Bridging clinical documentation and FHIR: How Tiro.health and Amaron are supporting the transformation of Belgian healthcare data
The Belgian healthcare landscape is rapidly evolving toward standardized, interoperable data exchange. With the European Health Data Space (EHDS) requirements approaching in 2027 and Belgium’s ambitious eHealth Action Plan 2025-2027 underway, hospitals face mounting pressure to modernize their data infrastructure. By combining Amaron’s FHIR portfolio with Tiro.health, they have a powerful solution that addresses both immediate clinical needs and future regulatory requirements.
Why hospitals need both structured data and FHIR now
On the one side, healthcare professionals struggle with the burden of documentation while trying to capture quality data for registries and research. On the other side, IT departments grapple with complex integration requirements for data exchange mandates and FHIR compliance.
In Belgium, the TAVI (Transcatheter Aortic Valve Implantation) registry exemplifies this challenge perfectly. Hospitals must register implant data within 90 days for RIZIV/INAMI reimbursement, capture follow-up data within 30 days, and ensure all information flows seamlessly to Sciensano. This isn’t just about filling forms; it’s about creating a sustainable data ecosystem that serves multiple purposes simultaneously.
Complementary strengths: Where clinical expertise meets technical innovation
Tiro.health has a deep clinical understanding and proven structured data capture capabilities. Its platform transforms free-text documentation into SNOMED CT-coded, research-ready data. Tiro.health understands the nuances of clinical workflows, from pathology synoptic reporting to surgical quality registries.
Amaron contributes robust standards-based interoperability and process automation expertise. FHIR Station creates a secure gateway between data sources and consumers, while Workflower automates complex clinical processes using BPMN models. This technical foundation ensures that captured data flows seamlessly across systems and institutions.
Our combined approach supports the entire data lifecycle:
- Smart data capture at the source
Clinicians use Tiro.health’s intuitive templates with voice input, presets, and automatic text generation. Every data point is immediately coded with SNOMED CT, ensuring semantic consistency from the moment of documentation. - Seamless FHIR transformation
Tiro.health directly outputs structured data as FHIR Questionnaires and QuestionnaireResponses. Amaron’s infrastructure then stores and manages these standardized responses, making the data immediately interoperable with regional FHIR vaults such as Vitalink and national initiatives including BIHR and, in the longer term, EHDS. - Intelligent pre-population and reuse
Through FHIR Station, existing FHIR resources can be queried to pre-fill forms with patient demographics, recent lab values, and previous observations. This “register once, reuse infinitely” approach eliminates duplicate data entry across departments. - Automated workflows and compliance
Workflower tracks deadlines, triggers follow-up tasks, and helps ensure timely submission to registries. For TAVI procedures, this means automatic reminders for 30-day follow-ups and guaranteed compliance with RIZIV/INAMI requirements. - Real-time analytics and research capabilities
Through SQL on FHIR and ViewDefinitions, data becomes immediately available for quality dashboards, benchmarking initiatives, and research studies. The same data supporting clinical care enables population health insights.
Real-world example: The TAVI use case
Consider a cardiology department implementing TAVI procedures. Previously, they juggled paper forms, Excel sheets, and manual registry submissions.
With our combined offering:
- Procedure documentation becomes faster with voice-enabled templates.
- Follow-up compliance improves through automated reminders.
- Registry submission happens automatically upon form completion.
- Quality metrics update in real-time for departmental meetings.
- Research teams can immediately identify eligible patients for studies.
The outcome? Clinicians spend more time with patients, administrators meet compliance requirements effortlessly, and researchers access high-quality data instantly.
Preparing for Belgium’s digital health future
The collaboration between Amaron and Tiro.health provides hospitals with the tools to position themselves ahead of upcoming regulatory changes, such as EHDS.
Organizations using our combined offering will already have:
- Fully FHIR-compliant data infrastructure
- SNOMED CT-coded clinical documentation
- Automated cross-border data exchange capabilities
- Research-ready datasets in both FHIR and OMOP formats
- Proven interoperability with Belgian health data ecosystems
Beyond compliance: Creating a learning health system
The true value of our collaboration extends beyond regulatory checkboxes. We’re enabling hospitals to become learning health systems where every patient interaction contributes to collective knowledge. Quality improvements that once took months of manual chart review now happen in real-time. Research questions that seemed impossible to answer become straightforward database queries.
Getting started: A pragmatic approach
Hospitals don’t need to transform everything overnight. Our combined offering supports incremental adoption:
- Start with a single high-value use case such as TAVI registries, cancer pathology reporting, or multicentric quality studies.
- Prove the concept with measurable time savings and quality improvements.
- Expand gradually to other departments while ensuring compliance with regulatory requirements.
- Build on success by adding advanced features such as AI-assisted documentation.
The path forward
Belgian healthcare stands at a crossroads. The organizations that successfully navigate the transition to structured, interoperable data will lead in quality, research, and patient outcomes.
Our collaboration with Tiro.health provides the clinical expertise and technical infrastructure to make this transformation achievable for any hospital, regardless of size or current IT maturity. In this way they can lighten the workload of their clinical teams tired of documentation burdens, IT departments overwhelmed by integration requirements, and quality managers struggling with data collection.
Together, we’re not just solving today’s data challenges; we’re building the foundation for tomorrow’s healthcare innovations.
Interested in learning how your hospital can benefit from structured data capture and FHIR integration?
Contact us for a demonstration tailored to your specific clinical workflows and data requirements.
