Communications of the ACM
Sorting things out: classification and its consequences
Sorting things out: classification and its consequences
Reconfiguring critical computing in an era of configurability
Proceedings of the 4th decennial conference on Critical computing: between sense and sensibility
Handbook of Quantitative Science and Technology Research: The Use of Publication and Patent Statistics in Studies of S&T Systems
alt.metadata.health: Ontological Context for Data Use and Integration
Computer Supported Cooperative Work
eHealth system interoperability
Information Systems Frontiers
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This paper looks at the challenges associated with consolidating and leveraging patient information recorded at various points in a distributed, multi-jurisdictional health care system. We draw on insights from two ethnographic case studies to illuminate varied issues related to interoperability of information management systems. Our first case study is an investigation of duplicate medical charts which exist in several ambulatory care clinics located on the same campus at an acute care hospital. The second case study is an ongoing exploratory project intended to develop an understanding of information collection, storage and handover procedures in the pre-hospital care chain, a health care domain that includes varied actors and organizations with different information needs. Whereas findings from our case studies show that achievement of interoperability will be difficult, our analysis suggests ways to begin to overcome these challenges.