FHIR Bulk Data API and what's new in v2
summary
FHIR Bulk Data v2 adds concrete, production-ready features: kickoff can use GET or POST, exports stream as NDJSON format files split by resource type, attachments may be delivered as auth-protected URLs, and new params (_elements, patients, include-associated-data, looser _since rules) let nightly pipelines fetch deltas plus full history for new members. Authentication uses SMART backend services JWT auth. Open-source tools (SMART reference server and client, ONC/Inferno tests) and Microsoft de-identification code exist; Epic reports a few hundred live sites and CMS runs multiple pilots.
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chapters (12)
- 0:00Introduction and agenda
- 1:39Use cases and scope
- 4:16Design and constraints
- 7:53Technical architecture
- 14:29Status, manifest, and errors
- 20:42Working with NDJSON
- 21:58Authorization and security
- 24:18Version two enhancements
- 28:15Open source tools
- 31:13Adoption and real-world use
- 34:43Next steps and community
- 39:50Q&A session
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