Table 2.

Distribution of topics identified with raw example text among the symposium chat logs.

Topic identification number/labela	Thematic category	Raw example textb	Overall frequency, n (%)
0: Documentation that adds value	Consensus building	“It can be templated, it probably shouldn’t be documented. Low value note bloat relates to smart phrases and templates.” “The main point seems to be that we need to figure out what data adds value and getting rid of everything that does not.”	147 (8.3)
1: Addressing poor usability	EHRc design	“I don't think linearly enough to dictate efficiently.” “User centered design is SOOOO important. At [medical center] over a 6 month period [EHR vendor] users were presented with [number] alerts, of which [number] interrupted their workflow (‘popped up’). Only 12% had any action taken‚ an 88% override rate.”	122 (6.9)
2: Sharing symposium resources	Symposium comments	“[Proper noun] you may be kindred spirits with [proper noun]‚ ‘Sloppy and Paste’ [URL].” “Are you sharing the 25X5 Zoom background? :)”	122 (6.9)
3: Regulatory impact on clinician burden	Burden sources	“Hard to hit the target when there are 6 divergent targets.” “[proper noun] Yes - focused on US Clinicians, given several problems related to doc burden are unique to US clinicians/US healthsystem.”	142 (8)
4: Improved EHR user interface and design	EHR design	“Better EHR design would allow it to be more integrated into the documentation workflow.” “Paper wins on portability!!”	128 (7.2)
5: Role of quality measures and technology on burnout	Burden sources	“My favorite mis-dictation: a person with a prosthetic valve: ‘poor sign valve.’” “The question is how can technology augment the cognition of the clinician.”	110 (6.2)
6: Focusing documentation on patient narrative	Patient-centered care	“Prime reason for using handheld devices in the exam room - so you can interact with the patient.” “Patient engagement in problem list reconciliation needed as patients move across encounters and care settings like advanced hospital care in the home.”	162 (9.1)
7: Capturing data related to clinical practice	Burden sources	“Do the problems in the USCDI v2 include nursing problems or are they only medical problems?” “[Proper noun] and the documenting patient valuables have contribution nothing to nursing practice or outcome.. but the risk manager wants it to remain. Sigh.”	113 (6.4)
8: Determining data and documentation needs	Consensus building	“The problem list is relatively useless since problems are never resolved making it difficult to slog through and determining what is truly an active problem.” “[Proper noun] - all the time. The problem (one of them at least) is that we have the write the same information in so many diff places. So there are naturally contradictions because we cant Keep it ALL updated.”	422 (23.8)
9: Collectively reassessing documentation requirements in EHRs	Consensus building	“Aligning documentation requirements key for safe care transitions, e.g. the [proper noun] project.” “Would be good to standardize documentation aimed at regulatory/acced requirements and have the agencies vet what is actually required.”	252 (14.2)
N/Ad,e	N/A	N/A	53 (3)

^aNumbering is based on the indices of an array to be consistent with programming code used across algorithms, which initiates with 0.

^bRaw data are the actual chat messages of symposium attendees and have not been corrected for grammar.

^cEHR: electronic health record.

^dN/A: not applicable.

^eExclusively comprised of person names, stop words, and other terms removed at the preprocessing stage.