S, Casillas A, Pérez A. The class imbalance problem detecting adverse drug reactions in electronic health records. Health Informatics J. 2018 Sep 19. [E]
Walonoski J, Scanlon R, Dowling C, Hyland M, Ettema R, Posnack S. Validation and Testing of Fast Healthcare Interoperability Resources Standards Compliance: Data Analysis. JMIR Med Inform. 2018 Oct 23;6(4):e10870.
Venzon A, Le TB, Kim K. Capturing Social Health Data in Electronic Systems: A Systematic Review. Comput Inform Nurs. 2018 Oct 19. [E]
Mikles SP, Suh H, Kientz JA, Turner AM. The use of model constructs to design collaborative health information technologies: A case study to support child development. J Biomed Inform. 2018 Oct;86:167-174.
Pacheco JA, Rasmussen LV, Kiefer RC, Campion TR, Speltz P, Carroll RJ, Stallings SC, Mo H, Ahuja M, Jiang G, LaRose ER, Peissig PL, Shang N, Benoit B, Gainer VS, Borthwick K, Jackson KL, Sharma A, Wu AY, Kho AN, Roden DM, Pathak J, Denny JC, Thompson WK. A case study evaluating the portability of an executable computable phenotype algorithm across multiple institutions and electronic health record environments. J Am Med Inform Assoc. 2018 Aug 16. [e]
Meyers S, Claire Simon K, Bergman-Bock S, Campanella F, Marcus R, Mark A, Freedom T, Rubin S, Semenov I, Lai R, Hillman L, Tideman S, Pham A, Frigerio R, Maraganore DM. Structured Clinical Documentation to Improve Quality and Support Practice-Based Research in Headache. Headache. 2018 Aug 1. [E]
Wright A, Neri PM, Aaron S, Hickman TT, Maloney FL, Solomon DA, McEvoy D, Ai A, Kron K, Zuccotti G. Development and evaluation of a novel user interface for reviewing clinical microbiology results. J Am Med Inform Assoc. 2018 Aug 1;25(8):1064-1068.
Chiang MF, Sommer A, Rich WL, Lum F, Parke DW 2nd. The 2016 American Academy of Ophthalmology IRIS(®) Registry (Intelligent Research in Sight) Database: Characteristics and Methods. Ophthalmology. 2018 Aug;125(8):1143-1148.
Seneviratne MG, Seto T, Blayney DW, Brooks JD, Hernandez-Boussard T. Architecture and Implementation of a Clinical Research Data Warehouse for Prostate Cancer. EGEMS (Wash DC). 2018 Jun 1;6(1):13.
Miller K, Capan M, Weldon D, Noaiseh Y, Kowalski R, Kraft R, Schwartz S, Weintraub WS, Arnold R. The design of decisions: Matching clinical decision support recommendations to Nielsen’s design heuristics. Int J Med Inform. 2018 Sep;117:19-25.
Ranade-Kharkar P, Narus SP, Anderson GL, Conway T, Del Fiol G. Data Standards for Interoperability of Care Team Information to Support Care Coordination of Complex Pediatric Patients. J Biomed Inform. 2018 Jul 12. [E]
Wang H, Song Y. Secure Cloud-Based EHR System Using Attribute-Based Cryptosystem and Blockchain. J Med Syst. 2018 Jul 5;42(8):152.
Rajkovic P, Aleksic D, Jankovic D, Milenkovic A, Petkovic I. Checking the potential shift to perceived usefulness-The analysis of users’ response to the updated electronic health record core features. Int J Med Inform. 2018 Jul;115:80-91.
van Roessel I, Reumann M, Brand A. Potentials and Challenges of the Health Data Cooperative Model. Public Health Genomics. 2018 Jun 22:1-11. [E]
Fylan F, Caveney L, Cartwright A, Fylan B. Making it work for me: beliefs about making a personal health record relevant and useable. BMC Health Serv Res. 2018 Jun 14;18(1):445.
