This is an article from the Pistoia Alliance FAIR for Pharma Community
Ten years of FAIR. The picture is mixed.
The original paper is among the most cited in scientific history. FAIR has entered EU policy. Pharma organizations have started their FAIR journeys and some are beginning to show real returns.
And yet: FAIR silos, FAIR fatigue, Fake FAIR. Median organizational maturity sits at level 0–1 out of 4. Interoperability across organizations? Still largely undemonstrated.
So what happens if we get the next ten years right? Imagine a life science ecosystem where your data shows up in a search, and someone else’s data shows up in yours. Where machine-actionable, interoperable data across organizations actually exists. Where FAIR is operational fabric, not a journey.
In April 2026, at the Royal Society of Medicine in London, the Pistoia Alliance brought 36 experts from 23 organizations together to map what needs to change from here to there. Four groups, each representing the full diversity of the pharma ecosystem, independently mapped the actors, constraints, and enabling assets shaping FAIR adoption. Then they placed them on a shared board.
The result was not a plan, not a roadmap. It was something more useful for independent but interconnected actors: a shared landscape. A map. And this article shares what emerged.
Who should read this
If you lead data strategy, R&D informatics, data governance, or digital innovation in pharma or life sciences, or if you advise those who do, this is a useful signal from the front lines of the FAIR ecosystem.
It is also for anyone still wondering whether FAIR is a niche technical agenda. It is not.
What this article is about
Three things: first, why FAIR success at scale requires ecosystem-level action, not just organizational effort; second, where pre-competitive collaboration has the highest leverage right now; and third, what Bedrock Change actually looks like — and why the lever you should be pulling today is standards, not regulators.
The landscape: three zones, one shared picture
The workshop produced a shared effort-versus-time map. Four independent groups contributed 28 clusters across 11 innovation domains, falling into three zones.
Zone 1: Act now. Low effort, short horizon. AI-driven FAIRification, FAIR training, and foundational literacy. Every group independently placed these early. The resources exist today. The bottleneck is not invention: it is awareness and adoption.
Zone 2: Build together. The zone where coordinated community action delivers what no single organization can. Standards and shared vocabularies, skills and capability, funding and business case, procurement. This is where pre-competitive collaboration has the highest leverage.
Zone 3: Bedrock Change. The deep systemic shifts that take longest but underpin everything else. Regulatory alignment, legislative reform, healthcare system integration, and the long-horizon challenge of making AI outputs themselves FAIR-compliant. No single actor moves this zone alone. But the work done in Zones 1 and 2 is what makes it possible.
1. Zone 1 is not low-hanging fruit. It is putting yourself in a position to succeed. But you need to act now.
If Zone 1 were truly easy, organizations would already be FAIR. Often they are not.
Here is something that surprises some people: FAIR has 15 principles, not 4. Ask colleagues how many there are and you will almost certainly hear “four.” But the four letters cover 15 sub-principles, and the gap between the label and the substance is exactly where implementation fails. “My data is in a lake, it is findable” — a real statement, heard more than once. Or: “Our platform has a semantic layer, but no machines can act on it.” Both are signals of shallow understanding, and both are very common.
As Anuj Uppal, VP Life Sciences Transformation at Campana Schott, put it: “The biggest obstacle to FAIR today is a shallow understanding of the principles. You can’t automate your way out of a definition problem.”
Three things every organization can act on now, without waiting for anyone else. First: invest in learning. Build a shared understanding of what FAIR actually means, across your team, your leadership, and your vendor landscape. Hint: an AI mandate exists in almost every organization right now. That is a FAIR mandate in disguise, and the language of AI buyin can carry FAIR along with it. Second: know the recipe. Use the resources that already exist: the FAIR Maturity Matrix, the FAIR Toolkit, the Pistoia training program for example. Third: let machines help. AI tools for metadata extraction, maturity scoring, and FAIRification are available today and reduce the cost of getting started significantly. But they require a solid understanding of FAIR to use well. Measure where you are, then close the gap.
2. Zone 2 is where community investment pays off, and the tools already exist.
Standards clusters landed consistently in the collaborative, medium-effort zone: shared vocabularies, ontologies, common data models, FAIR procurement language. These are things the community can act on together, now.
The Pistoia Alliance already has infrastructure in this zone. The FAIR Maturity Matrix lets organizations benchmark and track progress across seven dimensions. The FAIR Business Value Frame, currently in pilot with Pistoia members, quantifies the business case. The Pharma General Ontology builds the shared semantic layer that FAIR interoperability requires. The IDMP and CMC ontologies extend this to regulatory and manufacturing data.
