Alternatives to FHIR logo

Alternatives to FHIR

REST, JSON, Postman, Postman, and Stack Overflow are the most popular alternatives and competitors to FHIR.
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What is FHIR and what are its top alternatives?

Fast Healthcare Interoperability Resources (FHIR) is a standard for exchanging healthcare information electronically. It is designed to enable the exchange of structured healthcare data in a standardized format by utilizing modern web technologies. Key features of FHIR include interoperability, flexibility, scalability, and support for RESTful APIs. However, limitations of FHIR include the complexity of implementation, lack of widespread adoption, and potential security concerns.

  1. HL7 v2: HL7 version 2 is a widely used standard for exchanging healthcare information. It is known for its simplicity and widespread adoption in the healthcare industry. However, it lacks some of the advanced features and flexibility offered by FHIR.
  2. CDA: Clinical Document Architecture (CDA) is another standard for structuring clinical documents. While CDA is well-established, it may not offer the same level of interoperability as FHIR due to its document-centric approach.
  3. IHE Profiles: Integrating the Healthcare Enterprise (IHE) profiles provide implementation guides for interoperability in healthcare settings. While IHE profiles offer specialized solutions for specific use cases, they may not have the same level of flexibility as FHIR.
  4. SMART on FHIR: SMART on FHIR is an extension of FHIR that focuses on combining FHIR-based data with application development. It enables the creation of interactive healthcare apps that can securely access data from FHIR servers.
  5. DICOM: Digital Imaging and Communications in Medicine (DICOM) is a standard for handling, storing, printing, and transmitting medical imaging information. While DICOM is essential for imaging data, it may not provide the same level of interoperability for non-image healthcare data compared to FHIR.
  6. OpenEHR: OpenEHR is an open standard for healthcare information that focuses on structuring clinical data using archetypes and templates. While OpenEHR offers a flexible and customizable approach to healthcare data modeling, it may not have the same level of industry adoption as FHIR.
  7. HL7 FHIRCast: HL7 FHIRCast is a standard for real-time health data sharing between healthcare applications. It enables the broadcasting of healthcare events and data updates to subscribing applications, allowing for seamless integration and data sharing.
  8. IHE FHIR Profiles: IHE FHIR Profiles are implementation guides that leverage FHIR for specific interoperability needs in healthcare. While IHE FHIR Profiles provide standardized solutions for interoperability, they may require additional implementation effort compared to FHIR.
  9. SMART Health IT: SMART Health IT is an open, standards-based technology platform that enables healthcare apps to connect with EHRs, PHRs, and other health IT systems. It provides tools and resources for app developers to leverage FHIR for interoperability.
  10. CCD/CCR: Continuity of Care Document (CCD) and Continuity of Care Record (CCR) are standards for structuring patient summary data. While CCD/CCR are commonly used for exchanging patient information, they may not offer the same level of granularity and flexibility as FHIR.

Top Alternatives to FHIR

  • REST
    REST

    An architectural style for developing web services. A distributed system framework that uses Web protocols and technologies. ...

  • JSON
    JSON

    JavaScript Object Notation is a lightweight data-interchange format. It is easy for humans to read and write. It is easy for machines to parse and generate. It is based on a subset of the JavaScript Programming Language. ...

  • Postman
    Postman

    It is the only complete API development environment, used by nearly five million developers and more than 100,000 companies worldwide. ...

  • Postman
    Postman

    It is the only complete API development environment, used by nearly five million developers and more than 100,000 companies worldwide. ...

  • Stack Overflow
    Stack Overflow

    Stack Overflow is a question and answer site for professional and enthusiast programmers. It's built and run by you as part of the Stack Exchange network of Q&A sites. With your help, we're working together to build a library of detailed answers to every question about programming. ...

  • Google Maps
    Google Maps

    Create rich applications and stunning visualisations of your data, leveraging the comprehensiveness, accuracy, and usability of Google Maps and a modern web platform that scales as you grow. ...

