The FHIR Bulk Data API and what's new in v2!
summary
API standardizes large exports of FHIR resources into streamed NDJSON files with optional Parquet, uses asynchronous job kickoff/manifest → file retrieval, and adds V2 performance features like per-resource files, a deleted list for removals, and extra filters (since, elements, type, patient, includeAssociated). Authorization uses SMART Backend Services (client public key registration + signed token requests). Reference server and client libraries exist, Inferno tests validate servers, and CMS already delivers claims via bulk FHIR; manifests include expiry and servers can expose capability URLs or require tokens.
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chapters (10)
- 0:00Introduction and agenda
- 2:36Use cases for bulk data
- 6:01Design and scope
- 10:55Requests and parameters
- 17:42Response flow and manifests
- 25:24Security and authorization
- 28:07Tools for implementation
- 30:53Adoption and current state
- 33:14Next steps and community
- 37:55Questions and answers
