Electronic Health Record Systems

The Future Looks Great!

by Jerome Carter on November 21, 2016 · 0 comments

As many of you know, I have made my share of optimistic predictions regarding next-generation EHR systems.     Those predictions are based on assumptions about how technology will evolve in the next few years. When those assumptions bear fruit, it makes for even more optimism. So, as everyone is preparing for travel and the upcoming holiday […]


EHR Malpractice—Coming to a Location Near You?

by Jerome Carter on March 14, 2016 · 0 comments

The first time an attorney contacted me after reading EHR Science, it was on behalf of a plaintiff who had a delayed diagnosis during a changeover from paper to an EHR.   That was three years ago.   Recently, a defense attorney contacted me because the plaintiff was challenging the validity of EHR data. Although I have […]


The Future of HIT Innovation is Ambulatory

by Jerome Carter on September 14, 2015 · 2 comments

Well, it’s time to start designing new clinical care systems.  MU is winding down, so the yearly certification requirements churn will be ending soon, or at least slowing greatly, which is a good thing for someone jumping into the market. Current vendors have to support users who do continue in MU because, no matter how […]


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 […]


What is the Smallest Viable Unit of Clinical Data?

by Jerome Carter on April 13, 2015 · 4 comments

In trying to free myself from past assumptions about clinical information system design, I decided it was a good idea to question everything. Like everyone else, my view of electronic systems has been colored by the use of paper charts. Shaking off preconceptions is hard. In doing so, I have found it helpful to look […]


Understanding How Physicians Use EHR Systems

by Jerome Carter on March 23, 2015 · 0 comments

Technology usage patterns differ from person to person. Any number of factors could account for the differences such as varying needs for specific features, lack of familiarity, or being unaware of available functions. Two recent studies that looked at physicians’ EHR use may offer a much more nuanced and interesting take on this topic. Like […]


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 […]