Title

Increasing EHR System Usability Through Standards: Conformance Criteria in the HL7 EHR-System Functional Model

Publication Title

Journal of Biomedical Informatics

Publication Date

10-2016

Document Type

Article

DOI

10.1016/j.jbi.2016.08.015

Keywords

Electronic health records; Usability; Standards; Health information technology

Disciplines

Health Information Technology | Health Sciences and Medical Librarianship | Library and Information Science

Abstract

Though substantial work has been done on the usability of health information technology, improvements in electronic health record system (EHR) usability have been slow, creating frustration, distrust of EHRs and the use of potentially unsafe work-arounds. Usability standards could be part of the solution for improving EHR usability. EHR system functional requirements and standards have been used successfully in the past to specify system behavior, the criteria of which have been gradually implemented in EHR systems through certification programs and other national health IT strategies. Similarly, functional requirements and standards for usability can help address the multitude of sequelae associated with poor usability. This paper describes the evidence-based functional requirements for usability contained in the Health Level Seven (HL7) EHR System Functional Model, and the benefits of open and voluntary EHR system usability standards.

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