Da Vinci PA adoption inside provider organizations depends on workflow fit. Technical conformance with CMS-0057-F is necessary but not sufficient; provider organizations that find the workflow awkward fall back to legacy PA channels (pho...
5 Educational Material Patterns for Payer-to-Payer Member Opt-In
CMS-0057-F requires educational materials supporting the member opt-in for Payer-to-Payer Data Exchange. The material explains what data will move, what the member is consenting to, and what they can do later if they change their mind. M...
FHIR Data Model Explained: 5 Concepts That Everything Rests On
The FHIR data model is often described as "resources + REST." Five concepts underneath that description are what production systems actually rest on. Concept 1: Resource identity. Every resource has a stable identifier ({ResourceType}/{id}), a version identifier (meta.versionId), and a meta.lastUpdated timestamp. These three enable versioning, incremental sync, and consistent references. Concept 2: References vs. […]
Perfectly Understanding the 7 Key Elements of the FHIR Data Model for Modern Healthcare Integration
Have you ever felt completely lost trying to navigate the messy world of healthcare data? I know I have! It’s like trying to assemble IKEA furniture without the instructions. But fear not, because today, we’re diving into the FHIR data model – and I promise, by the end, it’ll feel less like flatpack furniture and […]
Terminology Server Value: What It Actually Delivers
Terminology servers seem like infrastructure most teams could skip. In practice they deliver measurable value that shapes data quality significantly. Value 1: $validate-code on write. Every coded field validated at write time. Prevents bad codes from landing in the FHIR store. Sites without this see 5-15% terminology drift within 12 months. Value 2: $expand for […]
EHR FHIR API: The 2026 Feature Baseline That Buyers Should Expect
EHR FHIR APIs have consolidated around a common feature baseline in 2026. Buyers evaluating EHRs should expect these features; missing any is a red flag. Baseline (must-have in 2026) 1. **US Core-conformant reads.** Patient, Encounter, Observation, Condition, MedicationRequest, Practitioner, and secondary US Core resources. 2. **SMART on FHIR patient launch.** Third-party app integration standard. 3. […]
FHIR Format Handling: NDJSON, JSON, XML — When Each Applies
FHIR resources are serialized in multiple formats. Understanding when each applies avoids format confusion. JSON (default) Standard REST responses; individual resource GET/POST/PUT. Content-Type: application/fhir+json. Best for point-of-care, single-resource operations. NDJSON Bulk data streaming. Content-Type: application/fhir+ndjson. Each line is one resource. Best for Bulk Data `$export`, warehouse ingestion. XML Legacy option, application/fhir+xml. Best for HL7v2-to-FHIR converters […]
EMR Development in 2026: What Changes vs. What Stays
EMR development has changed materially since FHIR became mandatory but many fundamentals stay constant. Understanding both dimensions shapes 2026 development planning. What changed (FHIR-driven) 1. Integration surface = FHIR REST. Custom APIs are legacy; FHIR REST is the ecosystem. 2. Auth = SMART. SMART on FHIR is universal. 3. Analytics = bulk data. Bulk Data […]
FHIR Implementation Steps: A 90-Day Getting Started Roadmap
FHIR implementation for teams starting from zero involves specific 90-day milestones. Following the sequence below prevents scope explosion and ships something usable by day 90. Days 1-15: Foundation 1. Deploy dev FHIR server (HAPI, Aidbox, or Medplum) locally. 2. Load sample US Core-conformant Patient, Observation, Encounter resources. 3. Set up terminology server access (Ontoserver dev, […]
FHIR Schema: Practical Notes on the Resource Structure
The FHIR schema — the underlying structure of resources — is well-documented but has practical patterns worth internalizing. Understanding schema mechanics prevents integration surprises. Resource anatomy Every resource has: 1. resourceType — the resource name. 2. id — server-assigned identifier. 3. meta — versionId, lastUpdated, profile references, tags, security labels. 4. extension[] — custom fields. […]