Download the Black Book openEHR 2026–2027 Report: Turning Open Architecture into Buyer Advantage
Global vendor innovation, clinical data independence and practical pathways to EHR modernization
Black Book Research has published openEHR 2026–2027: Turning Open Architecture into Buyer Advantage, a comprehensive guide for healthcare organizations seeking to preserve clinical information, modernize selectively and expand future technology choices.
The report connects documented implementations, vendor innovations and an 18-KPI evaluation framework to three purchasing questions: why consider openEHR, what suppliers are making possible, and how to select and operate a clinically useful service.
Released ahead of EHRCON26, September 22–23, 2026, in Amsterdam, the publication helps buyers prepare for discussions about clinical modeling, interoperability, AI and implementation.
Buy the clinical capability you need now while preserving the clinical knowledge and purchasing options you will need next.
Clinical Data Independence Creates Purchasing Options
Black Book examines how separating clinical content from individual applications can support longer-lasting health information, greater reuse of approved clinical definitions and more selective modernization.
The practical opportunity is to add useful services, share information and manage supplier transitions without repeatedly reconstructing clinical knowledge. Buyers should evaluate those advantages against their own costs, workflows and operating requirements—not assume benefits from the standard alone.
Survey Evidence Highlights Opportunities for Broader Reuse
The report reviews an external September 2026 preprint covering 11 vendor organizations reporting deployments across 22 countries, alongside 29 community respondents. Within its deployment sample, 61% served primary use only, while 12% supported both primary and secondary use.
These self-reported findings were not peer reviewed at the report cutoff and are not a new Black Book survey. They highlight an opportunity to build on clinical deployment with governed reuse for research, analytics and additional applications.
Documented Implementations Bring the Opportunity Into Focus
-
London: The Universal Care Plan programme reported approximately 100,000 people with care plans and 47,000-plus monthly professional views in May 2026, alongside phased introduction of patient contributions through the NHS App and web access.
-
Catalonia: vitagroup reports more than 13 million electronic health records migrated and over 1.3 billion clinical compositions in infrastructure delivered with IBM/Viewnext. These supplier-reported measures describe stored information, not current residents.
-
Norway and specialist care: South-Eastern Norway consolidated nine DIPS installations into one regional installation. Better’s Christie case study reports 39 patient-reported outcome forms, 54 outpatient clinics and 32,000-plus completed forms. These examples demonstrate implementation scope and adoption, rather than establishing causal improvements in health outcomes.
Understand Vendors, Innovations and Delivery Models
Coverage includes Better, vitagroup/EHRbase, Cambio, DIPS, Ocean Health Systems, Cadasto/CODE24, CaboLabs and Medblocks, alongside integration and delivery partners.
The report distinguishes repositories, clinical applications, development tools and implementation services, helping buyers understand what each offering contributes. Its vendor directory is a selective, unranked market map, not a comparison of fundamentally different products as equivalents.
Evaluate What Matters With 18 KPIs
Black Book’s framework addresses clinical-record fidelity, migration, replaceability, model governance, interoperability, usability, patient participation, AI traceability, performance, security, resilience, delivery, support, lifecycle costs and sustained adoption.
Buyer-controlled demonstrations and evidence requirements help procurement teams distinguish demonstrated capability, user satisfaction and delivery maturity. The framework provides purchasing criteria—not published vendor scores or awards.
Choose the Modernization Path That Fits
Not every organization needs a complete EHR replacement. The report examines selective modernization and shared-data services alongside circumstances where an integrated suite, FHIR-centered solution or targeted extension may fit better.
The objective is practical: useful clinical information, workable delivery responsibilities and greater flexibility over time.
Explore More Black Book Research
Explore additional research on EHR platforms, interoperability, clinical AI and healthcare technology purchasing.
Need Deeper Benchmarking?
Contact Black Book Research for organization-specific vendor assessments, market comparisons, executive briefings and custom research.