title: SMART Careplan System for Continuum of Care.
abstract: OBJECTIVE
  This paper describes the integrated Careplan system, designed to manage and utilize the existing Electronic Medical Record (EMR) system; the system also defines key items for interdisciplinary communication and continuity of patient care.
  
  
  METHODS
  We structured the Careplan system to provide effective interdisciplinary communication for healthcare services. The design of the Careplan system architecture proceeded in four steps-defining target datasets; construction of conceptual framework and architecture; screen layout and storyboard creation; screen user interface (UI) design and development, and pilot test and step-by-step deployment. This Careplan system architecture consists of two parts, a server-side and client-side area. On the server-side, it performs the roles of data retrieval and storage from target EMRs. Furthermore, it performs the role of sending push notifications to the client depending on the careplan series. Also, the Careplan system provides various convenient modules to easily enter an individual careplan.
  
  
  RESULTS
  Currently, Severance Hospital operates the Careplan system and provides a stable service dealing with dynamic changes (e.g., domestic medical certification, the Joint Commission International guideline) of EMR.
  
  
  CONCLUSIONS
  The Careplan system should go hand in hand with key items for strengthening interdisciplinary communication and information sharing within the EMR environment. A well-designed Careplan system can enhance user satisfaction and completed performance.
authors.affiliation: Division of Medical Information and Technology, Yonsei University Health System, Seoul, Korea.
authors.forename: Young Ah
authors.initials: YA
authors.lastname: Kim
authors.affiliation: Office of Quality Improvement, Severance Hospital, Seoul, Korea.
authors.forename: Seon Young
authors.initials: SY
authors.lastname: Jang
authors.affiliation: Division of Nursing, Severance Hospital, Seoul, Korea.
authors.forename: Meejung
authors.initials: M
authors.lastname: Ahn
authors.affiliation: Division of Medical Information and Technology, Yonsei University Health System, Seoul, Korea.
authors.forename: Kyung Duck
authors.initials: KD
authors.lastname: Kim
authors.affiliation: Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Sung Soo
authors.initials: SS
authors.lastname: Kim
keywords: Continuity of Patient Care; Electronic Health Records; Information Storage and Retrieval; Interdisciplinary Communication; Patient Care