Requirements for Workflow-Based EHR Systems - Results of a Qualitative Study

Stud Health Technol Inform. 2016:223:124-31.

Abstract

Background: Today's high quality healthcare delivery strongly relies on efficient electronic health records (EHR). These EHR systems or in general healthcare IT-systems are usually developed in a static manner according to a given workflow. Hence, they are not flexible enough to enable access to EHR data and to execute individual actions within a consultation.

Objectives: This paper reports on requirements pointed by experts in the domain of diabetes mellitus to design a system for supporting dynamic workflows to serve personalization within a medical activity.

Methods: Requirements were collected by means of expert interviews. These interviews completed a conducted triangulation approach, aimed to gather requirements for workflow-based EHR interactions. The data from the interviews was analyzed through a qualitative approach resulting in a set of requirements enhancing EHR functionality from the user's perspective.

Results: Requirements were classified according to four different categorizations: (1) process-related requirements, (2) information needs, (3) required functions, (4) non-functional requirements.

Conclusion: Workflow related requirements were identified which should be considered when developing and deploying EHR systems.

MeSH terms

  • Diabetes Mellitus / diagnosis
  • Diabetes Mellitus / therapy
  • Electronic Health Records / organization & administration
  • Electronic Health Records / standards*
  • Humans
  • Qualitative Research
  • Software Design
  • Workflow