In 2019, health care information technology (HIT) in the U.S. will continue to be transformed by external forces from around the world. To be honest, the whole of health care is feeling the pain of this evolution, and there are challenges that need to be met head-on.

But there are also inklings of light at the end of the tunnel. The digital transformation of this sector is only in the embryonic stages, but there’s clear evidence of enormous development and growth on the horizon. Here are my top five predictions for health care technology in 2019.