Global Adoption of openEHR Clinical Data Repositories: A Vendor and Community Survey

openEHR clinical data repositories have reached national-scale presence across 28 countries, with deployments reported in 25 countries via vendor-market convergence and national health record adoption.

• Why it matters: Despite openEHR’s vendor-neutral promise, real-world deployment patterns and adoption constraints were not systematically documented, limiting alignment with initiatives like the EHDS.
• What they did: A dual survey combined 11 vendor reports of deployments across 21 countries and 100+ institutions with a community survey of 29 practitioners from 17 countries, totaling 28 countries.
• The result: No country had openEHR named in binding national regulation; 61% of deployments support primary use only and 12% support both primary and secondary use, while lack of openEHR-specific knowledge is the most consistent barrier.

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