Where the data lives
The system of record — health information, charts, claims and backups — is hosted in Microsoft Azure's Canadian regions (Canada Central, Microsoft's Toronto region); specific, purpose-limited processing crosses the border — SMS and email delivery, AI processing in the United States, payment processing with Stripe, live telehealth media, encrypted traffic through security and delivery networks — and Arxeon will not otherwise store health information outside Canada without the clinic's written authorization.
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At rest
Platform data, including health information and backups, is hosted in Microsoft Azure's Canadian regions — Canada Central, which Microsoft identifies as its Toronto region. Microsoft publishes the region, not a civic data-centre address; you do not have to take our word for where it is. The company is in Calgary; the record is not.
What crosses the border, and why
- Encrypted traffic may transit international network points (Cloudflare, for security and content delivery).
- SMS (Twilio) and email (Twilio SendGrid) are delivered through providers that may process message content and contact details outside Canada.
- AI processing (Anthropic) may occur in the United States, only when a feature is used, under a no-training, minimized-retention agreement.
- Payment processing involves Stripe in Canada and the United States — billing details only, no health information.
- Live telehealth call media is carried by Daily.co over a global media edge, encrypted in transit and not recorded.
- Speech-to-text for the scribe stays in Canada (Azure AI Speech, Canada Central).
Information processed outside Canada may be subject to lawful access by authorities in that jurisdiction. Arxeon limits cross-border processing to these purposes and binds the providers contractually.
The commitment
Arxeon will not otherwise store health information outside Canada without the clinic's prior written authorization. Adding a subprocessor that handles health information takes at least 30 days' notice, with a right to object.
Where to look