There are lessons we learned from developing and maintaining code for interoperability components within a healthcare institutional environment.
The plane is already flying
Be prepared to rebuild, improve, extend, and fix the plane mid-flight.
Maintenance windows for hospital systems are often very limited, with some required to be operational 24/7. While the health critical systems such as imagery modalities or registration kiosks — or at least their critical functions — must operate autonomously, efficiency and usability may be compromised when interoperability components malfunction.









