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New call proposals are in blue.

API levels in green.

Initial minimal REST API

Resource EHR

MethodURLParametersDescriptionNotes
POST/ehr
  • subjectId (optional): id of the subject in the external system
  • subjectNamespace (optional): namespace of the subject id in the external system
Create a new EHR 
DELETE/ehr/{ehrId} Delete an EHR

TB: this isn't possible (well not by an external REST access - it would be an internal admin operation); all you can do is mark an EHR as inactive, which would be a POST (I think) to /ehr/{ehr_id}/ehr_status/other_details/is_active or similar. But even this operation, if it succeeds, is serious - it makes it look like an EHR is deleted, so it's probably not appropriate via any externally visible REST interface.

SI: In some countries the patient/client is owner of the data and it has the right (by the law) to ask for a complete (total) removal of all his data, which is more than just an inactive flag.

TB: that's true, but doing the delete would require some documentation and/or special permission. I still doubt very much that this could ever be done through a visible REST interface, unless all the proof parameters were provided, and I think these would be too variable to standardise.

DB: I agree with SI, this can be a requirement. The authentication/permission is a completely different issue. You could argue that the same kind documentation or special permission would be needed for creating a new composition.

BL: I would leave this out of the REST API for the moment. If this is a requirement somewhere it can be performed by other means (special admin interface to the system or similar).

DB: I won't leave this out, delete has a clear use case (i.e. opt-out from clinical research)

ES: Seems like delete EHR is needed in some cases, so it should be system configurable, we just need to agree on what HTTP status codes/messages to return for different cases.

GET/ehr/{ehrId}/ehr_status Retrieve EHR_STATUS 
POST/ehr/{ehrId}/ehr_status Update EHR_STATUS 
PUT/ehr/{ehrId}/ehr_status/... Update an attribute in ehr_statusTB
GET/ehr/{ehrId}/ehr_access Retrieve EHR_ACCESS 
POST/ehr/{ehrId}/ehr_access Update EHR_ACCESS 
PUT/ehr/{ehrId}/ehr_acess/... Update an attribute in ehr_accessTB

Resource FOLDER

MethodURLParametersDescriptionAPI levelNotes
GET/ehr/{ehrId}/directory List foldersR1
GET/ehr/{ehrId}/directory/{folderId} List folder content (list of links/IDs of contained objects)R1
POST/ehr/{ehrId}/directory Create or update a folder  
DELETE/ehr/{ehrId}/directory Deletes a folder SI

Resource COMPOSITION

MethodURLParametersDescriptionAPI levelNotes
POST

/compositions

/ehr/{ehrId}/compositions

  • ehrId
  • committer
  • audit change type
  • version lifecycle state
  • commit comment

Create a new composition

  
GET

/compositions/{compositionId}
/ehr/{ehrId}/compositions/{compositionId}

 Retrieve a compositionR1

Do we return a VERSION or a COMPOSITION here?

GET

/compositions/{compositionId}/version
/ehr/{ehrId}/compositions/{compositionId}/version 

 

 Retrieve a VERSION BL
POST

/compositions/{compositionId}

/ehr/{ehrId}/compositions/{compositionId}

  • committer
  • audit change type
  • version lifecycle state
  • commit comment
Update a composition  
DELETE

/compositions/{compositionId}

/ehr/{ehrId}/compositions/{compositionId}

  • committer
  • audit change type
  • commit comment
Delete a composition  

 

Composition format is the canonical openEHR JSON or XML format. Sample JSON and XML are attached. JSON is using the attribute names based on the RM (snake-case, i.e.: composition.archetype_details.archetype_id) and it also adds the type information - this is the extra attribute "@class" which allows such JSON to be deserialised into proper objects of the target language.

Authentication, sessions should be up to the implementation.

Resource QUERY

MethodURLParametersDescriptionAPI levelNotes

GET

POST

/query

 

aqlExecute an AQLQL1

GET has a max limit on the query length that will be too short for some queries. (Also if using GET make sure that the server sends proper caching headers.) Should we allow both POST and GET?

Added post for querying to allow loooong queries

POST/q/{query-language} Generates a query-id and redirects to resulting resource (se rows below)QL2

(see http://www.biomedcentral.com/1472-6947/13/57) By default the query-id could be a SHA hash of the query itself (that way repeated identical queries do not need to be re-parsed/stored)

If the http-server-log is used as the main source for audit-logging, then the query needs to be stored somewhere since the content of POST is usually not logged in http-logs (The stored query could be inspected using GET q/{query-language}/{query-id}/info/ ). Storing a query (could be an ad-hoc query) for logging purposes does not mean that it needs to be converted to a stored procedure in the database. Manual or automatic routines can be used for deciding when recurring queries (same hash) should be optimized/stored.

If we want to support different query languages (or query language versions) we might want urls on the form q/{QUERY_LANGUAGE}/ (examples: /q/AQL/, /q/AQL2/, /q/AQLinXQuery/)

GET

q/{query-language}/{query-id}

the dynamic parameters defined when query was storedExecutes named query (using dynamic parameters)QL2
GET/ehr/{ehrId}/q/{query-language}/{query-id}the dynamic parameters defined when query was stored Executes stored query (using named parameters)QL2

Discussion:  Do we want to allow the possibility to (optionally?) split URIs for single- and multi-patient queries like this (including EHR ID in the URI)? Single-patient queries may have simpler requirements regarding security and may be more efficiently implemented in certain distributed environments. See http://www.biomedcentral.com/1472-6947/13/57

Resource CONTRIBUTION

MethodURLParametersDescriptionModelNotes
POST

/contribution

 Atomically commits a set of changes (composition creates, updates or deletes).
[
    {
        "action": "CREATE",
        "ehrId": "054ea32b-9ffa-4b00-ba58-a7e92be68087",
        "composition": {
			...
        }
    },
    {
        "action": "UPDATE",
        "compositionUid": "5ab5d99c-ee84-4571-9470-e5fb5002016b::default::1",
        "composition": {
			...
        }
    },
    {
        "action": "DELETE",
        "compositionUid": "1cb4e6bc-860e-4075-9fab-f3c9c113d30d::default::1"
    }
]
This call might also be under /composition resource.
      

Implementation levels (suggestion)

It can be hard for some implementers to support all kinds of calls, we could provide a well specified conformance ladder with basic levels that are easy to add but still are very useful for integrations. Defining R1+W1+Q1 should probably be first priority timewise.

Level 
R1Basic read-only. COMPOSITION+FOLDER listing and retrieval.
R2Level 2 read-only. R1 as above plus: Support for listing and retrieval of CONTRIBUTIONS, EHR_STATUS and EHR_ACCESS...
W1Basic write. Writing/updating COMPOSITIONS one by one. Creating new EHRs...
W2Level 2 write. W1 as above plus Writing several changes at once using a CONTRIBUTION...
QL1Basic Query...
QL2Level 2 Query. Named/identified queries with dynamic parameters (allows stored procedures and other optimizations).
CDS1...?Clinical Decision Support?

A system could for example support R1+QL1 another might support R2+W2 

TODO-list

  • define & describe return model format for all calls (JSON & XML) 
    • ...including MIME-types suggested by DIPS: application/vnd.openehr+xml or application/vnd.openehr+json
  • define all required parameters (esp commit calls are missing changetype, lifecycle status, ...)
  • define additional resources - FHIR like archetype-based resources, conformance?, ...
  • Generate machine-readable representation of the REST interface (WADL etc)

Background info/resources

 

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