HL7 leader, architect, developer and the creator of FHIR Grahame Grieve is interviewed on PULSE the Podcast, where he talks about the importance of the FHIR community and says there is a “huge appetite” for effectively sharing healthcare data. “As soon as you open the way, everyone piles in and wants to be in on it.”

“I think (as) the leaders in the FHIR community, we’ve always felt like we are running as fast we can to keep ahead of the bus,” he told hosts Dr Louise Schaper and Dr George Margelis.  “You have to justify it through transparency and trust – people give you that trust and let you build the community. From my point of view, integrity and transparency are paramount.”

The episode is titled “ The politics of interoperability, community and the disruption we’re not ready for” and moves into systems thinking and the legitimacy of healthcare institutions in the age of AI.

Grahame Grieve says AI is going to be “massively disrupting, both good and bad.

“As a patient you should now be getting your data, feeding it to chat GPT or whatever and then taking it to your doctor as your own second opinion.  Medicine is complex, biology is complex, the system is under pressure all the time to do as much as possible for as little cost as possible.”

He also questions the direction of healthcare system transformation. “I haven’t heard any serious discussion about what we want the healthcare system to look like. What is it that we want from healthcare?

“The real benefit of digital health is not making the existing systems marginally more effective by improving your communications. It’s by making systems of care that can’t happen, able to happen,” he said.

Go to the podcast for the full 30 minute interview.