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 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: Multibox, 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 chart

• 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

• 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​

Load performance testing results here

High-availability and Disaster Recovery

• Cloud-native: AWS, Azure, GCP, hybrid and private

• Zero-downtime updates

Modules

• Aidbox Forms:

  • Ready-made medical form repository (Aidbox Form Gallery)
  • UI Builder for creating forms without code (based on FHIR SDC Implementation Guide)
  • 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

• ISO 27001-certified

• HIPAA, HITECH, GDPR compliant

• Secure SDLC: vulnerability scans, dependency SBOM, etc.

• Audit and traceability for all access