Automating guidelines and scoring of screening measures, providing decision support that is integrated into
electronic health records, and providing patients with opportunities for greater participation in their
health care
via portals into their
electronic medical
record have already shown promise.66, 67 Paper - and - pencil screening methods will need to be transformed into Web - based versions, smartphone apps, and waiting room tablets to successfully harness available technology.65, 68 These changes will be critical areas needing further evaluation to determine best practices.69 Additional
system challenges that will need to be addressed are included in Appendix 2.