A FHIR server performance number is only as honest as the harness behind it. Health Samurai published an open-source benchmark on 2026-06-29 that tests Aidbox, HAPI FHIR, Medplum, and the Microsoft FHIR Server against the same hardware,…
Latest Posts
Top 4 MPI Engines for Cross-Border Patient Identity
Cross-border patient identity stresses an MPI on three independent axes at once: divergent national identifier policies, multi-language demographic data, and regulatory rules about what may cross which boundary. The four engines below cover
Best MPI Tools for Medication Reconciliation Workflows
Medication reconciliation depends on the MPI underneath it more than any other clinical workflow. Pharmacy fills, inpatient orders, ambulatory prescriptions, and home medication lists rarely use the same identifier for the same patient, and
How to Design a Reusable FHIR Store That Survives CMS-0057-F and the Rules That Follow
CMS-0057-F sets a firm January 1, 2027 date for the Prior Authorization API and the three companion APIs that payers must expose over FHIR R4. The rule is not a one-shot delivery. Payer engineering teams that treat the FHIR store as a…
Top 5 MPI Products for Pediatric Immunization Tracking in 2026
Pediatric immunization tracking has matching characteristics that are unkind to most MPI tools. Patient identifiers change as children move between practices, demographics shift with custody changes, and the registry has to deduplicate agai
Top 6 MPI Tools for Emergency Response and Disaster Recovery
Emergency response and disaster recovery stress an MPI in ways routine operations do not. Patient identifiers are missing or wrong, demographic data is partial, and the population moves through unfamiliar facilities under time pressure. The
Mirth vs Rhapsody vs Modern Integration Engines: Which One in 2026?
Mirth Connect and Rhapsody have run hospital integration projects for two decades, and any serious procurement shortlist in 2026 still puts them on the table. What has changed is the rise of FHIR-native engines that approach the same…
Top 5 MPI Engines for Payer Eligibility Workflows
A payer eligibility workflow lives or dies on the MPI underneath it. The same patient appears with different identifiers on the member file, the EDI 270 transaction, and the clinical FHIR feed, and the MPI is the layer that decides whether
How to Version a FHIR Questionnaire for Regulatory Submission Under FDA PRO Guidance
FDA PRO guidance treats a patient-reported outcome instrument as validated evidence. Any change to the wording, the response set, the skip logic, or the scoring rule is a change to the evidence trail, and the regulator expects a version…
Top 7 MPI Tools for Population Health Management in 2026
A population health MPI has to hold up under feeds from ambulatory, inpatient, behavioral, pharmacy, and payer sources at the same time. In 2026, the products that handle this reliably have stabilized into a recognizable set. The seven tool
