Sundaram, S. 2026. Self-Optimizing Integration Pipelines for Dynamic Clinical Workloads: A Reinforcement Learning Approach to Autonomous Performance Tuning in Healthcare Middleware. International Journal of Artificial Intelligence, Data Science, and Machine Learning. 7, 3 (Aug. 2026), 120–130. DOI:https://doi.org/10.63282/3050-9262.IJAIDSML-V7I3P114.