Still things are same way for IT country and for IT professionals. You loose to system which still run on old ways like in 2000. Common man can't book tatkal tickets , but agents can do. Where we have fast serv@narendramodi @IRCTCofficial@RailMinIndia@AshwiniVaishnaw
"FHIR is a standard" is technically true."Every customer implements it slightly differently" is operationally https://t.co/TTMnyuJ6U8 platform engineering teams spend their careers in the gap between those two sentences.@smartDataIncLtd
Every healthcare platform sales cycle in 2026 has a moment where a procurement engineer asks for sample FHIR responses.The answer your engineering team gives in the next 48 hours determines whether the deal closes.@smartDataIncLtd
5/ Resource consistency.
Patient.deceased = true in one resource. Active appointments still scheduled in another. Both technically valid FHIR. Operationally broken.
Conformance is the floor, not the ceiling.
@smartDataIncLtd
4/ Bulk Data behavior under load.
$export passes when one client tests it. It buckles when three customers schedule overlapping exports against your production system.
Most teams discover this in production. @smartDataIncLtd
3/ Terminology bindings.Your Observation uses a LOINC code. The code is valid. But it's not the code your customer's clinical decision support system expects for that concept.Conformance β semantic agreement.
@smartDataIncLtd
2/ Reference resolution.Your Encounter resource points to a Patient. Pull the Patient β it 404s.Inferno checks that references are well-formed. It doesn't check that they actually resolve in your live API.
1/ A short thread on why FHIR APIs that pass certification still fail in real customer integrations.Four common gaps that conformance testing doesn't catch.@smartDataIncLtd π
The healthcare platforms in the most pain right now aren't the ones who never built FHIR.They're the ones who built it once, two years ago, and treated it as done.Interoperability isn't a project. It's a capability that needs maintenance. @smartDataIncLtd
FHIR compliant & actually integrable are not the same thing.A passing Inferno score tells you your structure is valid. does not tell you your references resolve, ur codes are bound correctly, or ur data is internally consistent.Most integration failures live in gap.
Check out the latest article in my newsletter: Rethinking Healthcare Human Intelligence: How AI is Transforming Behavioral Insights https://t.co/ReJdNA5xbf via @LinkedIn