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Objective We assessed primary care providers' perception of a health information exchange system (HIE) based on IHE XDS in the metropolitan area of Braunschweig, Lower Saxony, Germany.
Design An application enabling access to medical documents in an XDS Affinity Domain was developed. We examined usability and factors related to user acceptance.
Measurements User perception was probed using system usability scale (SUS) and semi-structured interviews. The framework analysis was used in the review and interpretation of the interview data.
Results The evaluation was performed on 7 participants. The SUS showed an above average usability with a median score of 77.5. Participants submitted suggestions for additional features and improvement of usability. Poor integration of functionality into existing workflows was most frequently criticized.
Conclusion We found, that, while usability was well perceived by primary care providers, challenges remain in adoption of XDS based IHE.
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