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Firely

FHIR-native data platform built on .NET Core for processing health data and enhancing interoperability, with the widely-used open-source Firely .NET SDK.

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NL Est. 2013 Active Backend-as-a-Service

Our Verdict

The obvious FHIR choice for .NET shops, less compelling if your stack is Java or Node.

Pros

  • Authoritative .NET FHIR tooling
  • Popular open-source SDK
  • Strong interoperability focus

Cons

  • Best in .NET, less ideal elsewhere
  • Commercial server priced for enterprise
  • Smaller community than HAPI
Best for: Healthcare teams building interoperability on .NET Core Not for: Non-.NET shops who already use HAPI FHIR or Aidbox

When to Use Firely

Good fit if you need

  • FHIR-compliant .NET backend for digital health applications
  • Processing and validating FHIR resources in C# environments
  • Interoperability integration using Firely's popular .NET SDK
  • Building compliant health data pipelines on .NET Core stack
  • FHIR STU3/R4/R5 support for European healthcare systems

Firely Pricing

Pricing Model
subscription
Free Tier
No
Entry Price
β€”
Enterprise Available
No
Transparency Score
β€”

Beta β€” estimates may differ from actual pricing

1,000
1001K10K100K1M

Estimated Monthly Cost

$25

Estimated Annual Cost

$300

Estimates are approximate and may not reflect current pricing. Always check the official pricing page.

Project Health

B

Health Score

918 361
Bus Factor

10

Last Commit

6 days

Release Freq

17d

Open Issues

68

Issue Response

N/A

License

NOASSERTION

Last checked: 2026-04-21

Lock-in Assessment

Low 4/5
Lock-in Score
4/5

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