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FHIR Bulk Data Access

FHIR IG for asynchronous NDJSON population export.

Definition

The $export operation on Patient, Group or system generates a Job ID, queryable via Content-Location header polling. Returns array of NDJSON files per resource type (Patient.ndjson, Observation.ndjson, Encounter.ndjson). Auth via SMART Backend Services JWT client assertion. Version 2.0 stable, integrated into HL7 FHIR R4 and R5.

Origin

Argonaut Project + SMART Health IT (Boston Children's Hospital), version 1.0 2018, 2.0 2021, integrated US Core and adopted by ONC.

Usage

Population health analytics, payer-provider data exchange (HEDIS, quality measures), research datasets, EHI Export (Cures Act compliance).

Related terms

  • FHIR — fondation.
  • SMART on FHIR — cadre auth.
  • NDJSON — format export.

Last updated: May 18, 2026