Abstract
The EU project NEXES introduces IT support for integrated healthcare, and attempts to prove through clinical trials how new technology can help improve healthcare. The web-based approach used in the Norwegian clinical trial on wellbeing for chronically ill patients can be seen as a very small health care community for the patients. After introducing the NEXES project, the technical platform used for the wellbeing case, and the collaboration notation in BPMN, a specific case is described in detail and related to how the collaboration between the patient and health care stakeholders can be seen as a small group. Finally reflections are given on how the clinical trial could be extended by adding a ‘competition’ element using online communities in order to motivate the patients to do their rehabilitation exercises, and which technology standard could be used for this approach.