Lessons learned from the implementation of clinical messaging systems.
- 11 October 2007
- journal article
- Vol. 2007, 36-40
Abstract
The Regenstrief Institute has designed and implemented two clinical messaging systems over the past six years, both called DOCS4DOCS. These systems receive HL7 messages from data sources and deliver results to clinicians via the web, fax, or as HL7 directed to an EMR. This paper focuses on some of the lessons we have learned, both good and bad. We discuss important issues in clinical messaging including provider mapping, document delivery and duplicate prevention, creating uniform HL7 outbound feeds, user authentication, the problems of allowing Active-X controls, why automatic printing of documents is not important although a frequently requested feature, and assorted other pearls of wisdom we have acquired.This publication has 3 references indexed in Scilit:
- Deficits in Communication and Information Transfer Between Hospital-Based and Primary Care PhysiciansJAMA, 2007
- Missing Clinical Information During Primary Care VisitsJama-Journal Of The American Medical Association, 2005
- “I Wish I Had Seen This Test Result Earlier!”Archives of Internal Medicine, 2004