  • Elasticsearch
    Elasticsearch

    Elasticsearch is a distributed, RESTful search and analytics engine capable of storing data and searching it in near real time. Elasticsearch, Kibana, Beats and Logstash are the Elastic Stack (sometimes called the ELK Stack). ...

  • GitHub Pages
    GitHub Pages

    Public webpages hosted directly from your GitHub repository. Just edit, push, and your changes are live. ...

FHIR alternatives & related posts

REST logo

REST

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      Ali Soueidan
      Creative Web Developer at Ali Soueidan · | 18 upvotes · 1.2M views

      Application and Data: Since my personal website ( https://alisoueidan.com ) is a SPA I've chosen to use Vue.js, as a framework to create it. After a short skeptical phase I immediately felt in love with the single file component concept! I also used vuex for state management, which makes working with several components, which are communicating with each other even more fun and convenient to use. Of course, using Vue requires using JavaScript as well, since it is the basis of it.

      For markup and style, I used Pug and Sass, since they’re the perfect match to me. I love the clean and strict syntax of both of them and even more that their structure is almost similar. Also, both of them come with an expanded functionality such as mixins, loops and so on related to their “siblings” (HTML and CSS). Both of them require nesting and prevent untidy code, which can be a huge advantage when working in teams. I used JSON to store data (since the data quantity on my website is moderate) – JSON works also good in combo with Pug, using for loops, based on the JSON Objects for example.

      To send my contact form I used PHP, since sending emails using PHP is still relatively convenient, simple and easy done.

      DevOps: Of course, I used Git to do my version management (which I even do in smaller projects like my website just have an additional backup of my code). On top of that I used GitHub since it now supports private repository for free accounts (which I am using for my own). I use Babel to use ES6 functionality such as arrow functions and so on, and still don’t losing cross browser compatibility.

      Side note: I used npm for package management. 🎉

      *Business Tools: * I use Asana to organize my project. This is a big advantage to me, even if I work alone, since “private” projects can get interrupted for some time. By using Asana I still know (even after month of not touching a project) what I’ve done, on which task I was at last working on and what still is to do. Working in Teams (for enterprise I’d take on Jira instead) of course Asana is a Tool which I really love to use as well. All the graphics on my website are SVG which I have created with Adobe Illustrator and adjusted within the SVG code or by using JavaScript or CSS (SASS).

      See more

      I use Visual Studio Code because at this time is a mature software and I can do practically everything using it.

      • It's free and open source: The project is hosted on GitHub and it’s free to download, fork, modify and contribute to the project.

      • Multi-platform: You can download binaries for different platforms, included Windows (x64), MacOS and Linux (.rpm and .deb packages)

      • LightWeight: It runs smoothly in different devices. It has an average memory and CPU usage. Starts almost immediately and it’s very stable.

      • Extended language support: Supports by default the majority of the most used languages and syntax like JavaScript, HTML, C#, Swift, Java, PHP, Python and others. Also, VS Code supports different file types associated to projects like .ini, .properties, XML and JSON files.

      • Integrated tools: Includes an integrated terminal, debugger, problem list and console output inspector. The project navigator sidebar is simple and powerful: you can manage your files and folders with ease. The command palette helps you find commands by text. The search widget has a powerful auto-complete feature to search and find your files.

      • Extensible and configurable: There are many extensions available for every language supported, including syntax highlighters, IntelliSense and code completion, and debuggers. There are also extension to manage application configuration and architecture like Docker and Jenkins.

      • Integrated with Git: You can visually manage your project repositories, pull, commit and push your changes, and easy conflict resolution.( there is support for SVN (Subversion) users by plugin)

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      Postman logo

      Postman

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      We just launched the Segment Config API (try it out for yourself here) — a set of public REST APIs that enable you to manage your Segment configuration. A public API is only as good as its #documentation. For the API reference doc we are using Postman.

