The transition from paper to digital: lessons for medical specialty societies

Medical specialty societies often serve their membership by publishing paper forms that may simultaneously include practice guidelines, dataset specifications, and suggested layouts. Many times these forms become de facto standards for the specialty but transform poorly to the logic, structure, preciseness, and flexibility needed in modern electronic medical records. This paper analyzes one such form - a prenatal record published by the American College of Obstetricians and Gynecologists - with the intent to elucidate lessons for other specialty societies who might craft their recommendations to be effectively incorporated within modern electronic medical records. Lessons learned include separating datasets from guidelines/recommendations, specifying, codifying, and qualifying atomic data elements, and leaving graphic design to professionals.