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Biosocieties. 2021 Sep 06;1-23. doi: 10.1057/s41292-021-00249-1. Epub 2021 Sep 06.

When data drive health: an archaeology of medical records technology.

BioSocieties

Colin Koopman, Patrick Jones, Valérie Simon, Paul Showler, Mary McLevey,

Affiliations

  1. University of Oregon, Eugene, USA.
  2. Department of Philosophy, 1295 UO University of Oregon, Eugene, OR 97403 USA.

PMID: 34512794 PMCID: PMC8419372 DOI: 10.1057/s41292-021-00249-1

Abstract

Medicine is often thought of as a science of the body, but it is also a science of data. In some contexts, it can even be asserted that data drive health. This article focuses on a key piece of data technology central to contemporary practices of medicine: the medical record. By situating the medical record in the perspective of its history, we inquire into how the kinds of data that are kept at sites of clinical encounter often depend on informational requirements that originate well outside of the clinic, in particular in health insurance records systems. Although this dependency of today's electronic medical records on billing requirements is widely lamented by clinical providers, its history remains little studied. Following the archaeology of medicine developed by Michel Foucault in

© The Author(s), under exclusive licence to Springer Nature Limited 2021.

Keywords: Data systems; Formats; Information technology; Media archaeology; Medical records; Philosophical archaeology

Conflict of interest statement

Conflict of interestOn behalf of all authors, the corresponding author states that there is no conflict of interest.

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