MediRecords FHIR Implementation Guide
1.3.0 - release


Observation

The MediRecords FHIR API supports the following Observation profiles:

MRObservationVitalSignBloodPress
MRObservationVitalSignBodyHeight
MRObservationVitalSignBodyLength
MRObservationVitalSignBMI
MRObservationVitalSignBodyTemperature
MRObservationVitalSignBodyWeight
MRObservationVitalSignHeadCircumference
MRObservationVitalSignHeartRate
MRObservationVitalSignOxygenSaturation
MRObservationVitalSignRespiratoryRate
MRObservationWaistCircumference

Additionally, MediRecords FHIR API supports the following profile for Generic Clinical Observations. This includes Observation Panels which represent a Clinical Template containing Clinical Observations.

MRObservationClinical

GET {API_URL}/v1/Observation

This API interface enables the client to search Observation instances from MediRecords repository. This is in compliance with the MediRecords Observation Vital Signs profiles.

Query Parameters    
_count number Instruct the server regarding how many resources should be returned in a single page
patient reference Mandatory Patient(id) that the observation is about
performer reference Who performed the observation
category token The classification of the type of observation
code token The code of the observation type
date date Observation effectiveDateTime. Either a date value precise to the day to retreive observations effective within this day, or datetime value including seconds, time zone and a comparator prefix, such as ‘ge’ or ‘lt’, to retrieve observations in a specific date/time range. For example, ?date=2022-06-07 or ?date=ge2022-06-07T17:00:00+10:00&lt2022-06-07T18:00:00+10:00
status token The status of the observation

Response

The server returns matching Observation instances in a Bundle that the logged-in user has access to. If no search criteria is provided, then all Observation instances that the logged-in user has access to will be returned.

By default, only active Observations will be provided in the search result.

In an error situation, server SHALL return OperationOutcome detailing the error with the appropriate HTTP Error code as follows.

Status Text
200 OK
400 Bad Request
401 Unauthorized
403 Forbidden
404 Not Found
500 Internal Server Error

Read

GET {API_URL}/v1/Observation/{id}

This API interface enables the client to read an Observation resource from MediRecords repository which is compliant with the supported MediRecords Observation Vital Signs profiles.

In an error situation, server SHALL return OperationOutcome detailing the error with the appropriate HTTP Error code as follows.

Status Text
200 OK
400 Bad Request
401 Unauthorized
403 Forbidden
404 Not Found
500 Internal Server Error

Webhook

The following table provides the FHIR Webhook event types generated for the Observation resource.

Hub Event Application Trigger Event
observation.created Occurs whenever a new clinical observation record is created
observation.updated Occurs whenever a clinical observation record is updated
Bundle
  Observation (1..*)
  Encounter (0..1)
  Patient (1)
  PractitionerRole (0..1)
  Practitioner (0..2)
  Organization (0..2)
   
observation.deleted Occurs whenever a clinical observation record is deleted
Bundle<br>
  request (1)
    url: DELETE Observation/{id}