Designing Electronic Forms

Assessment Description

The purpose of this assignment is to design a clinical form to be used for oncology RN navigators.

Read the “Integrated Case Study” resource and review the “Oncology North: Navigator Intake Paper Form” and “Oncology South: Oncology Navigator Intake Form,” located in the Class Resources, prior to beginning the assignment.

Based upon the case study and two intake forms, use an Excel spreadsheet or Word document to design a custom form that merges the paper documents and converts them to an electronic form. Be sure to include the different custom fields and topics necessary for navigating the form.

Along with your form, include a 250-word rationale in which you:

  1. Evaluate the data governance and heuristic principles used to design the clinical form.
  2. Assess how the documentation aids the oncology RN navigator in providing quality patient care and improves the user experience.
  3. Determine the rationale of the design.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.


This assignment aligns to the following AMIA 2017 Core Competencies for Health Informatics Curricula at the master’s degree level:

F1: Health: Does

F2: Information Science and Technology: Does

F3: Social and Behavioral Science: Does

F4: Health Information Science and Technology: Does

F5: Human Factors and SocioTechnical Systems: Does