Thyra Blog
Designing, consuming, and scaling FHIR R4 APIs in production healthcare environments.
The EU's ProtectEU strategy has reignited the encryption backdoor debate. Here is why mandated backdoors are structurally incompatible with HIPAA's Security Rule, and what US clinics should track.
TEFCA creates a national framework for nationwide query-based data exchange through QHINs. Here is what it actually requires, what it does not, and how it should factor into EHR vendor selection.
A practical comparison of open-source data-exchange APIs and commercial FHIR platforms, covering ONC certification support, maintenance burden, and who owns security risk over time.
A decision framework for IT admins weighing a SMART on FHIR overlay against a full EHR replacement, covering time-to-value, data risk, staff disruption, and cost.
A technical breakdown of screen scraping versus FHIR and Direct exchange, why reverse-engineered integrations persist in health IT, and what admins should verify before trusting a vendor's data pipeline.
Data interoperability in an EHR runs on three standards that solve different problems: FHIR for real-time API queries, C-CDA for structured clinical documents, and Direct messaging for secure transport between organizations.
FHIR support is now a baseline claim, not a buying signal. A five-level FHIR maturity model and verified ONC data on what operational EHR interoperability really requires in 2026.
FHIR R4 is the API standard that enables modern EHR systems to effectively participate in the health data ecosystem, ensuring interoperability and compliance with ONC requirements.
ONC certification is the gateway to the US healthcare market. Here is what the process actually involves, what it costs, and where new vendors get stuck.
HIPAA compliance is not a checkbox. For cloud-native EHRs, it requires deliberate architecture decisions around encryption, access control, and audit logging.
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