lead to sluggish performance of this EHR system, thesefactors are: complexity of the Graphical User Interface(GUI) and system response time. This forces clinician tosee fewer patients and have longer workdays, largelybecause of the extra time needed to use the system. In 2004,Lisa Pizziferri and others concluded that thebenefits of using EHR system can be achieved and acceptedby physicians if only the physicians do not need to sacrificetheir time with patients or other activities during clinicsessions. Physicians recognize the quality improvementsachieved by EHRs, but their time should be saved bydecreasing the time required for data entry in EHR systems.4.
Organizational Change BarriersThis category contains many points, these points are:
Design of and alignment with workflow andoffice integration:
54.2 percent out of the 5000 respondentsreported that they are worried about slowerworkflow and low productivity according tothe American Academy of Family Physicianssurvey results (American Academy of FamilyPhysicians 2004). 
Migration from paper-based systems:
The format of Clinical Data store in EHR systems
Generally speaking, there are two main types of data store shapes: structured data andunstructured data.
Structured data: Structured data is a data thathas a relational data model and enforcecomposition to the atomic data types.Structured data is managed by technology thatallows for querying and reporting againstpredetermined data types and understoodrelationships, like patient demographics,laboratory tests, etc. 
Unstructured data: Unstructured data consistsof any data stored in an unstructured format atan atomic level. That is, in the unstructuredcontent, there is no conceptual definition andno data type definition - in textual documents,a word is simply a word. Unstructured data consists of two basic categories:
Bitmap Objects: Inherently non-languagebased, such as X-rays, radiology, video oraudio files.
Textual Objects: Based on a written or printedlanguage, such as clinical reports, nurserynotes and examination sheets. Using unstructured data for storing clinical data has thefollowing limitations:
The data is not consumable from a semanticlevel without a compatible interface orapplication.
Any technology cannot be necessarily gainedinsight into the context of the informationunless it can actually be read.6.
Barriers of using unstructured data in Electronic HealthRecord:Aggregation of information across all the records ina large repository could bring benefits for clinicalresearch. When physicians work with structured data,they could receive alerts of the drugs that have badinteraction together which enables them to enhancethe treatment process and avoid the medication errors;but this cannot be done with unstructured data .IV.S
URVEYING THE SOLUTIONS OF
:In October 2010, Ergin Soysal, Ilyas Cicekli, andNazife Baykal designed and developed an ontologybased information extraction system for radiologicalreports. The main goal of this technique is to extract andconvert the available information in free text Turkishradiology reports into a structured information modelusing manually created extraction rules and domainontology. This technique extracts data from theradiological reports, which is a free text written byphysicians and insert it as a structured data into theEHR. However, this technique has the followingdrawbacks:
It concentrates mainly on abdominalradiology reports.
It does not use a huge and trusted medicalexpressions repository, which may reducethe quality of information extractionprocess. Consequently, wrong clinicalinformation will be recorded.In September 2010, Adam Wright, Elizabeth S.Chen, and Francine L. Maloney developed a techniquefor identifying associations between medications,laboratory results and problems. They developed a
(IJCSIS) International Journal of Computer Science and Information Security,Vol. 9, No. 6, June 201127http://sites.google.com/site/ijcsis/ISSN 1947-5500