Download the Black Book Global Growth Opportunities for openEHR Adoption in 2026–2027
Discover the latest insights in the Black Book Research report, “Global Growth Opportunities for openEHR Adoption in 2026–2027.” This updated analysis details why openEHR’s global momentum is increasingly tied to AI-usable, longitudinal clinical records, digital sovereignty, and policy-driven modernization—not interoperability alone.
Key Highlights
Unmatched Insights
This report refreshes Black Book’s global baseline analysis and explains how health systems are accelerating the shift from application-centric EHR deployments to data-centric platforms that treat longitudinal clinical data as durable infrastructure.
Procurement Reality: “Data That Outlives the Application”
Across markets, requirements are increasingly explicit: durable longitudinal records, semantic consistency across multi-provider networks, and replaceable applications (composability) rather than single-vendor monoliths. openEHR is positioned as foundational architecture enabling future-proof flexibility, computable semantics, and vendor neutrality.
Converging Standards: openEHR + HL7 FHIR as the Default Target Pattern
The report documents a pragmatic division of labor becoming the market norm:
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HL7 FHIR for transactional exchange, APIs, and network-to-network interoperability
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openEHR for semantically governed persistence of the longitudinal clinical record This “both/and” approach reduces adoption friction and lowers the risk of building strong exchange without durable clinical meaning and reuse.
Countries Driving the Next Wave of Expansion
Black Book highlights high-growth clusters where exchange programs are maturing and the limiting factor becomes longitudinal persistence and semantic normalization:
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South America: Chile, Colombia, Argentina (with Brazil as a regional anchor)
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Africa: Rwanda, Kenya, South Africa, Nigeria, Ghana, Ethiopia
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Europe: rising demand for semantic platforms driven by modernization and secondary-use expectations
Governance, Workforce, and Failure Modes That Derail Programs
The report emphasizes that adoption success is as much an operating model shift as a technology choice. Common derailers include underfunded clinical modeling and archetype governance, “big bang” migrations, weak operating models, FHIR-only misconceptions, and uneven toolchain/partner capability.
Management and Market Signal: A Major 2026 Leadership Transition
A key update: openEHR International CEO Rachel Dunscombe departed in January 2026 to become CEO of HL7 International, reinforcing market movement away from “standards wars” toward complementary implementation narratives across communities during 2026–2027.
Community Momentum and Implementation Confidence
The report notes that openEHR’s annual conference activity continues to reinforce practical adoption through shared governance models and implementation playbooks.
Data-Driven Evaluation
Findings are grounded in Black Book’s global survey research of openEHR users and stakeholders, using an assessment framework spanning policy alignment, interoperability maturity, workforce capacity, investment levels, and AI/analytics preparedness.
Access the Report
This exclusive report is available for free to qualified registrants, subscribers, and Black Book clients. Complete the registration form to gain access to this essential resource, which offers strategic insights and benchmarks to strengthen your organization’s digital health and longitudinal data initiatives.
About Black Book Research
Black Book Research is a leading healthcare market research firm known for its independent, crowd-sourced ratings and in-depth market insights. The firm advises healthcare leaders and technology buyers on emerging health IT strategies and vendor performance. For more information and to download the report, visit Black Book Research.

