Notes from the build.
Engineering deep dives, architecture decisions and what we learned shipping operations-heavy software.
Health Tech17 Sept 2026 ยท 6 min read
HL7, FHIR and the Interoperability Gap
Healthcare has plenty of data standards and still struggles to share records. We look at HL7 v2, FHIR, and why meaning, identity and incentives keep the gap open.

AI in Medical Imaging: What Is Proven and What Is Not
Cleared imaging tools exist, but strong paper results often weaken in real hospitals. How to judge claims, what to ask vendors, and how to introduce AI into a reading workflow carefully.

Offline First Clinical Software for Unreliable Networks
When the connection drops at the bedside, software should keep working. We cover local storage, conflict rules, duplicate patients and sync design for clinics with unreliable networks.

Why Hospital Software Fails at the Front Desk
Hospital software often fails in the first ten minutes of a patient's visit. Why front desk workflows break, and what good registration, search and billing look like in practice.

Telemedicine After the Hype
The urgency has faded and the grand claims with it. What remains is a set of tools that suit particular jobs, and a list of operational reasons why deployments stall.

Patient Records and the Principle of Least Privilege
A receptionist should not be able to open every record at every branch. How to design hospital access around role, need and relationship, without slowing clinicians down.

The Pharmacy Inventory Problem
Medicines have batches and expiry dates, which makes pharmacy stock harder than ordinary retail. Why the count drifts, and what a trustworthy inventory system does differently.

Designing for the Consultation Room
A consultation lasts minutes and the software either supports it or competes with it. Here is how to design hospital systems around the conversation, not just the record.
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