We propose an alternative to using Microsoft Word for representing medical procedures that will make the procedures easier to construct and maintain, particularly when there are changes to the hardware or changes to the resulting format of the procedure. We call this alternative an "electronic procedure". Rather than a text-based document, this content-based document separates the text from the formatting standards and tags items contained in the procedure so that they can be recognized by other electronic systems. If a standard format changes, a reference to that format is updated. The electronic procedures can be re-converted in a single batch process, and the entire body of procedures will have the new format. Changes to hardware can be made in a similar manner, where changing a piece of hardware in a procedure will change all references to it in that procedure. Switching to this new representation offers many short and long-term benefits, which we describe herein. We have already demonstrated the use of electronic procedures for modeling ISS operational procedures (and in modeling one ISS medical procedure). We hope to extend this work into the medical operations field so we can demonstrate how medical procedures can benefit from this technology.
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