Open-source FHIR Server to support patient- and clinician-facing apps
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This project is no longer maintained, but there is a list of other open source FHIR servers here.


Open-source FHIR Server to support patient- and clinician-facing apps.

Still highly experimental, but has limited support for:

  • GET, POST, and PUT resources
  • transaction (POST a bundle of resources)
  • Search resources based on FHIR's defined search params

Live demo: API | Apps



  • Install Postgres 9.1+ (locally or use a remote service)
  • Oracle Java 7 JDK (not JRE -- and not Java 8)

Get it

$ git clone
$ cd api-server

Initialize the DB (see config below as needed)

Ensure that /etc/postgresql/9.1/main/pg_hba.conf contains a line like:

local   all         all                               md5

(If you have local all all peer, for example, peer with md5.)

$ sudo -u postgres -i
postgres@$ createuser -R  -P -S  -D fhir
           [at password prompt: fhir]
postgres@$ createdb -O fhir fhir
postgres@$ logout

Run it

$ ./grailsw run-app


Key settings files are:


  • Turn authentication on or off with fhir.oauth.enabled: true | false
  • Configure authentication with fhir.oauth


  • Configure your Postgres dataSource


Add new data to the server via HTTP PUT or POST. For example, with default authentication settings and a server running at http://localhost:8080, you can add a new Diagnostic Order via:

curl 'http://localhost:8080/DiagnosticOrder/example' \
     -X PUT \
     -H 'Authorization: Basic Y2xpZW50OnNlY3JldA=='\
     -H 'Content-Type: text/xml' \
     --data @grails-app/conf/examples/diagnosticorder.xml

And then you can retrieve a feed of diagnostic orders via:

curl 'http://localhost:8080/DiagnosticOrder' \
     -H 'Authorization: Basic Y2xpZW50OnNlY3JldA=='

or fetch a single resource as JSON via:

curl 'http://localhost:8080/DiagnosticOrder/example' \
     -H 'Authorization: Basic Y2xpZW50OnNlY3JldA==' \
     -H 'Accept: application/json'

Getting more sample data

You can load sample data from SMART's Sample Patients:

$ git clone --recursive
$ cd sample-patients/bin
$ pip install -r requirements.txt
$ python --write-fhir ../generated-data
$ ls ../generated-data # a bunch of XML files

Loading these files into your system

cd ../generated-data
for i in *.xml; do 
   curl 'http://localhost:8080/?' \
        -H 'Content-Type: text/xml' \
        --data-binary @$i;