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.
Keywords: EMR, FileMaker Pro, Document-oriented, PDF, QR code, EUC,
PDCA cycle, SQL, CSV, ESS, power-user group, user's task, workflow, data flow
process.
