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Customizing EMR Functionality
and User Experience
Jon Duke, Jeremy Leventhal, Chris Beesley
EMR Innovations Summit
June 21, 2013
The Need for Innovation
• EMRs have numerous stakeholders including
providers, administrators, researchers, and other
consumers of clinical data
• User needs and expectations vary, often resulting
in time-consuming development efforts to
customize the system
• Reducing barriers to customization would increase
user satisfaction, broaden system functionality,
and promote innovation within a platform
Customization @ RI
• The Rule Authoring and Validation
Environment (RAVE) is an advanced rule
authoring tool
• The RAVE is designed to empower
stakeholders to customize the system for
clinical, quality, research, and other purposes
Good artists copy.
Great artists steal.
- Pablo Picasso
ifttt.com
Great Artists Steal
Rule Authoring
• Rules are necessary to drive decision support
logic as well as other system actions
• Rule authoring is generally a complex task
requiring code-like syntax
RAVE = IFTTT for EMRs
• Can mix and match channels to create a
remarkable array of functionality without
need for programmer intervention
• Can write rules just for yourself or (with
permission) your clinic, specialty, or all users
• Rule syntax is generated automatically in a
standard rules syntax (Drools)
Rule Authoring and Validation Environment
• Picture HERE
Patient

Alert

Chart Actions
Observation
HL7

Observation
Patient

Alert

Chart Actions
Observation
HL7

Observation
Patient

Alert

User

Chart Actions
Observation
HL7

Observation
Patient

Alert

Encounter
Chart Actions
Observation
HL7

Observation
Patient

Alert

Encounter
Chart Actions
Observation
HL7

Observation
Rule Authoring and Validation Environment
Advaced Rule Authoring
• Use GUI to create diverse, sophisticate rules
• Generate alerts, logs, emails, or other
downstream functions
• Outputs Drools syntax for direct
implementation in clinical system
For Demonstration of the RAVE
Contact
jonduke@regenstrief.org

Regenstrief is hiring for faculty positions and fellowships
in Biomedical Informatics. Contact
schleyer@regenstrief.org for more information.

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Regenstrief RAVE Rule Authoring Tool

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