Huang M, Han H, Li L, Wang H, Zhang Y, Bhatti UA. A Clinical Decision Support Framework for Heterogeneous Data Sources. IEEE J Biomed Health Inform. 2018 Jun12. [E]
Jahn MA, Porter BW, Patel H, Zillich AJ, Simon SR, Russ AL. Usability Assessment of Secure Messaging for Clinical Document Sharing between Health Care Providers and Patients. Appl Clin Inform. 2018 Apr;9(2):467-477.
Haroon S, Wooldridge D, Hoogewerf J, Nirantharakumar K, Williams J, Martino L, Bhala N. Information standards for recording alcohol use in electronic health records: findings from a national consultation. BMC Med Inform Decis Mak. 2018 Jun 7;18(1):36.
Fujibayashi K, Takahashi H, Tanei M, Uehara Y, Yokokawa H, Naito T. A New Influenza-Tracking Smartphone App (Flu-Report) Based on a Self-Administered Questionnaire: Cross-Sectional Study. JMIR Mhealth Uhealth. 2018 Jun 6;6(6):e136.
Crump JK, Del Fiol G, Williams MS, Freimuth RR. Prototype of a Standards-Based EHR and Genetic Test Reporting Tool Coupled with HL7-Compliant Infobuttons. AMIA Jt Summits Transl Sci Proc. 2018 May 18;2017:330-339.
Kropf S, Uciteli A, Schierle K, Krücken P, Denecke K, Herre H. Querying archetype-based EHRs by search ontology-based XPath engineering. J Biomed Semantics. 2018 May 11;9(1):16.
Gichoya JW, Kohli M, Ivange L, Schmidt TS, Purkayastha S. A Platform for Innovation and Standards Evaluation: a Case Study from the OpenMRS Open-Source Radiology Information System. J Digit Imaging. 2018 May 10. [E]
Matta GY, Khoong EC, Lyles CR, Schillinger D, Ratanawongsa N. Finding Meaning in Medication Reconciliation Using Electronic Health Records: Qualitative Analysis in Safety Net Primary and Specialty Care. JMIR Med Inform. 2018 May7;6(2):e10167.
Celesti A, Fazio M, Romano A, Bramanti A, Bramanti P, Villari M. An OAIS-Based Hospital Information System on the Cloud: Analysis of a NoSQL Column-Oriented Approach. IEEE J Biomed Health Inform. 2018 May;22(3):912-918.
Ni Y, Lingren T, Hall ES, Leonard M, Melton K, Kirkendall ES. Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. J Am Med Inform Assoc. 2018 May 1;25(5):555-563.
Miller K, Mosby D, Capan M, Kowalski R, Ratwani R, Noaiseh Y, Kraft R, Schwartz S, Weintraub WS, Arnold R. Interface, information, interaction: a narrative review of design and functional requirements for clinical decision support. J Am Med Inform Assoc. 2018 May 1;25(5):585-592.
Wright A, Ai A, Ash J, Wiesen JF, Hickman TT, Aaron S, McEvoy D, Borkowsky S, Dissanayake PI, Embi P, Galanter W, Harper J, Kassakian SZ, Ramoni R, Schreiber R, Sirajuddin A, Bates DW, Sittig DF. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018 May 1;25(5):496-506.
Basit MA, Baldwin KL, Kannan V, Flahaven EL, Parks CJ, Ott JM, Willett DL. Agile Acceptance Test-Driven Development of Clinical Decision Support Advisories: Feasibility of Using Open Source Software. JMIR Med Inform. 2018 Apr 13;6(2):e23.
Inokuchi R, Maehara H, Iwai S, Iwagami M, Sato H, Yamaguchi Y, Asada T, Yamamoto M, Nakamura K, Hiruma T, Doi K, Morimura N. Interface design dividing physical findings into medical and trauma findings facilitates clinical document entry in the emergency department: A prospective observational study. Int J Med Inform. 2018 Apr;112:143-148.
Wald JS, Haque SN, Rizk S, Webb JR, Brown S, Ebron S, Lehmann CU, Frisse M, Shorte VA, Lomotan EA, Dailey BA, Johnson KB. Enhancing Health IT Functionality for Children: The 2015 Children’s EHR Format. Pediatrics. 2018 Apr;141(4).
