Metriport

A patient's medical history is scattered across systems that were never designed to talk to each other: hospital EHRs, pharmacy networks, lab companies, each with its own formats and access rules. Metriport queries the national health information networks, along with pharmacies and labs, converts what comes back into FHIR, deduplicates it, and returns one consolidated medical record. A clinician gets a patient's history in seconds instead of a week of faxes and portal logins.

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patient queryrecords arriving

I joined in 2025 to build integrations that feed that record.

Pharmacy data through Surescripts#

My first project was the Surescripts integration. Surescripts runs the network that carries most e-prescriptions in the US, which makes it the closest thing there is to a national medication history. I built the integration that requests a patient's medication history and maps the responses into FHIR resources in the consolidated record, so a clinician reviewing a chart sees what was actually prescribed and dispensed, not just what the patient remembers at intake.

Lab data through Quest#

Next came Quest Diagnostics, one of the largest lab networks in the country. The shape was familiar (a vendor integration feeding the consolidated record) but the domain was new: lab orders and results instead of prescriptions, with their own formats, codes, and edge cases to work through before results landed cleanly alongside everything else.

One developer = one project#

Metriport is structured so that individual developers lead their own projects and build them end to end. When I say I wrote the Surescripts integration, I mean the design, the vendor coordination, the implementation, the rollout, and the fixes after launch. It's a lot of responsibility to hand one person, and it's the fastest way I know to get better at the whole job rather than one slice of it.

An intense place on purpose#

Metriport is an intense work environment, and the intensity comes from the conviction at the top. Dima and Colin, the CEO and COO, have been building toward healthcare interoperability since 2021. The pace inside the company matches the endurance of that ambition. Getting a front-row seat to this company's operations has taught me things I didn't pick up in years of running my own, especially around the management techniques that keep a team pointed at one goal.

The same goes for the operational staff. Healthcare comes with compliance, vendor agreements, implementations, and support burdens that engineers mostly get to ignore because someone else is carrying them. Working alongside the people who carry them has given me a lot of respect for how much of the company's promise they keep.