Just wrapped up reflecting on FHIR DevDays from last month. The conversations Tom Nissens and I had reinforced how rapidly healthcare interoperability is maturing. Here are the 5 trends still shaping my thinking:

1️⃣ FHIR SDC has hit its inflection point Structured Data Capture isn't just gaining momentum—it's becoming the backbone for diverse use cases. From Brian Postlethwaite's SDC Extract sessions to our own "Voice to Form" presentation, the ecosystem maturity validates our approach at Tiro.health of capturing structured data at the source.

2️⃣ LLMs are native FHIR speakers Joshua Kelly's presentation on "Evaluating LLM performance on FHIR" highlighted what many of us are seeing: Large Language Models don't just understand FHIR—they think in it. A decade of open standards and community documentation has created the perfect training ground.

3️⃣ FHIR's language barriers are dissolving The Java/.NET stronghold is expanding rapidly. Gino Canessa and Nikolai Ryzhikov continue pioneering FHIR code generation across Python, TypeScript, and beyond. Gabriel Hess's "Open source set of FHIR tools for TypeScript" exemplified this democratization—reaching entirely new developer communities.

4️⃣ EHDS is the catalyst Europe needed José Costa Teixeira's insights on "Building a European Health Data Space" and the regulatory discussions have shifted FHIR from "nice to have" to "must have now." Healthcare organizations finally see the urgency in standardized data.

5️⃣ AI agents are redefining healthcare automation From Bashir Sadjad's "Natural language queries to SQL-on-FHIR" to the various CQL and automation sessions, we're seeing terminology mapping and data mining become effortless. What once required specialized expertise is becoming accessible to broader healthcare teams.

These trends converge around a simple truth: structured data capture at the source isn't just technically superior—it's becoming strategically essential.

Healthcare organizations investing in FHIR-native solutions today are positioning themselves for whatever breakthrough comes next.

What resonated most with you from DevDays?

#FHIR #HealthTech #Interoperability #DigitalHealth #StructuredData