About

An implementation guide tells you what to build.A sample payload shows you the shape of the data.ImOnFHIR shows what happens when you actually build it.

Four disciplines, one combined perspective: Bedside RN, Nurse Informaticist, Software Engineer, and Solution Architect stacked as a cumulative capability pyramid.

I operate where healthcare standards meet real-world implementation—bridging FHIR specifications, healthcare operations, implementation teams, and production software.

Successful interoperability requires more than conformance. It requires repeatable scenarios, gap analysis, observable system behavior, measurable outcomes, and evidence that anyone can inspect and validate.

ImOnFHIR is where those ideas become tangible: practical engineering tools, working demonstrations, observable validation, synthetic data, and a controlled learning lab for exploring interoperability challenges—not clinical decision-making.

The ImOnFHIR method: an evidence-based engineering loop from Inspect through Learn, with seven engineering principles below.
Four stacked problem-solving layers: Clinical Reasoning, Engineering Design, Scientific Method, and the ImOnFHIR Mindset.

Independent lab

ImOnFHIR is an independent engineering lab — owned, funded, built, operated, maintained, and reviewed by Nick Dugan BSN, RN-BC, CPHIMS.

ImOnFHIR does not publish employer-sensitive details or private production implementations.

Demonstrations use synthetic data only and do not make clinical decisions.

Questions, corrections, or collaboration — contact@imonfhir.com.

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