{"id":"https://openalex.org/W4401824842","doi":"https://doi.org/10.3233/shti240361","title":"Factors Influencing the Strategic Governance of EHR Interoperability: A Rapid Literature Review","display_name":"Factors Influencing the Strategic Governance of EHR Interoperability: A Rapid Literature Review","publication_year":2024,"publication_date":"2024-08-22","ids":{"openalex":"https://openalex.org/W4401824842","doi":"https://doi.org/10.3233/shti240361","pmid":"https://pubmed.ncbi.nlm.nih.gov/39176690"},"language":"en","primary_location":{"id":"doi:10.3233/shti240361","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240361","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240361","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240361","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5106681838","display_name":"Fuko Chiba","orcid":"https://orcid.org/0009-0006-4503-0272"},"institutions":[{"id":"https://openalex.org/I7877124","display_name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","ror":"https://ror.org/001w7jn25","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I7877124"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Fuko Chiba","raw_affiliation_strings":["Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany"],"raw_orcid":"https://orcid.org/0009-0006-4503-0272","affiliations":[{"raw_affiliation_string":"Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany","institution_ids":["https://openalex.org/I7877124"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102512739","display_name":"Alessia Nowak","orcid":"https://orcid.org/0009-0009-5194-5585"},"institutions":[{"id":"https://openalex.org/I7877124","display_name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","ror":"https://ror.org/001w7jn25","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I7877124"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Alessia Nowak","raw_affiliation_strings":["Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany"],"raw_orcid":"https://orcid.org/0009-0009-5194-5585","affiliations":[{"raw_affiliation_string":"Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany","institution_ids":["https://openalex.org/I7877124"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103110542","display_name":"Nicolas Frey","orcid":"https://orcid.org/0009-0000-0195-6096"},"institutions":[{"id":"https://openalex.org/I7877124","display_name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","ror":"https://ror.org/001w7jn25","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I7877124"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Nicolas Frey","raw_affiliation_strings":["Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany"],"raw_orcid":"https://orcid.org/0009-0000-0195-6096","affiliations":[{"raw_affiliation_string":"Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany","institution_ids":["https://openalex.org/I7877124"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090859897","display_name":"Sophie Anne In\u00e8s Klopfenstein","orcid":"https://orcid.org/0000-0002-8470-2258"},"institutions":[{"id":"https://openalex.org/I4210139777","display_name":"Berlin Institute of Health at Charit\u00e9 - Universit\u00e4tsmedizin Berlin","ror":"https://ror.org/0493xsw21","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210139777","https://openalex.org/I7877124"]},{"id":"https://openalex.org/I7877124","display_name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","ror":"https://ror.org/001w7jn25","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I7877124"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sophie Klopfenstein","raw_affiliation_strings":["Berlin Institute of Health at Charit\u00e9 (BIH), Germany","Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany"],"raw_orcid":"https://orcid.org/0000-0002-8470-2258","affiliations":[{"raw_affiliation_string":"Berlin Institute of Health at Charit\u00e9 (BIH), Germany","institution_ids":["https://openalex.org/I4210139777"]},{"raw_affiliation_string":"Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany","institution_ids":["https://openalex.org/I7877124"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093049634","display_name":"Falk Meyer-Eschenbach","orcid":"https://orcid.org/0009-0000-9813-0249"},"institutions":[{"id":"https://openalex.org/I4210139777","display_name":"Berlin Institute of Health at Charit\u00e9 - Universit\u00e4tsmedizin Berlin","ror":"https://ror.org/0493xsw21","country_code":"DE","type":"facility","lineage":["https://openalex.org/I4210139777","https://openalex.org/I7877124"]},{"id":"https://openalex.org/I7877124","display_name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","ror":"https://ror.org/001w7jn25","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I7877124"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Falk Meyer-Eschenbach","raw_affiliation_strings":["Berlin Institute of Health at Charit\u00e9 (BIH), Germany","Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany"],"raw_orcid":"https://orcid.org/0009-0000-9813-0249","affiliations":[{"raw_affiliation_string":"Berlin Institute of Health at Charit\u00e9 (BIH), Germany","institution_ids":["https://openalex.org/I4210139777"]},{"raw_affiliation_string":"Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany","institution_ids":["https://openalex.org/I7877124"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051650688","display_name":"Akira-Sebastian Poncette","orcid":"https://orcid.org/0000-0003-4627-7016"},"institutions":[{"id":"https://openalex.org/I7877124","display_name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","ror":"https://ror.org/001w7jn25","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I7877124"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Akira-Sebastian Poncette","raw_affiliation_strings":["Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany","Innovations for Sustainable Health Care Systems"],"raw_orcid":"https://orcid.org/0000-0003-4627-7016","affiliations":[{"raw_affiliation_string":"Institute of Medical Informatics, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, Germany","institution_ids":["https://openalex.org/I7877124"]},{"raw_affiliation_string":"Innovations for Sustainable Health Care Systems","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5106681838"],"corresponding_institution_ids":["https://openalex.org/I7877124"],"apc_list":null,"apc_paid":null,"fwci":0.9004,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.80181184,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":97},"biblio":{"volume":"316","issue":null,"first_page":"127","last_page":"131"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13851","display_name":"Law, AI, and Intellectual Property","score":0.8417999744415283,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T13851","display_name":"Law, AI, and Intellectual Property","score":0.8417999744415283,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.8361999988555908,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13475","display_name":"Digital Transformation in