Welcome to the winter release of HAPI FHIR! Support has been added for FHIR R4B (4.3.0). See the R4B Documentation for more information on what this means. Now onto the rest!

Breaking Changes

• The ActionRequestDetails class has been dropped (it has been deprecated since HAPI FHIR 4.0.0). This class was used as a parameter to the SERVER_INCOMING_REQUEST_PRE_HANDLED interceptor pointcut, but can be replaced in any existing client code with RequestDetails. This change also removes an undocumented behaviour where the JPA server internally invoked the SERVER_INCOMING_REQUEST_PRE_HANDLED a second time from within various processing methods. This behaviour caused performance problems for some interceptors (e.g. SearchNarrowingInterceptor) and no longer offers any benefit so it is being removed.
• Previously when ValueSets were pre-expanded after loinc terminology upload, expansion was failing with an exception for each ValueSet with more than 10,000 properties. This problem has been fixed. This fix changed some freetext mappings (definitions about how resources are freetext indexed) for terminology resources, which requires reindexing those resources. To do this use the reindex-terminology command."
• Removed Flyway database migration engine. The migration table still tracks successful and failed migrations to determine which migrations need to be run at startup. Database migrations no longer need to run differently when using an older database version.
• The interceptor system has now deprecated the concept of ThreadLocal interceptors. This feature was added for an anticipated use case, but has never seen any real use that we are aware of and removing it should provide a minor performance improvement to the interceptor registry.

Security Changes

• Upon hitting a subscription delivery failure, we currently log the failing payload which could be considered PHI. Resource content is no longer written to logs on subscription failure.

General Client/Server/Parser Changes

• Previously, Celsius and Fahrenheit temperature quantities were not normalized. This is now fixed. This change requires reindexing of resources containing Celsius or Fahrenheit temperature quantities.
• Fixed bug where searching with a target resource parameter (Coverage:payor:Patient) as value to an _include parameter would fail with a 500 response.
• Previously, DELETE request type is not supported for any operations. DELETE is now supported, and is enabled for operation $export-poll-status to allow cancellation of jobs
• Previously, when a client would provide a requestId within the source uri of a Meta.source, the provided requestId would get discarded and replaced by an id generated by the system. This has been corrected
• In the JPA server, when a resource is being updated, the response will now include any tags or security labels which were not present in the request but were carried forward from the previous version of the resource.
• Previously, if the Endpoint Base URL is set to something different from the default value, the URL that export-poll-status returned is incorrect. After correcting the export-poll-status URL, the binary file URL returned is also incorrect. This error has also been fixed and the URLs that are returned from $export and $export-poll-status will not contain the extra path from 'Fixed Value for Endpoint Base URL'.
• Previously, the :nickname qualifier only worked with the predefined name and given SearchParameters. This has been fixed and now the :nickname qualifier can be used with any string SearchParameters.
• Previously, when executing a '[base]/_history' search, '_since' and '_at' shared the same behaviour. When a user searched for the date between the records' updated date with '_at', the record of '_at' time was not returned. This has been corrected. '_since' query parameter works as it previously did, and the '_at' query parameter returns the record of '_at' time.
• Previously, creating a DSTU3 SearchParameter with an expression that does not start with a resource type would throw an error. This has been corrected.
• There was a bug in content-type negotiation when reading Binary resources. Previously, when a client requested a Binary resource and with an Accept header that matched the contentType of the stored resource, the server would return an XML representation of the Binary resource. This has been fixed, and a request with a matching Accept header will receive the stored binary data directly as the requested content type.
• A new built-in server interceptor called the InteractionBlockingInterceptor has been added. This interceptor allows individual operations to be included/excluded from a RestfulServer's exported capabilities.
• The OpenApi generator now allows additional CSS customization for the Swagger UI page, as well as the option to disable resource type pages.
• Modified BinaryAccessProvider to use a safer method of checking the contents of an input stream. Thanks to @ttntrifork for the fix!
• Fixed issue where adding a sort parameter to a query would return an incomplete result set.
• Added new attribute for the @Operation annotation to define the operation's canonical URL. This canonical URL value will populate the operation definition in the CapabilityStatement resource.
• A new interceptor pointcut STORAGE_TRANSACTION_PROCESSING has been added. Hooks for this pointcut can examine and modify FHIR transaction bundles being processed by the JPA server before processing starts.
• In the JPA server, when deleting a resource the associated tags were previously deleted even though the FHIR specification states that tags are independent of FHIR versioning. After this fix, resource tags and security labels will remain when a resource is deleted. They can be fetched using the $meta operation against the deleted resource, and will remain if the resource is brought back in a subsequent update.
• Fixed a bug which caused a failure when combining a Consent Interceptor with version conversion via the Accept header.