Not one of these tools was built by a single company. Every one is stronger because it is shared. As Ranu Sharma, Senior Data Scientist at AbbVie, put it: “These are innovations no single organization can reach alone, which is exactly why they belong to the community.”
Regulatory clusters landed in Zone 3: not because they are unimportant, but because they require policy engagement and legislative timelines that move on their own. The strategic implication: invest now in what the community controls. Standards are the infrastructure for regulation. When requirements arrive, organizations that built on shared standards will be ready. Those who waited will retrofit under pressure.
One more thing worth saying plainly: free riders do not get a seat at the table when rules are being defined. If standards are being built now, this is the moment to contribute.
3. Zone 3: you cannot move the bedrock alone. But you can build what moves it.
Zone 3 is where the really hard things live: regulatory alignment, legislative reform, healthcare system integration, legacy data at scale. These are not technical problems with technical solutions. They require engagement with regulators, health authorities, and legislators who move on their own timelines and respond to evidence, policy dialogue, and sustained community pressure — not product roadmaps.
Every group independently placed these clusters here. Not because they are unimportant, but because no single organization controls them. The question is not whether to engage with Zone 3. It is how.
The answer is simple, and it is the through-line of this entire landscape: we can’t move regulators. We can move standards. Pick the lever you actually control.
Standards built in Zone 2 become the evidence base for Zone 3. When a regulator asks for FAIR-compliant submissions, organizations that have already adopted shared vocabularies, common data models, and interoperability standards will be ready to respond. Those who waited will scramble to comply under pressure. As Avinash Dixit put it: “Defining the standards today is going to lower the cost of compliance tomorrow.”
Healthcare systems deserve a specific mention. They are complex, vary by country, and sit firmly in Zone 3. But smaller countries with more aligned national systems are already further ahead on the FAIR journey. They are proof that it is possible, and a source of lessons for the rest. When healthcare systems become FAIR-ready, real-world data flows back into clinical development, closing the loop and compounding the value of every FAIR investment made upstream.
One more Zone 3 item worth naming explicitly: FAIR AI. Not AI as a tool to accelerate FAIRification — that belongs in Zone 1. This is something different: AI systems that themselves produce FAIR-compliant artefacts, and AI models that are themselves findable, accessible, interoperable, and reusable. Whether AI-generated data products can be trusted, traced, and reused with the same confidence as human-curated data is not yet resolved — technically, legally, or culturally. That resolution is genuine Bedrock Change, and building the governance frameworks, provenance standards, and regulatory dialogue to get there is work the community needs to start now.
If you see a gap in this zone, the right response is not to wait for someone else to fix it. Speak up, identify collaborators, and start building from where you stand. No single person or company breaks into massive operational systems alone. But communities do.
What you can do
The most important message from this workshop: the choice is yours, but it is not cost-free. In the words of Avinash Dixit, VP Life Science Practice at Datavid: “FAIR now, or pay later. The cost of acting now is always lower than the cost of catching up later.”
Three actions, one per zone:
- Zone 1, Act now: Run the FAIR Maturity Matrix assessment on your organization this quarter. Not someday. This quarter. Start asking your vendors whether FAIR is on their product roadmap. Use AI to machine-check your data and establish a baseline.
- Zone 2, Build together: Use the FAIR Business Value Frame to quantify your business case in language leadership understands. Embed FAIR language in your next procurement RFP. Join the Pistoia FAIR Community of Experts and contribute to shared infrastructure that no single R&D budget can build alone.
- Zone 3, Think long: Connect your FAIR and AI governance agendas explicitly. The standards you invest in today lower your compliance burden when regulators catch up. Start the internal conversation now about which standards investments will matter most. We can’t move regulators. We can move standards. Pick the lever you can actually control.
Where to learn more
Explore the interactive FAIR Forward landscape map and see where your organization fits:
👉 pistoiaalliance.org/resource-library/fair-forward-2026-ecosystem-landscape-map/
About the authors
This article reflects the collective expertise of the FAIR Forward workshop presenters and the broader FAIR Community of Experts within the Pistoia Alliance.
Authors: Ranu Sharma (AbbVie) · Anuj Uppal (Campana Schott) · Avinash Dixit (Datavid) · Birgit Meldal (Pfizer) · Giovanni Nisato (Pistoia Alliance)
With thanks to the 36 participants of the FAIR Forward workshop and to the FAIR for Pharma Steering Group for their contributions, energy, and collective brain.
Join the conversation
Where does your organization sit on the FAIR Forward landscape: picking up Zone 1 quick wins, building Zone 2 shared infrastructure, or wrestling with bedrock change challenges?

