Practical FHIR notes on SDC form builders and terminology server implementations for healthcare integration teams.
$expand is the operation that separates polished demos from production-ready terminology servers. Expanding a small intent-of-use ValueSet looks easy. Expanding a million-concept SNOMED CT ValueSet under burst load is where the FHIR termino
Transactional FHIR writes break in subtle ways when the upstream system replays a message. The pipeline thinks the write is new. The FHIR server happily creates a second Patient or a duplicate Encounter. A clinician opens the chart and…
SMART on FHIR apps have a tighter set of constraints around form layers than general FHIR apps do. The form has to launch from an EHR context, respect the scopes the launcher granted, and behave reasonably when the user's session is short.
Replacing a legacy EHR with a FHIR-native stack has a hidden middle. The data model gets a lot of attention, the UI gets a lot of attention, but the form layer is often the thing that determines whether clinicians accept the new system. For
Picking a FHIR form builder for a modern healthcare stack is one of those decisions that looks simple on the slide and gets messy two sprints in. The form layer is where SDC, FHIR Questionnaire, custom UI components, and a half-dozen integr
FHIR implementation follows a repeatable playbook. Seven steps cover essentially every production deployment. Step 1: Scope and stakeholder alignment. Define what FHIR APIs, which profiles, which regulatory targets, which timeline. Executive sponsor and dedicated team. Step 2: Server and infrastructure selection. Pick FHIR server, terminology server, auth server based on requirements. See vendor comparison. Step […]
Ever felt like you were drowning in a sea of incompatible healthcare data? I have. Big time. And honestly, it was affecting my job, my stress levels, and probably my hairline. I’m talking about trying to share patient information between different systems, each speaking its own bizarre dialect of data. Then I discovered the magic […]