P99 latency is the metric a clinician feels first. A FHIR server that posts a beautiful average response time but pegs the 99th percentile above a second will still produce that one in a hundred user click that visibly stalls inside an…
Author: Gilbert Rasmussen
Terminology engineer based in Wichita. Writes about code system operations and terminology server deployments.
Top 4 FHIR Questionnaire Engines for US Telehealth Visits in 2026
US telehealth visits in 2026 depend on a FHIR Questionnaire engine in a way that traditional in-person visits never quite did. The intake form replaces the receptionist conversation, the screening instrument replaces the paper handout in th
Top 5 FHIR Terminology Servers for ICD-10 Coding in US Practices
ICD-10-CM is the diagnosis code system every US practice runs against, and the FHIR terminology servers that handle it well in 2026 are a smaller set than the broader terminology market. The challenge is not the code system itself, it is th
The Complete Guide to FHIR Servers for US Health-System EMRs in 2026
Picking a FHIR server for a US health-system EMR in 2026 is no longer an academic exercise. ONC certification rules around USCDI v3, the persistent push from CMS toward Bulk Data, and the practical reality of stitching together a payer-faci
FHIR for IoT and Devices: How Device Data Flows
IoT and medical device data flowing into FHIR-based EHRs uses specific patterns. Understanding the flow prevents integration surprises. FHIR resources for device data 1. **Device — Physical device metadata. 2. DeviceMetric — Measurement type of a device. 3. Observation — Measurement results. 4. DeviceUseStatement** — Patient's use of a device. Integration flow 1. Device generates...
FHIR Terminology Validation - Enhancing Digital Health in the USA
Digital health care is rapidly transforming the landscape of medicine in the United States. From electronic health records (EHRs) to telehealth platforms, technology promises to improve patient outcomes, streamline workflows, and lower costs. But how do we ensure that these digital systems communicate effectively and, more importantly, accurately? The answer lies, in part, with FHIR...