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Overview of FHIR Custom Operations: API Extensions and Diverse Use Cases

Custom Operations — Firely Server documentation - Firely Docs Firely

The FHIR Specification framework allows for the definition of custom operations.

April 3, 2026Firely

Summary

Firely Server offers custom operations based on the FHIR specification, allowing flexible extension of the RESTful API. These include diverse functions such as data export ($export), validation ($validate), and snapshot generation ($snapshot).

Details

This documentation details the suite of custom operations available in Firely Server, which utilizes the FHIR operation framework. This framework enables developers to define and offer proprietary operations on top of a standard FHIR RESTful API. Firely Server provides numerous practical custom operations out-of-the-box, extending beyond basic CRUD functionality. Key features include core operational functions like bulk data export ($export), data validation ($validate), and snapshot generation ($snapshot). The capabilities span metadata manipulation ($meta, $meta-add, etc.), system health checks ($liveness, $readiness), and format conversion (XML $ ightleftharpoons$ JSON via $convert). Furthermore, it supports advanced use cases such as patient-level data extraction ($everything), fetching the last N observations ($lastN), permanent resource deletion ($erase, $purge), and a comprehensive set of operations for executing Digital Quality Measures (dQMs) ($cql, $evaluate, etc). These custom operations demonstrate FHIR's commitment to 'flexibility and extensibility,' providing a robust technical foundation crucial for handling complex business logic in healthcare information management. The inclusion of specific functions like member matching ($member-match) and user lookup ($fhirUser-lookup) directly addresses specialized workflow and data governance requirements, making it highly relevant for advanced electronic health record (EHR) and data integration systems in Japan.

Technology Note

FHIR(Fast Healthcare Interoperability Resources)は医療データ交換の国際標準。このエントリの関連技術: FHIR

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