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Building a multi-tenant FHIR server with AWS HealthLake

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This article provides a comprehensive guide to building multi-tenant FHIR servers using AWS HealthLake, focusing on two primary implementation approaches:

  • Option A: Full tenant separation using unique AWS HealthLake data stores with different KMS keys
  • Option B: Single data store with logical tenant separation using FHIR tags and security labels

Key considerations include:

  • Authentication methods: SMART on FHIR vs AWS SigV4
  • Data isolation requirements
  • Cost and performance implications
  • Use of routers (Lambda or API Gateway) for request management

The article emphasizes balancing security, cost, and scalability when designing multi-tenant healthcare applications with AWS HealthLake.



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