Category: Emr development

The open-source vs commercial FHIR server question in US hospital IT in 2026 is one of the most reliably misframed procurement decisions in healthcare technology. Teams that should be picking commercial pick open source, lose six months to

HAPI and Medplum are the two FHIR servers that come up in nearly every US EMR modernization conversation in 2026. Both are open source, both have a real production track record, and both are picked by serious teams. They are not interchange

US EHR vendors carrying an ONC certification in 2026 have a narrower FHIR-server question than the broader market. The server must implement the full USCDI v3 surface, demonstrate $export at the required scale, support SMART on FHIR app lau

US telehealth vendors picking a FHIR server in 2026 face a slightly different problem than a traditional EMR build. Sessions are short, geographically distributed, and often state-bordered for licensing reasons. Patient onboarding happens t

CMS-0057-F is not a one-time shipping event for US payers. The rule points at a stack of Da Vinci implementation guides (PDex, PDex Plan-Net, PDex Formulary, CRD, DTR, PAS) that keep evolving, and every refresh forces a small engineering…

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…

US behavioral health practices that try to modernize on a generic EMR backend usually hit the same wall. Consent for substance-use records under 42 CFR Part 2 is not a checkbox feature, it is an architectural commitment. Group therapy notes

Population health analytics in the United States in 2026 is increasingly built on FHIR Bulk Data, not on extracted EHR data marts. The shift makes sense: clean Group-based exports, a stable resource shape, and audit-friendly access patterns

Pediatric EMR projects in the US ask more of a FHIR server than the generic adult-outpatient case. Growth charts, multiple-caregiver consent patterns, immunization registries hooked to state systems, and the long tail of pediatric-specific

CDS Hooks moved from spec to default expectation faster than most US health-IT teams predicted. By 2026, payers, decision-support vendors, and clinical-network apps all assume an EMR can answer a CDS Hooks discovery call and return a card a