Please use this identifier to cite or link to this item: https://dl.eusset.eu/handle/20.500.12015/3809
Full metadata record
DC FieldValueLanguage
dc.contributor.authorUlriksen, Gro-Hilde
dc.contributor.authorPedersen, Rune
dc.contributor.authorEllingsen, Gunnar
dc.date42826
dc.date.accessioned2020-06-06T13:06:22Z-
dc.date.available2020-06-06T13:06:22Z-
dc.date.issued2017
dc.identifier.issn1573-7551
dc.identifier.urihttp://dx.doi.org/10.1007/s10606-017-9269-x
dc.identifier.urihttps://dl.eusset.eu/handle/20.500.12015/3809-
dc.description.abstractIn Norway, a national initiative is currently aiming at standardising the electronic patient record (EPR) content based on an openEHR framework. The openEHR architecture, offers users the capability to conduct standardisation and structuration of the EPR content in a distributed manner, through an internet-based tool. Systems based on this architecture, is expected to ensure universal (also internationally) interoperability among all forms of electronic data. A crude estimate is that it is necessary to define somewhere between 1000 and 2000 standardised elements or clinical concepts (so-called archetypes), to constitute a functioning EPR system. Altogether, the collection of defined archetypes constitutes a backbone of an interoperable EPR system lending on the openEHR architecture. We conceptualize the agreed-upon archetypes as a large-scale information infrastructure, and the process of developing the archetypes as a infrastructuring effort. With this as a backdrop, we focus on the following research question: What are the challenges of infrastructuring in a large-scale user-driven standardisation process in healthcare? This question is operationalized into three sub-questions: First, how are the openEHR-based archetypes standardised in practice? Second, what is the role of daily clinical practice, and existing systems in the process of developing archetypes? Third, how may related, but supposedly independent infrastructuring projects shape each other’s progress? We contribute with insight into how power relations and politics shape the infrastructuring process. Empirically, we have studied the formative process of establishing a national information infrastructure based on the openEHR approach in the period 2012–2016 in Norway.de
dc.publisherSpringer
dc.relation.ispartofComputer Supported Cooperative Work (CSCW): Vol. 26, No. 0
dc.relation.ispartofseriesComputer Supported Cooperative Work (CSCW)
dc.subjectarchetypes
dc.subjectinformation infrastructure
dc.subjectinfrastructuring
dc.subjectopenEHR
dc.subjectstandardisation
dc.subjectuser participation
dc.titleInfrastructuring in Healthcare through the OpenEHR Architecturede
dc.typeText/Journal Article
mci.reference.pages33-69
dc.identifier.doi10.1007/s10606-017-9269-x
Appears in Collections:JCSCW Vol. 26 (2017)

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.