diff --git a/integration-tests/SubscriptionsHelper.ts b/integration-tests/SubscriptionsHelper.ts
new file mode 100644
index 00000000..9672cfd2
--- /dev/null
+++ b/integration-tests/SubscriptionsHelper.ts
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+/*
+ *  Copyright Amazon.com, Inc. or its affiliates. All Rights Reserved.
+ *  SPDX-License-Identifier: Apache-2.0
+ *
+ */
+import * as AWS from 'aws-sdk';
+import { DynamoDB } from 'aws-sdk';
+
+export interface SubscriptionNotification {
+    httpMethod: string;
+    path: string;
+    body?: string | null;
+    headers?: string[];
+}
+
+// eslint-disable-next-line import/prefer-default-export
+export class SubscriptionsHelper {
+    private readonly notificationsTableName: string;
+
+    private readonly dynamodbClient: DynamoDB;
+
+    constructor(notificationsTableName: string) {
+        this.notificationsTableName = notificationsTableName;
+        this.dynamodbClient = new AWS.DynamoDB();
+    }
+
+    /**
+     * Gets all notifications received for a given path.
+     * @param path - The path where the notifications were sent. It is recommended to use unique paths for each test run (e.g. by appending an uui to it)
+     */
+    async getNotifications(path: string): Promise<SubscriptionNotification[]> {
+        const { Items } = await this.dynamodbClient
+            .query({
+                TableName: this.notificationsTableName,
+                KeyConditionExpression: '#path = :pathValue',
+                ExpressionAttributeNames: { '#path': 'path' },
+                ExpressionAttributeValues: { ':pathValue': { S: path } },
+            })
+            .promise();
+
+        if (Items === undefined) {
+            return [];
+        }
+
+        return Items.map((item) => AWS.DynamoDB.Converter.unmarshall(item) as SubscriptionNotification);
+    }
+}
diff --git a/integration-tests/infrastructure/subscriptions-endpoint/.gitignore b/integration-tests/infrastructure/subscriptions-endpoint/.gitignore
new file mode 100644
index 00000000..5e5fb2b4
--- /dev/null
+++ b/integration-tests/infrastructure/subscriptions-endpoint/.gitignore
@@ -0,0 +1,209 @@
+
+# Created by https://www.toptal.com/developers/gitignore/api/osx,node,linux,windows,sam
+# Edit at https://www.toptal.com/developers/gitignore?templates=osx,node,linux,windows,sam
+
+### Linux ###
+*~
+
+# temporary files which can be created if a process still has a handle open of a deleted file
+.fuse_hidden*
+
+# KDE directory preferences
+.directory
+
+# Linux trash folder which might appear on any partition or disk
+.Trash-*
+
+# .nfs files are created when an open file is removed but is still being accessed
+.nfs*
+
+### Node ###
+# Logs
+logs
+*.log
+npm-debug.log*
+yarn-debug.log*
+yarn-error.log*
+lerna-debug.log*
+
+# Diagnostic reports (https://nodejs.org/api/report.html)
+report.[0-9]*.[0-9]*.[0-9]*.[0-9]*.json
+
+# Runtime data
+pids
+*.pid
+*.seed
+*.pid.lock
+
+# Directory for instrumented libs generated by jscoverage/JSCover
+lib-cov
+
+# Coverage directory used by tools like istanbul
+coverage
+*.lcov
+
+# nyc test coverage
+.nyc_output
+
+# Grunt intermediate storage (https://gruntjs.com/creating-plugins#storing-task-files)
+.grunt
+
+# Bower dependency directory (https://bower.io/)
+bower_components
+
+# node-waf configuration
+.lock-wscript
+
+# Compiled binary addons (https://nodejs.org/api/addons.html)
+build/Release
+
+# Dependency directories
+node_modules/
+jspm_packages/
+
+# TypeScript v1 declaration files
+typings/
+
+# TypeScript cache
+*.tsbuildinfo
+
+# Optional npm cache directory
+.npm
+
+# Optional eslint cache
+.eslintcache
+
+# Optional stylelint cache
+.stylelintcache
+
+# Microbundle cache
+.rpt2_cache/
+.rts2_cache_cjs/
+.rts2_cache_es/
+.rts2_cache_umd/
+
+# Optional REPL history
+.node_repl_history
+
+# Output of 'npm pack'
+*.tgz
+
+# Yarn Integrity file
+.yarn-integrity
+
+# dotenv environment variables file
+.env
+.env.test
+.env*.local
+
+# parcel-bundler cache (https://parceljs.org/)
+.cache
+.parcel-cache
+
+# Next.js build output
+.next
+
+# Nuxt.js build / generate output
+.nuxt
+dist
+
+# Storybook build outputs
+.out
+.storybook-out
+storybook-static
+
+# rollup.js default build output
+dist/
+
+# Gatsby files
+.cache/
+# Comment in the public line in if your project uses Gatsby and not Next.js
