Creating a new APF using Instream
If you have HIPAA Validator Desktop, set up the profile there (see Creating a new APF using HIPAA Validator Desktop ) and then copy the file to the Bin directory of Instream. The formats are the same.
If you do not have HIPAA Validator Desktop, copy $fsdeflt.apf
(in the Bin directory of Instream) to a new name, also in the Bin directory. You can then use a text editor like Notepad or VI to edit the new APF file directly.
For details, refer APF File Format