How to dwell in an EHR. The question concerning architecture EHR

Area of Science:

• Philosophy of Technology
• Architectural Theory
• Health Informatics

Background:

• Current electronic health record (EHR) architectures are primarily shaped by technical and systemic viewpoints.
• This technical perspective contrasts with historical and philosophical understandings of architecture as a fundamental human expression.

Purpose of the Study:

• To conceptually and philosophically analyze the nature of architecture in relation to EHR systems.
• To re-evaluate EHR construction through the lens of architectural theory and philosophical thought, referencing Semper, Johnson, and Heidegger.

Main Methods:

• A value-based and phronetic (practical wisdom) approach is employed.
• Conceptual analysis drawing on the works of Gottfried Semper, Philip Johnson, and Martin Heidegger.

Main Results:

• Current EHR architectures do not align with the philosophical and humanistic conceptions of architecture.
• The prevailing technical approach to EHRs overlooks deeper architectural and existential considerations.

Conclusions:

• The construction of EHRs should be approached as a deliberate, value-driven concern.
• Shifting from a "matter of fact" to a "matter of concern" is crucial for developing more meaningful EHR architectures.