title: Which parts of a clinical process EPR needs special configuration.
abstract: METHODS
  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.
  
  
  OBJECTIVE
  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.
  
  
  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.
  
  
  CONCLUSIONS
  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 relate to the specific medical specialty and cannot be part of a standard solution.
authors.affiliation: Department of Communication, Business and Information Technologies, Roskilde University, Denmark. barlach@rue.dk
authors.forename: Anders
authors.initials: A
authors.lastname: Barlach
authors.forename: Jesper
authors.initials: J
authors.lastname: Simonsen
mesh_terms: D003266:Continuity of Patient Care; D006757:Hospital Units / Q000458:organization & administration; D006801:Humans; D016490:Integrated Advanced Information Management Systems; D016347:Medical Records Systems, Computerized; D009936:Organizational Innovation; D020521:Stroke; D014584:User-Computer Interface