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Pathling is distributed in two forms: as a JAR file, and a Docker image. The easiest way to configure Pathling is through environment variables.

If environment variables are problematic for your deployment, Pathling can be also configured in a variety of other ways as supported by the Spring Boot framework (see Spring Boot Reference Documentation: Externalized Configuration) .

Configuration variables


  • server.port - (default: 8080) The port which the server should bind to and listen for HTTP connections.
  • server.servlet.context-path - A prefix to add to the API endpoint, e.g. a value of /foo would cause the FHIR endpoint to be changed to /foo/fhir.
  • pathling.implementationDescription - (default: Yet Another Pathling Server) Controls the content of the implementation.description element within the server's CapabilityStatement.
  • JAVA_TOOL_OPTIONS - (default in Docker image: -Xmx2g) Allows for the configuration of arbitrary options on the Java VM that Pathling runs within.

Additionally, you can set any variable supported by Spring Boot, see Spring Boot Reference Documentation: Common Application properties .


  • pathling.import.allowableSources - (default: file:///usr/share/staging) A set of URL prefixes which are allowable for use within the import operation. Important note: a trailing slash should be used in cases where an attacker could create an alternative URL with the same prefix, e.g. s3://some-bucket would also match s3://some-bucket-alternative.

Asynchronous processing

  • pathling.async.enabled - (default: true) Enables asynchronous processing for those operations that support it, when explicitly requested.


  • pathling.encoding.maxNestingLevel - (default: 3) Controls the maximum depth of nested element data that is encoded upon import. This affects certain elements within FHIR resources that contain recursive references, e.g. QuestionnaireResponse.item .
  • pathling.encoding.enableExtensions - (default: true) Enables support for FHIR extensions.
  • pathling.encoding.openTypes - (default: boolean,code,date,dateTime, decimal,integer,string,Coding,CodeableConcept,Address,Identifier ,Reference) The list of types that are encoded within open types, such as extensions. This default list was taken from the data types that are common to extensions found in widely-used IGs, such as the US and AU base profiles. In general, you will get the best query performance by encoding your data with the shortest possible list.


  • - (default: file:///usr/share/warehouse) The base URL at which Pathling will look for data files, and where it will save data received within import requests. Can be an Amazon S3 (s3://), HDFS (hdfs://) or filesystem (file://) URL.
  • - (default: default) The subdirectory within the warehouse path used to read and write data.

Pathling will automatically detect AWS authentication details within the environment and use them to access S3 buckets. It uses a chain of authentication methods, see DefaultAWSCredentialsProviderChain for details.

In addition to this, ny Hadoop S3 configuration variable (fs.s3a.*) can be set within Pathling directly. See the Hadoop AWS documentation for all the possible options.

Apache Spark

  • pathling.spark.appName - (default: pathling) Controls the application name that Pathling will be identified as within any Spark cluster that it participates in.
  • pathling.spark.explainQueries - (default: false) If set to true, Spark query plans will be written to the logs.
  • pathling.spark.cacheDatasets - (default: true) This controls whether the built-in caching within Spark is used for resource datasets and search results. It may be useful to turn this off for large datasets in memory-constrained environments.
  • pathling.spark.compactionThreshold - (default: 10) When a table is updated, the number of partitions is checked. If the number exceeds this threshold, the table will be repartitioned back to the default number of partitions. This prevents large numbers of small updates causing poor subsequent query performance.

Any Spark configuration variable can be set within Pathling directly. See Spark Configuration for the full list.

Here are a few that you might be particularly interested in:

  • spark.master - (default: local[*]) Address of the master node of an Apache Spark cluster to use for processing data, see Master URLs .
  • spark.executor.memory - (default: 1g) The quantity of memory available for each child task to process data within, in the same format as JVM memory strings with a size unit suffix (k, m, g or t) (e.g. 512m, 2g).
  • spark.sql.shuffle.partitions - (default: 2) This option controls the number of data partitions used to distribute data between child tasks. This can be tuned to higher numbers for larger data sets. It also controls the granularity of requests made to the configured terminology service.

