Eliminating the paper medical archive by bulk document scanning of historic folders and implementing revised workflows for scanning new documents.

We made the decision in our hospital to radically eliminate the paper archive by bulk scanning over a million medical records. This reorganization goes together with installation of new workflows for injecting information that is still captured on paper as automatically as feasible into the electronic medical record. In this article we describe our organizational and technical approach and we highlight principles which our experience suggests to be useful.