Hello @Anonymous Sorry for the late reply. I'm new to Azure Health Data Services so my apologies if I'm misunderstanding here. The new toolkit does seem to have support for eventing services via channels: https://github.com/microsoft/azure-health-data-services-toolkit/tree/main/samples/FeatureSamples/EventGridChannel
Also, the toolkit seems to be based on Azure Functions runtime so you can probably containerize and run it on-premise.