As we surveyed available options for FHIR servers we did not find them to be performant for over 100,000 patients. This, coupled with the fact that we donβt believe the future will be deploying FHIR servers on machines on premises, led us to create our own cloud based HIPAA-compliant FHIR server Built natively on FHIR with all the capabilities of our FHIR platform available out of the box.