Features
Overview of Aidbox features
Core FHIR Capabilities
Supports STU3, R4, R4B, R5, R6 ballot3.
Full CRUD, history/versioning, conditional operations, transactions
High-performance rich-featured validation
FHIRPath support for updating, filtering, derived values, and expressions
Advanced Search:
_include, _revinclude, _has, chained parameters, _filter, _list
Custom SearchParameters
Full-text search with optimized indexing
Full implementation of Structured Data Capture (SDC): $extract, $populate, Questionnaire, and QuestionnaireResponse
Bulk import and export
Database
PostgreSQL JSONB data storage model
Advanced data access
Analytics and reporting on FHIR data
Deployable on self-hosted and managed PostgreSQL services (AWS, GCP, Azure)
Rich Indexing
FHIR Configuration
FHIR Package Registry including 500+ ready-to-use FHIR IGs.
Load official IGs from FHIR Package registry (e.g., US Core, IPS, DE Basisprofil, ISIK, AU Core, CL Core, etc.)
Load custom IGs as FHIR packages using UI
GUI and API support for loading FHIR IGs and canonicals
Support for external terminology services
Customization & Extensibility
Custom resource types, extensions,
Custom search parameters and operations
Custom logic via Aidbox Apps
Advanced Data Access
SQL API
SQL-on-FHIR for analytics and reporting
GraphQL API for nested and filtered access
REST-exposed SQL endpoints
Subscriptions & Reactive API
Topic-based FHIR Subscriptions (R4B/R5 compliant)
Multi-destination push: Kafka, GCP Pub/Sub, webhook
Polling APIs for resource sync
Security, Identity & Access Control
OAuth 2.0, OpenID Connect, Basic Auth, SSO, SCIM
SMART App Launch (EHR and standalone)
Access control: RBAC, ABAC
Scoped APIs
Security Labels
Multitenancy: physical isolation of the databases - Multibox, logical multitenancy - Organization-based access control
AuditEvent logging
Integrations
HL7 v2 inbound module
C-CDA bidirectional converter
X12 support (e.g., 270/271, 837)
Deployment & Operations
Kubernetes-native (on AWS, Azure, GCP, OpenShift, etc)
On-premises installations
Deployment to air-gapped environments
Horizontal scaling
Helm charts
HIPAA-compliant architecture
OpenTelemetry protocol for metrics, traces, and structured logs
Performance monitoring tools
Developer experience and tools
Local installation support and cloud sandboxes
Administrative UI
REST and SQL consoles
Notebooks
FHIR resource browser
Runtime-editable configuration
SDKs for TypeScript, Python
Code-generation support for creating your own SDKs, with examples provided for Python, TypeScript, and C#
Template projects and examples for quick start
Open user community
Scalability and Performance
Aidbox’s storage capacity is directly tied to PostgreSQL’s capabilities. We have production installations handling 20+ TBs of data.
Performance:
~2,500 resources per second using standard RESTful CRUD operations (POST with validation) under concurrent load (300 threads)
~3,500 resources per second using FHIR transaction bundles (bulk inserts of 10–100 resources each)
Bulk Import: Up to 21,000 resources per second using the optimized /v2/fhir/$import endpoint
Bulk Export: Up to 15,500 resources per second during /fhir/$export of 100M resources
High-availability and Disaster Recovery
Cloud-native: AWS, Azure, GCP, hybrid, and private
Zero-downtime updates
Support for Kubernetes-native HA deployments
Support for HA PostgreSQL configurations with replication, automated failover, and point-in-time recovery
Modules
Aidbox Forms:
Form rendering engine
FHIR and Aidbox SDC APIs
ePrescriptions
Aidbox Billing
MDM (Master Data Management)
Smartbox FHIR API for health plans and EHRs
Audit record repository
Compliance & Certifications
and ISO 27001-certified
HIPAA, HITECH, and GDPR compliant
Secure SDLC: vulnerability scans, dependency SBOM, etc.
Audit and traceability for all access
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