+# https://nextjs.org/blog/next-9-1#public-directory-support
+# public
+
+# vuepress build output
+.vuepress/dist
+
+# Serverless directories
+.serverless/
+
+# FuseBox cache
+.fusebox/
+
+# DynamoDB Local files
+.dynamodb/
+
+# TernJS port file
+.tern-port
+
+# Stores VSCode versions used for testing VSCode extensions
+.vscode-test
+
+# Temporary folders
+tmp/
+temp/
+
+### OSX ###
+# General
+.DS_Store
+.AppleDouble
+.LSOverride
+
+# Icon must end with two \r
+Icon
+
+
+# Thumbnails
+._*
+
+# Files that might appear in the root of a volume
+.DocumentRevisions-V100
+.fseventsd
+.Spotlight-V100
+.TemporaryItems
+.Trashes
+.VolumeIcon.icns
+.com.apple.timemachine.donotpresent
+
+# Directories potentially created on remote AFP share
+.AppleDB
+.AppleDesktop
+Network Trash Folder
+Temporary Items
+.apdisk
+
+### SAM ###
+# Ignore build directories for the AWS Serverless Application Model (SAM)
+# Info: https://aws.amazon.com/serverless/sam/
+# Docs: https://docs.aws.amazon.com/serverless-application-model/latest/developerguide/serverless-sam-reference.html
+
+**/.aws-sam
+samconfig.toml
+
+### Windows ###
+# Windows thumbnail cache files
+Thumbs.db
+Thumbs.db:encryptable
+ehthumbs.db
+ehthumbs_vista.db
+
+# Dump file
+*.stackdump
+
+# Folder config file
+[Dd]esktop.ini
+
+# Recycle Bin used on file shares
+$RECYCLE.BIN/
+
+# Windows Installer files
+*.cab
+*.msi
+*.msix
+*.msm
+*.msp
+
+# Windows shortcuts
+*.lnk
+
+# End of https://www.toptal.com/developers/gitignore/api/osx,node,linux,windows,sam
diff --git a/integration-tests/infrastructure/subscriptions-endpoint/README.md b/integration-tests/infrastructure/subscriptions-endpoint/README.md
new file mode 100644
index 00000000..147466ce
--- /dev/null
+++ b/integration-tests/infrastructure/subscriptions-endpoint/README.md
@@ -0,0 +1,16 @@
+# FHIR Subscriptions Test Endpoint
+
+This small SAM app creates an API (APIGW + Lambda) that can be used as an endpoint in FHIR Subscriptions integration tests.
+
+The Lambda function replies successfully to all requests and records the notification message in DynamoDB. 
+The integration tests can query DynamoDB to verify that notifications were received.
+
+To build and deploy your application for the first time, run the following in your shell:
+
+```bash
+sam build
+sam deploy --guided
+```
+
+Use the outputs of the CFN stack as values for the `SUBSCRIPTIONS_NOTIFICATIONS_TABLE` and `SUBSCRIPTIONS_ENDPOINT` environment variables when running the integration tests
+
diff --git a/integration-tests/infrastructure/subscriptions-endpoint/src/app.js b/integration-tests/infrastructure/subscriptions-endpoint/src/app.js
new file mode 100644
index 00000000..0aa4c5c6
--- /dev/null
+++ b/integration-tests/infrastructure/subscriptions-endpoint/src/app.js
@@ -0,0 +1,50 @@
+// eslint-disable-next-line import/no-extraneous-dependencies
+const AWS = require('aws-sdk');
+
+/**
+ *
+ * Event doc: https://docs.aws.amazon.com/apigateway/latest/developerguide/set-up-lambda-proxy-integrations.html#api-gateway-simple-proxy-for-lambda-input-format
+ * @param {Object} event - API Gateway Lambda Proxy Input Format
+ *
+ * Context doc: https://docs.aws.amazon.com/lambda/latest/dg/nodejs-prog-model-context.html
+ * @param {Object} context
+ *
+ * Return doc: https://docs.aws.amazon.com/apigateway/latest/developerguide/set-up-lambda-proxy-integrations.html
+ * @returns {Object} object - API Gateway Lambda Proxy Output Format
+ *
+ */
+const dynamoDb = new AWS.DynamoDB();
+
+const { TABLE_NAME } = process.env;
+
+if (TABLE_NAME === undefined) {
+    throw new Error(`Required env variable TABLE_NAME is not defined`);
+}
+
+exports.lambdaHandler = async (event) => {
+    const { path, httpMethod, headers, body } = event;
+
+    const item = {
+        path,
+        timestamp: Date.now(),
+        httpMethod,
+        headers,
+        body,
+    };
+
+    console.log('Received notification:', JSON.stringify(item, null, 2));
+
+    await dynamoDb
+        .putItem({
+            TableName: TABLE_NAME,
+            Item: AWS.DynamoDB.Converter.marshall(item),
+        })
+        .promise();
+
+    return {
+        statusCode: 200,
+        body: JSON.stringify({
+            message: 'ok',
+        }),
+    };
+};
