The purpose of this project was to investigate the impact of XML encoding on the potential for automating Discharge Summary creation.
St. John's is an integrated delivery system.
The project has been underway for from 6-12 months and is considered to be at the prototype demonstration stage.
Expected problems: Discharge Summaries often repeat information included in the patient chart, but that information is re-keyed after being located by hand from a paper chart. In short, the typical DS is dictated without leveraging any of the available electronic records including lab data and transcribed narrative reports.
Insights: Physicians view the use of structured markup as an aided to the delivery of care as long as their control over the record is asserted and maintained.
Obstacles: Lack of Standards for XML Clinical Documents,Lack of tooling to support creationand processing of XML Clinical documents,Lack of tooling to support creationand processing of XML Clinical documents
None provided.
Contact Name: Fred Owens
Email Address: fowens@iu.net