The dirty secret of all electronic medical records (EMRs) is this: they are not primarily designed to help doctors record, review, or share information about their patients. No, they are primarily designed to capture the data necessary to submit bills to insurance companies and the benefit to doctors and patients is merely incidental. If you’ve ever seen a printout of a medical note, you have noticed how long, bizarre, redundant, and confusing it seems. This is because it is designed to be most legible for the purposes of billing. But it’s not just incomprehensible printouts — this purpose is reflected in many different aspects of EMRs’ design.
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