A public FHIR server benchmark is only as useful as its harness. The new report from Health Samurai compares Aidbox, HAPI FHIR, Medplum, and the Microsoft FHIR Server, and the part worth reading carefully is not the headline numbers but…

Hospital HL7v2 feeds still arrive over MLLP. The transport is older than most engineers working on it in 2026, but it carries the operational backbone of US hospital data: ADT, ORM, ORU, SIU, and the rest of the v2 event stream. A health…

Picking an open-source FHIR server in 2026 is less about "which one has more features" and more about which tradeoffs your team can operate. The three that have real production […]

CMS-0057-F rules pushed quality-measure reporting from a spreadsheet exercise to a FHIR MeasureReport pipeline for most US payers by 2026. The mechanics are underdocumented outside the Quality Measure IG itself, […]

FHIR API integration reads well in demos and breaks quietly in production. The anti-patterns below show up in almost every real integration, and understanding why they fail is the difference […]

Choosing an open-source FHIR server from a DevOps standpoint — Kubernetes deployability, backup story, observability — is a different question than picking one for developer ergonomics. The three servers that […]

EHR development in 2026 is not the greenfield it was five years ago. The CMS-0057-F Patient Access, Provider Access, and Payer-to-Payer APIs are live requirements; SMART on FHIR is table-stakes […]