azure-health-data-services

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---
name: azure-health-data-services
description: Expert knowledge for Azure Health Data Services development including troubleshooting, best practices, decision making, architecture & design patterns, limits & quotas, security, configuration, integrations & coding patterns, and deployment. Use when using FHIR/DICOM APIs, bulk import/export, de-identification, Synapse/ADF pipelines, or SMART on FHIR, and other Azure Health Data Services related development tasks. Not for Azure Health Bot (use azure-health-bot), Azure Data Factory (use azure-data-factory), Azure Synapse Analytics (use azure-synapse-analytics), Azure Machine Learning (use azure-machine-learning).
compatibility: Requires network access. Uses mcp_microsoftdocs:microsoft_docs_fetch or fetch_webpage to retrieve documentation.
metadata:
  generated_at: "2026-08-02"
  generator: "docs2skills/1.0.0"
---
# Azure Health Data Services Skill

This skill provides expert guidance for Azure Health Data Services. Covers troubleshooting, best practices, decision making, architecture & design patterns, limits & quotas, security, configuration, integrations & coding patterns, and deployment. It combines local quick-reference content with remote documentation fetching capabilities.

## How to Use This Skill

> **IMPORTANT for Agent**: Use the **Category Index** below to locate relevant sections. For categories with line ranges (e.g., `L35-L120`), use `read_file` with the specified lines. For categories with file links (e.g., `[security.md](security.md)`), use `read_file` on the linked reference file

> **IMPORTANT for Agent**: If `metadata.generated_at` is more than 3 months old, suggest the user pull the latest version from the repository. If `mcp_microsoftdocs` tools are not available, suggest the user install it: [Installation Guide](https://github.com/MicrosoftDocs/mcp/blob/main/README.md)

This skill requires **network access** to fetch documentation content:
- **Preferred**: Use `mcp_microsoftdocs:microsoft_docs_fetch` with query string `from=learn-agent-skill`. Returns Markdown.
- **Fallback**: Use `fetch_webpage` with query string `from=learn-agent-skill&accept=text/markdown`. Returns Markdown.

## Category Index

| Category | Lines | Description |
|----------|-------|-------------|
| Troubleshooting | L37-L46 | Diagnosing and fixing Azure Health Data Services issues: FHIR access tokens, event delivery problems, $convert-data failures, identity provider setup, and known platform limitations. |
| Best Practices | L47-L55 | Best practices for securing and managing Azure Health Data Services: BCDR planning, CMK encryption for FHIR/DICOM, performance tuning, and safely running FHIR reindex jobs. |
| Decision Making | L56-L64 | Planning and executing migrations from Azure API for FHIR and SMART on FHIR proxy to Azure Health Data Services, plus answers to common Azure API for FHIR questions. |
| Architecture & Design Patterns | L65-L71 | Architectural patterns for FHIR, DICOM, and de-identification: disaster recovery setup, reliable anonymization services, DICOM + Data Lake integration, and digital pathology workflow design. |
| Limits & Quotas | L72-L77 | Scaling and performance limits for Azure API for FHIR and DICOM: autoscale setup, throughput and request caps, storage and size constraints, and service-specific behavior under load. |
| Security | L78-L117 | Configuring auth, RBAC, identities, keys, policies, network and client app security for Azure Health Data Services (FHIR, DICOM, de-identification) including tokens, CMK, Private Link, and SMART on FHIR. |
| Configuration | L118-L168 | Configuring Azure Health Data Services (FHIR and DICOM): CORS, logging, bulk import/export, de-identification, profiles, search, history/versioning, events, and standards-specific integrations. |
| Integrations & Coding Patterns | L169-L206 | Using FHIR and DICOM APIs with cURL/SDKs, bulk export/import, search, de-identification, events, and integrating with Synapse, ADF, Logic Apps, and Da