openEHR and clinical modelling in different countries

openEHR Affiliates openEHR.nl
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  1. There are several national records in europe on openEHR that seem to be missing:
    Slovenia, Malta, Greece, Catalonia, Scotland.

  2. Tieto has around ~70% of the hospitals in finland with lifecare(last time i did the math, you can check their success stories), DIPS around ~80% in Norway.
    Imagine a nordic pilot region for an european EHR :wink:

  3. Ireland has chosen openEHR recently as part of their Digital Health
    Framework for Ireland
    https://www.gov.ie/pdf/?file=https://assets.gov.ie/293780/5c6e1632-10ed-4bdc-8a98-51954a8da2d0.pdf#page=null

  4. Lithuania just submitted an prototype:
    Lithuania openEHR CDR Pilot implementation Market Consultation

  5. Around 10% of all german hospitals have adapted a Vita system openEHR platform, afaik.

AUCDI choses this direction because they already had a strong foundation with FHIR implementations. :wink:

If you’re already using openEHR for clinical modeling, it’s worth considering continued support either alongside FHIR or as an alternative. While either standard could be mandated, offering a mapping pipeline (e.g., via FHIRconnect) creates flexibility and promotes interoperability.

Supporting openEHR ensures that systems capturing rich clinical data prospectively can retain their full value. Otherwise, this data and its interoperable potential is unused. A FHIR-only approach, may risk oversimplifying complex clinical information and could limit the development of a truly comprehensive national EHR. It’s worth noting that no European country has yet established a national health record using FHIR in contrast to openEHR.

Using openEHR as a foundation for modeling FHIR resources is a pragmatic compromise but if openEHR is forced into constrained FHIR profiles solely for exchange purposes, some of its strengths may be lost. Since openEHR is also capable of handling data exchange, it could be valuable to treat it not just as a modeling tool but as an equal part of the interoperability strategy.

So the key question remains what do you guys want to achieve? Are we aiming to exchange summaries, or to enable a interoperable, longitudinal health record? :wink:

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