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ABSTRACT

This paper presents an interpretive case study on extraction of disease surveillance data from Electronic Patient Records (EPRs) in primary care. The General Practitioners (GPs) use of the EPR system, and the effect this has on data content, such as symptoms reported by patients and diagnoses reported by GPs, is discussed. The paper contributes to greater understanding of sociotechnical issues related to disease surveillance, and contains illustrative examples of many issues important to CSCW. This includes how data collected in one context may be applied to a different context, and the delicate interplay between organizational and technical design challenges.

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INDEX TERMS

Primary Classification:
  H. Information Systems
  H.5 INFORMATION INTERFACES AND PRESENTATION (I.7)
      H.5.3 Group and Organization Interfaces
          Subjects: Computer-supported cooperative work

Additional Classification:
  J. Computer Applications
  J.3 LIFE AND MEDICAL SCIENCES
      Subjects: Medical information systems

General Terms:
Design, Human Factors

Keywords:
case study, cscw, disease surveillance, sociotechnical design