Paper about openEHR as Conceptual independence published

A new article about openEHR in the context of conceptual independence and outsourcing has been published this month 2022.
The article reports about the flexibility of supliers of EHR software in case healthcare organizations request changes in functionality. In the quotes the managers of the IT departments give examples from practice.

The research has been performed in 2019.
(Investigating the Impact of Outsourcing on IT Flexibility: The Conceptual Independence Perspective: Medicine & Healthcare Journal Article | IGI Global)