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FHIR Server Samples

This respository contains example applications and scenarios that show use of the FHIR Server for Azure and the Azure API for FHIR.

The scenario is meant to illustrate how to connect a web application to the FHIR API. The scenario also illustrates features such as the SMART on FHIR Active Directory Proxy. It can be deployed using the Azure API for FHIR PaaS server:

Or the open source FHIR Server for Azure:

In both cases a storage account will be deploy and in this storage account there is a BLOB container called fhirimport, patient bundles generated with Synthea can dumped in this storage container and they will be ingested into the FHIR server. The bulk ingestion is performed by an Azure Function.

The environments can also optionally be configured to support $export. To enable $export, add the -EnableExport $true parameter to the script below. The $export operation will produce a new line delimited json (ndjson) for each resource type. These ndjson files are easily consumed with something like Databricks (Apache-Spark). Please see the analytics folder for some details and example queries. Note that the Databricks environment is not deployed automatically with the sandbox and must be set up separately.

Note: To enable $export you must have subscription rights that allow you to set data plane access roles for storage accounts, e.g. you must be a subscription owner.


Before deploying the samples scenario, make sure you have Az and AzureAd powershell modules installed:

Install-Module Az
Install-Module AzureAd

The new Az module requires PowerShell version 5.1 or above installed on your computer. So if you have PowerShell version below 5.1, you need to update it. To check your PowerShell version, you can run:


Currently, there is a bug with PowerShell Az Module version 4.6.1 confirmed with Azure ARM team. For now, please avoid using version 4.6.1. Version 4.5 and versions 4.7.0 or above should work fine. To check your Az module version, you can run:

Get-InstalledModule -Name Az


To deploy the sample scenario, first clone this git repo and find the deployment scripts folder:

git clone
cd fhir-server-samples/deploy/scripts

Log into your Azure subscription:


Connect to Azure AD with:

Connect-AzureAd -TenantDomain <AAD TenantDomain>

NOTE The connection to Azure AD can be made using a different tenant domain than the one tied to your Azure subscription. If you don't have privileges to create app registrations, users, etc. in your Azure AD tenant, you can create a new one, which will just be used for demo identities, etc.

Then, deploy the scenario with the Open Source FHIR Server for Azure:

.\Create-FhirServerSamplesEnvironment.ps1 -EnvironmentName <ENVIRONMENTNAME> -UsePaaS $false

or the managed Azure API for FHIR:

.\Create-FhirServerSamplesEnvironment.ps1 -EnvironmentName <ENVIRONMENTNAME> -UsePaaS $true

and to enable $export:

.\Create-FhirServerSamplesEnvironment.ps1 -EnvironmentName <ENVIRONMENTNAME> -UsePaaS $true -EnableExport $true

To delete the senario:

.\Delete-FhirServerSamplesEnvironment.ps1 -EnvironmentName <ENVIRONMENTNAME>

NOTE If you are using PowerShell Core on other platforms (macOS or Linux), please make sure to specify password in the command. You can do this by:

./Create-FhirServerSamplesEnvironment.ps1 -EnvironmentName <ENVIRONMENTNAME> -UsePaaS <TRUE/FALSE> -AdminPassword $(ConvertTo-SecureString -AsPlainText -Force "<YOURPASSWORD>")

If the deployment is successful, you would see information like below being written on your terminal or CloudShell as the scripts run:

Current context is user: xxxx
FhirServer PS module is loaded
Current context is user: xxxx
Adding permission to keyvault for xxxx
Ensuring API application exists
Checking if UserPrincipalName exists
User not, will create.

DeploymentName          : xxxx
ResourceGroupName       : xxxx
ProvisioningState       : Succeeded
Timestamp               : 11/24/2020 10:30:18 PM
Mode                    : Incremental
TemplateLink            : 
                          Uri            :
                          ContentVersion :
Parameters              : 
                          Name                             Type                       Value     
                          ===============================  =========================  ==========
                          environmentName                  String                     xxxx
                          appServicePlanSku                String                     xxxx       
                          aadAuthority                     String                     
                          aadFhirServerAudience            String                               
                          aadDashboardClientId             String                     xxxx
                          aadDashboardClientSecret         String                     xxxx
                          aadServiceClientId               String                     xxxx
                          aadServiceClientSecret           String                     xxxx
                          smartAppClientId                 String                     xxxx
                          fhirServerTemplateUrl            String                     
                          sqlAdminPassword                 SecureString                         
                          fhirDashboardJSTemplateUrl       String           
                          fhirApiLocation                  String                     westus2   
                          fhirVersion                      String                     R4        
                          fhirImporterTemplateUrl          String           
                          smartAppTemplateUrl              String                               
                          fhirDashboardRepositoryUrl       String                     
                          fhirDashboardRepositoryBranch    String                     master    
                          deployDashboardSourceCode        Bool                       True      
                          usePaaS                          Bool                       True      
                          accessPolicies                   Array                      [
                              "objectId": "xxxx"
                              "objectId": "xxxx"
                              "objectId": "xxxx"
                          solutionType                     String                     FhirServerSamples
                          enableExport                     Bool                       False     
Outputs                 : 
DeploymentDebugLogLevel : 

Warming up site...

Key   : fhirServerUrl
Value :
Name  : fhirServerUrl

Key   : dashboardUserUpn
Value : xxxx
Name  : dashboardUserUpn

Key   : dashboardUserPassword
Value : xxxx
Name  : dashboardUserPassword


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This project has adopted the Microsoft Open Source Code of Conduct. For more information see the Code of Conduct FAQ or contact with any additional questions or comments.