Build production-ready real-time clinical decision support systems using Apache Kafka and FHIR. Includes complete .NET/Python code, architecture patterns, and lessons from processing millions of healthcare events per day.
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Why Kafka Became the Backbone of Modern Data Architecture: Lessons from Building Event-Driven Systems at Scale
When LinkedIn open-sourced Kafka in 2011, few predicted it would become the de facto standard for real-time data streaming. Fourteen years later, Kafka processes trillions of messages daily across organizations of every size, from startups to Fortune 500 companies. Having architected event-driven systems for over two decades, I’ve watched Kafka evolve from an interesting alternative […]
Read more →FHIR API Security Part 2: Implementation & Best Practices
Executive Summary Part 2 of 2: Implementation & Best Practices 🏥 HEALTHCARE INTEROPERABILITY SERIES This article is part of a comprehensive series on healthcare data standards and interoperability. HL7 v2: The Messaging Standard That Powers Healthcare IT Building GDPR-Compliant FHIR APIs: A European Healthcare … EMR Modernization: Migrating from Legacy HL7 v2 to FHIR HL7 […]
Read more →Event-Driven Architecture on GCP: Mastering Cloud Pub/Sub for Real-Time Systems
Google Cloud Pub/Sub provides the foundation for event-driven architectures at any scale, offering globally distributed messaging with exactly-once delivery semantics and sub-second latency. This comprehensive guide explores Pub/Sub’s enterprise capabilities. Cloud Pub/Sub Architecture Overview Pub/Sub Architecture: Topics, Subscriptions, and Delivery Guarantees Pub/Sub implements a publish-subscribe pattern where publishers send messages to topics and subscribers receive […]
Read more →FHIR API Security Part 1: Foundation & Authentication
Executive Summary Part 1 of 2: Foundation & Authentication 🏥 HEALTHCARE INTEROPERABILITY SERIES This article is part of a comprehensive series on healthcare data standards and interoperability. HL7 v2: The Messaging Standard That Powers Healthcare IT Building GDPR-Compliant FHIR APIs: A European Healthcare … EMR Modernization: Migrating from Legacy HL7 v2 to FHIR HL7 v3: […]
Read more →The Architecture Decision That Will Make or Break Your System: Monolith vs Microservices in 2025
The debate between monolithic and microservices architectures has evolved significantly over the past decade. What was once a straightforward “microservices are better” narrative has matured into a nuanced understanding that the right architecture depends entirely on context. After leading architecture decisions across dozens of enterprise systems, I’ve learned that the most expensive mistakes come not […]
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