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This paper is drawn from an ongoing, large-scale project of implementing Electronic Clinical Record (ECR). The overall aim in this paper is to develop a deeper understanding of the socio-technical aspects of the complexities and challenges emerging from the implementation of the ECR, and in particular to study how to manage a gradual transition to digital record. The authors have proposed ECR conceptual model. The end result of their research was a collection of ideas/surveys, and field work that clinical institutions and medical informatics must consider to ensure that patients and clinics do not lose long-term access to ECR and technology continually progress.
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