title: Semantic Interoperable Electronic Patient Records: The Unfolding of Consensus based Archetypes.
abstract: This paper is a status report from a large-scale openEHR-based EPR project from the North Norway Regional Health Authority encouraged by the unfolding of a national repository for openEHR archetypes. Clinicians need to engage in, and be responsible for the production of archetypes. The consensus processes have so far been challenged by a low number of active clinicians, a lack of critical specialties to reach consensus, and a cumbersome review process (3 or 4 review rounds) for each archetype. The goal is to have several clinicians from each specialty as a backup if one is hampered to participate. Archetypes and their importance for structured data and sharing of information has to become more visible for the clinicians through more sharpened information practice.
authors.affiliation: University Hospital of North Norway, Tromsø, Norway.
authors.forename: Rune
authors.initials: R
authors.lastname: Pedersen
authors.affiliation: University Hospital of North Norway, Tromsø, Norway.
authors.forename: Rolf
authors.initials: R
authors.lastname: Wynn
authors.affiliation: University Hospital of North Norway, Tromsø, Norway.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Ellingsen
mesh_terms: D000068598:Data Accuracy; D057286:Electronic Health Records / Q000592:standards*; D008498:Medical Record Linkage / Q000592:standards*; D009664:Norway; D017410:Practice Guidelines as Topic; D012660:Semantics; D009626:Terminology as Topic; D018875:Vocabulary, Controlled