Bulk Export

• Previously, bulk export for Group type with _typeFilter did not apply the filter if it was for the patients, and returned all members of the group. This has now been fixed, and the filter will apply.
• A regression was introduced in 6.1.0 which caused bulk export jobs to not default to the correct output format when the _outputFormat parameter was omitted. This behaviour has been fixed, and if omitted, will now default to the only legal value application/fhir+ndjson.
• Fixed a bug in Group Bulk Export where the server would crash in oracle due to too many clauses.
• Fixed a Group Bulk Export bug which was causing it to fail to return resources due to an incorrect search.
• Fixed a Group Bulk Export bug in which the group members would not be expanded correctly.
• Fixed a bug in Group Bulk Export: If a group member was part of multiple groups , it was causing other groups to be included during Group Bulk Export, if the Group resource type was specified. Now, when doing an export on a specific group, and you elect to return Group resources, only the called Group will be returned, regardless of cross-membership.
• Previously, Patient Bulk Export only supported endpoint [fhir base]/Patient/$export, which exports all patients. Now, Patient Export can be done at the instance level, following this format: [fhir base]/Patient/[id]/$export, which will export only the records for one patient. Additionally, added support for the patient parameter in Patient Bulk Export, which is another way to get the records of only one patient.
• Fixed the $poll-export-status endpoint so that when a job is complete, this endpoint now correctly includes the request and requiresAccessToken attributes.
• Fixed a bug where /Patient/$export would fail if _type=Patient parameter was not included.
• Previously, Group Bulk Export did not support the inclusion of resources referenced in the resources in the patient compartment. This is now supported.
• A previous fix resulted in Bulk Export files containing mixed resource types, which is not allowed in the bulk data access IG. This has been corrected.
• A previous fix resulted in Bulk Export files containing duplicate resources, which is not allowed in the bulk data access IG. This has been corrected.
• Previously, the number of resources per binary file in bulk export was a static 1000. This is now configurable by a new JpaStorageSettings property called 'setBulkExportFileMaximumCapacity()', and the default value is 1000 resources per file.
• By default, if the $export operation receives a request that is identical to one that has been recently processed, it will attempt to reuse the batch job from the former request. A new configuration parameter has been
• introduced that disables this behavior and forces a new batch job on every call.
• Bulk Group export was failing to export Patient resources when Client ID mode was set to: ANY. This has been fixed
• Previously, Bulk Export jobs were always reused, even if completed. Now, jobs are only reused if an identical job is already running, and has not yet completed or failed.

Other Operations

• Extend $member-match to validate matched patient against family name and birthdate
• $mdm-submit can now be run as a batch job, which will return a job ID, and can be polled for status. This can be accomplished by sending a Prefer: respond-async header with the request.
• Previously, if the $reindex operation failed with a ResourceVersionConflictException the related
  batch job would fail. This has been corrected by adding 10 retry attempts for transactions that have failed with a ResourceVersionConflictException during the $reindex operation. In addition, the ResourceIdListStep was submitting one more resource than expected (i.e. 1001 records processed during a $reindex operation if only 1000 Resources were in the database). This has been corrected.

CLI Tool changes:

• Added a new optional parameter to the upload-terminology operation of the HAPI-FHIR CLI. you can pass the -s or --size parameter to specify the maximum size that will be transmitted to the server, before a local file reference is used. This parameter can be filled in using human-readable format, for example: upload-terminology -s \"1GB\" will permit zip files up to 1 gigabyte, and anything larger than that would default to using a local file reference.
• Previously, using the import-csv-to-conceptmap command in the CLI successfully created ConceptMap resources without a ConceptMap.status element, which is against the FHIR specification. This has been fixed by adding a required option for status for the command.
• Added support for -l parameter for providing a local validation profile in the HAPI FHIR CLI.
• Previously, when the upload-terminology command was used to upload a terminology file with endpoint validation enabled, a validation error occurred due to a missing file content type. This has been fixed by specifying the file content type of the uploaded file.
• For SNOMED CT, upload-terminology now supports both Canadian and International edition's file names for the SCT Description File
• Documentation was added for reindex-terminology command.

