The introduction of computer-based patient records (CPRs) that fully replace paper records proves especially difficult in specialized care, despite the potential advantages of CPRs for patient care and research. Improved data legibility, availability, sharing of records, and decision support may directly benefit patient care. Barriers to the introduction of CPR applications at institutions may be caused by lack of infrastructure, or by financial or organizational issues. To have clinicians interactively enter data at the point of care is still a big challenge. This paper presents an overview of ORCA (Open Record of CAre): a generic CPR, designed for integration with existing systems, presentation of multi-media patient data, and the collection of structured data, directly by clinicians. ORCA can easily be tailored to the needs of a variety of medical specialists without the need for changes to its data model, functionality, or interface. The paper describes the essence of the architecture of ORCA and the user benefits with emphasis on the support of structured data entry

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Keywords *Medical Records Systems, Computerized, Systems Integration
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van Ginneken, A.M., Stam, H., van Mulligen, E.M., de Wilde, M., van Bemmel, J.H., & van Mastrigt, R.. (2000). ORCA: the versatile CPR. Methods of Information in Medicine: journal of methodology in medical research, information and documentation, 332–338. Retrieved from