This is the default Spark configuration:

master: local[*]
enabled: true
enabled: true
enabled: true
mode: FAIR

Terminology service

  • pathling.terminology.enabled - (default: true) Enables use of terminology functions within queries.
  • pathling.terminology.serverUrl - (default: The endpoint of the FHIR terminology service (R4) that the server can use to resolve terminology queries.
  • pathling.terminology.socketTimeout - (default: 60000) The maximum period (in milliseconds) that the server should wait for incoming data from the terminology service.
  • pathling.terminology.verboseLogging - (default: false) Setting this option to true will enable additional logging of the details of requests between the server and the terminology service.
  • pathling.terminology.authentication.enabled - (default: false) Enables authentication for requests to the terminology service.
  • pathling.terminology.authentication.tokenEndpoint, pathling.terminology.authentication.clientId, pathling.terminology.authentication.clientSecret - Authentication details for connecting to a terminology service that requires authentication, using OAuth 2.0 client credentials flow.


  • pathling.auth.enabled - (default: false) Enables authorization. If this option is set to true, pathling.auth.issuer and pathling.auth.audience options must also be set.
  • pathling.auth.issuer - Configures the issuing domain for bearer tokens, e.g. Must match the contents of the issuer claim within bearer tokens.
  • pathling.auth.audience - Configures the audience for bearer tokens, which is the FHIR endpoint that tokens are intended to be authorised for, e.g. Must match the contents of the audience claim within bearer tokens.
  • pathling.auth.ga4ghPassports.patientIdSystem - (default: When GA4GH passport authentication is enabled, this option configures the identifier system that is used to identify and control access to patient data.
  • pathling.auth.ga4ghPassports.allowedVisaIssuers - (default: []) When GA4GH passport authentication is enabled, this option configures the list of endpoints that are allowed to issue visas.

HTTP Caching

  • pathling.httpCaching.vary - (default: Accept, Accept-Encoding, Prefer, Authorization) A list of values to return within the Vary header.
  • pathling.httpCaching.cacheableControl - (default: must-revalidate, max-age=1) A list of values to return within the Cache-Control header, for cacheable responses.
  • pathling.httpCaching.uncacheableControl - (default: no-store) A list of values to return within the Cache-Control header, for uncacheable responses.

Cross-Origin Resource Sharing (CORS)

See the Cross-Origin Resource Sharing specification for more information about the meaning of the different headers that are controlled by this configuration.

  • pathling.cors.allowedOrigins - (default: [empty]) This is a comma-delimited list of domain names that controls which domains are permitted to access the server per the Access-Control-Allow-Origin header. The value * can be used with this parameter, but only when pathling.auth.enabled is set to false. To use wildcards when authorization is enabled, please use pathling.cors.allowedOriginPatterns.
  • pathling.cors.allowedOriginPatterns - (default: [empty]) This is a comma-delimited list of domain names that controls which domains are permitted to access the server per the Access-Control-Allow-Origin header. It differs from pathling.cors.allowedOrigins in that it supports wildcard patterns, e.g. https://*
  • pathling.cors.allowedMethods - (default: OPTIONS,GET,POST) This is a comma-delimited list of HTTP methods permitted via the Access-Control-Allow-Methods header.
  • pathling.cors.allowedHeaders - (default: Content-Type,Authorization) This is a comma-delimited list of HTTP headers permitted via the Access-Control-Allow-Headers header.
  • pathling.cors.exposedHeaders - (default: Content-Location,X-Progress) This is a comma-delimited list of HTTP headers that are permitted to be exposed via the Access-Control-Expose-Headers header.
  • pathling.cors.maxAge - (default: 600) Controls how long the results of a preflight request can be cached via the Access-Control-Max-Age header.


  • pathling.sentryDsn - If this variable is set, all errors will be reported to a Sentry service, e.g.
  • pathling.sentryEnvironment - If this variable is set, this will be sent as the environment when reporting errors to Sentry.

Server base

There are a number of operations within the Pathling FHIR API that pass back URLs referring back to API endpoints. The host and protocol components of these URLs are automatically detected based upon the details of the incoming request.

In some cases it might be desirable to override the hostname and protocol, particularly where Pathling is being hosted behind some sort of proxy. To account for this, Pathling also supports the use of the X-Forwarded-Proto , X-Forwarded-Host and X-Forwarded-Port headers to override the protocol, hostname and port within URLs sent back by the API.

Spark compatibility

Pathling can also be run directly within an Apache Spark cluster as a persistent application.

For compatibility, Pathling runs Spark 3.3.1 (Scala 2.12), with Hadoop version 3.3.3.