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We investigated why clinicians experience problems interpreting implantable cardioverter-defibrillator (ICD) data when the patient is absent, and we explored how patients could be re-introduced into the socio-technical setup of telemonitored interpretation practices.

An action research study with a design interventionist perspective was conducted to investigate the telemonitoring arrangement for chronically ill patients with ICDs and to identify the nature of the collaborative practices involved in ICD data interpretation. We diagnosed the main challenges involved in collaborative interpretation practices. These insights were used to re-design the socio-technical setup of the telemonitoring practices by designing and building a web-based, patient-centric, collaborative application, myRecord, to re-introduce the patients as active participants to the telemonitoring setup. Finally, we introduced the …