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Nikolai Ryzhikov on the Digital Health Hackers podcast

May 23, 2025

In a recent episode of the Digital Health Hackers podcast, Nikolai Ryzhikov delved into the journey to FHIR and the inception of Health Samurai, shedding light on the future of digital medicine.

Key takeaways from the discussion include:

The Evolution to FHIR and the Establishment of Health Samurai:

How experience in medical science and programming led to the creation of the first cloud-based EHR systems for hospitals, and later to an introduction to FHIR. What were the key factors in choosing FHIR as the foundation for the company’s future products? Spoiler: the openness and flexibility of the standard, as well as a strong professional community around it, were among the main factors.

Benefits of a FHIR-first Approach:

Using FHIR as the internal data model and API helps avoid many common mistakes, accelerates development, and ensures compatibility with the rapidly growing ecosystem of solutions and regulatory requirements. This is especially important for scalable and modular next-generation EHR systems.

Data Modeling Flexibility and Challenges:

One of the central topics is how to properly model data in FHIR, taking into account the specifics of different medical domains and the need to extend standard resources. Health Samurai shares unique experience in helping clients with FHIR modeling!

FHIR's Role in Analytics and AI:

The capabilities of FHIR as a standardized data layer for building analytics platforms, supporting clinical decision-making, and integrating with AI services. Real-world cases are discussed where clients use Aidbox to build platforms for data aggregation and analysis, develop patient portals, and create specialized EHRs for various medical fields.

Innovations in Medical Data Management with SQL on FHIR:

SQL on FHIR opens up new possibilities for building reports, integrating with BI tools, and rapid data migration, while maintaining flexibility and compatibility with the FHIR ecosystem. This topic was discussed as well.

The Future Landscape:

The development of truly modular EHRs based on FHIR, the emergence of terminology services, as well as SDK generators that enable the development of applications based on FHIR profiles and domain-specific data models.

For further insights on how Health Samurai and the FHIR community are shaping the future of digital medicine, tune into the full podcast:

What to expect

Industry Experts

Engage with leading industry experts as they share their insights and experiences in leveraging SQL on FHIR to transform healthcare data management.

Ongoing Challenges

Explore the most recent challenges faced in implementing SQL on FHIR and learn strategies to effectively address these issues.

Use cases

Discover practical use cases that demonstrate the power of SQL on FHIR in real-world healthcare scenarios, showcasing its impact on data analysis and integration.

Best Practices & Solutions

Gain valuable knowledge on best practices and innovative solutions for optimizing the use of SQL on FHIR in your healthcare systems.

Testimonials

HospitalonFHIR - FHIR Camp 2024 – Cascais/Lisbon 🌟 It was a great attending the FHIR Camp 2024, surrounded by passionate professionals and inspiring leaders in the healthcare interoperability space. It was truly an honor to learn from references like Grahame Grieve (and many more), alongside dedicated enthusiasts, all committed to advancing HL7 FHIR standards and fostering better healthcare systems worldwide.

Victor Costa

Membro do conselho na E-Mais - Movimento Associação dos Sistemas de Informação Em Saúde

LInkedin

Had an amazing experience at the FHIR Camp 2024 organized by Health Samurai | Aidbox FHIR® Platform. Inspired by its transformative potential, I look forward to working further in FHIR and hope to see its implementation in Nepal's healthcare system as well.

Manila Bhandari

Electrical Engineer | Researcher

Linkedin

Though a bit delayed but still I don’t want to miss out on talking about the recently concluded #FHIRCamp2024 organized by Health Samurai | Aidbox FHIR® Platform in the beautiful city of Cascais, Portugal.

Gaurav Pradhan

Healthcare & Life-Sciences Consulting | HL7 FHIR® Expert | Digital Transformation Leader

Linkedin

I skipped a lot of recent conferences to prioritize attending FHIR Camp 2024 in Portugal the week before last. It was well worth the trip! It was great to hear Grahame Grieve give the background story on how FHIR came to be an open source effort. The open source angle is really important and unique in that it will require a lot of meaningful collaboration and perhaps unprecedented transparency (things we're not great at in the US) to advance these standards in the coming years. There is and will be a lot of opportunity for people to develop and offer FHIR expertise.

Cindy Throop

Founder, Research Director, Senior Strategic Consultant

Linkedin

It was a pleasure to come to the #FHIR #camp in Cascais as a Hospitals on FHIR ambassador It was a pleasure to exchange our outlook on FHIR #versionning and how to deal with the multiple versions with Grahame Grieve, Lloyd McKenzie, Gino Canessa, Ewout Kramer and Nikolai Ryzhikov I also had the occasion to present the state of FHIR in #France and the work our community is doing to increase adoption And of course, always a pleasure to exchange with friends of the HL7 community.

Luc Chatty

FHIR interoperability expert and architect. CEO of Fyrstain. Hospitals On FHIR ambassador.

Linkedin

FHIR CAMP 2024 in Cascais, Portugal, was filled with excitement and activity. Here are some highlights that I'd love to share. This experience reflected the event's opening message: to connect systems and technologies, we must first connect with each other. It was an incredible day, and I can't wait to see what's next!

Irina Angel

HL7 FHIR® Certified physician-scientist

Linkedin

I'm back from the fantastic experience that was #FHIR Camp 2024 in Cascais, Portugal! I was grateful to reconnect with many of my long-time collaborators and also many new people that bring interesting perspectives that enhance our collective work. I really liked the format - I think it was very conducive to free-flowing conversation about new ideas and approaches. Thank you very much to Nikolai Ryzhikov, Pavel Smirnov and all of Health Samurai | Aidbox FHIR® Platform for the opportunity and the amazing support. I think the event was a great success!

John Grimes

Health Data Interop + Analytics

Linkedin

I had the privilege of attending the FHIR® Camp 2024 🔥 in the beautiful Cascais, Lisbon 🇵🇹 hosted by Health Samurai | Aidbox FHIR® Platform The event brought together some of the brightest minds in the #HL7 #FHIR space, including industry pioneers like Grahame Grieve, Gino Canessa, Lloyd McKenzie, and many others! The sessions were not only inspiring but also directly relevant to the work we do at IgniteData.

Ângelo Ferreira

Tech Product Manager | Healthcare IT | HL7 FHIR

Linkedin

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