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There has been no further formal joint collaboration between the openEHR and FHIR communities since the November 2015 publication. At that point in time, the great majority of content in both the openEHR archetype and the FHIR resource were aligned as a consequence of the joint review process.

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Figure 1 – Cross SDO Adverse Reaction Risk archetype collaboration process

Subsequently it appears that the FHIR resource has continued to evolve in isolation, effectively diverging from the jointly agreed artefact, due to further requirements being identified in HL7 implementations [23]. This is unfortunate and not the desired outcome that was hoped for by the openEHR Clinical Program Leads, however it does highlight that for successful and ongoing coordination and collaboration on standardisation and alignment of clinical information models, all participants need to keep this as a priority.

However, the ongoing collaboration between the openEHR CKM and Norwegian CKM teams is active and ongoing, and is successful largely because both groups are committed to working together and sharing the Editorial work required to facilitate the reviewer feedback.

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