Need Standards Adoption Forced by Regulation

Iris has watched well-designed healthcare data standards stall for years until regulation made them mandatory — FHIR via 21st Century Cures, openEHR via the European Health Data Space. She needs the regulation-to-implementation path to be cheap, demonstrable, and reusable.

Type Brownfield
Frequency Periodic
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Persona Story: Iris has watched well-designed standards (FHIR, openEHR, OMOP) sit on shelves for years until a regulator forced the issue. The 21st Century Cures Act dragged FHIR into US production. PSD2 did the same for open banking. Now the European Health Data Space is the forcing function for openEHR and cross-border patient records — every EU healthcare provider has to implement, even though most still don’t have a model to copy. Iris doesn’t need more standards work. She needs the regulation-to-implementation path to be cheap and demonstrable: a runnable reference for “what does an EHDS-conformant data flow actually look like in code”, forkable by any provider in any country.

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