Which Parts of a Clinical Process EPR Needs Special Configuration

Subject: Which parts of an electronic patient record (EPR) can initially form a stable standard solution to be used by all clinicians? And which parts of an EPR can we predict needs initial as well as on-going re-configuration to meet the needs from diverse medical specialties.

Purpose: To analyze which screen types in a clinical process that can be standard configured and which are subject to initial as well as on-going re-configuration.

Methods and results: A pilot-project implementing a fully functional clinical process EPR was configured and used at a neurological ward, replacing all paper records 24/7. The analysis characterizes the different types of screens, a total of 243 included in the EPR solution. All screens have been extracted from the application and analyzed for changes – in total 222 changes.

Discussion and conclusion: Most screens (87%) are very stable. Few (13%) are subjected to several re-configurations and they stabilize after an average of six iterations: Some may further stabilize over time since they address new but also general ways of working. Other screens relates to the specific medical specialty and cannot be part of a standard solution.