For healthcare organizations standardized on Microsoft, the Azure-native path to FHIR is compelling — native security, Entra ID, and the rest of the Azure data and AI stack all in one place. Taction Software implements FHIR on Azure end to end: the FHIR service, the DICOM service, the MedTech (IoT) service, authentication, and the integration patterns that connect FHIR to the rest of your Azure environment.
One important note up front: Microsoft is retiring the standalone Azure API for FHIR (end of support September 30, 2026) in favor of the Azure Health Data Services FHIR service. We implement on Azure Health Data Services and also migrate organizations off the legacy Azure API for FHIR before the deadline. For FHIR work that is not Azure-specific, see our general FHIR API development practice.
Schedule an Azure FHIR Implementation Workshop → (NDA-protected)
Microsoft Azure specialist team · FHIR R4 expertise · HIPAA + BAA
Why Azure Health Data Services for FHIR
For Microsoft-Stack Healthcare Organizations
If your organization already runs on Azure and Microsoft tooling, the Azure FHIR service fits your stack, your identity, and your operations without introducing a foreign platform.
Native Azure Integration & Security
The FHIR service integrates natively with Azure security and the broader Azure ecosystem, which simplifies architecture and governance.
Cost & Scaling Considerations
As a managed service, it offloads infrastructure operations and scales with Azure — though cost modeling matters, which we do with you up front.
BAA-Covered FHIR Service
Azure Health Data Services is covered under Microsoft’s BAA, so it can handle PHI when configured correctly — see our HIPAA-compliant development practice.
Our Azure FHIR Implementation Capabilities
FHIR Service Deployment
FHIR R4 service configuration, custom profile implementation, and search parameter configuration so the service matches your data and query needs.
DICOM Service Integration
Imaging integration and PACS connectivity via the Azure DICOM service, complementing our DICOM imaging pipeline work.
MedTech Service (IoT)
Device data ingestion, mapping to FHIR Observations, and IoT Hub integration — turning device streams into structured FHIR data, connecting to our remote patient monitoring work.
Authentication & Authorization
Microsoft Entra ID integration, SMART on FHIR, and application role configuration so access is secure and standards-based.
Azure FHIR vs. Alternatives
Azure FHIR vs. HAPI FHIR
The Azure FHIR service is managed; HAPI FHIR is self-hosted open source giving maximum control with maximum operational responsibility. The right choice follows your control, cost, and operations preferences.
Azure FHIR vs. AWS HealthLake
Both are managed cloud FHIR offerings; the deciding factor is usually which cloud you are standardized on. If you are an AWS shop, we also implement on AWS HealthLake.
Azure FHIR vs. Google Cloud Healthcare API
Again, the cloud you have committed to typically decides it. We implement FHIR on Azure, AWS, and GCP, and help you choose based on your existing footprint rather than a one-size answer.
Integration Patterns
We connect FHIR to the rest of your Azure environment: Azure Data Factory for ETL, Azure Synapse for analytics (supporting our healthcare data analytics work), Power BI for healthcare reporting, and Azure OpenAI integration for AI on FHIR data (connecting to our healthcare AI practice).
Engagement Options
We work in three common shapes: a greenfield Azure FHIR implementation, a migration from another FHIR platform (including the legacy Azure API for FHIR), and Azure FHIR performance tuning — all on our custom healthcare software foundation.
Schedule an Azure FHIR Implementation Workshop →
Frequently Asked Questions
Is Azure FHIR HIPAA-eligible?
Yes. Azure Health Data Services is covered under Microsoft’s BAA and can handle PHI when configured correctly. We implement the access controls, logging, and configuration HIPAA expects as part of the deployment.
How does pricing work?
Azure Health Data Services is consumption-based, so cost depends on your data volume, request patterns, and which services (FHIR, DICOM, MedTech) you use. We model expected cost with you during the workshop so there are no surprises.
Can we use it for Cures Act compliance?
Yes. The Azure FHIR service supports building the CMS interoperability APIs, and we implement them to the relevant guides — see our overview of 21st Century Cures Act compliance.
What about FHIR R5?
FHIR R4 remains the version mandated by US regulation (US Core, Cures Act), so we build to R4 for compliance use cases today. FHIR R5 exists and adoption is still early in US healthcare; we track it and design so a future move is manageable.
Schedule an Azure FHIR Implementation Workshop →
Reviewed by Taction Software’s healthcare cloud and integration engineering team. We confirm the specific Azure credentials of the engineers assigned to your engagement. ISO 27001-certified information security management. PHI is handled under a signed BAA — see our healthcare data security practice.