Technical Writing
The Blog
Deep-dives into healthcare FHIR engineering, agentic AI, Azure cloud, .NET 8, and full-stack patterns — written from real production experience.
Building a National FHIR R4 Platform for 20,000+ US Skilled Nursing Facilities — with QAPI & CMS 5-Star Automation
How we connected 20,000+ SNFs across the United States into a single Azure Health Data Services FHIR R4 lake, automated the CMS 5-Star Rating computation, built a QAPI compliance dashboard, and shipped an AI Clinical Ops Agent AI that monitors every facility around the clock.
Medallion Architecture on Azure: Databricks + Synapse in Production
How we designed a Bronze → Silver → Gold medallion lake at Gamasuite to handle real-time freight data from 85+ carriers — with zero data loss guarantees, schema evolution, and sub-500ms latency from carrier API to user quote card.
Azure Health Data Services: The Complete Guide for FHIR R4 in Healthcare Production (2026)
Everything you need to deploy FHIR R4 in Azure production — Azure Health Data Services architecture, SMART on FHIR configuration, bulk export, DICOM, MedTech IoT, cost optimisation, and HIPAA compliance for US healthcare workloads.
How to Build AI Agents That Actually Work in Production: Architecture, Failure Modes & Lessons Learned
The honest guide to production AI agent development — what breaks in the real world, how to design around failure modes, observability patterns, cost controls, and the architecture decisions that separate demo agents from production systems.
Claude API vs OpenAI API for Enterprise: Which Should You Build On in 2026?
A technical comparison of Claude API and OpenAI API for enterprise production use — model capabilities, tool calling, context windows, cost, reliability, and which use cases each wins. Based on real production deployments of both.
CMS 5-Star Rating Algorithm Explained: How Quality Ratings Are Calculated for Skilled Nursing Facilities
A complete technical breakdown of CMS's Five Star Quality Rating System for SNFs — how each of the three domains is calculated, how the composite star rating is derived, and what the data sources and timing mean for facility strategy.
Epic FHIR API Integration Guide: A Developer's Complete Reference for 2026
The practical guide to integrating with Epic's FHIR R4 API — App Orchard registration, SMART on FHIR authentication, supported resource types, bulk data export, rate limits, and the vendor-specific quirks you will not find in the official docs.
FHIR R4 Implementation Guide: Everything You Need to Build a Production FHIR Platform in 2026
The complete technical guide to implementing FHIR R4 in production — server selection, US Core conformance, SMART on FHIR authentication, EHR integration, and the real-world pitfalls that derail most implementations.
HL7 vs FHIR: The Complete Technical Comparison for Healthcare Engineers in 2026
HL7 v2, HL7 v3, CDA, and FHIR R4 — a technical comparison of healthcare interoperability standards from an engineer who has worked with all of them. When to use each, how they differ, and why FHIR R4 wins for modern healthcare platforms.
SMART on FHIR Tutorial: Build a Compliant Healthcare App from Scratch (2026)
Step-by-step SMART on FHIR tutorial — implement OAuth 2.0 standalone launch, EHR launch, and backend services authentication with real code examples in Python and .NET. From SMART discovery through token exchange to FHIR API calls.
Building Production Healthcare AI: Architecture, Safety, and Clinical Validation
A comprehensive guide to building AI systems that actually work safely in clinical environments — lessons from building the AI Clinical Ops Agent AI monitoring 20,000+ US Skilled Nursing Facilities, covering model selection, safety architecture, clinical validation, and production operations.
NPHIES Developer Integration Guide: Building Saudi Arabia's Health Data Network Compliance
A comprehensive technical guide to NPHIES integration for Saudi healthcare providers and insurance companies — FHIR R4 profiles, prior authorisation workflows, eligibility checks, claims submission, and production architecture for Saudi Arabia Vision 2030 health tech compliance.
NABIDH Integration Guide for Dubai Healthcare Providers: A Developer's Reference
A practical technical guide to implementing NABIDH Health Information Exchange compliance for Dubai healthcare providers — FHIR R4 profiles, DHA submission requirements, clinical document mapping, and production integration architecture.
HL7 v2 to FHIR R4 Migration: The Complete Developer's Guide
A comprehensive technical guide to migrating from HL7 v2 to FHIR R4 — covering message parsing, terminology mapping, transformation pipeline architecture, and zero-downtime cutover strategies based on production experience.
How I Trained 100+ Engineers to Code with AI Agents (Cursor + Claude)
The exact playbooks, workflows, and cultural shifts I used at Octdaily to get 100+ engineers shipping faster with Cursor IDE, Claude, and GitHub Copilot — without sacrificing code quality.
Designing EMR Microservices with FHIR R4 Backends and Angular 17 Micro-Frontends
The architecture behind Octdaily's modular EMR platform — independently deployable .NET 8 FHIR services paired with Angular 17 micro-frontends, federated into a single shell app.
Why We Chose Cosmos DB for Freight Booking State Management
NoSQL vs SQL for freight booking workflows — the tradeoffs we evaluated, how Cosmos DB's partition strategy solved our scale problem, and the Change Feed pattern that powers real-time notifications downstream.
Processing 60+ Insurance Document Variants with Azure AI Document Intelligence
How we handled wildly inconsistent insurance certificates across 60+ format variants using Azure AI Document Intelligence custom models.
Migrating a 6-Year-Old .NET Core 2 SaaS to .NET 8: Lessons Learned
A pragmatic, zero-downtime migration strategy for a production freight SaaS — from .NET Core 2 to .NET 8 with microservice decomposition, async rewrites, and a 6x improvement in concurrent request capacity.
Distributed Redis Caching Strategy for High-Frequency API Calls
Our approach to caching real-time freight rate data with Redis — balancing freshness vs performance at 2000+ RPS. The layered L1/L2 caching architecture, cache invalidation via pub/sub, and the operational lessons from running it in production.
Building a Unified D365 CRM Architecture for Etisalat
How we centralised 7 disparate D365 channels into a single sales pipeline architecture with CloudTalk integration at Etisalat.