Alternate Result Selection for Integrated EMR Data Capture
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Solution Overview
Problem
Current electronic medical record (EMR) systems allow only one result to be electronically populated in a case report form during integrated data capture, leading to potential data discrepancies between source documentation and research databases due to the inability to select alternate relevant results.
Innovation Solution
A system and method for selecting alternate results for integrated data capture, which displays indicators for available alternate results and presents closed menus of these options, allowing users to choose the appropriate data for case report forms while maintaining data congruity and audit trails.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If only one result is electronically populated in the case report form, then the data collection process is simplified, but data accuracy and congruity between source documentation and research database deteriorate
Solution Approach 1:
The system segments the data population process into multiple stages: initial automatic population with the most recent value, identification of alternate results, and user-selectable alternate population. This allows the system to maintain simplicity while providing access to multiple data options when needed for accuracy.
Solution Approach 2:
The system dynamically adapts between automatic population mode and manual selection mode. When multiple results exist, the system transitions from purely automatic to providing user control, allowing selection of the most appropriate value while maintaining the ability to revert to automatic mode when single values are sufficient.
2Manufacturing precision
If manual editing is allowed to change electronically transcribed values, then data accuracy can be improved, but data discrepancies between source documentation and research database increase
Solution Approach 1:
The system introduces an intermediary mechanism - a controlled selection interface that presents alternate results from the source EMR system. This intermediary allows users to select from pre-identified alternate values rather than free-form editing, ensuring that any changes maintain congruity with the source documentation while improving accuracy.
Solution Approach 2:
The system provides feedback by displaying indicators when alternate results are available and presenting closed menus of alternate values. This feedback mechanism guides users to make informed selections that maintain data congruity while improving accuracy, rather than allowing unguided manual editing.
3Quantity of substance
If multiple results are collected in the EMR for a particular item, then data completeness is improved, but system complexity increases due to the need to manage and select among multiple options
Solution Approach 1:
The system extracts only the necessary information for selection - presenting a closed menu of alternate results with key identifying features. This extraction approach allows the system to manage multiple collected results without exposing users to the full complexity of all available data, maintaining simplicity while providing access to complete information when needed.
Data Source
AI summary
Systems, methods, computer-readable media, and graphical user interfaces for selecting alternate results for integrated data capture are provided. Integrated data capture workflows are initiated from within an electronic medical record (EMR). Data is gathered from the EMR to make available to a case report form. Case report forms are populated with the most recently collected values of data. Indicators are displayed if alternate results for items are available. Selections of indicators are received and closed menus of alternate results for the items are presented.