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

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

2 Citations (Scopus)

1109 Downloads (Pure)

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

Original language	English
Title of host publication	Context Sensitive Health Informatics: AI for Social Good : Proceedings of the CSHI2025
Editors	Hadiza Ismaila, Linda Dusseljee-Peute, Romaric Marcilly, Peter L. Elkin, Craig E. Kuziemsky, Christian Nøhr, Bethany Van Dort
Number of pages	5
Volume	326
Publisher	IOS Press
Publication date	2025
Pages	34-38
ISBN (Electronic)	978-1-64368-594-6
DOIs	https://doi.org/10.3233/SHTI250232
Publication status	Published - 2025
Event	Context Sensitive Health Informatics Conference: Context-sensitive health informatics: AI for social good - University of Bradford, Bradford, United Kingdom Duration: 23 May 2025 → 24 May 2025 https://www.cshi-imia.org/

Exhibition

Exhibition	Context Sensitive Health Informatics Conference
Location	University of Bradford
Country/Territory	United Kingdom
City	Bradford
Period	23/05/2025 → 24/05/2025
Internet address	https://www.cshi-imia.org/

Series	Studies in Health Technology and Informatics
Volume	326
ISSN	0926-9630

Keywords

Configuration
EHR suite
Implementation
subject matter experts

Access to Document

10.3233/SHTI250232Licence: CC BY-NC

Implementing EHR Suites: Lessons from a Norwegian Configuration ProcessFinal published version, 8.15 MBLicence: CC BY-NC

Citation Styles

Sand, A., Hertzum, M., Ellingsen, G., & Dahl, Y. (2025). Implementing EHR Suites: Lessons from a Norwegian Configuration Process. In H. Ismaila, L. Dusseljee-Peute, R. Marcilly, P. L. Elkin, C. E. Kuziemsky, C. Nøhr, & B. Van Dort (Eds.), Context Sensitive Health Informatics: AI for Social Good: Proceedings of the CSHI2025 (Vol. 326, pp. 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. editor / Hadiza Ismaila ; Linda Dusseljee-Peute ; Romaric Marcilly ; Peter L. Elkin ; Craig E. Kuziemsky ; Christian Nøhr ; Bethany Van Dort. Vol. 326 IOS Press, 2025. pp. 34-38 (Studies in Health Technology and Informatics, Vol. 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. in H Ismaila, L Dusseljee-Peute, R Marcilly, PL Elkin, CE Kuziemsky, C Nøhr & B Van Dort (eds), Context Sensitive Health Informatics: AI for Social Good: Proceedings of the CSHI2025. vol. 326, IOS Press, Studies in Health Technology and Informatics, vol. 326, pp. 34-38, Context Sensitive Health Informatics Conference, Bradford, United Kingdom, 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. ed. / Hadiza Ismaila; Linda Dusseljee-Peute; Romaric Marcilly; Peter L. Elkin; Craig E. Kuziemsky; Christian Nøhr; Bethany Van Dort. Vol. 326 IOS Press, 2025. p. 34-38 (Studies in Health Technology and Informatics, Vol. 326).

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

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T1 - Implementing EHR Suites

T2 - Context Sensitive Health Informatics Conference

AU - Sand, Adrian

AU - Hertzum, Morten

AU - Ellingsen, Gunnar

AU - Dahl, Yngve

PY - 2025

Y1 - 2025

N2 - 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

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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KW - Configuration

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KW - Implementation

KW - subject matter experts

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DO - 10.3233/SHTI250232

M3 - Article in proceedings

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T3 - Studies in Health Technology and Informatics

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EP - 38

BT - Context Sensitive Health Informatics: AI for Social Good

A2 - Ismaila, Hadiza

A2 - Dusseljee-Peute, Linda

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A2 - Elkin, Peter L.

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A2 - Nøhr, Christian

A2 - Van Dort, Bethany

PB - IOS Press

Y2 - 23 May 2025 through 24 May 2025

ER -

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