Abstract
Most large, modern, information systems are built from standard software modules that need to be configured before they can be used. Implementing such systems requires contextualization—adjusting predefined parameters and adapting standardized templates to the organization's requirements. A key challenge for the users of these systems is to ensure that the data they hold are interpreted in a way that best serves the organization that uses them. In complex, multi-layered, and event-driven environments such as healthcare, this poses a particular challenge. An analysis of the experiences of a French teaching hospital that switched to an electronic medical records system reveals six issues raised by contextualization and offers guidance for those who need to manage this process in their own organization.
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