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Health informatics scholars have generally shown more interest in promoting standardisation (e.g. developing common codes and interoperability standards) than exploring contingency (e.g. a team's commitment to a stand-alone legacy system whose limitations and the workarounds for overcoming them are part of local business-as-usual), though in a companion paper we review some ethnographic studies on local EPR systems (Greenhalgh T, Swinglehurst D: Studying technology use as social practice: the untapped potential of ethnography, submitted).
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