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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Changing perspectives on informatics? Bettine Pluut en Arre Zuurmond Utrecht University Utrecht School of Governance Bijlhouwerstraat 6, 3511 ZC Utrecht The Netherlands E-mail: b.pluut@uu.nl Individual healthcare provider HIS/ZIS Prosumer of healthcare PHR Network of healthcare providers EHR Healthcare communities Converging records Focus on individual Focus on collective Provider-oriented informatics Consumer-oriented informatics Health records and their target group Development stages of EHR and PHR Focus on individual Provider-oriented Consumer-oriented  Plotting EHR Policy Focus on collective Focus on individual Provider-oriented Consumer-oriented  Plotting EHR Design Focus on collective Stage EHRs PHRs 1.Computerizing Computerized records  Personal written annotations, personal knowledge 2. Automating Automated records  Manual entry into pc- applications. Stand-alone medical devices with computerized records  3. Connecting Digital organizational infrastructure Putting output of medical devices into PHR 4. Networking Distributed EHR Automatic connections between devices and PHR, synchronizing EHR with PHR by hand  5. Converging - Virtual, multidimensional records on shared infrastructure  - Automatic, multidirectional synchronization of PHR and EHR D D C

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