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. BMJ Qual Saf. 2018 Mar 24. [E]
Nagykaldi ZJ, Tange H, De Maeseneer J. Moving From Problem-Oriented to Goal-Directed Health Records. Ann Fam Med. 2018 Mar;16(2):155-159.
Kieft RAMM, Vreeke EM, de Groot EM, de Graaf-Waar HI, van Gool CH, Koster N, Ten Napel H, Francke AL, Delnoij DMJ. Mapping the Dutch SNOMED CT subset to Omaha System, NANDA International and International Classification of Functioning, Disability and Health. Int J Med Inform. 2018 Mar;111:77-82.
Drews FA, Zadra JR, Gleed J. Electronic health record on the go: Device form factor and Fitts’ law. Int J Med Inform. 2018 Mar;111:37-44.
Berger RP, Saladino RA, Fromkin J, Heineman E, Suresh S, McGinn T. Development of an electronic medical record-based child physical abuse alert system. J Am Med Inform Assoc. 2018 Feb 1;25(2):142-149.
Watbled L, Marcilly R, Guerlinger S, Bastien JC, Beuscart-Zéphir MC, Beuscart R. Combining usability evaluations to highlight the chain that leads from usability flaws to usage problems and then negative outcomes. J Biomed Inform. 2018 Feb;78:12-23.
Yang Y, Ward-Charlerie S, Dhavle AA, Rupp MT, Green J. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Care Spec Pharm. 2018 Jan 18:1-9.
Teodoro D, Sundvall E, João Junior M, Ruch P, Miranda Freire S. ORBDA: An openEHR benchmark dataset for performance assessment of electronic health record servers. PLoS One. 2018 Jan 2;13(1):e0190028.
Wilbanks BA, Moss J. Evidence-Based Guidelines for Interface Design for Data Entry in Electronic Health Records. Comput Inform Nurs. 2018 Jan;36(1):35-44.
Thamjamrassri P, Song Y, Tak J, Kang H, Kong HJ, Hong J. Customer Discovery as the First Essential Step for Successful Health Information Technology System Development. Healthc Inform Res. 2018 Jan;24(1):79-85.
Miller H, Johns L. Interoperability of Electronic Health Records: A Physician-Driven Redesign. Manag Care. 2018 Jan;27(1):37-40.
Renardi MB, Basjaruddin NC, Rakhman E. Securing electronic medical record in Near Field Communication using Advanced Encryption Standard (AES). Technol Health Care. 2017 Dec 29. [E].
Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through improved design of electronic tools. J Am Med Inform Assoc. 2017 Nov 7. [E]
Martínez-Costa C, Schulz S. Validating EHR clinical models using ontology patterns. J Biomed Inform. 2017 Nov 4. [E]
Won E, Rosenkrantz AB. JOURNAL CLUB: Informal Consultations Between Radiologists and Referring Physicians, as Identified Through an Electronic Medical Record Search. AJR Am J Roentgenol. 2017 Nov;209(5):965-969.
Lee J, Kim JGB, Jin M, Ahn K, Kim B, Kim S, Kim J. Beneficial Effects of Two Types of Personal Health Record Services Connected With Electronic Medical Records Within the Hospital Setting. Comput Inform Nurs. 2017 Nov;35(11):574-581.
Samal L, D’Amore JD, Bates DW, Wright A. Implementation of a scalable, web-based, automated clinical decision support risk-prediction tool for chronic kidney disease using C-CDA and application programming interfaces. J Am Med Inform Assoc. 2017 Nov 1;24(6):1111-1115.
Wright A, Ai A, Ash J, Wiesen JF, Hickman TT, Aaron S, McEvoy D, Borkowsky S, Dissanayake PI, Embi P, Galanter W, Harper J, Kassakian SZ, Ramoni R, Schreiber R, Sirajuddin A, Bates DW, Sittig DF. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2017 Oct 16. [E]
Kennell TI Jr, Willig JH, Cimino JJ. Clinical Informatics Researcher’s Desiderata for the Data Content of the Next Generation Electronic Health Record. Appl Clin Inform. 2017 Oct;8(4):1159-1172.
