Alistair Pendergrass
A 2026 Buyer's Guide to FHIR Terminology Servers for US Healthcare
A FHIR terminology server is the part of your stack that decides whether $expand returns in 50 milliseconds or three seconds, whether your LOINC codes resolve correctly when an outside lab sends them in, and whether your QuestionnaireRespon
Top 5 FHIR Server Monitoring Tools for Hospital IT Teams
Running a FHIR server in a US hospital without proper monitoring is the kind of thing that quietly works for nine months and then surprises everyone at 2 a.m. on a Saturday. The good news is that the tools you can use to monitor a FHIR endp
Best FHIR Servers for Epic and Cerner Integration in 2026
Epic and Cerner together still cover the majority of US acute care beds in 2026, which means that a FHIR server you pick for a hospital has to play well with at least one of them. Most often it has to play well with both. The good news is t
FHIR Analytics Pipelines: Bulk Data to Warehouse in Practice
FHIR analytics at scale runs on Bulk Data Access IG $export feeding a downstream warehouse. The pipeline is straightforward on paper; the operational reality has three chokepoints most teams underestimate. Chokepoint 1: export scheduling and freshness. Nightly full exports of 10M+ resources take 3-5 hours on typical Postgres-backed FHIR servers. Analytics teams that need same-day […]
FHIR RDF: Where Semantic Web Meets Healthcare Data
FHIR RDF provides a Semantic Web representation of FHIR resources, opening healthcare data to SPARQL-based queries and reasoning. It's not mainstream in 2026 but has real use cases in research and multi-source data integration. Where FHIR RDF shines 1. Research data federation. Multiple study sites contribute FHIR resources; RDF representation enables federated SPARQL queries across […]
FHIR Server Monitoring: 6 Metrics That Predict Production Issues
Prometheus metrics for FHIR servers should track more than CPU and memory. Six operational metrics predict production incidents before they become outages. 1. $validate pass rate. Percentage of writes passing validation. Dropping <95% signals upstream data quality regression. Track per resource type. 2. Postgres connection pool utilization. FHIR write throughput is often gated by connection […]