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First published April 18, 2006 as JAMIA PrePrint; doi:10.1197/jamia.M2008
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J Am Med Inform Assoc. 2006;13:391-395. DOI 10.1197/jamia.M2008.
© 2006 American Medical Informatics Association

Case Report

Case Report: Activity Diagrams for Integrating Electronic Prescribing Tools into Clinical Workflow

Kevin B. Johnson, MD, MS* and Fern FitzHenry, PhD, RN

Department of Biomedical Informatics, Vanderbilt University, Nashville, TN

* Correspondence and reprints: Kevin B. Johnson, MD, MS, Department of Biomedical Informatics, Eskind Biomedical Library, Room 402, 2209 Garland Avenue, Nashville, TN 37232-8340; (Email: kevin.johnson{at}vanderbilt.edu).

Received for publication: 11/02/05; accepted for publication: 03/24/06.

To facilitate the future implementation of an electronic prescribing system, this case study modeled prescription management processes in various primary care settings. The Vanderbilt e-prescribing design team conducted initial interviews with clinic managers, physicians and nurses, and then represented the sequences of steps carried out to complete prescriptions in activity diagrams. The diagrams covered outpatient prescribing for patients during a clinic visit and between clinic visits. Practice size, practice setting, and practice specialty type influenced the prescribing processes used. The model developed may be useful to others engaged in building or tailoring an e-prescribing system to meet the specific workflows of various clinic settings.




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Copyright © 2006 by the American Medical Informatics Association.