JPA Server General Changes

• Changed Minimum Size (bytes) in FHIR Binary Storage of the persistence module from an integer to a long. This will permit larger binaries.
• Previously, if a FullTextSearchSvcImpl was defined, but was disabled via configuration, there could be data loss when reindexing due to transaction rollbacks. This has been corrected. Thanks to @dyoung-work for the fix!
• Fixed a bug where the $everything operation on Patient instances and the Patient type was not correctly propagating the transactional semantics. This was causing callers to not be in a transactional context.
• Previously when updating a phonetic search parameter, any existing resource will not have its search parameter String updated upon reindex if the normalized String is the same letter as under the old algorithm (ex JN to JAN). Searching on the new normalized String was failing to return results. This has been corrected.
• Previously, when creating a DocumentReference with an Attachment containing a URL over 254 characters an error was thrown. This has been corrected and now an Attachment URL can be up to 500 characters.

JPA Server Performance Changes

• Initial page loading has been optimized to reduce the number of prefetched resources. This should improve the speed of initial search queries in many cases.
• Cascading deletes don't work correctly if multiple threads initiate a delete at the same time. Either the resource won't be found or there will be a collision on inserting the new version. This changes fixes the problem by better handling these conditions to either ignore an already deleted resource or to keep retrying in a new inner transaction.
• When using SearchNarrowingInterceptor, FHIR batch operations with a large number of conditional create/update entries exhibited very slow performance due to an unnecessary nested loop. This has been corrected.
• When using ForcedOffsetSearchModeInterceptor, any synchronous searches initiated programmatically (i.e. through the internal java API, not the REST API) will not be modified. This prevents issues when a java call requests a synchronous search larger than the default offset search page size
• Previously, when using _offset, the queries will result in short pages, and repeats results on different pages. This has now been fixed.
• Processing for _include and _revinclude parameters in the JPA server has been streamlined, which should improve performance on systems where includes are heavily used.

Database-specific Changes

• Database migration steps were failing with Oracle 19C. This has been fixed by allowing the database engine to skip dropping non-existent indexes.

Terminology Server, Fulltext Search, and Validation Changes

• With Elasticsearch configured, including terminology, an exception was raised while expanding a ValueSet with more than 10,000 concepts. This has now been fixed.
• Previously when ValueSets were pre-expanded after loinc terminology upload, expansion was failing with an exception for each ValueSet with more than 10,000 properties. This problem has been fixed. This fix changed some freetext mappings (definitions about how resources are freetext indexed) for terminology resources, which requires reindexing those resources. To do this use the reindex-terminology command."
• Added support for AWS OpenSearch to Fulltext Search. If an AWS Region is configured, HAPI-FHIR will assume you intend to connect to an AWS-managed OpenSearch instance, and will use Amazon's DefaultAwsCredentialsProviderChain to authenticate against it. If both username and password are provided, HAPI-FHIR will attempt to use them as a static credentials provider.
• Search for strings with :text qualifier was not performing advanced search. This has been corrected.
• LOINC terminology upload process was enhanced to consider 24 additional properties which were defined in loinc.csv file but not uploaded.
• LOINC terminology upload process was enhanced by loading MAP_TO properties defined in MapTo.csv input file to TermConcept(s).

MDM (Master Data Management)

• MDM messages were using the resource id as a message key when it should be using the EID as a partition hash key. This could lead to duplicate golden resources on systems using Kafka as a message broker.
• $mdm-submit can now be run as a batch job, which will return a job ID, and can be polled for status. This can be accomplished by sending a Prefer: respond-async header with the request.

Batch Framework

• Fast-tracking batch jobs that produced only one chunk has been rewritten to use Quartz triggerJob. This will ensure that at most one thread is updating job status at a time. Also jobs that had FAILED, ERRORED, or been CANCELLED could be accidentally set back to IN_PROGRESS; this has been corrected
• All Spring Batch dependencies and services have been removed. Async processing has fully migrated to Batch 2.
• In HAPI-FHIR 6.1.0, a regression was introduced into bulk export causing exports beyond the first one to fail in strange ways. This has been corrected.
• A remove method has been added to the Batch2 job registry. This will allow for dynamic job registration in the future.
• Batch2 jobs were incorrectly prevented from transitioning from ERRORED to COMPLETE status.

