The long-form on interoperability.
In-depth pieces on the policy, standards, and engineering work that sit underneath modern healthcare data exchange. Written for the people who have to build, integrate, and operate the result.
- Community pharmacy
The interoperability layer for community pharmacy
Why the integration layer — not the clinical evidence — is the bottleneck on community pharmacy practicing at the top of license. The end-to-end workflow from ADT alert through QHIN retrieval to documented intervention, mapped onto FHIR R4 and the THSA Medication Reconciliation Charter. Includes a worked discharge-to-pharmacy example from the Texas Community Pharmacy Interoperability Pilot.
24 pages · Pharmacy operations + clinical IT - Medication reconciliation
Closing the MedRec gap with THSA and NCPDP standards
How the THSA Medication Reconciliation Charter, NCPDP transaction standards, and Surescripts integration map onto a working pharmacist-to-provider workflow — and what the data plumbing looks like underneath.
22 pages · Pharmacy operations + clinical IT - TEFCA
The TEFCA participant's first 90 days
What QHIN Subparticipant status actually gets you, how reciprocity obligations land in production, and the operational checklist most teams miss before their first patient query.
14 pages · Policy + engineering - Clinical intelligence
Beyond data movement: building safety into the retrieval layer
Lab Delta Analyzer, drug interaction gates, refill safety logic, and Hy's Law monitoring as a thin, auditable layer on top of FHIR. Includes architectural patterns and example failure cases.
18 pages · Clinical engineering - FHIR
A practical FHIR primer for product teams
FHIR R4 fundamentals without the spec-reading homework. Resource types you'll actually use, how Bundles work, why provenance matters, and what to do when the data isn't what you expected.
10 pages · Product + engineering
Plainly written.
Honest about gaps.
Our whitepapers are written by the engineers and operators doing the work. We cite primary standards documents, name our assumptions, and flag what is still unsettled.
Where claims rest on third-party programs — TEFCA, CommonWell, Carequality, THSA, NCPDP — we link to the authoritative source and date the assertion. When the standards landscape moves, we revise the paper and surface the changelog.
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