Skip to content
Per Square Metre

Per Square Metre

Payer-side FHIR architecture: Da Vinci IG adoption, analytics stacks, and payer platform engineering notes.

  • Terminology server
  • Medical form builder
  • Master patient index

Category: Fhir Platform Architecture

How to Author an SDC ExtractDefinition for a Multi-Answer PROMs Instrument

How to Author an SDC ExtractDefinition for a Multi-Answer PROMs Instrument

PROMs instruments are rarely single-answer. PROMIS-29 covers seven domains with four items each. PHQ-9 has nine items plus a computed…

Top 6 FHIR Data Store Patterns for Reusable Compliance Investment

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…

Top 5 PostgreSQL-Based FHIR Engines for 2026

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 FHIR-Native Platforms for Health Plans in 2026

Top 5 FHIR-Native Platforms for Health Plans in 2026

A FHIR-native platform is one where FHIR is the canonical data model, not a translation layer over existing systems. For…

Top 5 Cloud-Native FHIR Hosting Options for US Health Payers

Top 5 Cloud-Native FHIR Hosting Options for US Health Payers

Cloud-native FHIR hosting reduces operational burden substantially for health plans that do not have strong on-premise infrastructure or specific data-residency…

The Complete Guide to FHIR Platform Architecture for CMS-0057-F

The Complete Guide to FHIR Platform Architecture for CMS-0057-F

FHIR platform architecture is the part of CMS-0057-F that gets less attention than the API endpoints but determines more of…

FHIR-Native vs Compliance Gateway: Architectural Trade-Offs for CMS-0057-F

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

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 On-Premise FHIR Platforms for Regulated Payer Deployments

Best On-Premise FHIR Platforms for Regulated Payer Deployments

On-premise FHIR hosting remains relevant for US health payers with specific regulatory, data-residency, or operational requirements that cloud-native managed services…

Best Multi-Tenant FHIR Hosting Models for Payer Workloads in 2026

Best Multi-Tenant FHIR Hosting Models for Payer Workloads in 2026

Multi-tenant FHIR hosting matters for any health plan that supports multiple lines of business, multiple delegated entities, or multiple regulatory…

Posts navigation

Older posts

Fixing broken refs?

Fixing broken refs?

Debugging a Bundle full of broken references? a Bundle reference walker parked here will find the culprits.

Recent Posts

  • Designing a Reference Resolver That Survives Partial Outages
  • Reference Resolution in Bulk Data: What the Spec Allows
  • Batching Resolution to Reduce Round Trips
  • Circular References and How to Detect Them Safely
  • Version-Specific References: When You Need Them, When You Don't

Categories

  • Da Vinci Ecosystem
  • Fhir Platform Architecture
  • Master patient index
  • Medical form builder
  • Payer Side Analytics Ai
  • Reference Resolver
  • Terminology server

Copyright © 2025