Beyond the Archive: Thinking CSCW into EHRs for Home Care

The current electronic health records (EHR) are not build to adequately support pervasive healthcare, but overcoming certain challenges could change that. In this paper we explicate that point by presenting results of applying participatory design to two scenarios: treating diabetic foot ulcers at home, and providing support for women during their pregnancy. In particular, the contributions of this paper are: (1) to explicate the diversity of the domain, and how this leads to complex issues in practice, (2) to present four particular issues that need to be addressed in the design of EHRs as found through application of participatory design in our two scenarios, (3) to establish promising approaches to handling those four issues, and (4) to present the core of a software architecture that supports these approaches