The Critical Importance of Choosing a FHIR Server Provider: A Long-Term Checklist
How to choose a FHIR server provider. - Darren Devitt
Summary
This article emphasizes the critical importance of selecting a FHIR server provider early in a project. It advises that instead of merely comparing technical features, one must build a long-term checklist covering business and technical requirements such as pricing models, multi-tenancy, and future scalability.
Details
The decision regarding a FHIR server is made very early in the project lifecycle, meaning this choice significantly dictates the scope of work for development teams and impacts product release timelines. The article warns that simply comparing API functionalities (e.g., query execution on AWS) is insufficient. The focus must be on verifying if the server meets the unique business and technical requirements of the specific project. Key considerations include support for FHIR Subscriptions, difficulty in implementing Smart-on-FHIR, readiness for element level access control years down the line, and the ability to build in multi-tenancy. Crucially, one must look five years into the future. This includes governance concerns such as the provider's long-term viability or whether the data storage location is suitable for the countries where the product will be sold. Creating a checklist that considers these elements is essential for achieving long-term success and mitigating risk.
Technology Note
FHIR（Fast Healthcare Interoperability Resources）は医療データ交換の国際標準。このエントリの関連技術: FHIR
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