New Perspectives in Medical Records pp 23-32 | Cite as
An Infrastructural Approach to Clinical Information
Abstract
This chapter adopts and explains an infrastructural approach to clinical information support in which the shared electronic record is produced and maintained as a side effect and consequences of clinical messages. This requires an architectural approach which is somewhat different from the usual applications-oriented one and presents challenges to current thinking and practice in the area of health informatics. It places the concept of the clinical conversation at the centre of the architectural discourse and, as a consequence, makes the consequences of the principles of informed consent and the duties of custodianships of clinical information explicit.
Notes
Acknowledgement
The author would like to acknowledge the contribution of colleagues in the DDEHR project particularly that of Dr Nick Booth who was the Clinical Director.
Suggested Reading
- 1.Greenhalgh T, Potts HW, Wong G, Bark P, Swinglehurst D (2009) Tensions and paradoxes in electronic patient record research: a systematic literature review using the meta-narrative method. Milbank Q. 87(4):729–88Google Scholar
- 2.
- 3.Eason K (2007) Local sociotechnical system development in the NHS National Programme for Information Technology. J Inf Technol. 22:257. doi: 10.1057/palgrave.jit.2000101