An electronic health record (EHR) is an electronic version of a patient's medical history. EHRs are created and managed by clinicians, but many EHR systems are neither interconnected nor interoperable. The inability to share data among clinicians contradicts purported benefits of using EHRs, namely, improved communication and information sharing leading ostensibly to better health outcomes for patients. Along with cost and usability, interoperability concerns help explain why the healthcare industry has been slow embracing EHRs. Organizational changes brought by EHR adoptions can disrupt workflow patterns, alter clinicians' interactions, and erode organizational identity.
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