Law","score":0.8152999877929688,"subfield":{"id":"https://openalex.org/subfields/2000","display_name":"General Economics, Econometrics and Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interoperability","display_name":"Interoperability","score":0.8947200775146484},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.6141551733016968},{"id":"https://openalex.org/keywords/corporate-governance","display_name":"Corporate governance","score":0.6025529503822327},{"id":"https://openalex.org/keywords/semantic-interoperability","display_name":"Semantic interoperability","score":0.5726417899131775},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.5064440965652466},{"id":"https://openalex.org/keywords/health-records","display_name":"Health records","score":0.46978655457496643},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.46059831976890564},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.44973671436309814},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.3716133236885071},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.35563787817955017},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.34700143337249756},{"id":"https://openalex.org/keywords/process-management","display_name":"Process management","score":0.3309917449951172},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.2773537039756775},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.18265336751937866},{"id":"https://openalex.org/keywords/geography","display_name":"Geography","score":0.07150065898895264}],"concepts":[{"id":"https://openalex.org/C20136886","wikidata":"https://www.wikidata.org/wiki/Q749647","display_name":"Interoperability","level":2,"score":0.8947200775146484},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6141551733016968},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.6025529503822327},{"id":"https://openalex.org/C192800085","wikidata":"https://www.wikidata.org/wiki/Q5258530","display_name":"Semantic interoperability","level":3,"score":0.5726417899131775},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.5064440965652466},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.46978655457496643},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.46059831976890564},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44973671436309814},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3716133236885071},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.35563787817955017},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.34700143337249756},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.3309917449951172},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2773537039756775},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.18265336751937866},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.07150065898895264},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073892","descriptor_name":"Health Information Interoperability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008498","descriptor_name":"Medical Record Linkage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008498","descriptor_name":"Medical Record Linkage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008498","descriptor_name":"Medical Record Linkage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008498","descriptor_name":"Medical Record Linkage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018511","descriptor_name":"Systems Integration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018511","descriptor_name":"Systems Integration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018511","descriptor_name":"Systems Integration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018511","descriptor_name":"Systems Integration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti240361","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240361","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240361","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:39176690","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39176690","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.3233/shti240361","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti240361","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI240361","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4401824842.pdf"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W2560150188","https://openalex.org/W2625429357","https://openalex.org/W2790990365","https://openalex.org/W2805708434","https://openalex.org/W2888902436","https://openalex.org/W2928914367","https://openalex.org/W2941500653","https://openalex.org/W2942642087","https://openalex.org/W2946887797","https://openalex.org/W2951195907","https://openalex.org/W2974840968","https://openalex.org/W2991445411","https://openalex.org/W3001806831","https://openalex.org/W3089037107","https://openalex.org/W3115102118","https://openalex.org/W3136112844","https://openalex.org/W3174643804","https://openalex.org/W3179084749","https://openalex.org/W3201583856","https://openalex.org/W4210681325","https://openalex.org/W4212817091","https://openalex.org/W4237854095","https://openalex.org/W4281781918","https://openalex.org/W4289546949","https://openalex.org/W4304807991","https://openalex.org/W4362699303","https://openalex.org/W4383314943","https://openalex.org/W4385333291","https://openalex.org/W4385809862"],"related_works":["https://openalex.org/W4386953431","https://openalex.org/W2355850745","https://openalex.org/W2109385585","https://openalex.org/W2157800466","https://openalex.org/W2388051831","https://openalex.org/W4292980915","https://openalex.org/W2531681040","https://openalex.org/W2908350895","https://openalex.org/W2735460997","https://openalex.org/W3209454962"],"abstract_inverted_index":{"While":[0],"the":[1,13,27,53,63,71,91],"importance":[2],"of":[3,31,77],"Electronic":[4],"Health":[5],"Records":[6],"(EHR)":[7],"interoperability":[8,97],"is":[9],"widely":[10],"recognised":[11],"in":[12,52],"healthcare":[14],"digitalisation":[15,73],"context,":[16],"its":[17],"optimal":[18],"governance":[19],"structure":[20],"remains":[21],"controversial,":[22],"requiring":[23],"further":[24],"research.":[25],"Through":[26],"rapid":[28],"literature":[29],"review":[30,86],"32":[32,55],"articles":[33,56],"retrieved":[34],"from":[35],"PubMed":[36],"and":[37,62,75,79,81],"EBSCO,":[38],"47":[39],"distinct":[40],"factors":[41,51],"under":[42],"ten":[43],"categories":[44],"were":[45,57],"established.":[46],"The":[47],"three":[48],"most":[49],"cited":[50],"reviewed":[54],"\"Robust":[58],"inter-institutional":[59],"connections,":[60],"trust,":[61],"technologies":[64],"to":[65,70,94],"ensure":[66],"security\",":[67],"\"Legal":[68],"adaptations":[69],"evolving":[72],"needs\",":[74],"\"Standardisation":[76],"terminologies":[78],"codes,":[80],"harmonised":[82],"data":[83],"structure\".":[84],"This":[85],"contributes":[87],"preliminary":[88],"results":[89],"for":[90],"ongoing":[92],"research":[93],"optimise":[95],"EHR":[96],"governance.":[98]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-07-15T18:14:33.161393","created_date":"2025-10-10T00:00:00"}