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1. Introduction
There have been many studies investigating and analyzing the phenomenon of the electronic medical record (EMR) at both individual and organizational levels. The EMR has been introduced and implemented in various ways, but literature reflects that the EMR has yet to fulfill its potential. Looking at the three sides of the EMR is important to get a solid understanding of the dynamics that can occur relaying a patient's story through various departments and uses. This is why the triangulation between the medicine, management and bioinformatics is crucial. Most research on the EMR focuses only on one or two of these areas' concerns. This paper takes into consideration the three essential areas, highlighting the unexpressed story and the dynamic inter-connectedness that is essential in making the EMR comprehensive and valid.
The use of the EMR is less popular in the USA than anywhere else in the world. Most theory identifies that it is the personal beliefs that act as a major determinant of intentions to use a new technology (Venkatesh et al. , 2003). It is important, however, to distinguish how beliefs are formed to understand the story behind the use and implementation. To ensure successful progress and development with this tool (Ilie et al. , 2009), the call for these details has been expressed by numerous authors asking to push the "contextual envelope" for bioinformatics research to deal with unique contextual issues (Chiasson and Davidson, 2004).
The traditional paper medical record has worked for physicians, management and patients since the beginning of practice. Yet the development of the EMR did not begin with all the essential elements of the traditional record that were working, but instead shreds out important aspects of the patient. Digital records were created with a focus on efficiency for the streamlining of information conveyance to the insurance companies, to enhance coding consistency and to potentially improve accuracy of reimbursement. Therefore, the input of the physician and patient, the two individuals essentially interacting and utilizing the EMR the most, has had the least impact into the EMR process and development. In essence, this undermines the physician/patient interaction.
2. The map and territory of medicine
Physicians use expert knowledge in an effort to optimize decision-making. The distillation of information (symptoms and...