Implementing EHR Suites: Lessons from a Norwegian Configuration Process

Adrian Sand; Morten Hertzum; Gunnar Ellingsen; Yngve Dahl

doi:10.3233/SHTI250232

Implementing EHR Suites: Lessons from a Norwegian Configuration Process

Adrian Sand^*, Morten Hertzum, Gunnar Ellingsen, Yngve Dahl

^*Corresponding author

Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › peer review

Abstract

The implementation of electronic health record (EHR) suites is a complex process that involves configuring the EHR suite for local healthcare practices. In this study, we investigate the process of configuring Epic’s EHR suite for Norwegian healthcare practices. From the point of view of the interviewed subject-matter experts (SMEs) and super users, this EHR implementation has struggled with managing and processing the input from the highly prioritized user participation in the configuration process. In addition, the SMEs have been in a difficult in-between role. These struggles and difficulties are evident in three main issues. First, SMEs and Epic’s developers tended to negotiate rather than collaborate. Second, SMEs tended to contribute their personal expertise rather than represent their peer groups. Third, the specialty-specific groups for doing the configuration work tended to optimize the EHR for each specialty rather than for teamwork.

Originalsprog	Engelsk
Titel	Context Sensitive Health Informatics: AI for Social Good : Proceedings of the CSHI2025
Redaktører	Hadiza Ismaila, Linda Dusseljee-Peute, Romaric Marcilly, Peter L. Elkin, Craig E. Kuziemsky, Christian Nøhr, Bethany Van Dort
Antal sider	5
Vol/bind	326
Forlag	IOS Press
Publikationsdato	2025
Sider	34-38
ISBN (Elektronisk)	978-1-64368-594-6
DOI	https://doi.org/10.3233/SHTI250232
Status	Udgivet - 2025
Begivenhed	Context Sensitive Health Informatics Conference: Context-sensitive health informatics: AI for social good - University of Bradford, Bradford, Storbritannien Varighed: 23 maj 2025 → 24 maj 2025 https://www.cshi-imia.org/

Udstilling

Udstilling	Context Sensitive Health Informatics Conference
Lokation	University of Bradford
Land/Område	Storbritannien
By	Bradford
Periode	23/05/2025 → 24/05/2025
Internetadresse	https://www.cshi-imia.org/

Navn	Studies in Health Technology and Informatics
Vol/bind	326
ISSN	0926-9630

Emneord

Configuration
EHR Suite
Implementation
Subject matter expert

Link til dokument

10.3233/SHTI250232Licens: CC BY-NC

Implementing EHR Suites: Lessons from a Norwegian Configuration ProcessForlagets udgivne version, 8,15 MBLicens: CC BY-NC

Citer dette

Sand, A., Hertzum, M., Ellingsen, G., & Dahl, Y. (2025). Implementing EHR Suites: Lessons from a Norwegian Configuration Process. I H. Ismaila, L. Dusseljee-Peute, R. Marcilly, P. L. Elkin, C. E. Kuziemsky, C. Nøhr, & B. Van Dort (red.), Context Sensitive Health Informatics: AI for Social Good: Proceedings of the CSHI2025 (Bind 326, s. 34-38). IOS Press. https://doi.org/10.3233/SHTI250232

Sand, Adrian ; Hertzum, Morten ; Ellingsen, Gunnar et al. / Implementing EHR Suites : Lessons from a Norwegian Configuration Process. Context Sensitive Health Informatics: AI for Social Good: Proceedings of the CSHI2025. red. / Hadiza Ismaila ; Linda Dusseljee-Peute ; Romaric Marcilly ; Peter L. Elkin ; Craig E. Kuziemsky ; Christian Nøhr ; Bethany Van Dort. Bind 326 IOS Press, 2025. s. 34-38 (Studies in Health Technology and Informatics, Bind 326).

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abstract = "The implementation of electronic health record (EHR) suites is a complex process that involves configuring the EHR suite for local healthcare practices. In this study, we investigate the process of configuring Epic{\textquoteright}s EHR suite for Norwegian healthcare practices. From the point of view of the interviewed subject-matter experts (SMEs) and super users, this EHR implementation has struggled with managing and processing the input from the highly prioritized user participation in the configuration process. In addition, the SMEs have been in a difficult in-between role. These struggles and difficulties are evident in three main issues. First, SMEs and Epic{\textquoteright}s developers tended to negotiate rather than collaborate. Second, SMEs tended to contribute their personal expertise rather than represent their peer groups. Third, the specialty-specific groups for doing the configuration work tended to optimize the EHR for each specialty rather than for teamwork",

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booktitle = "Context Sensitive Health Informatics: AI for Social Good",

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Sand, A, Hertzum, M, Ellingsen, G & Dahl, Y 2025, Implementing EHR Suites: Lessons from a Norwegian Configuration Process. i H Ismaila, L Dusseljee-Peute, R Marcilly, PL Elkin, CE Kuziemsky, C Nøhr & B Van Dort (red), Context Sensitive Health Informatics: AI for Social Good: Proceedings of the CSHI2025. bind 326, IOS Press, Studies in Health Technology and Informatics, bind 326, s. 34-38, Context Sensitive Health Informatics Conference, Bradford, Storbritannien, 23/05/2025. https://doi.org/10.3233/SHTI250232

Implementing EHR Suites: Lessons from a Norwegian Configuration Process. / Sand, Adrian; Hertzum, Morten; Ellingsen, Gunnar et al.
Context Sensitive Health Informatics: AI for Social Good: Proceedings of the CSHI2025. red. / Hadiza Ismaila; Linda Dusseljee-Peute; Romaric Marcilly; Peter L. Elkin; Craig E. Kuziemsky; Christian Nøhr; Bethany Van Dort. Bind 326 IOS Press, 2025. s. 34-38 (Studies in Health Technology and Informatics, Bind 326).

Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › peer review

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T2 - Context Sensitive Health Informatics Conference

AU - Sand, Adrian

AU - Hertzum, Morten

AU - Ellingsen, Gunnar

AU - Dahl, Yngve

PY - 2025

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AB - The implementation of electronic health record (EHR) suites is a complex process that involves configuring the EHR suite for local healthcare practices. In this study, we investigate the process of configuring Epic’s EHR suite for Norwegian healthcare practices. From the point of view of the interviewed subject-matter experts (SMEs) and super users, this EHR implementation has struggled with managing and processing the input from the highly prioritized user participation in the configuration process. In addition, the SMEs have been in a difficult in-between role. These struggles and difficulties are evident in three main issues. First, SMEs and Epic’s developers tended to negotiate rather than collaborate. Second, SMEs tended to contribute their personal expertise rather than represent their peer groups. Third, the specialty-specific groups for doing the configuration work tended to optimize the EHR for each specialty rather than for teamwork

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T3 - Studies in Health Technology and Informatics

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BT - Context Sensitive Health Informatics: AI for Social Good

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Sand A, Hertzum M, Ellingsen G, Dahl Y. Implementing EHR Suites: Lessons from a Norwegian Configuration Process. I Ismaila H, Dusseljee-Peute L, Marcilly R, Elkin PL, Kuziemsky CE, Nøhr C, Van Dort B, red., Context Sensitive Health Informatics: AI for Social Good: Proceedings of the CSHI2025. Bind 326. IOS Press. 2025. s. 34-38. (Studies in Health Technology and Informatics, Bind 326). doi: 10.3233/SHTI250232