Zwank MD, Kennedy SM, Stuck LH, Gordon BD. Removing default dispense quantity from opioid prescriptions in the electronic medical record. Am J Emerg Med. 2017 Oct;35(10):1567-1569.
Petrides AK, Tanasijevic MJ, Goonan EM, Landman AB, Kantartjis M, Bates DW, Melanson SEF. Top ten challenges when interfacing a laboratory information system to an electronic health record: Experience at a large academic medical center. Int J Med Inform. 2017 Oct;106:9-16.
Teixeira M, Cook DA, Heale BSE, Del Fiol G. Optimization of infobutton design and Implementation: A systematic review. J Biomed Inform. 2017 Oct;74:10-19.
Roman-Belmonte JM, De la Corte-Rodriguez H, Rodriguez-Merchan EC. Comparative analysis of two methods of data entry into electronic medical records: A randomized clinical trial (research letter). J Eval Clin Pract. 2017 Sep 25. [E]
Rodriguez Torres Y, Huang J, Mihlstin M, Juzych MS, Kromrei H, Hwang FS. The effect of electronic health record software design on resident documentation and compliance with evidence-based medicine. PLoS One. 2017 Sep 21;12(9):e0185052.
Wilbanks BA, Moss J. Evidence-Based Guidelines for Interface Design for Data Entry in Electronic Health Records. Comput Inform Nurs. 2017 Sep 12. [E]
Deléger L, Campillos L, Ligozat AL, Névéol A. Design of an extensive information representation scheme for clinical narratives. J Biomed Semantics. 2017 Sep 11;8(1):37
Adelman JS, Berger MA, Rai A, Galanter WL, Lambert BL, Schiff GD, Vawdrey DK, Green RA, Salmasian H, Koppel R, Schechter CB, Applebaum JR, Southern WN. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. J Am Med Inform Assoc. 2017 Sep 1;24(5):992-995.
Ranade-Kharkar P, Weir C, Norlin C, Collins SA, Scarton LA, Baker GB, Borbolla D, Taliercio V, Del Fiol G. Information needs of physicians, care coordinators, and families to support care coordination of children and youth with special health care needs (CYSHCN). J Am Med Inform Assoc. 2017 Sep 1;24(5):933-941.
Kreimeyer K, Foster M, Pandey A, Arya N, Halford G, Jones SF, Forshee R, Walderhaug M, Botsis T. Natural language processing systems for capturing and standardizing unstructured clinical information: A systematic review. J Biomed Inform. 2017 Sep;73:14-29.
Boris JR, Béland MJ, Bergensen LJ, Colan SD, Dangel J, Daniels CJ, Davis C, Everett AD, Franklin R, Gaynor JW. 2017 AHA/ACC Key Data Elements and Definitions for Ambulatory Electronic Health Records in Pediatric and Congenital Cardiology: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards. J Am Coll Cardiol. 2017 Aug 22;70(8):1029-1095.
Lougheed MD, Thomas NJ, Wasilewski NV, Morra AH, Minard JP. Use of SNOMED CT® and LOINC® to standardize terminology for primary care asthma electronic health records. J Asthma. 2017 Aug 11:1-11. [E]
Beštek M, Stanimirovi? D. Special Topic Interoperability and EHR: Combining openEHR, SNOMED, IHE, and Continua as approaches to interoperability on national eHealth. Appl Clin Inform. 2017 Aug 9;8(3):810-825.
Khelifi M, Tarczy-Hornoch P, Devine EB, Pratt W. Design Recommendations for Pharmacogenomics Clinical Decision Support Systems. AMIA Jt Summits Transl Sci Proc. 2017 Jul 26;2017:237-246.
Davey CJ, Slade SV, Shickle D. A proposed minimum data set for international primary care optometry: a modified Delphi study. Ophthalmic Physiol Opt. 2017 Jul;37(4):428-439.
