Project Members: Blackford Middleton, Jeff Linder, Jeff Schnipper, Lynn Volk, Qi Li, Jonathan Einbinder, Tonya Hongsermeier, John Orav, Irene Galperin, Lynn Klokman, Lana Tsurikova, Eunice Jung, Matvey Palchuk, Maya Olsha-Yehiav, Julie Greim, Julie Fiskio, Tony Yu, and Andrea Melnikas

Smart Form is a documentation tool designed for effective and efficient data capture while providing pertinent integrated and interpreted data review for a specific condition as well as high-reliability actionable advanced clinical decision support in one coherent view. The three D’s of the Smart Form are:

• Documentation (facilities for creating a complete note or part of a note, support for free-form, structured notes as well as coded data capture)
• Data review (access data from various sources including but not limited to EMPI, LMR, CDR, PEAR and others; aggregate data, filter per condition, interpret per condition based on guidelines, present; and allow user input)
• Decision support (actionable recommendations based on all available information, specific vs. non-prescriptive, advanced clinical decision support, patient decision support, all delivered via Rules Engine)

Smart Form is designed for use by clinical providers. It is envisioned to be integrated in various workflows and be used before, during, after and in between patient visits. While primarily targeted as a documentation tool, Smart Form will additionally support a mode of interaction focused mainly on data review and interacting with decision support components.

There is only one Smart Form. Smart Form content for a condition or a combination of conditions will be developed independently by clinical experts, and presented to the user in a unified fashion, on one screen, using consistent user interface elements to the extent possible. Each set of condition-specific content is referred to as a Smart Form template. A template may contain information on documentation, data review and decision support pertinent to the condition. If patient meets the qualifying conditions, information from multiple condition-specific templates is intelligently merged into one Smart Form for presentation.