      Postman is an “API development environment”. You download the desktop app, and build API requests by URL and payload. Over time you can build up a set of requests and organize them into a “Postman Collection”. You can generalize a collection with “collection variables”. This allows you to parameterize things like username, password and workspace_name so a user can fill their own values in before making an API call. This makes it possible to use Postman for one-off API tasks instead of writing code.

      Then you can add Markdown content to the entire collection, a folder of related methods, and/or every API method to explain how the APIs work. You can publish a collection and easily share it with a URL.

      This turns Postman from a personal #API utility to full-blown public interactive API documentation. The result is a great looking web page with all the API calls, docs and sample requests and responses in one place. Check out the results here.

      Postman’s powers don’t end here. You can automate Postman with “test scripts” and have it periodically run a collection scripts as “monitors”. We now have #QA around all the APIs in public docs to make sure they are always correct

      Along the way we tried other techniques for documenting APIs like ReadMe.io or Swagger UI. These required a lot of effort to customize.

      Writing and maintaining a Postman collection takes some work, but the resulting documentation site, interactivity and API testing tools are well worth it.

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      Simon Reymann
      Senior Fullstack Developer at QUANTUSflow Software GmbH · | 27 upvotes · 5M views

      Our whole Node.js backend stack consists of the following tools:

      • Lerna as a tool for multi package and multi repository management
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      The main reason we have chosen Node.js over PHP is related to the following artifacts:

      • Made for the web and widely in use: Node.js is a software platform for developing server-side network services. Well-known projects that rely on Node.js include the blogging software Ghost, the project management tool Trello and the operating system WebOS. Node.js requires the JavaScript runtime environment V8, which was specially developed by Google for the popular Chrome browser. This guarantees a very resource-saving architecture, which qualifies Node.js especially for the operation of a web server. Ryan Dahl, the developer of Node.js, released the first stable version on May 27, 2009. He developed Node.js out of dissatisfaction with the possibilities that JavaScript offered at the time. The basic functionality of Node.js has been mapped with JavaScript since the first version, which can be expanded with a large number of different modules. The current package managers (npm or Yarn) for Node.js know more than 1,000,000 of these modules.
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      Postman logo

      Postman

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      • 53
        It's the best
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        History feature
      • 44
        Adds real value to my workflow
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        Great interface that magically predicts your needs
      • 35
        The best in class app
      • 12
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      • 10
        Fully featured without looking cluttered
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      • 8
        Global/Environment Variables
      • 7
        Shareable Collections
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        Dead simple and useful. Excellent
      • 7
        Dark theme easy on the eyes
      • 6
        Awesome customer support
      • 6
        Great integration with newman
      • 5
        Documentation
      • 5
        Simple
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        The test script is useful
      • 4
        Saves responses
      • 4
        This has simplified my testing significantly
      • 4
        Makes testing API's as easy as 1,2,3
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        Continuous integration using newman
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        Graph
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        Poor GraphQL support
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        Not free after 5 users
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        Can't prompt for per-request variables
      • 1
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        Support websocket
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        Import curl

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      Noah Zoschke
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      Postman is an “API development environment”. You download the desktop app, and build API requests by URL and payload. Over time you can build up a set of requests and organize them into a “Postman Collection”. You can generalize a collection with “collection variables”. This allows you to parameterize things like username, password and workspace_name so a user can fill their own values in before making an API call. This makes it possible to use Postman for one-off API tasks instead of writing code.

      Then you can add Markdown content to the entire collection, a folder of related methods, and/or every API method to explain how the APIs work. You can publish a collection and easily share it with a URL.

      This turns Postman from a personal #API utility to full-blown public interactive API documentation. The result is a great looking web page with all the API calls, docs and sample requests and responses in one place. Check out the results here.

