
Modern healthcare applications must handle sensitive clinical and administrative data in a secure and standards-compliant way but achieving this is challenging. Connecting and managing multiple systems while ensuring data accuracy is complex. Misconfigurations in authentication, authorization, or data mapping can lead to unauthorized access, inconsistent records, and potential compliance violations. Additionally, validating API operations and maintaining the integrity of healthcare resources across different platforms is time consuming and prone to errors, making it difficult to deploy reliable and secure applications.

Cabot implemented a FHIR-compliant server connected to an MSSQL database, with Firely Auth configured for secure access using OAuth2/OpenID Connect. This setup ensured that only authorized applications and users could access sensitive clinical and administrative data.
API operations were tested using Postman to simulate real-world scenarios, validating that read and write requests worked correctly while unauthorized access attempts were blocked. The integration also confirmed that FHIR resources were accurately mapped to the database, maintaining data integrity and schema compatibility.
Through this approach, Cabot demonstrated a secure, standards-compliant framework for healthcare data exchange, enabling reliable access to clinical and operational information while protecting patient privacy.
Integrations
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Cabot implemented the solution in a phased approach, focusing on security and reliability at each stage.
Key Features
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Challenge: Ensuring secure and standards-compliant access to healthcare data was complex, as the FHIR server needed to reliably manage sensitive information while preventing unauthorized access and maintaining data integrity.
Solution: Cabot configured Firely Auth for secure authentication, connected the server to the MSSQL database, and tested API operations with Postman. This ensured reliable, compliant, and controlled access to clinical and administrative data.

Secure and Reliable Data Access
Connecting Firely Server with MSSQL and Firely Auth ensured that only authorized applications and users could safely access healthcare data.
Seamless Data Operations
API tests confirmed that data could be stored, retrieved, and used correctly across the system.
Smooth Client and User Management
Client applications and user accounts for patients and practitioners were successfully registered and activated, making it easy to access healthcare resources.
Better Prepared for Future Projects
The team learned how to handle integration challenges, use documentation effectively, and troubleshoot issues quickly, improving readiness for future healthcare applications.
By connecting Firely Server to MSSQL and integrating Firely Auth for secure access, Cabot ensured reliable, standards-compliant management of healthcare data. Client applications and user accounts for patients and practitioners were successfully registered and activated, and Postman testing confirmed secure and accurate API operations.
The project demonstrated Cabot’s ability to implement secure and interoperable healthcare systems efficiently while maintaining data integrity. Moving forward, implementing the full SMART on FHIR OAuth2 flow, integrating frontend applications, and documenting the setup will further enhance usability and scalability, creating a robust foundation for production-ready healthcare solutions.
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