Despite some wins, the transition to EHRs has generally been much slower than we anticipated, much harder than we imagined, and it is not hard to argue that interoperability of granular health data remains frustratingly elusive.
Incoherence ain't all bad!
Incoherence is not ideal, but it is a realistic part of any work such as we are doing within the openEHR community. Transparency and openness can mitigate some of the incoherence. Within a transparent, governed and collaborative environment incoherence and apparent conflict can be recognised and leveraged constructively to improve the quality of archetypes.