Health Samurai Blog

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Our experts have a deep understanding of FHIR, and here you will find the most relevant articles

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Apr 8, 2026
5 min read
Performance at Scale: Benchmarking FHIR Servers Under Real-World Load

We're benchmarking popular open-source FHIR servers and Aidbox across CRUD, batch processing, and search workloads. Here's what we're testing and why.

Feb 9, 2026
10 min read
Health Samurai Lab: Game of Pools

We load-tested Aidbox pool settings. 80 configs show how web threads and DB pools affect throughput and latency.

Apr 11, 2025
5 min read
Synthetic data in healthcare

How to start working with “Personal Health Information” without any responsibility?

Apr 11, 2025
5 min read
Implementing Unique Constraints

Your storage system must ensure that the SSN identifier is unique across all patient records. This means that if you try to create a new patient with an SSN and another patient with the same SSN already exists, the system will reject the request to prevent duplicate records.

Jul 26, 2024
6 min read
FHIR ViewDefinition Explained (SQL on FHIR Spec)

What a FHIR ViewDefinition is, how it flattens FHIR resources for SQL analytics, and how to use it in the SQL on FHIR specification.

May 6, 2024
7 min read
How to load 1 billion FHIR resources into Aidbox in 5 hours

Big data usually means big problems and a lot of work. One of the problems is how to load a lot of data. There is usually some source of big data, and the problem is posed as some kind of legacy system migration or migration of historical data into an FHIR server.

Mar 9, 2024
11 min read
Master Patient Index (MPI): How It Works + Examples

Master Patient Index (MPI) explained: how record linkage works, common architectures, and a worked example using FHIR and Aidbox.

Several authors

2 authors

Mar 2, 2023
9 min read
HIPAA-compliant Aidbox instance synchronization

Do you have offices or clinics all over the world and want to collect statistical data in a single storage? In this article, we'll share our experiences in implementing HIPAA-compliant data synchronization across multiple Aidbox instances.

Several authors

2 authors

Oct 4, 2018
5 min read
First Fhirbase Release

Health Samurai team is proud to announce the first stable release of Fhirbase, an open-source tool to store and manage FHIR data in PostgreSQL relational database.

Sep 21, 2018
5 min read
FHIR Storage and Analytics in Baltimore

If you are interested in FHIR databases and analytics on FHIR and going to be not far from Baltimore September 29–30 — please join us at the FHIR Connectathon 19 and brand new Storage and Analytics track!

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