You go-to source for FHIR Insights, helpful tips, implementation advice and expert learnings with a dose of fun!
| Platform |  | Pricing | Freemium | Publishes | Twice weekly |
|---|---|---|---|---|---|
| Issues | 78 | Founded | a year ago | Last Issue | 5 days ago |
| Active | |||||
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evestel.substack.comLatest Issues
Methodology in public: what "85% endpoint reachability" actually counts
Two days after the 2026-06-02 release, a smart and knowledgeable reader sent two questions about the AINPI methodology. Both worth publishing because the whole point of an open audit substrate is that smart readers catch what you missed.
#...
The federal provider directory, decomposed
548 tiles, 6 audit dimensions, and a framework for the 2028 CMS scoring RFC
The federal provider directory, decomposed.
Navigating the Shift to Bulk Data and AI
Ron Urwongse, co-founder of Defacto Health, and I sit down to break down the rapid shifts hitting CMS regulations, the transition from standard FHIR APIs to national bulk data datasets, and how agentic AI workflows are compressing engineeri...
State of Prior Authorization with Mark Fleming (Availity)
Mark Fleming is Senior Director of Prior Authorization, Interoperability, and Portal Solutions at Availity, a leading healthcare clearinghouse and data network. With over 25 years of experience in healthcare IT and revenue cycle management...
Cohort 00: Building Healthcare AI with Claude Code
The DMs were unambiguous, so I am running it.
Two from this week’s inbox. Names with permission, paraphrased lightly for length.
“Definitely interested. I’m already deep in Claude Design and Code for a consumer iOS app. But I’m beyond e...
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Authors
The writers behind this newsletter.
Data FHIR healthcare and intersection of consumers with technology.
committed to improving primary care
Family physician writing MedTechxHeart from a safety-net exam room. Field notes on AI in primary care, digital health equity, and the inner life of clinicians. For the curious and the hype-tired. Views my own.
I'm a healthcare IT consultant focused on Interoperability.
Manager, Development at MEDITECH, product owner of the FHIR API and Structured Documents Interoperability Development Team, championing the vision for APIs and interoperability.
Mr. Pyke is the Technical Director for the FHIR At Scale Taskforce (FAST) FHIR Accelerator. Mr. Pyke also serves as the Technical Author for TEFCA technical documents, playing a pivotal role in shaping the QHIN Technical Framework.
Biologist turned Health IT. Product lead for Simplifier.net and program lead for FHIR DevDays at Firely.
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