Schindler-Ruwisch JM, Abroms LC, Bernstein SL, Heminger CL. A content analysis of electronic health record (EHR) functionality to support tobacco treatment. Transl Behav Med. 2017 Jun;7(2):148-156
Miotto R, Wang F, Wang S, Jiang X, Dudley JT. Deep learning for healthcare: review, opportunities, and challenges. Brief Bioinform. 2017 May 6. [E]
Liu S, Wang L, Ihrke D, Chaudhary V, Tao C, Weng C, Liu H. Correlating Lab Test Results in Clinical Notes with Structured Lab Data: A Case Study in HbA1c and Glucose. AMIA Jt Summits Transl Sci Proc. 2017 Jul 26;2017:221-228.
Xie S, Greenblatt R, Levy MZ, Himes BE. Enhancing Electronic Health Record Data with Geospatial Information. AMIA Jt Summits Transl Sci Proc. 2017 Jul 26;2017:123-132. eCollection 2017.
Roehrs A, da Costa CA, da Rosa Righi R. OmniPHR: A distributed architecture model to integrate personal health records. J Biomed Inform. 2017 Jul;71:70-81.
Kamel Ghalibaf A, Mazloum Khorasani Z, Gholian-Aval M, Tabesh H, Tara M. Design, Implementation, and Evaluation of Self-Describing Diabetes Medical Records: A Pilot Study. JMIR Med Inform. 2017 May 2;5(2):e10
Schweitzer M, Hoerbst A. An Approach for the Support of Semantic Workflows in Electronic Health Records. Stud Health Technol Inform. 2017;235:501-505.
Moreno-Conde A, Sanchez-Laguna F, Marin-Bastida B, Romero-Tabares A, Martin-Sánchez E, Kalra D, Parra-Calderón CL. HEMIC Project: Design of a Clinical Information Modelling Tool Based on ISO13972 Technical Specification. Stud Health Technol Inform. 2017;235:411-415.
Tapuria A, Evans M, Curcin V, Austin T, Lea N, Kalra D. Establishment of Requirements and Methodology for the Development and Implementation of GreyMatters, a Memory Clinic Information System. Stud Health Technol Inform. 2017;235:18-22.
Adelman JS, Berger MA, Rai A, Galanter WL, Lambert BL, Schiff GD, Vawdrey DK, Green RA, Salmasian H, Koppel R, Schechter CB, Applebaum JR, Southern WN. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. J Am Med Inform Assoc. 2017 Apr 17. [E]
Carrell DS, Schoen RE, Leffler DA, Morris M, Rose S, Baer A, Crockett SD, Gourevitch RA, Dean KM, Mehrotra A. Challenges in adapting existing clinical natural language processing systems to multiple, diverse health care settings. J Am Med Inform Assoc. 2017 Apr 17.[E]
Caraballo PJ, Bielinski SJ, St Sauver JL, Weinshilboum RM. Electronic medical record-integrated pharmacogenomics and related clinical decision support concepts. Clin Pharmacol Ther. 2017 Apr 8. [E]
Harte R, Glynn L, Rodríguez-Molinero A, Baker PM, Scharf T, Quinlan LR, ÓLaighin G. A Human-Centered Design Methodology to Enhance the Usability, Human Factors, and User Experience of Connected Health Systems: A Three-Phase Methodology. JMIR Hum Factors. 2017 Mar 16;4(1):e8.
Bloomfield RA Jr, Polo-Wood F, Mandel JC, Mandl KD. Opening the Duke electronic health record to apps: Implementing SMART on FHIR. Int J Med Inform. 2017 Mar;99:1-10.
Hettinger AZ, Roth EM, Bisantz AM. Cognitive engineering and health informatics: Applications and intersections. J Biomed Inform. 2017 Mar;67:21-33.
Giles SJ, Reynolds C, Heyhoe J, Armitage G. Developing a patient-led electronic feedback system for quality and safety within Renal PatientView. J Ren Care. 2017 Mar;43(1):37-49.
