title: An EHR prototype using structured ISO/EN 13606 documents to respond to identified clinical information needs of diabetes specialists: a controlled study on feasibility and impact.
abstract: Cross-institutional longitudinal Electronic Health Records (EHR), as introduced in Austria at the moment, increase the challenge of information overload of healthcare professionals. We developed an innovative cross-institutional EHR query prototype that offers extended query options, including searching for specific information items or sets of information items. The available query options were derived from a systematic analysis of information needs of diabetes specialists during patient encounters. The prototype operates in an IHE-XDS-based environment where ISO/EN 13606-structured documents are available. We conducted a controlled study with seven diabetes specialists to assess the feasibility and impact of this EHR query prototype on efficient retrieving of patient information to answer typical clinical questions. The controlled study showed that the specialists were quicker and more successful (measured in percentage of expected information items found) in finding patient information compared to the standard full-document search options. The participants also appreciated the extended query options.
authors.affiliation: Institute of Health Informatics, UMIT - University for Health Science, Medical Informatics and Technology, Hall in Tirol, Austria.
authors.forename: Gudrun
authors.initials: G
authors.lastname: Huebner-Bloder
authors.forename: Georg
authors.initials: G
authors.lastname: Duftschmid
authors.forename: Michael
authors.initials: M
authors.lastname: Kohler
authors.forename: Christoph
authors.initials: C
authors.lastname: Rinner
authors.forename: Samrend
authors.initials: S
authors.lastname: Saboor
authors.forename: Elske
authors.initials: E
authors.lastname: Ammenwerth
mesh_terms: D001317:Austria; D003197:Computer Literacy; D003920:Diabetes Mellitus; D057286:Electronic Health Records; D004704:Endocrinology; D005240:Feasibility Studies; D006801:Humans; D057226:Information Seeking Behavior; D016247:Information Storage and Retrieval; D008498:Medical Record Linkage