How to Involve the Users in the Large Scale Work with OpenEHR Archetypes in Norway?

Open Integrated Care Electronic Health Record (EHR) technology have until recently mainly been used in small-scale projects involving limited number of users. However, it was decided to scale the designing of openEHR standards for Norwegian healthcare to a national level. This requires moving focus from local to general needs, and an alteration of the user role shifting from personal relations to reference user, were one user represent a number of others. This paper emphasize on the reference user role, and how this is distributed within and across organizations. In addition, it enlightens the challenges of shifting from local to large-scale settings in the design phase, focusing on the following research questions: why are there so few users involved in the consensus work, what are the role of reference users in this process, and how to get users aligned in the consensus work? Theoretically the Information system (IS) literature emphasizing on, information/knowledge infrastructure, reference actors and generification is used.