Defining electronic health record functionality – a process driven approach

We recently released an architecture specification for functionality in clinical IT systems for Helse Nord (see first post and about pages for more on Helse Nord). Or, to be more precise;

a future state description for how electronic health record (EHR) and medication systems should support surgery pathways at the hospitals of the region.

This post features the major business impact, some architecture experiences and a list of lessons learned from this work.

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A moment of process discovery

In this post I want to share a moment of process discovery and modeling from a project we are involved in.


Post-it brain storming

We are supporting a regional project with process discovery and modeling to help them identify requirements for configuration and integration of medical support systems in surgery processes.

Besides being important and fun and all of that, we also get to validate the architecture deliverables and guidelines we are developing for the practice; Win-Win!

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Using a project to evolve an architecture practice

So, how do you squeeze time in to develop an EA-practice in a busy office where you are primarily expected to deliver on customer values?

Practice development as a by-product

For sure, if you are a motivated team with sponsorship and backing from management you will be able to produce small practice increments over time as an intentional by-product of your normal tasks, i.e. without dedicated funding.

architects-officeIt requires you to go that extra mile in order to make your deliverables reusable and aligned with other work from your team. You will need to have an allowance to work on the increments (say 10%-20% of your time, which is a lot without funding)* and be very structured.

And it will take time..

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First post: Explorers of structure

From the imaginative back cover:

In the far north of Scandinavia a group of architects are doing their best to not get lost -not in the arctic mountains or the deep fjords, but in the land of vast architecture frameworks, rapid value streams and deep technical depths.


They are enterprise architects, mapping the public health enterprise of the region, and this is a story about the adventures they encounter while paving the way to the Community of Practice*.


In less poetical words:

Here you will find short notes from real world successes and challenges in building an enterprise architecture community of practice. The enterprise is the hospitals, IT and management organizations within the public health administration of northern Norway**.

I will be posting here from selected sites of interest along the road, so be sure to bookmark Moments of Structure if you’re into applied enterprise architecture!

// Niklas Falk-Andersson

* Between the Plateau of Visible Structure and the Forest of Silos. (Sorry.. couldn’t resist)

** The public health service in Norway is split into 4 regional administration sites. “Helse Nord”, in the north, has 14.000 employees.