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      Simon Reymann
      Senior Fullstack Developer at QUANTUSflow Software GmbH · | 27 upvotes · 5M views

      Our whole Node.js backend stack consists of the following tools:

      • Lerna as a tool for multi package and multi repository management
      • npm as package manager
      • NestJS as Node.js framework
      • TypeScript as programming language
      • ExpressJS as web server
      • Swagger UI for visualizing and interacting with the API’s resources
      • Postman as a tool for API development
      • TypeORM as object relational mapping layer
      • JSON Web Token for access token management

      The main reason we have chosen Node.js over PHP is related to the following artifacts:

      • Made for the web and widely in use: Node.js is a software platform for developing server-side network services. Well-known projects that rely on Node.js include the blogging software Ghost, the project management tool Trello and the operating system WebOS. Node.js requires the JavaScript runtime environment V8, which was specially developed by Google for the popular Chrome browser. This guarantees a very resource-saving architecture, which qualifies Node.js especially for the operation of a web server. Ryan Dahl, the developer of Node.js, released the first stable version on May 27, 2009. He developed Node.js out of dissatisfaction with the possibilities that JavaScript offered at the time. The basic functionality of Node.js has been mapped with JavaScript since the first version, which can be expanded with a large number of different modules. The current package managers (npm or Yarn) for Node.js know more than 1,000,000 of these modules.
      • Fast server-side solutions: Node.js adopts the JavaScript "event-loop" to create non-blocking I/O applications that conveniently serve simultaneous events. With the standard available asynchronous processing within JavaScript/TypeScript, highly scalable, server-side solutions can be realized. The efficient use of the CPU and the RAM is maximized and more simultaneous requests can be processed than with conventional multi-thread servers.
      • A language along the entire stack: Widely used frameworks such as React or AngularJS or Vue.js, which we prefer, are written in JavaScript/TypeScript. If Node.js is now used on the server side, you can use all the advantages of a uniform script language throughout the entire application development. The same language in the back- and frontend simplifies the maintenance of the application and also the coordination within the development team.
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      Stack Overflow logo

      Stack Overflow

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      • 14
        Tight focus
      • 10
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      • 3
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        Questions answered quickly
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        No annoying ads
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      A huge component of our product relies on gathering public data about locations of interest. Google Places API gives us that ability in the most efficient way. Since we are primarily going to be using as google data as a source of information for our MVP, we might as well start integrating the Google Places API in our system. We have worked with Google Maps in the past and we might take some inspiration from our previous projects onto this one.

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      Elasticsearch logo

      Elasticsearch

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      • 54
        Easy to get started
      • 45
        Analytics
      • 26
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      • 6
        Fast search
      • 5
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        Great docs
      • 4
        Awesome, great tool
      • 3
        Highly Available
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        Easy to scale
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        Intuitive API
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        Great piece of software
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      • 2
        Fast
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        Easy setup
      • 1
        Open
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      We've been using PostgreSQL since the very early days of Zulip, but we actually didn't use it from the beginning. Zulip started out as a MySQL project back in 2012, because we'd heard it was a good choice for a startup with a wide community. However, we found that even though we were using the Django ORM for most of our database access, we spent a lot of time fighting with MySQL. Issues ranged from bad collation defaults, to bad query plans which required a lot of manual query tweaks.

      We ended up getting so frustrated that we tried out PostgresQL, and the results were fantastic. We didn't have to do any real customization (just some tuning settings for how big a server we had), and all of our most important queries were faster out of the box. As a result, we were able to delete a bunch of custom queries escaping the ORM that we'd written to make the MySQL query planner happy (because postgres just did the right thing automatically).

      And then after that, we've just gotten a ton of value out of postgres. We use its excellent built-in full-text search, which has helped us avoid needing to bring in a tool like Elasticsearch, and we've really enjoyed features like its partial indexes, which saved us a lot of work adding unnecessary extra tables to get good performance for things like our "unread messages" and "starred messages" indexes.

      I can't recommend it highly enough.

