PIER-EMR Integration PIER is structured to facilitate integration of specific elements into electronic medical records, order entry systems, or pharmacology databases. PIER source files are in XML, ensuring their ability to be integrated into virtually any EMR or electronic medical resource. PIER uses infobutton technology and order sets to integrate its content into EMRs: Infobutton technology allows linking between elements of the EMR to specific PIER content Evidence-based order sets are derived from PIER modules and link back to supporting information in the text Use of PIER in conjunction with EMRs can be tracked to measure performance and document real-time, clinically relevant, continuing medical education Next Contents The information in PIER should never be used as a substitute for clinical judgment and does not represent an official position of ACP. PIER is copyrighted (c) 2009 by the American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.