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.

Apr 6, 2026
5 min read
Aidbox & Formbox: March 2603 Release

Aidbox 2603 brings BigQuery streaming, Databricks Lakebase support, FHIR package dependency overrides, and Formbox improvements.

Apr 3, 2026
10 min read
FHIR Package Management: Pinning, Tree-Shaking, and Why Runtime Resolution Had to Go

How Aidbox moved canonical resolution from runtime to configuration time — with pinning, tree-shaking, and a deterministic candidate selection algorithm.

Mar 20, 2026
4 min read
Health Samurai Lab: Aidbox Horizontal & Vertical Scaling

Benchmarking Aidbox with 8 CPU cores: single instance vs multiple. 2×4 loses only 6% RPS but adds redundancy and better P99.

Mar 19, 2026
5 min read
R6: Subtraction by Additional Resources

R6 moves immature resources out of core into incubator IGs. Here is how additional resources work, what changed, and what it means for implementers.

Mar 4, 2026
10 min read
Agentic Testing: From Bug Report to Test Report in 10 Minutes

Bug report → full test report in 10 minutes. See how LLM agents reproduce bugs, generate tests, and validate Aidbox automatically.

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.

Aug 19, 2025
8 min read
Token Introspection in FHIR: A Complete Guide to Modern Token Validation

Token Introspection is the critical bridge between Authentication and Authorization. When a client presents a token to access FHIR resources, the server must check if the token is valid.

Oct 25, 2024
5 min read
FHIR API Gateway: Patterns for Healthcare APIs

FHIR API gateway design: routing, security, rate limiting, and API management for healthcare — with architecture patterns and Aidbox examples.

Jul 8, 2024
7 min read
How to design a multi-tenant FHIR API for an existing EHR system

Explore ways of cutting design costs using a multi-tenant FHIR API with SMART on FHIR support and comply with the 21st Century Cures Act for EHR systems on the fly.

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