Proceedings from The 15th Scandinavian Conference on Health Informatics 2017 Kristiansand, Norway August 29–30, 2017 Editors Santiago Martinez, Andrius Budrionis, Ann Bygholm, Mariann Fossum, Gunnar Hartvigsen, Maria Hägglund, Carl E Moe, Elin Thygesen, Vivian Vimarlund, and Kassaye Y Yigzaw i Copyright The publishers will keep this document online on the Internet – or its possible replacement – from the date of publication barring exceptional circumstances. The online availability of the document implies permanent permission for anyone to read, to download, or to print out single copies for his/her own use and to use it unchanged for non-commercial research and educational purposes. Subsequent transfers of copyright cannot revoke this permission. All other uses of the document are conditional upon the consent of the copyright owner. The publisher has taken technical and administrative measures to assure authenticity, security and accessibility. 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For additional information about Linköping University Electronic Press and its procedures for publication and for assurance of document integrity, please refer to its www home page: http://www.ep.liu.se/ Linköping Electronic Conference Proceedings, No. 145 ISBN: 978-91-7685-364-1 ISSN: 1650-3686 eISSN: 1650-3740 URL: http://www.ep.liu.se/ecp/contents.asp?issue=145 Linköping University Electronic Press Linköping, Sweden, © The Authors, 2018 ii Scientific Program Committee Chair: Santiago Martinez, Norway Andrius Budrionis, Norway Ann Bygholm, Denmark Mariann Fossum, Norway Gunnar Hartvigsen, Norway Maria Hägglund, Sweden Ole Hejlesen, Denmark Carl E Moe, Norway Elin Thygesen, Norway Vivian Vimarlund, Sweden Kassaye Y Yigzaw, Norway Sponsors Svensk förening för medicinsk informatik Norwegian Centre for E-health Research Aalborg University University of Agder Linköping University Karolinska Institutet University of Tromsø – The Arctic University of Norway iii Table of Contents Articles New technology in Norwegian municipalities' health care services: national advices meets regional conditions Hilde G. Corneliussen and Marit Haugan Hove………………………………………………1 Mapping FHIR Resources to Ontology for DDI reasoning Raees Abbas, Islam Fathi Hussein Al Khaldi, Getinet Ayele and Jan Pettersen Nytun…………………………………………………………………………………………...8 EDMON - A Wireless Communication Platform for a Real-Time Infectious Disease Outbreak De- tection System Using Self-Recorded Data from People with Type 1 Diabetes Ashenafi Zebene Woldaregay, Eirik Årsand, Alain Giordanengo, David Albers, Lena Mamykina, Taxiarchis Botsis and Gunnar Hartvigsen……………………………………….14 Complex Medication Reconciliation in the Danish Medication System: Shared Medication Record for patients in transition of care across sectors Helene Tarp, Lili Worre Høpfner Jensen, Nikolaj Krabbe Jepsen, Mads Clausen, Nina Aagaard Madsen, Henrik Majkjær Marquart and Louise Pape-Haugaard………………….21 Using mobile sensors to expand recording of physical activity and increase motivation for prolonged data sharing in a population-based study André Henriksen, Gunnar Hartvigsen, Laila Arnesdatter Hopstock and Sameline Grimsgaard...............................................................................................................................28 Collective action in national e-health initiatives: findings from a cross-analysis of the Norwegian and Greek e-prescription initiatives Polyxeni Vassilakopoulou, Aleksandra Pesaljevic, Nicolas Marmaras and Margunn Aanestad....................................................................................................................................36 Systems integrating self-collected health data by patients into EHRs: a State-of-the-art review Alain Giordanengo, Meghan Bradway, Miroslav Muzny, Ashenafi Woldaregay, Gunnar Hartvigsen and Eirik Arsand.......................................................................................43 Infrastructure for the Learning Healthcare System: Centralized or Distributed? Andrius Budrionis and Johan Gustav Bellika.......................................................................... 