Modelling and implementing electronic health records in Denmark

Bernstein, Knut; Bruun-Rasmussen, Morten; Vingtoft, Søren; Andersen, Stig Kjær; Nøhr, Christian

doi:10.1016/j.ijmedinf.2004.07.007

Cited by 62 publications

(39 citation statements)

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“…The integration mechanisms -all technical -include federated database systems, world-wide-web (Grimson et al, 1998) ERP-systems (Grimson et al, 2000), components (Clayton et al, 2003, p. 2) and internet portals. Common models and architectures are also suggested (Bernstein et al, 2005).…”

Section: Conceptualising Integration Socio-technicallymentioning

confidence: 99%

Seamless Integration: Standardisation across Multiple Local Settings

Ellingsen

Monteiro

2006

Comput Supported Coop Work

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The pressure towards tighter or ''seamless'' integration of health information systems is a recurring issue with both practical and analytical relevance. It taps into a discourse in the IS literature in general and organisation and management science in particular. Unfortunately, the prevailing perception of integration in the IS literature is as a predominantly technical issue. The CSCW literature, however, is attentive to the socio-technical aspects of integration. Building on this -but supplemented with recent elaborations in science studies -we aim at exploring the unintended consequences of information systems integration. A user-led perspective implies emphasising the tailoring to local needs based on in-depth studies of the micro practices. We argue, however, that the condition for such an approach is radically undermined by politically motivated, regional changes towards integration with implicated standardisation. Enforcing order in the form of standards across multiple local settings, seemingly a prerequisite for tight integration, simultaneously produces disorder or additional work in other locations for other users. Empirically, our study is based on a large, ongoing integration effort at the University hospital of Northern Norway, specifically studying work practices and perceptions across multiple laboratories.

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Section: Conceptualising Integration Socio-technicallymentioning

confidence: 99%

Seamless Integration: Standardisation across Multiple Local Settings

Ellingsen

Monteiro

2006

Comput Supported Coop Work

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“…Even a rather simple workflow as the one we have examined unveiled the need for a business process support application to be integrated to several other of the hospital information systems [9,26]. Such an integration provides several challenges, both in relation to access control [27] and in relation to semantics [28,29]. The mapping of the treatment workflow into the Resultmaker Online Consultant demonstrates the use of a commercial workflow model based on declarative process primitives as advocated by Pesic and van der Aalst.…”

Section: Discussionmentioning

confidence: 99%

From Paper Based Clinical Practice Guidelines to Declarative Workflow Management

Lyng

Hildebrandt

Mukkamala

2009

Business Process Management Workshops

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“…Integrated health information systems -i.e. health (information) infrastructures -are distinctly sociotechnical, in contrast to the prevailing approach depicting them as predominantly a technical concern (see, for instance, [26][27][28][29] on various integration mechanisms). One distinctive feature of an information infrastructure perspective, which stems directly from its actor-network theory heritage [30], is the erosion of the analytic distinction between local and global.…”

Section: Infrastructural Systems In Healthcarementioning

confidence: 98%