FHIR Server Providers – Managed, on-prem or free / open-source

The following list was first published by Darren Devitt, and has been posted here with his permission. We highly recommend following him on LinkedIn (opens in new tab)! This list will probably evolve over time so make sure to check it out again when you feel it's time to look for a server.


It’s surprisingly difficult to find a list of FHIR server providers.

Below are all the server or API providers that I’m familiar with. If I’ve left out or miscategorized any please leave a comment or DM me.

In this instance, self-promotion is recommended. If you’ve built something, tell us about it.

A list like this has real value to organizations and businesses looking to utilize FHIR. But remember, not all FHIR servers are equal!

Managed Cloud Servers

  1. Intersystems: https://www.intersystems.com/resources/
  2. Azure Health Data Services: https://azure.microsoft.com/
  3. Google Healthcare API: https://cloud.google.com/healthcare-api
  4. AWS HealthLake: https://aws.amazon.com/healthlake/
  5. Health Samurai Aidbox: https://www.health-samurai.io/aidbox
  6. 1upHealth: https://1up.health/products/1up-fhir-platform/
  7. Medplum: https://www.medplum.com/
  8. SAP Health Data Services: https://help.sap.com/docs/SAP

On-Prem or Self-managed

  1. Firely: https://fire.ly/products/firely-server/
  2. Smile (HAPI): https://www.smiledigitalhealth.com/
  3. Kodjin: https://kodjin.com/

Free & Open Source

  1. HAPI (Smile): https://github.com/hapifhir/hapi-fhir
  2. Microsoft: https://github.com/microsoft/fhir-server
  3. IBM LinuxForHealth: https://github.com/LinuxForHealth/FHIR
  4. Firely / Incendi: https://github.com/FirelyTeam/spark
  5. bwell: https://github.com/icanbwell/fhir-server

There is some crossover between managed cloud and on-prem solutions, as some companies offer both.

And a final word of caution: don’t assume the brand name companies offer the best solution.

More To Explore


the Synergistic Interoperability Power of ImplementationGuides and CapabilityStatements

Within the healthcare domain, seamless data exchange between disparate systems is paramount for improved patient care and coordinated healthcare delivery. The Fast Healthcare Interoperability Resources (FHIR) standard plays a critical role in facilitating this exchange. Two key resources, ImplementationGuide and CapabilityStatement, act as the cornerstones for ensuring successful interoperability.