Extracting Structure From Clinical Trial Protocols
Feb 10 · 5 min read · Narrative First, Structure Later Clinical trial protocols are meticulously written, reviewed, and approved documents. They’re designed to be read by investigators, regulators, and patients. That makes sense — if I’m considering whether to participate...
Join discussionBuilding Trust: Authentication, Authorization, and Audit Logging
Jan 19 · 7 min read · ← Part 3: Dynamic Mapping Engine Trust, But Verify (Then Log Everything) In healthcare IT, "it works" isn't enough. You need to prove: Who accessed data What they accessed When they accessed it Why (in some cases) That you can reconstruct what h...
Join discussionDynamic Mapping Engine: Bridging Legacy and Modern Healthcare
Jan 13 · 7 min read · ← Part 2: Multi-Tenant Architecture The Legacy Database Problem Here's a real example from one of our tenants: Hospital A stores patients like this: CREATE TABLE pacientes ( id_paciente INT PRIMARY KEY, rut_pac VARCHAR(12), nom_pac VARCHA...
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Zorgdomein Integration: A Guide to Secure .NET & Azure Architecture
Jan 12 · 4 min read · In the world of modern healthcare IT, “interoperability” is often treated as a buzzword. But for CTOs and Engineering Managers operating in highly regulated European markets, interoperability is a high-stakes engineering challenge. Recently, I led a ...
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Multi-Tenant Architecture: Isolating Healthcare Data at Scale
Jan 5 · 5 min read · The Multi-Tenancy Challenge Imagine you're running a SaaS application. Now imagine that application handles the most sensitive data possible: medical records. Now imagine that a single bug could expose Patient A's cancer diagnosis to Hospital B. That...
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Building a FHIR Adapter from Scratch: Why Rust, Why Now
Jan 5 · 4 min read · The Problem: Healthcare Data in Silos Healthcare systems are a mess. I don't mean that lightly—after years of working with legacy hospital databases, I've seen it all: patient data stored in decades-old MySQL schemas (or even Microsoft Access), custo...
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End‑to‑End FHIR Integration: How to Build Backend and Frontend Solutions for Patient Data Access
Jan 2 · 6 min read · Sharing data across multiple systems or enterprises has always been one of the hardest challenges in healthcare technology. Over the years, organizations have tried everything: FTP file drops, nightly batch jobs, custom APIs with layers of business r...
Join discussionWhy SMART on FHIR Is the Backbone of Digital Transformation in Healthcare
Oct 27, 2025 · 3 min read · Introduction The future of healthcare lies in data-driven, patient-centered, and interoperable systems — and at the heart of this transformation is SMART on FHIR. As healthcare organizations race toward digital maturity, this framework has emerged as...
Join discussionUncovering FHIR in Layman's Terms
Sep 29, 2025 · 2 min read · I’ve recently started learning what FHIR (Fast Healthcare Interoperability Resources) is. Turns out it’s a format that defines how the clinical and medical data is to be saved to implement interoperability. FHIR In formal terms, “FHIR, which stands f...
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