Document-Oriented Computing-Based System

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This was a record for introduction of a fusion (document-oriented, computing-based) system which supports EMR (EMR) system by using FileMaker Pro Ver. 9 server, for changing a paper-based system in our hospital. For this purpose an End User Computing (EUC) strategy was taken to train and encourage the front-end users involved in the development of applications. Many documents which were made by the FileMaker Pro system were kept in PDF format on the EMR server. One advantage of this system was the similarity about end user’s tasks for filling up these documents with the past paper-based system. End users suffered less from disorientation and misunderstanding. Another advantage was that easy negotiation between each section was re-examined in regard to site needs or job alternation as with the PDCA cycle approach. However, differences in the levels of various applications and variations in operating environments seem to have given rise to a number of problems. In addition, there have also been issues with application maintenance when the person in charge resigns.