Poor FHIR Decisions

Quick and dirty decisions are the bane of software development.

FHIR is no exception.

These decisions often come with a “we’ll fix it later” mentality. As most of us know “later” never comes. The quick decision becomes the permanent decision.

Do any of these sound familiar?

  • We’ll use a managed FHIR server on the cloud to get us started.
  • We’ll create an “AI” extension. That should be enough.
  • We’ll hire a terminology person when the budget improves.
  • We’ll use a custom extension for now and do it properly later.
  • We’ll consider a “hybrid” approach next year.
  • We’ll switch on profile validation in the next release.

These are from conversations I had last month. These and more. So many more.

Short term or quick decisions can do real harm to your project.

“We’ll fix it later” is not a FHIR strategy.

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