1. The document summarizes a study that used CogTool, a predictive modeling software, to analyze the efficiency of users completing tasks in a web-based electronic medical records (EMR) system developed for Malawi. 2. CogTool was used to predict the time skilled users would take to complete 31 tasks in the EMR. Novice users' actual task completion times were then measured and compared to the CogTool predictions. 3. The results showed that novices had a low error rate and generally completed tasks faster than CogTool predicted, possibly because CogTool's assumptions did not account for how users interleaved tasks. The study aims to update the CogTool model and further analyze