Digital Health Commons Forum

Citizens Own
Their Health.

The right exists in law. The infrastructure doesn't exist yet. We are building it.


Your health data is the most detailed record of your life. You have almost no access to it.

It sits in hospitals, pharmacies, laboratories, insurance systems, and the data lakes of companies whose names you have never heard. It was built to serve institutions. You were the source of the data. You were never its subject.

This is what fragmentation actually costs.

1 in 5
Consultations
missing critical clinical information
65,000
Sepsis deaths per year
UK alone - every one detectable in the data
€45.8bn → €36.1bn
Global health aid
fallen in a single year - the gap is widening

These are not edge cases. They are the steady-state output of a system built to serve institutions rather than people. And every one of them is preventable.

The Origin

"Everyone won.
Except the patient."

The problem was not the director. The problem was the architecture. Closed data, fragmented records, and proprietary systems create the conditions in which exploitation becomes structurally incentivised. DHCF is the mechanism through which that architecture is changed.

Hospital corridor with locked data files

Stuart Mackintosh · Co-Founder, DHCF

Not a better application. The infrastructure that makes better applications possible.

Governance Standards

The shared framework that allows every digital health system in Europe to speak to every other. The highway code. Without it, everyone builds Swiss plugs.

Certification

Gold, silver, bronze quality standards across every tier of the ecosystem: the organisation, the software, the implementation, the operation. Trust that travels.

Custodian Network

Approximately 200 geographically distributed organisations holding the commons in trust. Maintained. Accountable. Ungameable by any single commercial actor.

The Legal Moment
EHDS Regulation · March 2025 · In Force

Europe has the law.
Now it needs the infrastructure.

The European Health Data Space Regulation came into force in March 2025 - the first legal mandate for cross-border health data interoperability across the EU. The right exists. What does not yet exist is the technical and economic architecture that allows the right to be exercised. Global health financing fell 21% in a single year. The question of who builds health data infrastructure - and whose interests it serves - is being answered right now, by the people who show up.

Built by people who have been in the room for thirty years.

Stuart Mackintosh

Co-Founder

Thirty years building open source health infrastructure from the ground up. DHCF was born from direct experience of a system that failed the people it was meant to serve.

Bert Verdonck

Co-Founder

Data governance leader, Luxembourg. Has spent a career designing the interoperability standards that allow health systems to speak across borders.

Jaana Sinipuro

Co-Founder

Executive visionary in data-driven healthcare ecosystems. Brings the Nordic model of digital health sovereignty to DHCF's European architecture.

Join the conversation.

This is where the argument is being built in public - article by article, evidence by evidence. Read the blog, browse the library, and join the people who are reading, responding, and contributing. You do not need to be a health technology expert. You need only to believe that your data belongs to you.

Get involved