I reached out to Gary Monger yesterday and asked him how he configured Apache for his SMART on FHIR demo?
See https://learning.intersystems.com/mod/page/view.php?id=2948.
Gary's response was for me to post my question on the Developer Community forum - so that other people can benefit from the answer.

This is what I asked Gary:

I'm after turning a local Health Share instance on my laptop into a SMART on FHIR server.

Last answer 19 January 2018 Last comment 19 January 2018
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I've been trying to interoperate with careevoltion using their backend-services.
Spec: http://docs.smarthealthit.org/authorization/backend-services/

This involves creating a JWT (JSON Web Token) that I have been unable to do using %OAuth2.JWT:ObjectToJWT.

I downloaded jwt.pfx and then ran the following openssl commands to create some pem files.

Last answer 19 January 2018
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