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Ethical, legal, and social issues (ELSI) are deeply intertwined with the practice of biomedical and health informatics. Whenever health information technologies and systems, including products and services (all referred to hereafter as HIT), mediate interactions among people, organizations, and information resources, there are opportunities to responsibly govern HIT throughout its lifecycle from development through deployment and use.

Designs of HIT must be carefully considered because they influence the actions and beliefs of users and how the systems are used.

Applications of technologies and systems have both intended and unintended effects, and these effects impact stakeholders differently. The design and implementation of HIT must be driven by the needs of patients, healthcare providers, and society-at-large. Therefore, it is crucial to examine issues including, but not limited to, privacy, information asymmetry, authority, trust, liability, social inequality, and policy concerning implementation and use. ELSI are not static, but instead grow in parallel with change in the field of health informatics and with society as a whole.


Our vision is that all developers, researchers, clinicians, trainees, patients, and users of health information technologies and systems act with an understanding of ethical, legal, and social issues.


The mission of the Ethical, Legal, and Social Issues Working Group (ELSI-WG) is to promote collaboration, education, and scholarship around ELSI arising from health information technologies and systems.


  • To develop and sustain a network of people and groups addressing ELSI in biomedical and health informatics
  • To advocate for ethical, equitable, and human-centered practices in applications of health information technology
  • To create, maintain, and promote educational and scholarly resources and activities for professional development, policy development, and public understanding of ELSI
  • To support and facilitate the inclusion of patients, caregivers, and other persons with underrepresented expertise in discussions of ELSI

Proposed Activities

  • Convene a bimonthly call for AMIA members
  • Author position and perspective articles on ELSI topics
  • Organize panels or workshops at AMIA symposium examining current topics
  • Develop and maintain a “first-stop” online resource for supporting awareness and discussions of ELSI
  • Collaborate with other AMIA working groups and non-AMIA stakeholders to raise awareness of ELSI in biomedical and health informatics
  • Serve as Liaison to the AMIA Ethics Committee


Profile image for Diane Korngiebel, DPhil

Diane Korngiebel, DPhil

Chair 2023-2024
AI Ethicist
Google, LLC
Profile image for Ross Koppel, PhD, FACMI, FIAHSI

Ross Koppel, PhD, FACMI, FIAHSI

Chair Elect 2024
University of Pennsylvania & University at Buffalo
Profile image for Philip Walker, MLIS, MS

Philip Walker, MLIS, MS

Vice Chair for Archives and Resources 2022-2023
Biomedical Library Director
Vanderbilt University
Profile image for Christian Rose, MD

Christian Rose, MD

Vice Chair for Dissemination and Communication 2022-2023
Assistant Professor
Stanford University, School of Medicine


  • Performing: Working Group has high level of engagement and output (workshops, papers, webinars)
  • Networking: Working Group has internal and external networking opportunities for members (mentorship programs, social events, collaboration)
  • Developing: New Working Group or revitalizing efforts to grow membership (recruitment efforts, leadership)


Performing: 30%
Networking: 40%
Developing: 30%

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For Your Informatics Podcast

Episode 25

"Allow Us to Reintroduce Ourselves' - AMIA Working Groups (Part 1)"