      See more
      Tymoteusz Paul
      Devops guy at X20X Development LTD · | 23 upvotes · 9.7M views

      Often enough I have to explain my way of going about setting up a CI/CD pipeline with multiple deployment platforms. Since I am a bit tired of yapping the same every single time, I've decided to write it up and share with the world this way, and send people to read it instead ;). I will explain it on "live-example" of how the Rome got built, basing that current methodology exists only of readme.md and wishes of good luck (as it usually is ;)).

      It always starts with an app, whatever it may be and reading the readmes available while Vagrant and VirtualBox is installing and updating. Following that is the first hurdle to go over - convert all the instruction/scripts into Ansible playbook(s), and only stopping when doing a clear vagrant up or vagrant reload we will have a fully working environment. As our Vagrant environment is now functional, it's time to break it! This is the moment to look for how things can be done better (too rigid/too lose versioning? Sloppy environment setup?) and replace them with the right way to do stuff, one that won't bite us in the backside. This is the point, and the best opportunity, to upcycle the existing way of doing dev environment to produce a proper, production-grade product.

      I should probably digress here for a moment and explain why. I firmly believe that the way you deploy production is the same way you should deploy develop, shy of few debugging-friendly setting. This way you avoid the discrepancy between how production work vs how development works, which almost always causes major pains in the back of the neck, and with use of proper tools should mean no more work for the developers. That's why we start with Vagrant as developer boxes should be as easy as vagrant up, but the meat of our product lies in Ansible which will do meat of the work and can be applied to almost anything: AWS, bare metal, docker, LXC, in open net, behind vpn - you name it.

      We must also give proper consideration to monitoring and logging hoovering at this point. My generic answer here is to grab Elasticsearch, Kibana, and Logstash. While for different use cases there may be better solutions, this one is well battle-tested, performs reasonably and is very easy to scale both vertically (within some limits) and horizontally. Logstash rules are easy to write and are well supported in maintenance through Ansible, which as I've mentioned earlier, are at the very core of things, and creating triggers/reports and alerts based on Elastic and Kibana is generally a breeze, including some quite complex aggregations.

      If we are happy with the state of the Ansible it's time to move on and put all those roles and playbooks to work. Namely, we need something to manage our CI/CD pipelines. For me, the choice is obvious: TeamCity. It's modern, robust and unlike most of the light-weight alternatives, it's transparent. What I mean by that is that it doesn't tell you how to do things, doesn't limit your ways to deploy, or test, or package for that matter. Instead, it provides a developer-friendly and rich playground for your pipelines. You can do most the same with Jenkins, but it has a quite dated look and feel to it, while also missing some key functionality that must be brought in via plugins (like quality REST API which comes built-in with TeamCity). It also comes with all the common-handy plugins like Slack or Apache Maven integration.

      The exact flow between CI and CD varies too greatly from one application to another to describe, so I will outline a few rules that guide me in it: 1. Make build steps as small as possible. This way when something breaks, we know exactly where, without needing to dig and root around. 2. All security credentials besides development environment must be sources from individual Vault instances. Keys to those containers should exist only on the CI/CD box and accessible by a few people (the less the better). This is pretty self-explanatory, as anything besides dev may contain sensitive data and, at times, be public-facing. Because of that appropriate security must be present. TeamCity shines in this department with excellent secrets-management. 3. Every part of the build chain shall consume and produce artifacts. If it creates nothing, it likely shouldn't be its own build. This way if any issue shows up with any environment or version, all developer has to do it is grab appropriate artifacts to reproduce the issue locally. 4. Deployment builds should be directly tied to specific Git branches/tags. This enables much easier tracking of what caused an issue, including automated identifying and tagging the author (nothing like automated regression testing!).

