Top 6 FHIR Data Store Patterns for Reusable Compliance Investment
The FHIR data store is the architectural decision that determines whether CMS-0057-F compliance becomes a reusable platform investment or stays…
Author: Jacob Berkowitz
Health IT consultant in Boston. Writes about patient access APIs and the operational gap between FHIR specs and member experience.
Top 5 PostgreSQL-Based FHIR Engines for 2026
PostgreSQL has become the default storage substrate for production FHIR platforms in 2026. The JSONB column type stores FHIR resources…
Top 5 Da Vinci HRex Use Cases for Payer Implementations
Health Record Exchange (HRex) is the Da Vinci foundation IG that other Da Vinci IGs build on. Most payer implementations…
The Complete Guide to the Da Vinci Ecosystem for CMS-0057-F
The HL7 Da Vinci Project produces the FHIR Implementation Guides that CMS-0057-F relies on. The ecosystem covers Coverage Requirements Discovery,…
FHIR-Native vs Compliance Gateway: Architectural Trade-Offs for CMS-0057-F
The architectural choice between a FHIR-native stack and a compliance gateway determines what the CMS-0057-F investment becomes three years from…
Cloud-Hosted vs Self-Hosted FHIR Platforms for CMS-0057-F
The deployment model for the CMS-0057-F FHIR platform is one of the choices that gets less attention than vendor selection…
Best FHIR Profile Development Tools for Da Vinci IG Authoring
Most payers do not author Da Vinci IGs directly. They consume the IGs HL7 publishes and customize at the profile…
5 FHIR Storage Anti-Patterns That Hurt CMS-0057-F Performance
FHIR storage design has predictable failure modes that surface under production CMS-0057-F load. The anti-patterns below produce systems that pass…
My Unexpected Journey into Healthcare Data with a FHIR Store
Have you ever felt completely overwhelmed by a new subject, like staring into a black hole of jargon and acronyms?…
7 Steps to Digitize Paper Forms in Payer Operations
Digitizing paper forms in payer operations follows a specific sequence. Seven steps cover essentially every project. Step 1: Inventory current…