Demo: The Hybrid FHIR Operational Data Layer | A Better Way to Centralize Clinical Data

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Healthcare organizations often struggle with interoperability not because they lack standards, but because clinical data is fragmented across multiple EHR platforms. This video explores a real-world architectural approach to modernizing clinical data access without disrupting existing production systems.

Learn how a Hybrid Operational Data Layer (ODL) uses FHIR as a foundational "common language" while maintaining the flexibility of custom schemas. By utilizing a three-layer MongoDB document structure—Resource, Application, and Search—organizations can achieve high performance for operational workloads without sacrificing industry standard alignment.

00:00:00 The Interoperability Challenge in Healthcare
00:00:24 Case Study: Managing Multiple EHR Platforms
00:00:56 Introduction to the Operational Data Layer (ODL)
00:01:13 Reusing FHIR as a Common Language
00:01:57 The 3-Layer MongoDB Data Model
00:03:04 Dual API Strategy: Custom & FHIR Endpoints
00:03:35 Demo: Mapping Strategy & Synthetic Data Creator
00:04:31 Testing Operational & FHIR Queries
00:05:42 Architecture Recap: MongoDB Atlas & Hybrid ODL
00:06:06 Modernizing Healthcare Data Incrementally

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