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FHIR-Native Architecture: Building Healthcare IT for True Interoperability

As healthcare systems race to meet 21st Century Cures Act mandates, a critical question emerges: retrofit or rebuild? Mike O'Neill, CEO of MedicaSoft, explains why FHIR-native architecture delivers fundamentally different interoperability outcomes than legacy systems with API layers bolted on. This conversation cuts through vendor marketing to examine the structural, semantic, and operational advantages of building healthcare IT from the ground up on HL7 FHIR standards.
O'Neill draws on extensive experience leading P&L, engineering, and operations across healthcare IT startups and public companies to explain what "FHIR-native" actually means in practice—and why it matters for CIOs evaluating vendor claims. Learn how purpose-built FHIR architecture eliminates middleware complexity, reduces integration costs, and enables real-time clinical data exchange that retrofitted systems struggle to deliver.

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