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J Am Med Inform Assoc 15:513-523 doi:10.1197/jamia.M2501
  • The Practice of Informatics

“Smart Forms” in an Electronic Medical Record: Documentation-based Clinical Decision Support to Improve Disease Management

Table 1

Comparison of Smart Form Features with Other CDSS

Feature Examples of Systems*
Provides decision support in the form of alerts, reminders and/or suggested actions based on patient data and clinical rule-based logic Goldstein 2000,41 Lobach 1997,17 Ornstein 1995,42 Mazzuca 1990,43 Garr 1993,44 Hetlevik 1999,45 Filippi 2003,46 Meigs 2003,18 Ansari 2003,47 Demakis 2000,7 Rollman 2002,48 Cannon 2000,49 Murray 2004,51 Tierney 2003,52 Gorman 2000,62 Safran 1995,50 Larsen 1989,63 Overhage 1997,56 Kucher 2005,55 Evans 1998,53 Mullett 2001,54 Schriger 1997,57 Schriger 2000,58 Mikulich 2001,59 Smart Form
Provides decision support on screen (as opposed to paper alone) Goldstein 2000,41 Ornstein 1995,42 Filippi 2003,46 Meigs 2003,18 Ansari 2003,47 Demakis 2000,7 Rollman 2002,48 Cannon 2000,49 Murray 2004,51 Tierney 2003,52 Gorman 2000,62 Safran 1995,50 Overhage 1997,56 Kucher 2005,55 Evans 1998,53 Mullett 2001,54 Schriger 1997,57 Schriger 2000,58 Mikulich 2001,59 Smart Form
Provides decision support within the EMR (as opposed to a stand-alone system) Ornstein 1995,42 Filippi 2003,46 Ansari 2003,47 Safran 1995,50 Schriger 1997,57 Schriger 2000,58 Mikulich 2001,59 Smart Form
Allows user to turn off specific recommendations Goldstein 2000,41 Lobach 1997,17 Filippi 2003,46 Cannon 2000,49 Smart Form
Links suggested actions to CPOE Murray 2004,51 Tierney 2003,52 Overhage 1997,56 Kucher 2005,55 Evans 1998,53 Mullett 2001,54 Schriger 1997,57 Schriger 2000,58 Mikulich 2001,59 Smart Form
Updates EMR coded data with actions taken Smart Form
Facilitates entry of actions taken into electronic note documentation Safran 1995,50 Schriger 1997,57 Schriger 2000,58 Mikulich 2001,59 Smart Form
Facilitates entry of coded patient data into electronic note documentation Cannon 2000,49 Schriger 1997,57 Schriger 2000,58 Mikulich 2001,59 Smart Form
Requests entry of coded data that are missing Meigs 2003,18 Cannon 2000,49 Schriger 1997,57 Schriger 2000,58 Mikulich 2001,59 Smart Form
Presents decision support in the context of a note-writing screen (as opposed to an order entry or summary screen) Schriger 1997,57 Schriger 2000,58 Mikulich 2001,59 Smart Form
Provides decision support for more than one problem at a time Ornstein 1995,42 Garr 1993,44 Smart Form
Provides patient view of adherence with treatment goals Smart Form
Provides graphical views of patient data Meigs 2003,18 Smart Form
Provides problem-oriented data review Lobach 1997,17 Meigs 2003,18 Smart Form
Provides clinical workflow support (patient care handouts, referrals) Ornstein 1995,42 Mazzuca 1990,43 Meigs 2003,18 Murray 2004,51 Gorman 2000,62 Safran 1995,50 Smart Form
  • EMR = Electronic medical record; CPOE = computerized provider order entry.

  • * Absence of a reference from a specific feature does not necessary imply that the referenced CDSS is missing that feature, only that the feature's presence could not be confirmed by a review of the manuscript.

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