{"id":"https://openalex.org/W4404617461","doi":"https://doi.org/10.3233/shti241073","title":"Utilizing Open Source Clinical Information Systems in European Countries: Potential and Barriers","display_name":"Utilizing Open Source Clinical Information Systems in European Countries: Potential and Barriers","publication_year":2024,"publication_date":"2024-11-22","ids":{"openalex":"https://openalex.org/W4404617461","doi":"https://doi.org/10.3233/shti241073","pmid":"https://pubmed.ncbi.nlm.nih.gov/39575790"},"language":"en","primary_location":{"id":"doi:10.3233/shti241073","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti241073","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI241073","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":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI241073","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114748662","display_name":"Fatma-Zahra Magdub","orcid":null},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Fatma-Zahra Magdub","raw_affiliation_strings":["Bern University of Applied Sciences, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bern University of Applied Sciences, Switzerland","institution_ids":["https://openalex.org/I130692619"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114748663","display_name":"Sakirnth Nagarasa","orcid":null},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Sakirnth Nagarasa","raw_affiliation_strings":["Bern University of Applied Sciences, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bern University of Applied Sciences, Switzerland","institution_ids":["https://openalex.org/I130692619"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070597025","display_name":"Florian Frick","orcid":"https://orcid.org/0000-0002-7635-744X"},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Florian Frick","raw_affiliation_strings":["Bern University of Applied Sciences, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bern University of Applied Sciences, Switzerland","institution_ids":["https://openalex.org/I130692619"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102842494","display_name":"Murat Sariyar","orcid":"https://orcid.org/0000-0003-3432-2860"},"institutions":[{"id":"https://openalex.org/I130692619","display_name":"Bern University of Applied Sciences","ror":"https://ror.org/02bnkt322","country_code":"CH","type":"education","lineage":["https://openalex.org/I130692619"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Murat Sariyar","raw_affiliation_strings":["Bern University of Applied Sciences, Switzerland"],"raw_orcid":"https://orcid.org/0000-0003-3432-2860","affiliations":[{"raw_affiliation_string":"Bern University of Applied Sciences, Switzerland","institution_ids":["https://openalex.org/I130692619"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.54958184,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"321","issue":null,"first_page":"109","last_page":"113"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9803000092506409,"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"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9803000092506409,"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/T11986","display_name":"Scientific Computing and Data Management","score":0.9416999816894531,"subfield":{"id":"https://openalex.org/subfields/1802","display_name":"Information Systems and Management"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/interoperability","display_name":"Interoperability","score":0.8311799764633179},{"id":"https://openalex.org/keywords/personalization","display_name":"Personalization","score":0.6824052929878235},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.6359871029853821},{"id":"https://openalex.org/keywords/open-source","display_name":"Open source","score":0.5897895097732544},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5454564094543457},{"id":"https://openalex.org/keywords/healthcare-system","display_name":"Healthcare system","score":0.5236910581588745},{"id":"https://openalex.org/keywords/scalability","display_name":"Scalability","score":0.5181778073310852},{"id":"https://openalex.org/keywords/information-system","display_name":"Information system","score":0.4917347729206085},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.4658331274986267},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.46241995692253113},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.41674286127090454},{"id":"https://openalex.org/keywords/risk-analysis","display_name":"Risk analysis (engineering)","score":0.39264610409736633},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.375016450881958},{"id":"https://openalex.org/keywords/process-management","display_name":"Process management","score":0.34667110443115234},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.26131877303123474},{"id":"https://openalex.org/keywords/software","display_name":"Software","score":0.19811159372329712},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.17628070712089539},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.15518280863761902},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.13892042636871338}],"concepts":[{"id":"https://openalex.org/C20136886","wikidata":"https://www.wikidata.org/wiki/Q749647","display_name":"Interoperability","level":2,"score":0.8311799764633179},{"id":"https://openalex.org/C183003079","wikidata":"https://www.wikidata.org/wiki/Q1000371","display_name":"Personalization","level":2,"score":0.6824052929878235},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6359871029853821},{"id":"https://openalex.org/C3018397939","wikidata":"https://www.wikidata.org/wiki/Q3644502","display_name":"Open source","level":3,"score":0.5897895097732544},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5454564094543457},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.5236910581588745},{"id":"https://openalex.org/C48044578","wikidata":"https://www.wikidata.org/wiki/Q727490","display_name":"Scalability","level":2,"score":0.5181778073310852},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.4917347729206085},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4658331274986267},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.46241995692253113},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.41674286127090454},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.39264610409736633},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.375016450881958},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.34667110443115234},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.26131877303123474},{"id":"https://openalex.org/C2777904410","wikidata":"https://www.wikidata.org/wiki/Q7397","display_name":"Software","level":2,"score":0.19811159372329712},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.17628070712089539},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.15518280863761902},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.13892042636871338},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C119599485","wikidata":"https://www.wikidata.org/wiki/Q43035","display_name":"Electrical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"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":"D005060","descriptor_name":"Europe","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005060","descriptor_name":"Europe","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005060","descriptor_name":"Europe","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005060","descriptor_name":"Europe","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D063005","descriptor_name":"Health Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti241073","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti241073","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI241073","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:39575790","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39575790","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/shti241073","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti241073","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI241073","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":[{"display_name":"Partnerships for the goals","id":"https://metadata.un.org/sdg/17","score":0.5199999809265137}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4404617461.pdf"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2093262417","https://openalex.org/W4312626803","https://openalex.org/W2123131699","https://openalex.org/W650116260","https://openalex.org/W2378329187","https://openalex.org/W4390790060","https://openalex.org/W2134191509","https://openalex.org/W3209454962","https://openalex.org/W79697243","https://openalex.org/W4285005718"],"abstract_inverted_index":{"GNU":[0,27,44],"Health,":[1],"an":[2],"open-source":[3],"clinical":[4],"information":[5],"system,":[6],"offers":[7],"a":[8],"comprehensive":[9],"solution":[10],"for":[11,53],"managing":[12],"health":[13],"records,":[14],"hospital":[15],"information,":[16],"and":[17,24,56,72,84],"laboratory":[18],"data.":[19],"Despite":[20],"its":[21,51,64],"robust":[22],"functionality":[23],"cost-effective":[25],"nature,":[26],"Health":[28,45],"remains":[29],"underutilized":[30],"in":[31,46],"the":[32,39,61],"European":[33,47],"healthcare":[34,48],"context.":[35],"This":[36],"paper":[37],"explores":[38],"potential":[40],"benefits":[41],"of":[42],"implementing":[43],"systems,":[49],"emphasizing":[50],"capacity":[52],"customization,":[54],"integration,":[55],"scalability.":[57],"We":[58],"also":[59],"examine":[60],"barriers":[62],"to":[63,74],"widespread":[65],"adoption,":[66],"including":[67],"regulatory":[68],"challenges,":[69],"interoperability":[70],"issues,":[71],"resistance":[73],"change":[75],"from":[76],"established":[77],"proprietary":[78],"systems.":[79],"Through":[80],"one":[81],"case":[82],"study":[83],"expert":[85],"interviews,":[86],"we":[87],"provide":[88],"insights":[89],"into":[90],"why":[91],"these":[92],"obstacles":[93],"can":[94],"hardly":[95],"be":[96],"overcome.":[97]},"counts_by_year":[],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}