Introducing Fire Arrow: A FHIR Backend for Digital Health Products
Fire Arrow
Summary
Fire Arrow is a FHIR application backend designed for digital health products, offering built-in features like Authentication (Auth), Role-Based Access Control (RBAC), and GraphQL API. It allows developers to bypass initial challenges such as data modeling and compliance, enabling rapid product development.
Details
Fire Arrow positions itself as a FHIR application backend—described as 'Supabase for digital health.' The platform addresses several critical pain points in digital health development. First, it eliminates the need to remodel data when connecting to external systems; developers can utilize over 150 FHIR resource types, ensuring compatibility with existing EHRs and payers. Second, it streamlines authentication by providing a single source of truth for identity management across both GraphQL and REST APIs, eliminating redundant setup for API use and compliance auditing. Third, core compliance requirements (such as ISO 27001 alignment, audit trails, and default-deny authorization) are built into the deployment from day one. Key functionalities include supporting AI agents that query FHIR data using a clinician's own token, automated scheduling and alerting for patient questionnaires (e.g., PHQ-9), and robust multi-tenant isolation achieved through property and identity filters to prevent data leakage. This allows developers to focus on their core intellectual property (IP) rather than backend boilerplate code. The system features a FHIR-Native Store supporting 150+ resource types, dual access via GraphQL/REST APIs, and vendor-neutral OAuth/OIDC authentication mapped to FHIR identity resources. Deployment is simplified using Docker, providing a comprehensive backend solution for healthcare applications.
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