MEDITECH FHIR — production reality

MEDITECH FHIR R4 production fleet harvested 2026-04-26 from the public Brands Bundle. 542 production endpoints across 6 CapabilityStatement-shape clusters; 114 hospitals are outliers diverging from the modal cluster — different resources, different US Core profile support, or different SMART configuration than the published spec.

What MEDITECH publishes vs what production deploys

MEDITECH's published CapabilityStatement says one thing. Production deploys at least six distinct shapes of it. The outliers are exactly the surprises integrators hit on go-live without access to a multi-shape sandbox. The map plots all 542 endpoints by their CapStmt-shape cluster.

Element deviations — coverage in progress

CapabilityStatement provenance is captured. The multi-patient element-deviation sweep against US Core 6.1 is in progress; richer overlay entries today are Epic (189 deviations across 10 resource types) and Oracle Health (Cerner) (176 deviations across both provider and patient host fronts). Want MEDITECH prioritized? Email hello@mock.health.

Source-cited per row

Every claim carries a source URL, verbatim quote, verification method, and date checked. Open source on GitHub under CC-BY 4.0 (data) + Apache 2.0 (tooling). Vendor PRs welcome.

Compatible with MEDITECH's published FHIR R4 CapabilityStatement. Not affiliated with or endorsed by Medical Information Technology, Inc. Trademarks used for identification only. Build against this overlay without a partner contract via Pro.

CapStmt-shape clusters in production

MEDITECH's 549 production FHIR endpoints fall into 6 distinct CapabilityStatement-shape clusters. Each cluster is a wire-level deployment archetype your integration may hit: