EU sovereignHealthcareHeadquarters: NL

Firely: sovereignty score and 8 European alternatives

Firely is a Dutch software and services company for HL7 FHIR, the standard used to exchange health data. Its products include Firely Server, a FHIR data platform, Simplifier.net for modelling and sharing FHIR profiles, and the Firely .NET SDK, which the company offers as open source. Firely also provides consulting and training for payers, healthcare providers, health authorities and digital health companies. The company describes itself as one of the initiators of FHIR.

The legal entity is Firely B.V., with its registered office in Amsterdam, and its US subsidiary is Firely USA Inc. in New York. The privacy statement refers to the GDPR and says personal data is shared with third parties outside the EU only in line with GDPR rules. For a European organisation, the Dutch contracting entity and EU governing law are the main points; the US subsidiary should be considered where services involve transfers to the United States.

See the 8 European alternatives ↓Assess your stack with Firely pre-selected

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Sovereignty score

71 / 1000 = high exposure
100 = sovereign

Jurisdiction SOV-2100
Headquartered in the EU: European law applies
Data residency SOV-3100
EU-only hosting
Cryptographic key sovereignty SOV-360
Key management with a European vendor
Freedom from lock-in SOV-640
Closed source: switching requires data migration
Source & runtime sovereignty SOV-4 · SOV-655
Closed source, runtime with the vendor

SOV codes: the matching objective in the European Commission's Cloud Sovereignty Framework. Official source

How the score is calculated

Facts and evidence

Last checked October 12, 2026

Headquarters	NL (EU)Verified by hand
Sovereignty model	Vendor-hosted (EU)Verified by hand
Data hosting	EUVerified by hand
Open-source	NoVerified by hand
GDPR-compliant	YesVendor-stated
Category	Healthcare
Type	Product
Website	fire.ly ↗

How we verify · Something wrong? Suggest a correction

Top EU-based & GDPR-compliant alternatives to Firely

The European alternatives to Firely come from our knowledge base of over 7,800 vendors. We only list vendors headquartered in the EU or the EEA; fully European-owned vendors rank before vendors with a foreign owner. For each alternative you see the country, the open-source status and a short description.

Score per alternative: 0 = high exposure, 100 = sovereign

79 European Healthcare vendors are in the catalogue. View the whole category · Submit an alternative · View category on the map

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Why digital sovereignty matters with Firely

Firely is headquartered in NL and therefore falls under European law: the GDPR, NIS2 and the Data Act. No foreign legislation can compel access to your data.

Data is hosted exclusively in the EU, so Firely scores best on data residency.

Firely is closed source and hosted by the vendor. The encryption keys and the runtime sit with the vendor and switching requires data migration. Ask about bring-your-own-key, export options and open standards.

What this means for your organisation depends on your whole stack and context. The free assessment weighs Firely together with your other vendors and gives a total score, a heatmap and the main risk drivers.

Frequently asked questions

What is the best European alternative to Firely?

It depends on your use case. Strong EU alternatives to Firely include Ada Health, Agfa HealthCare and Aiforia. On this page you can compare 8 EU alternatives by jurisdiction, data residency and open-source status.

Are there open-source alternatives to Firely?

Our list of EU alternatives to Firely is mostly commercial options. Browse the category on the map for open-source choices.

Is Firely GDPR-compliant and where is the data hosted?

Firely is headquartered in NL (EU) and hosts data in EU. That makes Firely an EU-sovereign choice in its own right; the EU alternatives on this page are comparable European tools.

Details and sources

Verified by handHeadquarters, owner, hosting locations and licence have been checked by us against public sources. Free of charge and for every vendor, not a paid label. Nothing in this knowledge base is taken over automatically. Last checked on October 12, 2026.

Sources

Public sources used in the latest check of this record.

Compliance evidence

The links below point to the vendor's own public documents. We only record what we found: a missing link means "not found publicly", not "not compliant".

No public compliance evidence has been recorded for this vendor yet. Do you know its DPA or subprocessor list? Something wrong? Suggest a correction

Digital sovereignty in Healthcare

Healthcare: Healthcare — medical imaging, PACS, clinical systems. In this category the choice of vendor determines who has legal access to your data, where that data lives and how easily you can switch later.

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