FHIR RESTful API¶

Firely Server supports most of the features in the FHIR RESTful API.

FHIR Versions¶

All the operations below can be called for FHIR STU3 or FHIR R4. Firely Server supports the fhirVersion mimetype parameter and fhir version endpoint mappings for that purpose. See Running multiple versions of FHIR for more information.

Create, read, update, patch, delete¶

These five operations to manage the contents of the Firely Server, commonly referenced by the acronym CRUD, are implemented as per the specification. Patch is implemented as FHIR Patch, as this is the most versatile one. This includes version-read and the conditional variations. Only a few limitations apply.

Firely Server enables create-on-update: If you request an update and no resource exists for the given id, the provided resource will be created under the provided id.

Firely Server can reject a resource based on Validating incoming resources.

Configuration¶

A conditional delete interaction may match multiple resources. You can configure the server to delete all matches, or reject the operation (effectively only allowing single matches to be deleted). Allowing multiple deletes requires support for transactions on the database (SQL Server or SQLite). If you allow for multiple deletes, you have to specify a maximum number of resources that can be deleted at once, to save you from accidentally deleting too many resources.

"FhirCapabilities": {
    "ConditionalDeleteOptions": {
        "ConditionalDeleteType": "Single", // Single or Multiple,
        "ConditionalDeleteMaxItems": 1
    }
}

Limitations on CRUD¶

Simultaneous conditional creates and updates are not entirely transactionally safe:
- Two conditional updates may both result in a create, although the result of one may be a match to the other.
- Two conditional creates may both succeed, although the result of one may be a match to the other.
- A conditional create and a simultaneous conditional update may both result in a create, although the result of one may be a match to the other.
Parameter _pretty is not yet supported.
XML Patch and JSON Patch are not supported.

Versioning¶

Firely Server keeps a full version history of every resource, including the resources on the Firely Server Administration API.

Search¶

Search is supported as per the specification, with a few Limitations on search.

In the default configuration the SearchParameters from the FHIR specification are available. But Firely Server also allows Using Custom Search Parameters.

Chaining and reverse chaining is fully supported.

Quantity search on UCUM quantities automatically converts units to a canonical form. This means you can have kg in an Observation and search by lbs, or vice versa.

Compartment Search is supported.

Firely Server also supports _include:iterate and _revinclude:iterate, as well as its STU3 counterparts _include:recurse and _revinclude:recurse. See the specification for the definition of those. You can configure the maximum level of recursion:

"FhirCapabilities": {
   "SearchOptions": {
      "MaximumIncludeIterationDepth": 1
   }
},

Sorting¶

_sort is implemented for searchparameters of types:

string
number
uri
reference
datetime
token

for the repositories:

SQL
SQLite
Memory

How is sort evaluated?

A searchparameter may be indexed with multiple values for a single resource. E.g. Patient.name for Angelina Jolie would have name=Angelina and name=Jolie. And George Clooney: name=George and name=Clooney. As the FHIR Specification phrases it: “In this case, the sort is based on the item in the set of multiple parameters that comes earliest in the specified sort order when ordering the returned resources.” Here is an example of how Firely Server evaluates this.
- In ascending order: Patient?_sort=name
  
  Name values Asc. per resource Asc. resources
  
  Angelina Angelina Angelina Jolie
  
  Jolie Jolie
  
  George Clooney George Clooney
  
  Clooney George
- Now in descending order: Patient?_sort=-name
  
  Name values Desc. per resource Desc. resources
  
  Angelina Jolie Angelina Jolie
  
  Jolie Angelina
  
  George George George Clooney
  
  Clooney Clooney
The searchparameter to sort on may not be indexed at all for some of the resources in the resultset. E.g. a Patient without any identifier will not be indexed for Patient.identifier. Resources not having that parameter always end up last (both in ascending and descending order). This is similar to the ‘nulls last’ option in some SQL languages.
Token parameters are sorted only on their code element. The system element is ignored in the sorting.
Firely Server uses the default collation as configured on the database server. This collation defines the ordering of characters.

Limitations on search¶

The following parameters and options are not yet supported:

_text
_content
_query
_containedType
_filter
:approx modifier on a quantity SearchParameter
:text modifier on a string SearchParameter
:above, :below, :in, :not-in modifiers on a token SearchParameter
:above on a uri SearchParameter (:below is supported)
* wildcard on _include and _revinclude
_pretty

Furthermore:

Paging is supported, but it is not isolated from intermediate changes to resources.

History¶

History is supported as described in the specification, on the system, type and instance level. The _since and _count parameters are also supported.

Configuration¶

"HistoryOptions": {
  "MaxReturnedResults": 100
}

If a _history call would result in more than MaxReturnedResults, Firely Server asks the user to be more specific. Use this to avoid overloading the server or the connection.

Limitations on history¶

_at parameter is not yet supported.
Paging is supported, but it is not isolated from intermediate changes to resources.

Batch¶

Batch is fully supported on the usual endpoint. You can limit the number of entries accepted in a single batch. See Batch and transaction.

Note that batches are not supported in the /administration endpoint.

Transaction¶

Transactions are supported, with these limitations:

Of the three storage implementations, only SQL Server and SQLite truly support transactions. On MongoDB and Memory, transaction support can be simulated at the FHIR level, but not be enforced on the database level.
References between resources in the transaction can point backwards or forwards. Only circular references are not supported.
The /administration endpoint does not support transactions.

You can limit the number of entries accepted in a single transaction. See Batch and transaction.

Capabilities¶

On the Capabilities interaction (<firely-server-endpoint>/metadata) Firely Server returns a CapabilityStatement that is built dynamically from the supported ResourceTypes, SearchParameters and interactions. E.g. if you Configure Search Parameters, the SearchParameters that are actually loaded appear in the CapabilityStatement.

Not supported interactions¶

These interactions are not yet supported by Firely Server:

HEAD

Besides that, Firely Server does not yet return the date header as specified in HTTP return values

Name values	Asc. per resource	Asc. resources
Angelina	Angelina	Angelina Jolie
Jolie	Jolie

George	Clooney	George Clooney
Clooney	George

Name values	Desc. per resource	Desc. resources
Angelina	Jolie	Angelina Jolie
Jolie	Angelina

George	George	George Clooney
Clooney	Clooney