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J Am Med Inform Assoc 16:228-237 doi:10.1197/jamia.M2852
  • Original Investigation

An Interface-driven Analysis of User Interactions with an Electronic Health Records System

Table 4

The 7-Step Markov Chain

Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7
A - Assessment and Plan 0.006 0.071 0.165 0.193 0.19 0.193 0.191
B - Retaking BP 0.015 0.008 0.005 0.004 0.004 0.004 0.004
D - Diagnosis 0.002 0.012 0.076 0.149 0.169 0.166 0.168
E - Medication Side Effects 0.002 0.018 0.003 0.002 0.002 0.002 0.002
F - Family History 0.006 0.07 0.026 0.017 0.015 0.014 0.014
G - Allergies 0.131 0.044 0.029 0.015 0.013 0.012 0.012
H - History of Present Illness 0.681 0.067 0.054 0.048 0.048 0.048 0.048
L - Laboratory Test 0 0.008 0.032 0.037 0.041 0.043 0.043
M - Medication 0.021 0.121 0.13 0.114 0.109 0.112 0.112
O - Order 0.036 0.136 0.133 0.129 0.134 0.135 0.135
P - Procedure 0 0.002 0.004 0.008 0.01 0.011 0.011
R - Encounter Memo 0.036 0.007 0.003 0.003 0.003 0.004 0.004
S - Social History 0.004 0.161 0.071 0.041 0.033 0.031 0.031
T - Office Test 0 0.007 0.013 0.013 0.012 0.012 0.012
V - Vaccination 0.019 0.008 0.012 0.013 0.017 0.018 0.018
X - Physical Examination 0.008 0.137 0.152 0.131 0.126 0.122 0.121
Y - Review of Systems 0.032 0.123 0.093 0.082 0.075 0.073 0.074

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