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First published April 18, 2006 as JAMIA PrePrint; doi:10.1197/jamia.M2008
Journal of the American Medical Informatics Association 2006;13(4):391-395
© 2006 American Medical Informatics Association

A more recent version of this article appeared on July 1, 2006
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Submitted on November 2, 2005
Accepted on March 24, 2006

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

Kevin B. Johnson MD, MS1* and Fern FitzHenry PhD, RN1

Affiliation of the authors: 1 Department of Biomedical Informatics, Vanderbilt University, Nashville, TN

* To whom correspondence should be addressed.

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 e-prescribing system to meet the specific workflows of various clinic settings.




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