50 A significant increase in the risk for exposure of health information in the United States: result from analysing the US data breach registry Johan Gustav Bellika, Alexandra Makhlysheva and Per Atle Bakkevoll.................................55 Innovative Simulation of Health Care Services in the Usability Laboratory: Experiences from the Model for Telecare Alarm Services-project Berglind Smaradottir, Santiago Martinez, Elin Thygesen, Elisabeth Holen-Rabbersvik, Torunn Vatnøy and Rune Fensli...............................................................................................60 Fictional Narratives for Clinical App Development Tanja Svarre and Tine Bieber Kirkegaard Lunn......................................................................66 iv Social Network Analysis and Tele Homecare Karsten Niss, Ole Hejlesen and Louise Bilenberg Pape-Haugaard.........................................72 Factors affecting seniors’ attitudes on the use of information technology Tor-Ivar Karlsen, Marit Bolstad Tveide and Rune Fensli........................................................78 The role of IT-service in future health care, can they be ignored? Karen Stendal and Janne Dugstad...........................................................................................82 Evaluation of a telemedical based care pathway for patients with COPD Elin Thygesen and Carl Erik Moe............................................................................................87 Sensor Technology for night surveillance: the experiences of next of kin Linda Iren Mihaila Hansen1, Mariann Fossum and Carl Erik Moe..........................................93 v New Technology in Norwegian Municipalities' Health Care Services: Experiences in Small Rural Municipalities Hilde G. Corneliussen1 and Marit Haugan Hove1 1 Western Norway Research Institute, Sogndal, Norway Abstract New assistive technology appears as part of the solution for a coming 'crisis' in health care services. This paper analyses experiences with introducing welfare technology in small municipalities in the region of Sogn and Fjordane. The empirical material is based on nine interviews with project groups and health care leaders in municipalities working with welfare technology. While many of the national advice and recommendations about assistive technology are good guidelines, the findings suggest that certain challenges are increased by the small siZe of the municipalities. This points to the importance of recognising different needs created by a variation among municipalities. Keywords Welfare technology, Assistive technology, Municipality health care services cannot find her way back on her own (Øderud, 2015). We 1 INTRODUCTION will not go into the discussion of whether 'cold technology' or 'warm hands' are better for health care There is a widespread agreement that we will need to services or the users. However, we recognize that there is deliver health care services in new ways in the future due a strong political pressure for municipalities to introduce to an increasing gap between a growing population in welfare technology in Norway (Melting, 2017; Melting, need of health care services and the number of 'warm 2015; Helsedirektoratet, 2012). Similar trends concerning hands' working within municipal health care. It is assistive technology in health care services can be seen in projected by Statistics Norway that the 'care burden' in many western countries. Although this invites to Norway will double within the next 25 years. A lack of exchange of knowledge and experiences across national resources for supporting institutional care means that borders, some challenges in this work are national. In more people will have to be supported in their own Norway, there is a national programme for welfare homes. The Norwegian report Innovation in Care (NOU technology run by the Norwegian Directorate for Health 2011:11) suggests that assistive technology, or 'welfare in collaboration with the Norwegian Association of Local technology' which it is often called in Scandinavia, will and Regional Authorities (KS), providing advice and help to make more people able to remain and live safely guidelines for introducing welfare technology in in their own home until an older age. At the same time, municipalities' health care services. In this paper, we welfare technology will increase quality of health care analyse and discuss experiences from a project aiming to services for users and relatives and, according to the implement welfare technology in a selection of report (NOU 2011:11), it will reduce or postpone the municipalities in the rural region of Sogn and Fjordane. need for institution based care. Welfare technology is The municipalities in the region Sogn and Fjordane are further defined in the report as technological assistance mainly small regarding population, but with relatively that contribute to increased safety, social participation large areas and long distances. The geography is and mobility, as well as physical and cultural activity. It challenging and many of the municipalities have scarce enables the individual to manage everyday life despite of financial as well as human resources. As we will show in sickness, old age or mental and/or physical disability. the analysis,