FHIR interface

For structured data, Squire offers a FHIR interface that allows you to receive FHIR resources. These include:

Observations made by the healthcare provider
Conditions assessed during the consultation
Procedures performed
Medications prescribed

The granularity of which details are included per resources can vary depending on what is discussed during the consultation.

FHIR bundle

A collection of FHIR resources from a consultation is exposed as a FHIR bundle.


{
  "resourceType": "Bundle",
  "type": "collection",
  "entry": [
    {
        // FHIR resource 1
    },
    {
        // FHIR resource 2
    }
  ]
}

Resources

Observation

Observation resources are exposed for measurements and other observations made during a consultation. The following is an example of a body weight observation:


{
  "resourceType": "Observation",
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "29463-7",
        "display": "Body weight"
      }
    ],
    "text": "Body weight"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "effectiveDateTime": "2025-01-01T10:00:00+00:00",
  "performer": [
    {
      "reference": "Practitioner/example",
      "display": "Dr. John Smith"
    }
  ],
  "valueQuantity": {
    "value": 68,
    "unit": "kg",
    "system": "http://unitsofmeasure.org",
    "code": "kg"
  }
}

Condition

When conditions are assessed during a consultation, they are exposed as condition resources. The following is an example of a hypertension condition:


{
  "resourceType": "Condition",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "38341003",
        "display": "Hypertension"
      }
    ],
    "text": "Hypertension"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "onsetDateTime": "2025-01-01",
  "recordedDate": "2025-01-01",
  "recorder": {
    "reference": "Practitioner/example",
    "display": "Dr. John Smith"
  }
}

Procedure

When procedures are done during the consultation, they are exposed as procedure resources. The following is an example of a procedure:


{
  "resourceType": "Procedure",
  "status": "completed",
  "category": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "103693007",
        "display": "Diagnostic procedure"
      }
    ],
    "text": "Minor surgical procedure"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "performedPeriod": {
    "start": "2025-01-01T11:00:00+01:00",
    "end": "2025-01-01T11:30:00+01:00"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "83738005",
          "display": "Finger structure"
        }
      ],
      "text": "Right index finger"
    }
  ],
  "outcome": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/procedure-outcome",
        "code": "successful",
        "display": "Successful"
      }
    ],
    "text": "Wound cleaned and sutured successfully"
  },
  "followUp": [
    {
      "text": "Stitch removal in 10 days, monitor for infection"
    }
  ]
}

MedicationRequest

When medications are prescribed during a consultation, they are exposed as medication request resources. The following is an example of a paracetamol prescription:


{
  "resourceType": "MedicationRequest",
  "status": "active",
  "intent": "order",
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "https://www.ehealth.fgov.be/standards/reference/fhir/CodeSystem/cnk",
        "code": "1234567",
        "display": "Paracetamol EG 1g Tablet"
      }
    ]
  },
  "subject": {
    "reference": "Patient/example"
  },
  "authoredOn": "2025-01-01",
  "dosageInstruction": [
    {
      "text": "Take 1 tablet orally every 6 hours as needed for pain",
      "timing": {
        "repeat": {
          "frequency": 4,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral route"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 1,
            "unit": "tablet",
            "system": "http://unitsofmeasure.org",
            "code": "{tbl}"
          }
        }
      ]
    }
  ]
}

Country-specific resources

Squire supports country-specific implementations for FHIR resources. Currently, Squire offers extensions for eHealth Belgium FHIR Resources.