      Speaking of deployments, I generally try to keep it simple but also with a close eye on the wallet. Because of that, I am more than happy with AWS or another cloud provider, but also constantly peeking at the loads and do we get the value of what we are paying for. Often enough the pattern of use is not constantly erratic, but rather has a firm baseline which could be migrated away from the cloud and into bare metal boxes. That is another part where this approach strongly triumphs over the common Docker and CircleCI setup, where you are very much tied in to use cloud providers and getting out is expensive. Here to embrace bare-metal hosting all you need is a help of some container-based self-hosting software, my personal preference is with Proxmox and LXC. Following that all you must write are ansible scripts to manage hardware of Proxmox, similar way as you do for Amazon EC2 (ansible supports both greatly) and you are good to go. One does not exclude another, quite the opposite, as they can live in great synergy and cut your costs dramatically (the heavier your base load, the bigger the savings) while providing production-grade resiliency.

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      Simon Reymann
      Senior Fullstack Developer at QUANTUSflow Software GmbH · | 30 upvotes · 11M views

      Our whole DevOps stack consists of the following tools:

      • GitHub (incl. GitHub Pages/Markdown for Documentation, GettingStarted and HowTo's) for collaborative review and code management tool
      • Respectively Git as revision control system
      • SourceTree as Git GUI
      • Visual Studio Code as IDE
      • CircleCI for continuous integration (automatize development process)
      • Prettier / TSLint / ESLint as code linter
      • SonarQube as quality gate
      • Docker as container management (incl. Docker Compose for multi-container application management)
      • VirtualBox for operating system simulation tests
      • Kubernetes as cluster management for docker containers
      • Heroku for deploying in test environments
      • nginx as web server (preferably used as facade server in production environment)
      • SSLMate (using OpenSSL) for certificate management
      • Amazon EC2 (incl. Amazon S3) for deploying in stage (production-like) and production environments
      • PostgreSQL as preferred database system
      • Redis as preferred in-memory database/store (great for caching)

      The main reason we have chosen Kubernetes over Docker Swarm is related to the following artifacts:

      • Key features: Easy and flexible installation, Clear dashboard, Great scaling operations, Monitoring is an integral part, Great load balancing concepts, Monitors the condition and ensures compensation in the event of failure.
      • Applications: An application can be deployed using a combination of pods, deployments, and services (or micro-services).
      • Functionality: Kubernetes as a complex installation and setup process, but it not as limited as Docker Swarm.
      • Monitoring: It supports multiple versions of logging and monitoring when the services are deployed within the cluster (Elasticsearch/Kibana (ELK), Heapster/Grafana, Sysdig cloud integration).
      • Scalability: All-in-one framework for distributed systems.
      • Other Benefits: Kubernetes is backed by the Cloud Native Computing Foundation (CNCF), huge community among container orchestration tools, it is an open source and modular tool that works with any OS.
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      Dale Ross
      Independent Contractor at Self Employed · | 22 upvotes · 1.6M views

      I've heard that I have the ability to write well, at times. When it flows, it flows. I decided to start blogging in 2013 on Blogger. I started a company and joined BizPark with the Microsoft Azure allotment. I created a WordPress blog and did a migration at some point. A lot happened in the time after that migration but I stopped coding and changed cities during tumultuous times that taught me many lessons concerning mental health and productivity. I eventually graduated from BizSpark and outgrew the credit allotment. That killed the WordPress blog.

      I blogged about writing again on the existing Blogger blog but it didn't feel right. I looked at a few options where I wouldn't have to worry about hosting cost indefinitely and Jekyll stood out with GitHub Pages. The Importer was fairly straightforward for the existing blog posts.

      Todo * Set up redirects for all posts on blogger. The URI format is different so a complete redirect wouldn't work. Although, there may be something in Jekyll that could manage the redirects. I did notice the old URLs were stored in the front matter. I'm working on a command-line Ruby gem for the current plan. * I did find some of the lost WordPress posts on archive.org that I downloaded with the waybackmachinedownloader. I think I might write an importer for that. * I still have a few Disqus comment threads to map

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