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,…
Category: Workflow engine
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…
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…
FHIR Task vs CarePlan for Workflow Orchestration
A workflow orchestration design has to pick a primary anchor resource. In FHIR, the two natural candidates are Task and CarePlan. The two model different things in the spec, but in practice teams reach for one or the other and end up with v
FHIR Subscriptions vs Polling: Which Wins for Clinical Event Streams
A clinical event stream can be delivered two ways: push, via FHIR Subscriptions, or pull, via consumer-side polling of `_lastUpdated` searches. The two patterns ship with different operational costs and different failure modes, and the choi
Top 6 FHIR Event-Driven Tools for EHR Notifications
A FHIR event-driven tool turns EHR state changes into notifications that downstream systems can act on without polling. The category overlaps with Subscriptions but covers a wider surface, including SMART on FHIR app launches, CDS Hooks tri
Top 4 FHIR BPM Tools for Orchestrated Clinical Tasks
A FHIR BPM tool pairs a business process modeling engine with the FHIR resources that hold clinical state. The pairing matters when a care pathway grows past what PlanDefinition and `$apply` model cleanly and lands in the domain of long-run
Best FHIR Workflow Tools for Acute Care Pathways in 2026
Acute care pathways stress a FHIR workflow stack in ways that elective and ambulatory pathways rarely do. Latency budgets are tight, event ordering matters, and state has to survive consumer outages without dropping clinical work on the flo
Top 5 FHIR Integration Engines for Multi-Hospital Workflows
A FHIR integration engine in a multi-hospital workflow has to do two things at once: normalize feeds from systems that each made different conformance choices, and present a single coherent FHIR surface to the downstream care coordination l
Top 6 FHIR Subscription Engines for Real-Time Clinical Events
A FHIR Subscription engine turns resource state changes into push notifications without forcing consumers to poll the FHIR API. In 2026, the gap between an engine that ships Subscriptions on paper and one that handles a real clinical event