diff --git a/integration-tests/infrastructure/subscriptions-endpoint/src/package.json b/integration-tests/infrastructure/subscriptions-endpoint/src/package.json
new file mode 100644
index 00000000..1743d677
--- /dev/null
+++ b/integration-tests/infrastructure/subscriptions-endpoint/src/package.json
@@ -0,0 +1,13 @@
+{
+  "name": "fhir-subscriptions-test-endpoint",
+  "version": "1.0.0",
+  "description": "Simple endpoint used for FHIR Subscriptions integ tests",
+  "main": "app.js",
+  "license": "Apache-2.0",
+  "dependencies": {
+  },
+  "scripts": {
+  },
+  "devDependencies": {
+  }
+}
diff --git a/integration-tests/infrastructure/subscriptions-endpoint/template.yaml b/integration-tests/infrastructure/subscriptions-endpoint/template.yaml
new file mode 100644
index 00000000..3104c812
--- /dev/null
+++ b/integration-tests/infrastructure/subscriptions-endpoint/template.yaml
@@ -0,0 +1,68 @@
+AWSTemplateFormatVersion: '2010-09-09'
+Transform: AWS::Serverless-2016-10-31
+Description: >
+  Simple endpoint used for FHIR Subscriptions integ tests
+
+Globals:
+  Function:
+    Timeout: 10
+
+Resources:
+  TestNotificationsApi:
+    Type: AWS::Serverless::Api
+    Properties:
+      StageName: Prod
+      Auth:
+        ApiKeyRequired: true
+        UsagePlan:
+          CreateUsagePlan: PER_API
+
+  SubEndpointFunction:
+    Type: AWS::Serverless::Function
+    Properties:
+      CodeUri: src/
+      Handler: app.lambdaHandler
+      Runtime: nodejs14.x
+      Architectures:
+        - x86_64
+      Policies:
+        - DynamoDBWritePolicy:
+            TableName: !Ref NotificationsTable
+      Environment:
+        Variables:
+          TABLE_NAME: !Ref NotificationsTable
+      Events:
+        ApiEvent:
+          Type: Api
+          Properties:
+            RestApiId: !Ref TestNotificationsApi
+            Path: /{proxy+}
+            Method: any
+            Auth:
+              ApiKeyRequired: true
+
+  NotificationsTable:
+    Type: AWS::DynamoDB::Table
+    Properties:
+      AttributeDefinitions:
+        - AttributeName: path
+          AttributeType: S
+        - AttributeName: timestamp
+          AttributeType: N
+      KeySchema:
+        - AttributeName: path
+          KeyType: HASH
+        - AttributeName: timestamp
+          KeyType: RANGE
+      BillingMode: PAY_PER_REQUEST
+
+Outputs:
+  Endpoint:
+    Description: "API Gateway endpoint URL"
+    Value: !Sub "https://${TestNotificationsApi}.execute-api.${AWS::Region}.amazonaws.com/Prod"
+  ApiKey:
+    Description: "You can find your API Key in the AWS console"
+    Value: !Sub "https://console.aws.amazon.com/apigateway/home?region=${AWS::Region}#/api-keys/${TestNotificationsApiApiKey}"
+  NotificationsTable:
+    Description: "Notifications table"
+    Value: !Ref NotificationsTable
diff --git a/integration-tests/subscriptions.test.ts b/integration-tests/subscriptions.test.ts
new file mode 100644
index 00000000..21a1fdce
--- /dev/null
+++ b/integration-tests/subscriptions.test.ts
@@ -0,0 +1,42 @@
+/*
+ *  Copyright Amazon.com, Inc. or its affiliates. All Rights Reserved.
+ *  SPDX-License-Identifier: Apache-2.0
+ *
+ */
+
+import * as AWS from 'aws-sdk';
+import { SubscriptionsHelper } from './SubscriptionsHelper';
+
+jest.setTimeout(300_000);
+
+// eslint-disable-next-line @typescript-eslint/no-unused-vars
+const { SUBSCRIPTIONS_ENABLED, SUBSCRIPTIONS_NOTIFICATIONS_TABLE, SUBSCRIPTIONS_ENDPOINT, API_AWS_REGION } =
+    process.env;
+
+if (API_AWS_REGION === undefined) {
+    throw new Error('API_AWS_REGION environment variable is not defined');
+}
+
+AWS.config.update({ region: API_AWS_REGION });
+
+test('empty test placeholder', () => {
+    // empty test to avoid the "Your test suite must contain at least one test." error
+});
+
+if (SUBSCRIPTIONS_ENABLED === 'true') {
+    describe('FHIR Subscriptions', () => {
+        let subscriptionsHelper: SubscriptionsHelper;
+
+        beforeAll(() => {
+            if (SUBSCRIPTIONS_NOTIFICATIONS_TABLE === undefined) {
+                throw new Error('SUBSCRIPTIONS_NOTIFICATIONS_TABLE environment variable is not defined');
+            }
+            subscriptionsHelper = new SubscriptionsHelper(SUBSCRIPTIONS_NOTIFICATIONS_TABLE);
+        });
+
+        test('test', async () => {
+            const x = await subscriptionsHelper.getNotifications('/lala');
+            console.log(x);
+        });
+    });
+}