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openEHR

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Full detail: Where this data comes from

A standards-body profile in the API Evangelist network — the third class of repo alongside API producers (pipeline-enrich) and investors (pipeline-vc). A standard is not a product; it is a coalition with artifacts, so this repo profiles the specifications, the governance, the maturity ladder, and above all the people and organizations in the room.

Profiled 2026-09-02.

What openEHR is

The open specification family for electronic health records, and the main structural alternative to HL7 FHIR. Its defining idea is two-level modelling: a small, stable Reference Model that software implements once, plus a large, separately governed body of clinician-authored archetypes and templates written in the Archetype Definition Language and queried through the Archetype Query Language.

Two UK not-for-profit entities govern it. The openEHR Foundation (company limited by guarantee) holds the intellectual property. The openEHR Community Interest Company, trading as openEHR International, has run day-to-day operations since 10 May 2019. The Foundation is expected to merge into openEHR International.

14 specification components, 68 specifications. openEHR's own maturity ladder, read from its machine-readable component catalog: Stable — AM, BASE, CDS, ITS-REST, ITS-XML, LANG, QUERY, RM, TERM. Development — CNF, ITS-BMM, ITS-JSON, SM. Paused — PROC.

The findings worth naming

1. openEHR's specification site is genuinely agent-native, and almost no standards body is. specifications.openehr.org serves a real llms.txt (11,107 bytes, verified 2026-09-02), gives every specification page a Markdown twin reachable either by appending .md or by sending Accept: text/markdown (architecture_overview.md → HTTP 200, text/markdown, 183,557 bytes), and exposes three structured JSON endpoints — /api/components.json, /api/classes.json, /api/releases.json. The gap is the front door: openehr.org/llms.txt is a 404, so the organization is less legible to a machine than the specifications behind it.

2. Free to read is not the same as openly licensed. Every published ITS-REST OpenAPI declares license: Creative Commons Attribution-NoDerivs 3.0 Unported. The specifications are free to retrieve and free to implement, but ND means a modified redistribution of a specification document is not permitted. The tooling repositories are Apache-2.0 — the split is real and worth keeping straight.

3. The coalition is public, and its companies are entirely absent from this network. openEHR publishes 59 named people with roles across five bodies, with employers beside 37 of them. Matched against the api-evangelist network: 0 of 34 organizations have a repo. The openEHR vendor ecosystem — Better, Nedap Healthcare, Ocean Health Systems, DIPS, vitagroup, EHRbase, Medblocks, Cambio, Marand, CaboLabs, VeraTech — is a complete blind spot in the catalog. That is the most actionable thing this profile produced, and it is in leads/.

4. There is no conformance programme to check anyone against. The CNF (Conformance Specifications) component exists but is Development status. Where OGC has CITE, openEHR has no certification mark, so a claim of openEHR conformance currently has nothing public to test it against.

5. These contracts are specifications, not services. Every OpenAPI here declares the templated server https://{baseUrl}/v1 and describes what a conformant implementation must offer. That is openEHR's design, not a defect, and it is why a standards body must never be read through the provider Kin Score composite — the rubric measures services, and openEHR does not publish one.

What is here

Artifact Contents
apis.yml Identity + the 6 REST API specifications openEHR publishes as OpenAPI 3.0
openapi/_original/ 7 OpenAPI documents harvested from specifications-ITS-REST, 65 paths
openapi/ The 6 with operations; overview is a pathless container doc, kept in _original/ only
taxonomy/ 14 components / 68 specifications with openEHR's own Stable–Development–Paused status
governance/ Both legal entities, five bodies, the licensing split, and the recorded gaps
people/ 59 named people across the CIC Board, Foundation Board, SEC, CPB and EPB
companies/ 34 organizations named as an employer beside a roster name
leads/ 34 organizations with no repo yet — every single one
working-groups/ The four openEHR programs and what each produces
repositories/ releases/ contributors/ 52 repos in the openEHR GitHub org
agentic-access/ 97 recommended x-agentic-access execution contracts, derived from the OpenAPIs

Notes on how this was built

The roster extractor in harvest-standards-people.py does not fit openEHR's page layouts — it returned section headings and code-of-conduct prose as people. Every one of the 59 people here was read off the source page by hand instead, and people/openehr-people.yml records that. No name, employer, seat or adoption claim is guessed.

The GitHub maturity harvest returned 52 unclassified repositories: openEHR does not encode maturity in repo descriptions the way CAMARA does. taxonomy/ is the authoritative maturity read, and it comes from openEHR's own machine-readable catalog rather than from us.

Correction (2026-09-02, same day). An earlier version of this README said openEHR's matching key is "a bare org name typed into a table, not a URL." That is wrong. openEHR publishes name + website URL for its partners on two pages — openehr.org/industry-partners/ (35 vendors) and openehr.org/organisation-partners/ (15 public bodies) — so matching here can be authoritative by domain, exactly like OGC, rather than by name guessing. The companies/ artifact in this repo is derived from the program-board rosters, which genuinely carry no URLs; the partner pages are a separate and better source, and they are what the vendor cohort in leads/ was harvested from.

One matcher correction was made: Better (better.care, the Slovenian openEHR platform vendor) was matched to all/better, which is better.com, the US mortgage lender. That pair is now in the REJECT set in match-standards-companies.py and Better is recorded as a lead.

Sources

  • https://openehr.org/ — governance, and the four program board rosters
  • https://specifications.openehr.org/ — the specifications, llms.txt, and the three JSON endpoints
  • https://github.com/openEHR/specifications-ITS-REST — the OpenAPI 3.0 documents
  • https://ckm.openehr.org/ckm/ — the Clinical Knowledge Manager archetype registry
  • https://discourse.openehr.org/ — the community forum

About

openEHR is the open specification family for electronic health records, and the main structural alternative to HL7 FHIR — independent third-party profile of a public specification surface, by API Evangelist.

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