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HAPI FHIR Installation Guide: Setting up the Environment with PostgreSQL

HAPI FHIR installation - HackMD

February 17, 2026

Summary

This article provides technical steps for setting up an environment to run HAPI FHIR. Specifically, it details how to install and perform initial setup of PostgreSQL 14 as a database on an Ubuntu Server 20.04 LTS system.

Details

This content serves as a detailed technical guide for building an application utilizing FHIR (Fast Healthcare Interoperability Resources), a critical standard for healthcare data exchange. The focus is specifically on setting up the foundational database environment using HAPI FHIR. The steps outlined include installing PostgreSQL 14 on Ubuntu Server 20.04 LTS (`sudo apt -y install postgresql-14`), checking service status, and enabling automatic startup (`sudo systemctl enable postgresql@`). Furthermore, it details the initial setup processes necessary for database usage, such as creating users and setting passwords. Since FHIR is a crucial standard for standardizing healthcare data exchange, proper setup of a reliable RDBMS (like PostgreSQL) is essential for building its backend system. The article's value lies in providing concrete commands and procedures that developers can follow to replicate the environment, classifying it as a highly practical technical tutorial.

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