
Why OpenEHDS focuses on secondary use
- Piotr Zielinski
- Secondary use , Ehds
- February 20, 2026
Table of Contents
OpenEHDS focuses on secondary use because this is where regulatory, technical, and organizational complexity is highest.
In practice, this is where implementations most often face delivery barriers: permit interpretation, purpose-limitation enforcement, opt-out handling, and end-to-end auditability.
What this focus means
- building components for the full temporary-data lifecycle
- supporting controlled access based on permit scope
- creating implementation patterns for secure processing environments
- providing audit, logging, and data lineage capabilities
The objective is simple: make EHDS implementation practical, not only declarative.