Electronic patient record for N.N. Burdenko Neurosurgical Institute: on the road to paperless patient record.

The paper is devoted to one of a number of highways of medical informatics: a road from traditional paper patient record (PPR) to future paperless patient record (PLPR). This road runs via modem electronic patient record (EPR), usually blending together electronic and paper technologies of gathering, storing, retrieving, presentation and legalization of data. The following is based on the experience of modelling, engineering, deployment, support and evolution of electronic patient record for N.N. Burdenko neurosurgical institute. Three basic facets of the problem will be discussed: technological, psychological and legal.