I agree in full here. Having the use of HL7v2, or FHIR, SNOMEC CT, IHE profiles and such is really important. What is even more so is to have ChatGPT or any given AI at an MDR or FDA Certified level for medical. Without thorough due process of this it becomes tricky, even if the models are fully capable.
Nevertheless many clinical information systems do integrate AI as a companion where a health professional still decides the next steps. As far as I know Epic, Orbis already have this in their products.
Use Case On-Premise
I‘ve been researching on my own how to implement a FHIR Orchestrator based on Patient Data ingested by an agent so that the corresponding bundles of a first patient-doctor encounter in a GP setting are produced. There are many semantic challenges where the diagnostics just stray.
Example: Cervical Cancer usually defaults to the female body context rather than other types of cervices found in the body.
Use Case Ambulatory and Out-Patient
There is an increasing need to have care outside an inpatient setting where continuous care is needed. This can be from a one time visit to a clinic to pre-diagnose workflows. Proper on demand adaptive care shines when using Generative AI to track vitals and parameters needed in a patient’s pathway. Here once again interoperability is paramount in a cross-domain way (XSD Schemes) and most likely SMART on FHIR play a big role.
Use Case Frontier Bound
Adjacent to what is the general trend in healthcare, there are underrepresented disciplines and domains that would benefit a lot from AI. These are mainly psychiatry, psychology, assisted living, neurodivergence, to name a few. Some of these domains have formal medical procedure while others are, for the lack of a better term, in the grey area. This grey area is a place where standards are not thoroughly defined or a workforce has shown resistance to implement such standards.
I hope this gives you an idea, should you choose to set path in healthcare. 
Final Note: vibe coding will have a huge hurdle to overcome and be accepted in medical.
@PaulBellow thanks for moving the post here, it‘s a more suitable and gave me the ability to pose further use cases in healthcare.