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The use of clinical documents as part of the medical practice will not address the physicians’ real needs as long as they will not match the clinical process. Rather than an electronic documents management system or a stack of piled up rigid documents, a clinician must be able to access in a very short time the precise, up-to-date and accurate data she or he needs immediately. The organisation of information systems and the document structure must allow for the selection and retrieval of the sole data deemed necessary by the clinician, together with the description of the context in which they were collected. These are "granular" data, to be identified on demand and retrieved from a distributed system, fulfilling security and privacy requirements.

Keywords
document, health information system, clinical process, health care process, semantic interoperability