Re: "radically alter the workflow of medical professionals, without their input"
The human interface problem of medical record keeping is essentially solved, decades ago by the hundreds of people that hospitals used to employ in their medical records department. The basic idea has been converged upon out of painful experience.
I switch back and forth between workplaces between a full paper system and a digital system. (Yes, full paper systems do still exist, sometimes across entire networks or, in my case an whole state public health system.) The digital systems that actually work are either paper forms that are scanned, or skeuomorphic digital versions of what the paper forms used to look like. Say what you like about an interface having to look like Word, but there's nothing so intuitive as a flat piece of paper and a pen.
There's a form and a MR form ID for everything. The important things (patient alerts, allergies, demographic identifiers) have low numbers. The forms for outpatient contacts come next, then inpatient events. The sequence of each follows the patient through admission, progress, procedures and discharge, with form numbers increasing as you go along. Sort by form type number, then chronologically. When advance care directives were introduced, they became an MR0, because they had priority over MR1, the alerts page.
A useful medical note is a mind-map, narrative where something's being narrated, bullet point or enumerated lists or sketch drawings otherwise (past medical history, family history, medications, allergies; history, examination, investigations; assessment and plan). Because it comes out of a human conversation, it's not dictated but constructed in a nonlinear way that's really hard to replicate without the freedom of pen and paper. I haven't seen a capable digital system that isn't awkward, and therefore less efficient that the paper one.
There's a fundamental inefficiency in shifting work away from the medical information department and on to the heads of the medical and nursing staff, who have enough to do already,
Biting the hand that feeds IT
