fhir client implementation in ruby
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arscan Merge pull request #96 from honestica/reference_vread
Adds the possibility to vread on a Reference
Latest commit 46dedff Sep 13, 2018


FHIR Client Build Status

Ruby FHIR client.


  • FHIR STU3 and DSTU2
  • XML and JSON
  • All CRUD, including version read and history
  • Transactions and Batches
  • Search
  • Operations (e.g. $everything, $validate)
  • Support for OAuth2

Getting Started

$ bundle install
$ bundle exec rake fhir:console

Creating a Client

client = FHIR::Client.new(url)

This client supports two modes of operation: basic and advanced. The basic mode is useful for simple operations because it promotes an ActiveRecord-like style of interaction. The advanced mode is less developer-friendly, but is currently necessary if you would like to use the entire range of operations exposed by FHIR.

Basic Usage

Associate the client with the model:

FHIR::Model.client = client

The FHIR models can now be used to directly interact with a FHIR server.

# read an existing patient with an ID of 'example'
patient = FHIR::Patient.read('example')

# update a patient
patient.gender = 'female'
patient.update # saves the patient

# create a patient
patient = FHIR::Patient.create(name: {given: 'John', family: 'Doe'})

#create a patient with specific headers
patient = FHIR::Patient.new(name: {given: 'John', family: 'Doe'}).create({Prefer: "return=representation"})

# search patients
results = FHIR::Patient.search(given: 'John', family: 'Doe')
results.count # results in an enumeration

# delete the recently created patient

Advanced Usage

STU3 and DSTU2

The client defaults to STU3 but can be switched to DSTU2 or it can also attempt to autodetect the FHIR version based on the metadata endpoint.

# autodetect the FHIR version
client = FHIR::Client.new(url)
version = client.detect_version
if version == :stu3
  puts 'FHIR Client using STU3'
elsif version == :dstu2
  puts 'FHIR Client using DSTU2'

# tell the client to use STU3 (default)
# now use the client normally
patient = FHIR::Patient.read('example')
patient = client.read(FHIR::Patient, 'example').resource

# tell the client to use DSTU2
# now use the client with the DSTU2 models
patient = FHIR::DSTU2::Patient.read('example')
patient = client.read(FHIR::DSTU2::Patient, 'example').resource

CRUD Examples

# read an existing patient with id "example"
patient = client.read(FHIR::Patient, "example").resource

# read specifying Formats
patient = client.read(FHIR::Patient, "example", FHIR::Formats::FeedFormat::FEED_JSON).resource

# create a patient
patient = FHIR::Patient.new
patient_id = client.create(patient).id

# update the patient
patient.gender = 'female'
client.update(patient, patient_id)

# conditional update
p_identifier = FHIR::Identifier.new
p_identifier.use = 'official'
p_identifier.system = 'http://projectcrucible.org'
p_identifier.value = '123'
patient.identifier = [ p_identifier ]
searchParams = { :identifier => 'http://projectcrucible.org|123' }
client.conditional_update(patient, patient_id, searchParams)

# conditional create
ifNoneExist = { :identifier => 'http://projectcrucible.org|123' }
client.conditional_create(patient, ifNoneExist)

# destroy the patient
client.destroy(FHIR::Patient, patient_id)


reply = client.search(FHIR::Patient, search: {parameters: {name: 'P'}})
bundle = reply.resource
patient = bundle.entry.first.resource

Fetching a Bundle

reply = client.read_feed(FHIR::Patient) # fetch Bundle of Patients
bundle = reply.resource
bundle.entry.each do |entry|
  patient = entry.resource
  puts patient.name[0].text
puts reply.code # HTTP 200 (or whatever was returned)
puts reply.body # Raw XML or JSON


# Create a patient
@patient = FHIR::Patient.new
@patient.id = 'temporary_id'

# Create an observation
@observation = FHIR::Observation.new
@observation.status = 'final'
@coding = FHIR::Coding.new
@coding.system = 'http://loinc.org'
@observation.code = FHIR::CodeableConcept.new
@observation.code.coding = [ @coding ]
@quantity = FHIR::Quantity.new
@quantity.value = 170
@quantity.unit = 'cm'
@quantity.system = 'http://unitsofmeasure.org'
@observation.valueQuantity = @quantity
@reference = FHIR::Reference.new
@reference.reference = "Patient/#{@patient.id}"
@observation.subject = @reference

# Submit them both as a transaction
reply = @client.end_transaction

OAuth2 Support

client = FHIR::Client.new(url)
client_id = 'example'
client_secret = 'secret'
options = client.get_oauth2_metadata_from_conformance
if options.empty?
  puts 'This server does not support the expected OAuth2 extensions.'
  client.set_oauth2_auth(client_id, client_secret, options[:authorize_url] ,options[:token_url], options[:site])
  reply = client.read_feed(FHIR::Patient)
  puts reply.body


Copyright 2014-2016 The MITRE Corporation

Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at


Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.