#5768. Tensions in Representing Behavioral Data in an Electronic Health Record

July 2026publication date
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Journal’s subject area:
Computer Science (all);
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Abstract:
Taking an action research approach, we engaged in fieldwork with school-based behavioral health care teams to: observe record keeping practices, design and deploy a prototype system addressing key challenges, and reflect on its use. We describe the challenges of capturing behavioral data using both paper and electronic records. Creating records of behaviors requires direct observation, and as a result the record keeping responsibility is challenging to distribute across a care team. Behavioral data on paper must be transferred and prepared for reporting, both inside the organization and to stakeholders outside of the organization. In prototyping a computerized working record, we targeted user needs for capturing details of a behavioral incident in the moment.
Keywords:
Action research; Documentation; Health records; Interprofessional collaboration; Workflow

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