Package Registry

• Provided the ability to have the NPM package installer skip installing a package if it is already installed and matches the version requested. This can be controlled by the reloadExisting attribute in PackageInstallationSpec. It defaults to true, which is the existing behaviour. Thanks to Craig McClendon (@XcrigX) for the contribution!

Welcome to a new major release of HAPI FHIR! Since there are many breaking changes, we are making this a major release.

Breaking Changes

• Support for Java 8 has been dropped. A minimum of Java 11 is now required for HAPI FHIR. Java 17 is also supported.
• Database indexes have been completely reworked for Search Index tables. This should result in significantly faster searches in most use cases.
• A new batch operation framework for executing long running background jobs has been created. This new framework is called 'Batch2', and will eventually replace Spring Batch. This framework is intended to be much more resilient to failures as well as much more paralellized than Spring Batch job.

Security Changes

• Previously, it was possible to update a resource with wrong tenantID. This issue has been fixed.
• User was permitted to bulk export all groups/patients when they were unauthorized. This issue has been fixed.
• The Spring Framework library was upgraded to version 5.3.18 in order to avoid depending on a version known to be vulnerable to CVE-2022-22965, known as Spring4Shell. HAPI FHIR is not believed to be vulnerable to this issue, but the library has been bumped as a precaution.

General Client/Server/Parser Changes

• Added search parameter modifier :nickname that can be used with 'name' or 'given' search parameters.
• Added a new pointcut: STORAGE_PRESTORAGE_CLIENT_ASSIGNED_ID which is invoked when a user attempts to create a resource with a client-assigned ID.
• The XML and JSON Parsers are now encoding narratives of contained resources. Narratives were skipped before for contained resources.
• Include property regex operation was not working when expanding ValueSet. This is now fixed
• When performing a search with a _revinclude. the results sometimes incorrectly included resources that were reverse included by other search parameters with the same name. Thanks to GitHub user @vivektk84 for reporting and to Jean-Francois Briere for proposing a fix.
• The HAPI FHIR server GraphQL endpoints now support GraphQL introspection, making them much easier to use with GraphQL-capable IDEs.
• Support has been added to the JPA server for token :not-in queries.
• SearchNarrowingInterceptor can now be used to automatically narrow searches to include a code:in or code:not-in expression, for mandating that results must be in a specified list of codes.
• Support has now (finally!) been added for the FHIR Bulk Import ($import) operation.
• A consent service implementation that enforces search narrowing rules specified by the SearchNarrowingInterceptor has been added.
• GET resource with _total=accurate and _summary=count if consent service enabled should throw an InvalidRequestException. This issue has been fixed.
• Reindexing jobs were not respecting the passed in date range in SearchParams. We now take date these date ranges into account when running re-indexing jobs.
• The server now supports date searches with the NOT_EQUALS (ne) prefix.
• Previously the Fhir parser would only set the resource type on the resource ID for resources which implemented IDomainResource. This caused a few resource types to be missed. This has been corrected, and resource type is now set on the id element for all IBaseResource instances instead.

CLI Tool changes:

• Previously there was no way to recreate freetext indexes for terminology entities. A new CLI operation, reindex-terminology now exists for this purpose.

JPA Server General Changes

• _include now supports canonicals as well as standard references.
• The resource JSON can now be stored and retrieved in the Lucene/Elasticsearch index. This enables some queries to provide results without using the database. This is enabled via JpaStorageSettings.setStoreResourceInLuceneIndex()
• An occasional concurrency failure in AuthorizationInterceptor has been resolved. Thanks to Martin Visser for reporting and providing a reproducible test case!
• When cross-partition reference Mode is used, the rest-hook subscriptions on a partition enabled server would cause a NPE. This has been resolved.
• Group Bulk Export (e.g. Group/123/$export) now additionally supports Organization and Practitioner as valid _type parameters. This works internally by querying using a _has parameter

JPA Server Performance Changes

• When deleting a large ValueSet operation was timing out. This issue has been fixed.
• Performance for JPA Server ValueSet expansion has been significantly optimized in order to minimize database lookups, especially with large expansions.
• When using JPA persistence with Hibernate Search (Lucene or Elasticsearch), simple FHIR queries that can be satisfied completely by Hibernate Search no longer query the database.
• Added a new setting to BinaryStorageInterceptor which allows you to disable binary de-externalization during resource reads.

