FHIR R4 · Clinical data infrastructure · Analytics-ready

The FHIR-native layer for clinical data products

TietAI FHIR Server gives health platforms a standards-compliant API layer to store, validate, search, version, and exchange clinical resources.

It connects EHR feeds, HL7 transformations, agentic pipeline writes, applications, analytics, OMOP mapping, and EHDS workflows through one governed FHIR foundation.

FHIR server for clinical data exchange

15+ resources

patients, encounters, observations, claims, documents, and more

Advanced search

include, reverse include, chained, modifier, and composite queries

FHIR Bundles

atomic transaction and batch processing

SQL-on-FHIR

direct analytics over governed FHIR resources

FHIR platform

A complete clinical resource lifecycle

The server provides the core FHIR operations needed by health apps, integration services, and AI pipelines without forcing every team to rebuild the same infrastructure.

Full resource lifecycle

Create, read, update, patch, delete, and retrieve history for supported FHIR R4 resources through one consistent API.

Broad clinical coverage

Support patient demographics, providers, organizations, encounters, conditions, observations, medications, allergies, procedures, reports, immunizations, care plans, documents, coverage, and claims.

Clinical-grade search

Expose the search patterns clinical products need, including includes, reverse includes, chained parameters, modifiers, date ranges, and paginated results.

Bundle workflows

Process batch and transaction Bundles so multi-resource writes can move together with predictable success or rollback behavior.

Version history

Keep a traceable history of resource changes so applications can inspect previous versions and understand how clinical records evolved.

FHIR R4 validation

Validate incoming resources against FHIR R4 structure, required fields, references, and vocabulary expectations before they become operational data.

Operational trust

Built for governed healthcare operations

Product teams get standards support, isolation, validation, observability, and performance controls without exposing infrastructure complexity to users.

Organization isolation

Separate data by organization across read, write, search, history, and Bundle operations for multi-tenant clinical deployments.

Terminology-aware validation

Connect code validation and ontology lookup services so clinical concepts can be checked before they flow downstream.

Analytics-ready storage

Keep resources in a queryable FHIR data layer that supports SQL-on-FHIR views and downstream reporting.

Service observability

Track request volume, latency, resources created or updated, search behavior, Bundle throughput, validation errors, and active connections.

Fast search foundation

Use indexed resource storage and compiled search queries so common clinical lookups stay responsive as datasets grow.

Operational controls

Tune Bundle size, search count, include depth, validation, history, caching, and connection pools for each deployment profile.

Connected ecosystem

One FHIR layer across care, AI, and analytics

The FHIR Server is designed to sit between operational systems, transformation services, product frontends, agentic pipelines, analytics, OMOP, and EHDS services.

EHR and API gateway

Expose a stable FHIR R4 endpoint for EHR systems, internal applications, and frontend clinical data browsers.

HL7-to-FHIR transformation

Receive normalized FHIR output from integration pipelines that transform HL7 and other hospital messages.

Agentic pipeline writes

Let AI workflows write structured FHIR resources back into the governed clinical data layer.

OMOP analytics bridge

Feed analytics services that map FHIR resources into OMOP CDM for research, real-world evidence, and secondary use.

EHDS-ready exchange

Provide a standards-native source for European data space workflows, catalogs, distributions, and governed sharing.

Data flow

From fragmented systems to usable clinical resources

EHR systems, integration pipelines, applications, and agents write FHIR R4 resources through the gateway. The server validates, stores, indexes, versions, and isolates those resources by organization.

From there, product teams can search records, process transactions, power clinical apps, run SQL-on-FHIR analytics, and send curated data into OMOP or EHDS workflows.

Need a FHIR foundation?

Make clinical data usable by default

Give care apps, integration teams, AI agents, analytics, and governance workflows the same standards-native clinical data layer.