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ABSTRACT: This paper draws on experience of the ongoing, large scale Medakis project aimed at developing and deploying an al- encompassing electronic patient record in the five largest hospitals in Norway. We focus on the rich variety and heterogeneity of information sources that mould work practices and presents results from 3 wards from one of the hospitals. Based on our findings we suggest that the design of and EPR must be aimed at flexibility and must allow a certain degree of heterogeneity in order to be useful for the different user groups in a hospital environment. Keywords: EPR, Electronic patient records, heterogeneity, hospitals, information infrastructure, work practice 1. Introduction Development and use of electronic patient record systems (EPRs) in health care has a long and problematic history. In Norway as in most Western countries, there has been a rich collection of initiatives and projects. Oddly enough, there does not seem to exist any systematic, comprehensive and critica...
09/2000;
