FHIR-Converter VS openemr

Best of luck to Metriport. I've worked for years in the healthcare interoperability space and there are still a huge number of unsolved problems impacting cost and patient care.

There actually is a standard for converting C-CDA records to FHIR. It isn't 100% complete but serves as a useful starting point. If you find problems with it you can feed those back into the standards process.

http://hl7.org/fhir/us/ccda/

Microsoft has an open source library which works pretty well and I think implements at least part of that standard, although I haven't used it lately.

https://github.com/microsoft/FHIR-Converter

FHIR also includes unstructured narrative text so it isn't necessarily better than C-CDA in that regard. You'll find that data quality problems come down more to provider systems configuration and charting policies rather than data formats.

Set this up locally if you are a "learn by seeing" more than a "learn by reading several pages of specs" type: https://github.com/microsoft/FHIR-Converter

Microsoft has been investing in tools like this such as: https://github.com/microsoft/FHIR-Converter

It’s total shit.

I’m rooting for something like this in the long term: https://github.com/openemr/openemr

Here is OpenEMRs github page. The project is coded predominantly in PHP and the project seems to be very active when you look at the rate of code merges.

Looks like you'd be better suited to just following the projects current pipeline strategy (https://github.com/openemr/openemr/actions). Looks like they use GitHub actions.