[adolph]

Oh, I forgot another aspect of FHIR, SMART on FHIR EHR integrations so the clinical research folks can optionally go straight in from the EHR.

I can’t say I disagree with your assessment of REDCap’s base tech except that it works sufficiently well to have pretty broad adoption, which can be approximated by the number of local endpoints exposed in their EHR-internal client record. A single institution project is certainly not a competitor and I wish y’all good fortune in ever getting beyond your patrons.