Practical FHIR notes on SDC form builders and terminology server implementations for healthcare integration teams.
A new FHIR server performance report quietly went public this week and has not yet made the rounds the way bigger interoperability news usually does. Health Samurai put four FHIR servers on the same hardware, the same data, and the same…
What actually breaks a PHQ-9 program at population scale? Rarely the instrument. The PHQ-9 is nine questions, a clean scoring rule, and a LOINC code most tools already know. What breaks the program is everything around the nine questions:…
CDS Hooks raises the latency bar for any terminology tool sitting underneath it. A clinical decision support service has a budget measured in hundreds of milliseconds; if a single $expand or $validate-code blows that budget, the whole hook
A FHIR terminology service is the quietest load-bearing piece of a modern healthcare stack. It rarely appears in product demos and almost always shows up in the first production incident. Picking one well in 2026 saves a year of small surpr
React patient portals have a specific need from a SDC renderer. The renderer has to play nicely with the rest of the React tree, hand control back when the host app needs it, and not bring along an opinionated styling system that fights the
Have you started sketching the architecture for CMS-0057-F yet, or are you still waiting for a vendor short-list to land on your desk? The Jan 1, 2027 enforcement date is close enough that the choice is no longer abstract, and the shape…
Real-time patient data capture sits in an uncomfortable spot. The clinician needs instant feedback, the form has to validate against a FHIR Questionnaire, and the data has to land in a downstream system the moment the user moves to the next
Selecting an HL7 FHIR server requires answering specific questions upfront. Getting these right prevents 6-12 months of downstream rework. Question 1: What FHIR version and profiles? R4 with US Core baseline for US deployments. R4B for Subscription-Topic support. R5 for niche cases. Match US Core version explicitly. Question 2: What write throughput? Sustained POST/s at […]
Ever wondered how some people just get FHIR? Like, really get it, beyond just knowing the acronym? I used to be completely lost, staring at endless documentation and feeling like I was trying to decode an alien language. But, you know what? It’s possible to master FHIR, and I’m going to share my journey and […]
Complex FHIR platform deployments use specific integration patterns. Five that show up in enterprise settings. Pattern 1: FHIR API gateway. Central gateway routes to backend FHIR servers, enforces auth, normalizes responses. Uses FHIR REST spec as canonical contract. Pattern 2: Multi-tenant FHIR server. Single deployment, multiple tenants isolated by data partition. Common in health plan […]