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This chapter describes the conceptualization process, early stage development, and incremental changes in the creation of the Norwegian eHealth platform for patient-oriented services. The platform was launched in 2011 as an information-oriented portal and gradually developed into a complex platform enabling several eHealth services. Some of these services required the linking and reuse of existing components and resources, while other required the creation of novel parts. Overall the process has been driven by strong political will and visions towards making health services more accessible to informed patients. In this chapter we examine this effort as a process of cultivation of the installed base and we identify three strategies of dealing with the installed base by complementing, creating substitutions, and expanding it.

The Norwegian eHealth Platform: Development Through Cultivation Strategies and Incremental Changes