Collaboration between programs and tooling vendors

This is an important point. In addition to taking part in reviews I believe it is important that software engineers and implementers do raise change requests to archetypes when spotting things that can easily be misunderstood by tech-people or that they do request changes that make implementation easier or more maintainable.

Here is a picture to techies, use the icon marked in red to submit change requests at https://ckm.openehr.org/