Data interoperability is one of the hardest problems in Healthcare IT. The most popular approach is to exchange HL7v2 messages between systems. These pipe-delimited messages are difficult to read by a human and often need additional customizations between implementations.
The next major paradigm shift is towards FHIR (Fast Healthcare Interoperability Resources), a JSON-based standard that is evolving ahead of the needs of the industry. Cloud vendors like Microsoft, Amazon, and Google are trying to lay their claim to be the one-stop shop for healthcare on the cloud.
This blog is part of a 4 part series diving into an actual use case I recently encountered while working with a client. I had to stand up an FHIR repository/API for 2+ million patients that could be used by hundreds of users every day, as well as countless background processes.