The more the health information infrastructures link numerous and different stakeholders, services, purposes and missions, the more the ELSIs raised are likely to be numerous and complex. And they reach far beyond privacy and protection of personal information usually linked with the debate over constraints on the flow of health information. These ELSIs are emerging at every level of the health care system. It is too early to propose a formal typology of health information networking ELSIs. Cultural implications involve shared beliefs, knowledge, values and norms.
Economic implications are important as available resources for basic health services become scarce.
Sound ergonomics is essential when dealing with overburdened professionals and anxious, if not distressed, patients and caregivers. Legal implications are frequently mentioned. There are a fairly large number of organisational implications as networks develop in a context of healthcare system reform, thus raising numerous political and labour related implications. The project development process itself also raises numerous ELSIs. Finally, security and vulnerability issues compose a class by themselves.