DITO completed in March 2021, but the assets it produced continued into products and platforms. This page records that legacy - and how it came about.

The pandemic reshaped the project's final year: the planned clinical trials could not be undertaken. Rather than stall, the project redirected that energy three ways - into the COVID-19 co-assessment response, into developing Care Precision, a clinical assessment application built on the project's principles, and into conceiving CakeStack as the ideal architecture for open clinical platforms. A fourth thread, the ecosystem model designed through the project, went on to become the founding idea behind the Digital Health Commons Forum (dhcf.eu).

Care Precision and Care Protect

The Open eREACT work matured into the Care Precision product family - electronic observations and deteriorating-patient care built on the open foundations, with a dedicated mental-health variant. Its COVID-era predecessor was the COVID-19 screening interface - the full prototype built on openEHR clinical models, carrying the Care Protect identity - told in the COVID-19 response.

• Care Precision product sheet (PDF)
• Care Precision for mental health (PDF)
• Care Protect product sheet (PDF)
• Care Precision flyer (PDF)

EHRTap

An architecture for tapping electronic health record data through open standards.

• EHRTap product sheet v1.5 (PDF)

CakeStack

Conceived through the project as the ideal architecture for open clinical platforms: a layered middleware that lets applications, calculators and legacy systems share one open clinical data repository. The first block diagram places it in the Gaia-X context alongside legacy systems and example applications:

• CakeStack diagram (PDF)

The ecosystem model

Alongside the products, the project designed an ecosystem model for how open health technology is sustained between custodians, implementers and users. That model outlived the project: it became the founding idea behind the Digital Health Commons Forum.

Open eREACT middleware

• Middleware architecture (PDF)

Governance

The Custodian Model holds this legacy for the sector: products built on the DITO foundations remain open, governed and implementable by any accredited partner.