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Patient $everything

The $everything operation retrieves a complete bundle of all resources associated with a patient in a single API call. This provides a comprehensive view of a patient's clinical record-including encounters, observations, medications, conditions, and related resources-without requiring multiple queries.

This operation is essential for scenarios requiring complete patient data, such as care transitions, patient record requests, and regulatory compliance with data portability requirements.

Use Cases​

  • Patient Record Requests: Fulfill patient requests for their complete medical record (21st Century Cures Act compliance)
  • Care Transitions: Grabbing a patient's full history when transferring care to another provider
  • Analytics and Research: Extract comprehensive patient data for population health analysis or research studies

Invoke the $everything operation​

[base]/R4/Patient/<id>/$everything

Parameters​

NameTypeDescriptionRequired
startdateStart date for filtering resources by care dateNo
enddateEnd date for filtering resources by care dateNo
_sinceinstantOnly include resources updated since this timeNo
_countintegerMaximum number of results to return (default: 1000)No
_offsetintegerOffset for paginationNo
_typestring[]Restrict output to specific resource types (comma-separated)No

Output​

The output of the request is a FHIR bundle with all resources belonging to the patient for whom the request is made. The FHIR Bundle created from this operation is the supported machine readable Electronic Health Information Export (EHI) format for Medplum.

Resources Included​

Medplum's patient $everything operation includes:

  1. Patient Compartment Resources - All resources defined in the FHIR R4 Patient Compartment

  2. Referenced Resources - Additional resources referenced by patient compartment resources but outside the compartment itself:

    • Organizations
    • Practitioners
    • PractitionerRoles
    • Locations
    • Medications
    • Devices