The FHIR Server for Azure is an open-source project by Microsoft Healthcare that provides a foundational implementation of the Fast Healthcare Interoperability Resources (FHIR) specification. Built on .NET Core, it is designed for cross-platform deployment, though it is highly optimized for the Azure ecosystem, serving as the core engine for Microsoft's managed FHIR offerings (Azure API for FHIR and the FHIR service in Azure Health Data Services).
This server enables developers to rapidly deploy a FHIR-compliant service to ingest, manage, and exchange clinical health data in the cloud. It features a modular architecture with a pluggable persistence layer, supporting both Azure Cosmos DB and Azure SQL Database.
Key Capabilities
- Full FHIR Standard Implementation: Supports the core FHIR RESTful API capabilities (read, create, update, search, history, batch/transaction).
- Security and Access Control: Integrates with Microsoft Entra ID (formerly Azure AD) to enable Role-Based Access Control (RBAC) and secure data access.
- SMART on FHIR: Includes support for the SMART on FHIR specification, allowing for secure integration with third-party mobile and web applications.
- Bulk Data Operations: Supports bulk data ingestion and the FHIR
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Target users include healthcare developers, health IT organizations, and researchers looking to build custom, interoperable, and scalable health data solutions.
