On this page
A practical cut of Healthcare: API Design Guide for engineering and product leads — decisions first, framework essays last.
Who this is for
Teams that write trade-offs down before coding burn fewer sprints when a stakeholder changes their mind mid-build. We keep ADRs short on purpose.
Decisions that still look smart in 18 months
Use boring technology where the risk is operational. Save novelty for the one wedge that makes the product worth buying.
Build checklist we actually use
Ignore the buzzwords. For Healthcare: API Design Guide, the hard constraint is usually data ownership or ops capacity — not how many features fit on a roadmap slide.
Failure modes we keep seeing
Ignore the buzzwords. For Healthcare: API Design Guide, the hard constraint is usually data ownership or ops capacity — not how many features fit on a roadmap slide.
How we measure rollout
Teams that write trade-offs down before coding burn fewer sprints when a stakeholder changes their mind mid-build. We keep ADRs short on purpose.
We update this when delivery patterns change on live client work.