OpenEHR Clinical Data Repository for Health
HL7 FHIR supports technical interoperability, but it does not provide a standardised approach to storage clinical data. Where the requirements lie with integration between health data providers, FHIR is a powerful tool. However, the wider definition of a digital patient records and their persistence requires additional tooling. OpenEHR is a standard that has been developed to provide a specification for these use cases. It is currently underpinning millions of patient records across the globe in Russia, Slovenia, Norway and the United Kingdom.
Validated and governed models are created as archetypes, and formulated into use case specific templates. These can be published and accessed via a Clinical Knowledge Manager. A great example of this can bee seen here for the Blood Pressure model: https://ckm.openehr.org/ckm/archetypes/1013.1.3574/mindmap.
Greater access to an OpenEHR would be a fantastic option for Azure. I previously used a Docker containerised version of the open source CDR, EtherCIS however that build has not recently been maintained (https://github.com/alessfg/docker-ethercis).
With due acknowledgement that I am not qualified in technology/informatics/development and therefore lack the technological vocabulary, I'd like to comment as a member of a healthcare team developing an open source resource for the benefit of the wider healthcare community.
I have learned much about, and been privileged to learn from, experts on openEHR, FHIR, open source, development of websites, apps and tools. I am utterly convinced that using OpenEHR allows for all manner of uses, re-uses and interoperability. It's the way forward in supporting the NHS Long Term Plan and it is the way we are developing our own platform.