FHIR search
Aidbox supports FHIR Search API
.
The FHIR Search API is the primary mechanism for finding FHIR resources by conditions.
A base search request is composed of a list of pairs <parameter>=<value>
:
GET /fhir/[resourceType]?param1=value2¶m2=value2&...
For example, to search for a Patient resource with the name "John" and a birthdate of "1900-01-01", the request would look like this:
GET /fhir/Patient?name=John&birthdate=1900-01-01
Search capabilities
FHIR Search API supports various search features to help retrieve exactly the data you need. Here are some of the most commonly used capabilities.
Search capability | Example | Example Description |
---|---|---|
Field Filtering | GET /fhir/Patient?name=John | Search for patients with name starting with "John" |
Multiple Criteria | GET /fhir/Patient?name=John&gender=male | Search for male patients with name starting with "John" and "male" gender |
OR Logic | GET /fhir/Patient?name=John,Jane | Search for patients with name starting with either "John" OR "Jane" |
Sorting & Paging | GET /fhir/Patient?_sort=name&_page=2 | Sort patients by name and get the second page of results |
Include related resources | GET /fhir/Patient?_include=Patient:organization | Get patients and include their referenced organization resources |
Reverse include | GET /fhir/Organization?_revinclude=Patient:organization | Get organizations and include all patients that reference them |
Field selection | GET /fhir/Patient?_elements=name,birthDate | Return only name and birthDate fields for matching patients |
Chaining | GET /fhir/Patient?organization.name=Mayo | Search for patients in organizations with name containing "Mayo" |
Reverse Chaining | GET /fhir/Organization?_has:Patient:organization:name=John | Search for organizations that have patients with name containing "John" |
Modifiers | GET /fhir/Patient?name:exact=John | Search for patients with name exactly matching "John" |
Advanced filtering | GET /fhir/Patient?_filter=name eq 'John' or birthdate eq '1990-01-01' | Search for patients with name equal to "John" or birthdate equal to "1990-01-01". There's no other way to express this multiple search parameters OR logic in FHIR Search. |
Search results
Search results are returned as a FHIR Bundle resource of type "searchset". The Bundle contains:
- A total count of matching resources
- The matched resources as entries
- Links for pagination (first, previous, next, last pages)
- Additional included/revincluded resources (if requested)
Example response:
{
"resourceType": "Bundle",
"type": "searchset",
"total": 100,
"entry": [
{
"resource": {
"resourceType": "Patient",
"id": "123",
"gender": "male"
}
}
],
"link": [
{
"relation": "self",
"url": "https://localhost:8080/fhir/Patient?_page=1"
},
{
"relation": "first",
"url": "https://localhost:8080/fhir/Patient?_page=1"
},
{
"relation": "next",
"url": "https://localhost:8080/fhir/Patient?_page=2"
}
]
}
Note: using the X-Original-Uri
header allows for complete overwrite of the content of the URL parameter. Aidbox will automatically add a page param to your link, or replace it if it exists. x-original-uri: https://example.com/fhir/Patient?page=4
will produce:
...
link:
- relation: first
url: https://example.com/fhir/Patient?page=1
- relation: self
url: https://example.com/fhir/Patient?page=4
...
See also:
SearchParameter
A SearchParameter is a FHIR resource that defines how to search for data within other FHIR resources.
SearchParameter can be:
- Resource-specific parameters (for example,
Patient.name
) - Common underscored parameters across all resources (
_id
,_sort
,_count
,_page
,_elements
, etc.)
See also:
SearchParameter types
Each SearchParameter has a defined type, which determines how it behaves and what kind of values it accepts.
Type | Description | Example |
---|---|---|
String | Plain text matching | name=smith |
Token | Coded or identifier values | status=active , code=123 |
Reference | Links to other resources | patient=Patient/123 |
Date | Date/time values and ranges | birthdate=2020 , date=ge2019-01 |
Number | Numeric values and ranges | age=55 , length=gt100 |
Quantity | Values with units | weight=100 |
Uri | URIs | url=http://example.com |
Composite | Combines multiple values | component-code-value-quantity=code$value |
Special | Implementation specific | _filter , _text , _content |
It is important to understand the type of SearchParameter because there are differences in how they are processed. For example, different modifiers are supported, some types support prefixes, some don't, etc.
See also SearchParameter Types.
Modifiers
Modifiers change the behavior of a search parameter to support more specific queries.
For example, searching for patients with the name exactly "Smith", rather than the default partial matching:
GET /fhir/Patient?name:exact=Smith
List of supported modifiers:
Modifier | Parameter Types | Description | Example |
---|---|---|---|
:missing | all | Tests whether the value in a resource is present (when the supplied parameter value is true) or absent (when the supplied parameter value is false) | gender:missing=true |
:text | all | Tests whether the textual value in a resource matches the supplied parameter value using basic string matching (begins with or is, case-insensitive) | email:text=gmail.com |
:exact | string | Exact string match | name:exact=Alex |
:contains | string | Search for string containing value | name:contains=lex |
:starts | string | Search for string starting with value | name:starts=Ale |
:ends | string | Search for string ending with value | name:ends=lex |
:in | token | Search within a ValueSet | code:in=/ValueSet/cardiac-conditions |
:not | token | Negates the search value | gender:not=male |
:of-type | token | Search for resource identifier | identifier:of-type=system |
:i | token | Case-insensitive search | email:i=foo@bar.baz |
:below | uri | Tests whether the value in a resource is or is subsumed by the supplied parameter value (is-a, or hierarchical relationships) | url:below=http://acme.org/fhir/ |
:not | uri, reference, token | Negates the search value | url:not=http://acme.org/fhir/ |
:identifier | reference | Search by identifier of referenced resource | subject:identifier=urn:oid:1.2.3.4 |
:btw | date | Search for dates between two values. Defined by Aidbox, not FHIR. | birthdate:btw=1980,1981 |
:iterate, :recurse | - | See including referenced resources | _include:iterate=Observation:has-member:Observation |
Including referenced resources
When searching for resources, you can include referenced resources in the search results using the _include
parameter. This reduces the number of API calls needed to fetch related data.
For example, to search for patients and include their referenced practitioners:
GET /fhir/Patient?_include=Patient:practitioner
Reverse include
The _revinclude
parameter does the opposite of _include
. It returns resources that reference the ones you're querying.
For example, to search for practitioners and include all patients who reference them:
GET /fhir/Practitioner?_revinclude=Patient:practitioner
See also:
Chaining
Chaining allows you to search across references between resources. It’s useful when you need to filter by attributes of related resources.
There are two types of chaining:
- Forward chaining:
GET /fhir/Patient?general-practitioner:Practitioner.name=Oz
(get patients who have a general practitioner with the name "Oz") - Reverse chaining:
GET /fhir/Practitioner?_has:Patient:general-practitioner.gender=male
(get practitioners that are referenced by patients with gender "male")
See also:
Other ways to search
Sometimes FHIR Search API is not enough. For example, there's no way to search using a case-insensitive match without starts-with string type logic (combining token and string types), which is useful to search, say, for domains of emails.
Aidbox has custom APIs to search for resources, which can be used instead of FHIR Search API in corner cases:
- Search resource - use SQL to define
where
andorder-by
parts of SQL statements. Combines with other SearchParameters. - AidboxQuery - use DSL to define search criteria. Does not combine with other SearchParameters.
- Dot expressions - an easy way to search without using SearchParameters at all.
It is also possible to use GraphQL to search for resources.
See also:
Last updated 2025-08-28T11:10:07Z