Database-specific Changes

• When searching for date search parameters on Postgres, ordinals could sometimes be represented as strings, causing a search failure. This has been corrected.
• A regression in HAPI FHIR 5.5.0 meant that very large transactions where the bundle contained over 1000 distinct client-assigned resource IDs could fail on MSSQL and Oracle due to SQL parameter count limitations.

Terminology Server and Validation Changes

• ValueSet pre-expansion was failing when number of concepts was larger than configured BooleanQuery.maxClauseCount value (default is 1024). This is now fixed.
• A regression in HAPI FHIR 5.7.0 meant that when UnknownCodeSystemWarningValidationSupport was configured for WARNING behaviour, validating a field with an implicit code system could incorrectly result in an error.
• We now Provide a Remote Terminology Service implementation for the $translate operation.
• The JPA server terminology service can now process IS-A filters in ValueSet expansion on servers with Hibernate Search disabled.
• HAPI-FHIR no longer performs Repository Validation on resources that are implicitly created, e.g. placeholder resources.

Welcome to the winter-ish release of HAPI-FHIR 5.6.0!

HAPI FHIR 5.6.0 (Codename: Raccoon) brings a whole bunch of great new features, bugfixes, and more.

Highlights of this release are shown below. See the Changelog for a complete list. There will be a live Webinar (recording available on-demand afterward) on August 18 2021. Details available here: https://www.smilecdr.com/quarterly-product-release-webinar-reminder

Security Changes

• Add new RuleBuilder options which allow you to specify additional resources and search parameters which match a given compartment. More explanations of the enhancements can be found in the documentation.
• Previously, when a search query explicitly includes a search parameter that is for the same resource type but a different resource instance from the one(s) specified on the authorized list, the search narrowing interceptor would include both search parameters in the final query, resulting in an empty bundle being returned to the caller. Now, such a call will result in a 403 Forbidden error, making it more clear why no resources were returned.
• Inline match URL searches (e.g. search URLs for conditional creates, conditional updates, etc.) are now subject to the same security and access control checks as other searches.

General Client/Server/Parser Changes

• HAPI-FHIR will now index canonical references if the base url is set via property.
• Added displayLanguage support for CodeSystem $lookup operation.
• Loosened BCP47 validation to permit languages that are without region, e.g. nl instead of nl-DE or nl-NL.
• Previously, % symbol was causing searches to fail to return results. This has been corrected.
• Added an NDJSON parser.
• Previously, the package registry would not work correctly when externalized binary storage was enabled. This has been corrected.

CLI Tool changes:

• This PR eliminates the search coordinator threadpool, and executes searches synchronously on the HTTP client thread.

JPA Server General Changes

• Improved ordinal date searches to handle lower granularity MONTH and YEAR searches.
• Support for the _language search parameter has been dropped.
• FHIR Batch transaction GET operations are now executed in parallel where applicable.
• Fixed a regression which causes transactions with multiple identical ifNoneExist clauses to create duplicate data.
• Added the ability for Hibernate Search to prefix all elasticsearch tables it creates, allowing you to have multiple HAPI-FHIR's using the same elasticsearch instance.
• Support has been added for chained searches traversing contained resources much more effectively.
• Experimental additions have been made to search parameter indexing in lucene. These can be enabled via advanced property.
• Fixed a critical bug with Postgresql database which caused the VACUUMLO tool to delete data.
• A new _id parameter has been added to the Patient/$everything type-level operation so you can narrow down a specific list of patient IDs to export.

JPA Server Partitioning Changes

• Swagger UI is now supported in partitioned servers

Terminology Server and Validation Changes

• Provided a Remote Terminology Service implementation for the $lookup Operation.
• Support added for uploading non-current versions of LOINC ValueSets

JPA Server MDM Enhancements

• _mdm parameter support has been added to the $everything operation.
• Modified the MDM_AFTER_PERSISTED_RESOURCE_CHECKED pointcut to include additional information.
• The $mdm-clear operation has been refactor to use spring batch.
• Added $mdm-create-link operation.