Alpert JM, Krist AH, Aycock RA, Kreps GL. Designing User-Centric Patient Portals: Clinician and Patients’ Uses and Gratifications. Telemed J E Health. 2017 Mar;23(3):248-253
Alsaffar M, Yellowlees P, Odor A, Hogarth M. The State of Open Source Electronic Health Record Projects: A Software Anthropology Study. JMIR Med Inform. 2017 Feb 24;5(1):e6.
Sim LL, Ban KH, Tan TW, Sethi SK, Loh TP. Development of a clinical decision support system for diabetes care: A pilot study. PLoS One. 2017 Feb 24;12(2):e0173021.
Mazer LM, Storage T, Bereknyei S, Chi J, Skeff K. A Pilot Study of the Chronology of Present Illness: Restructuring the HPI to Improve Physician Cognition and Communication. J Gen Intern Med. 2017 Feb;32(2):182-188.
Alanazi A. Incorporating Pharmacogenomics into Health Information Technology, Electronic Health Record and Decision Support System: An Overview. J Med Syst. 2017 Feb;41(2):19.
Valdez RS, Guterbock TM, Fitzgibbon K, Williams IC, Wellbeloved-Stone CA, Bears JE, Menefee HK. From loquacious to reticent: understanding patient health information communication to guide consumer health IT design. J Am Med Inform Assoc. 2017 Jan 9. [E]
Swan D, Hannigan A, Higgins S, McDonnell R, Meagher D, Cullen W. Development and implementation of a ‘Mental Health Finder’ software tool within an electronic medical record system. Ir J Med Sci. 2017 Jan 3. [E]
Shade C, Kelly K, Hofmann K. Addressing the Unique Needs of an Electronic Health Record in a Neonatal Intensive Care Unit. J Obstet Gynecol Neonatal Nurs. 2016 Dec 12. [E]
Giles SJ, Reynolds C, Heyhoe J, Armitage G. Developing a patient-led electronic feedback system for quality and safety within Renal PatientView. J Ren Care. 2016 Dec 19. [E]
Hicks JK, Dunnenberger HM, Gumpper KF, Haidar CE, Hoffman JM. Integrating pharmacogenomics into electronic health records with clinical decision support. Am J Health Syst Pharm. 2016 Dec 1;73(23):1967-1976.
Fragidis LL, Chatzoglou PD, Aggelidis VP. Integrated Nationwide Electronic Health Records system: Semi-distributed architecture approach. Technol Health Care. 2016 Nov 14;24(6):827-842.
Schindler-Ruwisch JM, Abroms LC, Bernstein SL, Heminger CL. A content analysis of electronic health record (EHR) functionality to support tobacco treatment. Transl Behav Med. 2016 Oct 31. [E]
John Wilson H, Dasgupta K, Michael K. Implementation of the Agitated Behavior Scale in the Electronic Health Record. Rehabil Nurs. 2016 Oct 24. [E]
Demski H, Garde S, Hildebrand C. Open data models for smart health interconnected applications: the example of openEHR. BMC Med Inform Decis Mak. 2016 Oct 22;16(1):137.
Roldán-García MD, García-Godoy MJ, Aldana-Montes JF. Dione: An OWL representation of ICD-10-CM for classifying patients’ diseases. J Biomed Semantics. 2016 Oct 13;7(1):62.
Demski H, Garde S, Hildebrand C. Open data models for smart health interconnected applications: the example of openEHR. BMC Med Inform Decis Mak. 2016 Oct 22;16(1):137.
Kunz A, Pohlmann S, Heinze O, Brandner A, Reiß C, Kamradt M, Szecsenyi J, Ose D. Strengthening Interprofessional Requirements Engineering Through Action Sheets: A Pilot Study. JMIR Hum Factors. 2016 Oct 18;3(2):e25.
Chen CC, Chang CH, Peng YC, Poon SK, Huang SC, Li YC. Effect of implementation of a coded problem list entry subsystem. Comput Methods Programs Biomed. 2016 Oct;134:1-9.
Lin CH, Lo YC, Hung PY, Liou DM. Building Chronic Kidney Disease Clinical Practice Guidelines Using the openEHR Guideline Definition Language. Methods Inf Med. 2016 Sep 2;55(5). [E]
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