Observing End-User Customisation of Electronic Patient Records

The contemporary practice of medicine, which is concerned both with national standards of audit and innovation through local customisation, is a prime domain for end-user development. In this paper we describe four experiences of end-user development in this domain that offer interesting empirical examples. We look at existing practices through considering end-user customisation of paper charts (1), compare the end-user customisation facilities provided by two applications for electronic patient records (2), assess the structure of an actual end-user development using one of these (3), and propose a longitudinal study of end-user customisation building on this work (4).