Oh, of all things FHIR security.

1. Well the pandemic happened.

2. A simple way was devised to upload an image of a vaccination card from a pharmacy, etc. to a provider maintained electronic health record via SMART on FHIR, and then Apple integrated it into the Apple Health, followed up by it becoming a vaccination card with QR code suitable for proof of vaccination. Perhaps not perfectly secure, but entirely sufficient in most instances for the use case. I have participated in the Linux for Public Health   and I think it made a dent in the fake paper covid records.

3. Not strictly about the pandemic which captured everyone's attention since March of 2020, now April of 2022. Indicators such as morbidity and mortality indicate that lifespan is dropping, which is to say our public health system and hospitals were not geared to face a major pandemic. This is a structural issue which can be addressed with FHIR and FHIR security. There is an unsustainable cost associated with healthcare which occurs too late. The pragmatic solution is to simplify the process by moving data to where it is needed, early enough in the process to lower those costs. To get some perspective, the entire enchilada is roughly one sixth of the entire US GDP.  It does not have to be that expensive and is not in other countries. Anyone who approaches the problem rapidly finds out that both medicine and software are highly complex, and being Amazon, or Google doesn't necessarily help because the issues of scale are defined by Population Health. Your life span can be determined by your zip code and what services you can get. 

4. Therefore it's only logical to address those costs by providing more opportunities for pragmatic approaches. Better bi-lateral data flows between community and hospitals addressing failures in the key outcomes in which the US has lagged due to poverty. Money can only partially solve this structural problem. One has to get past the obvious complexity.

5. Who are the stakeholders?