Related Experiment Video
Updated: Jul 24, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
A web-based rapid prototyping and clinical conversational system that complements electronic patient record system
J H Kim1, R Ferziger, H B Kawaloff
1Children's Hospital Informatics Program, The Children's Hospital, Harvard Medical School, Boston, MA, 02115, USA. juhan_kim@harvard.edu
This study introduces a novel conversational system to enhance electronic medical records. It allows patients and practitioners to directly input data, improving clinical information systems and collaboration.
Area of Science:
- Health Informatics
- Clinical Information Systems
- Human-Computer Interaction
Background:
- Existing hospital information systems struggle with complex, evolving clinical data needs.
- Direct patient and practitioner data entry is crucial for comprehensive clinical information systems.
- Limitations exist in integrating diverse data forms and rating scales into current systems.
Purpose of the Study:
- To develop a system facilitating direct patient-practitioner interaction with medical records.
- To enhance the integration of extensive, loosely structured clinical data.
- To improve collaboration between consumer- and provider-oriented health information systems.
Main Methods:
- Development of a rapid prototyping and clinical conversational system.
- Utilizing Web technology for generic data structure and standard communication interfaces.
- Complementing existing electronic medical record systems.
Main Results:
- The developed system facilitates direct patient and practitioner data entry.
- It offers a flexible approach to incorporate diverse clinical data.
- The system's design supports enhanced collaboration between different health information systems.
Conclusions:
- A conversational system can effectively supplement electronic medical records.
- Direct data entry by patients and practitioners improves clinical information systems.
- Web-based technology enables better integration and collaboration in healthcare data management.
Related Concept Videos
Tertiary Healthcare System
Integrated Healthcare System
Patient-centered Care
Methods of Documentation VII: EMR
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

