Objective The purpose of this study was to examine eye gaze patterns between patients and physicians while electronic health records were used to support patient care. patterns significantly unlike the findings in previous studies. Health information technology appears to contribute to some of the new significant patterns that have emerged. Differences were also found in gaze patterns related to technology that differ from patterns identified in studies with paper charts. Several sequences related to patient-doctor- technology were also significant. Electronic health records affect the patient-physician eye contact powerful than paper charts differently. Bottom line This scholarly research identified several patterns of patient-physician relationship with electronic wellness record systems. Consistent with prior research doctor initiated gaze can be an essential driver from the connections between WK23 individual and doctor and individual and technology. Keywords: Health IT Communication Primary treatment encounter INTRODUCTION To boost health systems final results such as price efficiency and usage of patient details  there is WK23 certainly nationwide support for the wide-spread execution and adoption of digital wellness record systems. Nevertheless little research provides evaluated the consequences of these technologies on interactions between the patient and physician using dynamic methods. Several studies found that computers and health information technologies do affect physicians’ communication quality  cognitive functioning  and the ability of patients and physicians to build rapport and  establish emotional common ground. However while the results from these studies indicate that there may be negative consequences that are the result of electronic health records EHRs the methods used to study the interactions do not provide enough evidence Kcnj8 to describe exactly how the EHRs affect patient- physician conversation or what design guidelines for EHRs should look like. The study described in this paper illustrates the use of a dynamic analysis of patient and provider conversation with EHRs to answer key research questions 1) What is the nature of patient/ physician communication when electronic health records are used and 2) What is the influence of EHR use on patient- physician communication dynamically? To study these questions gaze or WK23 where an individual looks or focuses the direction of their eyes is used to understand communication between patients and providers and their attention to the EHR. Gaze is used to understand communication for two purposes first gaze provides a more objective and WK23 measureable indication of attention and communication and second gaze is an attribute that can inform design guidelines. Many health communication studies focus on verbal communication to understand interactions WK23 between patients and physicians. These studies often focus on information flow  and comprehension and emotional variables such as empathy . Nonverbal communication is certainly even more being explored as a significant facet of communication recently. From something style perspective nonverbal conversation is very helpful for understanding important factors related to developing consumer or human-centered systems. For instance posture and body gestures can provide signs of convenience or satisfaction face expressions can offer even more goal assessments of fulfillment or emotional condition and eyesight gaze can illustrate focus on people or various other artifacts. Another great things about exploring nonverbal conversation is that results linked to some non-verbal behaviors can inform style guidelines. For instance technologies could be made to afford pre-described degrees of visible attention that could be essential for optimal individual performance or conversation final results. If we discover that doctors should make eyesight contact with sufferers for at least 50% of the clinical trip to impact care outcomes such as for example patient satisfaction notion of doctor empathy or understanding of details we should have the ability to style technologies that usually do not inhibit the physician’s capability to make eyesight get in touch with at that level. Many reports concentrate on the way the clinician’s non-verbal behavior impacts the patient’s WK23 perspective such as for example patient fulfillment . However there is a growing awareness of the value of nonverbal communication; more and more studies have focused on quantitatively evaluating.