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Securing HAPI FHIR Data in Transit using TLS/SSL

Secure HAPI FHIR data in transit - Rob Ferguson

June 3, 2025

Summary

This technical article provides a guide on securing the open-source HL7 FHIR implementation, HAPI FHIR. It details how to enable TLS encryption for both the embedded web server and the PostgreSQL database, ensuring that all data communication paths are protected.

Details

This article is a tutorial focused on implementing security measures for data transmission within HAPI FHIR. First, for the Web Server side (HAPI FHIR), it explains how to enable TLS encryption using an environment variable configuration in a Spring Boot environment, such as setting `SERVER_SSL_ENABLED: true`. This requires preparing a PKCS12 keystore containing the server certificate and private key. Second, for the data persistence layer (PostgreSQL), it details configuring connection options with `ssl=on` and enforcing encrypted connections by setting `PGSSLMODE: require`. This ensures that all communication paths, including access from HAPI FHIR to PostgreSQL, are secure. These settings are provided with practical technical information, such as specific YAML definitions for container environments (e.g., Docker Compose) and OpenSSL commands for keystore generation. The content offers valuable knowledge for ensuring the robust operation of systems handling FHIR data.

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