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azure-health-data-services

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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 export/import, de-identification, SMART on FHIR, or Synapse/ADF integrations, 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).

Design

What this skill does

# 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 token/auth issues, event delivery problems, FHIR $convert-data failures, identity provider misconfigurations, and known platform bugs in Azure Health Data Services. |
| Best Practices | L47-L54 | Guidance on securing FHIR/DICOM with customer-managed keys, tuning FHIR performance, and safely running, monitoring, and managing FHIR reindex jobs. |
| Decision Making | L55-L60 | Planning and executing migrations from Azure API for FHIR to the FHIR service or broader Azure Health Data Services, including architecture, data, and configuration considerations. |
| Architecture & Design Patterns | L61-L67 | 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 | L68-L74 | 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 | L75-L115 | Configuring auth, RBAC, identities, tokens, encryption (CMK), network/private access, SMART on FHIR, and compliance policies for FHIR, DICOM, and de-identification services. |
| Configuration | L116-L170 | Configuring Azure Health Data Services (FHIR and DICOM): CORS, logging, events, bulk export/import/update, de-identification, profiles/validation, search parameters, history/versioning, and Da Vinci/CARIN setups. |
| Integrations & Coding Patterns | L171-L203 | Code samples and patterns for calling FHIR/DICOM APIs, bulk export/import, de-identification, events, and integrating with tools like Synapse, ADF, Logic Apps, and VS Code. |
| Deployment | L204-L219 | How to deploy and move Azure Health Data Services (FHIR, DICOM, de-identification, workspaces) using portal, ARM, Bicep, CLI, PowerShell, and check regional availability |

### Troubleshooting
| Topic | URL |
|-------|-----|
| Validate and troubleshoot Azure API for FHIR access tokens | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/azure-api-fhir-access-token-validation |
| Resolve common Azure Health Data Services event issues | https://learn.microsoft.com/en-us/azure/healthcare-apis/events/events-faqs |
| Troubleshoot event delivery in Azure Health Data Services | https://learn.microsoft.com/en-us/azure/healthcare-apis/events/events-troubleshooting-guide |
| Troubleshoot FHIR $convert-data operation failures | https://learn.microsoft.com/en-us/azure/healthcare-apis/fhir/convert-data-troubleshoot |
| Troubleshoot FHIR identity provider configuration issues | https://learn.microsoft.com/en-us/azure/healthcare-apis/fhir/troubleshoot-identity-provider-configuration |
| Review known issues for Azure Health Data Services | https://learn.microsoft.com/en-us/azure/healthcare-apis/known-issues |

### Best Practices
| Topic | URL |
|-------|-----|
| Apply customer-managed key best practices to DICOM service | https://learn.microsoft.com/en-us/azure/healthcare-apis/dicom/customer-managed-keys |
| Best practices for CMK in FHIR service | https://learn.microsoft.com/en-us/azure/healthcare-apis/fhir/customer-managed-keys |
| Apply performance best practices for Azure FHIR service | https://learn.microsoft.com/en-us/azure/healthcare-apis/fhir/fhir-best-practices |
| Run and manage FHIR reindex jobs safely | https://learn.microsoft.com/en-us/azure/healthcare-apis/fhir/how-to-run-a-reindex |

### Decision Making
| Topic | URL |
|-------|-----|
| Plan migration from Azure API for FHIR to FHIR service | https://learn.microsoft.com/en-us/azure/healthcare-apis/fhir/migration-faq |
| Plan migration from Azure API for FHIR to Health Data Services | https://learn.microsoft.com/en-us/azure/healthcare-apis/fhir/migration-strategies |

### Architecture & Design Patterns
| Topic | URL |
|-------|-----|
| Configure disaster recovery for Azure API for FHIR | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/disaster-recovery |
| Architect DICOM service with Azure Data Lake Storage | https://learn.microsoft.com/en-us/azure/healthcare-apis/dicom/dicom-data-lake |
| Implement digital pathology workflows with DICOM service | https://learn.microsoft.com/en-us/azure/healthcare-apis/dicom/dicom-digital-pathology |

### Limits & Quotas
| Topic | URL |
|-------|-----|
| Use autoscale with Azure API for FHIR | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/autoscale-azure-api-fhir |
| Understand Azure API for FHIR limits and behaviors | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/fhir-faq |
| Understand DICOM service requirements and limits | https://learn.microsoft.com/en-us/azure/healthcare-apis/dicom/dicom-services-faqs |

### Security
| Topic | URL |
|-------|-----|
| Configure authentication and authorization for Health Data Services | https://learn.microsoft.com/en-us/azure/healthcare-apis/authentication-authorization |
| Configure Entra identity and auth for Azure API for FHIR | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/azure-active-directory-identity-configuration |
| Configure Azure RBAC for Azure API for FHIR data plane | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/configure-azure-rbac |
| Configure local RBAC with secondary Entra tenant for FHIR | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/configure-local-rbac |
| Configure customer-managed keys for Azure API for FHIR | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/customer-managed-key |
| Register Microsoft Entra apps for Azure API for FHIR | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/fhir-app-registration |
| Locate identity object IDs for Azure API for FHIR auth | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/find-identity-object-ids |
| Get Azure API for FHIR access token via Azure CLI | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/get-healthcare-apis-access-token-cli |
| Apply built-in Azure Policy definitions to Azure API for FHIR | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/policy-reference |
| Register confidential client apps for Azure API for FHIR | https://learn.microsoft.com/en-us/azure/healthcare-apis/azure-api-for-fhir/register-confidential-azure-ad-client-app |
| Register public client apps for Azure API for FHIR | https://learn.microsoft.com/en-us/azure/h

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