ModMed Observation API

openapi: 3.2.0
info:
  title: ModMed Certified Observation API
  contact: {}
  version: 4.1-SNAPSHOT
  description: '**FHIR endpoints are customer-specific.** Each practice has its own Certified FHIR endpoint — browse the directory at https://mm-fhir-endpoint-display.prod.fhir.ema-api.com/. The server below (`https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4`) is a production **demonstration endpoint** for testing your integration; it behaves exactly like any practice''s endpoint. See the **Authentication** documentation for the OAuth 2.0 / SMART App Launch flow.'
servers:
- url: https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4
  description: EMA Certified FHIR API
  variables:
    firm:
      default: fhirmp
      description: Your firm subdomain (e.g. fhirmp, auraderm). Find yours at https://mm-fhir-endpoint-display.prod.fhir.ema-api.com/
security:
- smartOnFhir:
  - openid
  - fhirUser
  - profile
  - launch/patient
  - offline_access
  - patient/AllergyIntolerance.rs
  - patient/CarePlan.rs
  - patient/CareTeam.rs
  - patient/Condition.rs
  - patient/Coverage.rs
  - patient/Device.rs
  - patient/DiagnosticReport.rs
  - patient/DocumentReference.rs
  - patient/Encounter.rs
  - patient/Goal.rs
  - patient/Immunization.rs
  - patient/Location.rs
  - patient/Medication.rs
  - patient/MedicationRequest.rs
  - patient/Observation.rs
  - patient/Organization.rs
  - patient/Patient.rs
  - patient/Practitioner.rs
  - patient/PractitionerRole.rs
  - patient/Procedure.rs
  - patient/Provenance.rs
  - patient/RelatedPerson.rs
  - patient/ServiceRequest.rs
  - user/AllergyIntolerance.rs
  - user/CarePlan.rs
  - user/CareTeam.rs
  - user/Condition.rs
  - user/Coverage.rs
  - user/Device.rs
  - user/DiagnosticReport.rs
  - user/DocumentReference.rs
  - user/Encounter.rs
  - user/Goal.rs
  - user/Immunization.rs
  - user/Location.rs
  - user/Medication.rs
  - user/MedicationRequest.rs
  - user/Observation.rs
  - user/Organization.rs
  - user/Patient.rs
  - user/Practitioner.rs
  - user/PractitionerRole.rs
  - user/Procedure.rs
  - user/Provenance.rs
  - user/RelatedPerson.rs
  - user/ServiceRequest.rs
  - system/AllergyIntolerance.rs
  - system/CarePlan.rs
  - system/CareTeam.rs
  - system/Condition.rs
  - system/Coverage.rs
  - system/Device.rs
  - system/DiagnosticReport.rs
  - system/DocumentReference.rs
  - system/Encounter.rs
  - system/Goal.rs
  - system/Immunization.rs
  - system/Location.rs
  - system/Medication.rs
  - system/MedicationRequest.rs
  - system/Observation.rs
  - system/Organization.rs
  - system/Patient.rs
  - system/Practitioner.rs
  - system/PractitionerRole.rs
  - system/Procedure.rs
  - system/Provenance.rs
  - system/RelatedPerson.rs
  - system/ServiceRequest.rs
tags:
- name: Observation
  description: The Observation FHIR resource type
paths:
  /Observation/{id}:
    get:
      tags:
      - Observation
      summary: 'read-instance: Read Observation instance'
      parameters:
      - name: id
        in: path
        description: The resource ID
        required: true
        style: simple
        schema:
          minimum: 1
          type: string
        example: '123'
      responses:
        '200':
          description: Success
          content:
            application/fhir+json:
              schema:
                $ref: '#/components/schemas/FHIR-JSON-RESOURCE'
              examples:
                body-temperature:
                  summary: Vital sign — body temperature with numeric value
                  value:
                    resourceType: Observation
                    id: 1.120182.17.1.5.4312322
                    meta:
                      source: Organization/1.120182
                      profile:
                      - http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs
                      - http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature
                    status: final
                    category:
                    - coding:
                      - system: http://terminology.hl7.org/CodeSystem/observation-category
                        code: vital-signs
                        display: Vital Signs
                      text: Vital Signs
                    code:
                      coding:
                      - system: http://loinc.org
                        code: 8310-5
                        display: Body Temperature
                      text: Body Temperature
                    subject:
                      reference: Patient/1.120182.1.17082675
                      type: Patient
                    effectiveDateTime: '2026-04-06T17:36:00+00:00'
                    valueQuantity:
                      value: 98.6
                      unit: '[degF]'
                      system: http://unitsofmeasure.org
                      code: '[degF]'
            application/fhir+xml:
              schema:
                $ref: '#/components/schemas/FHIR-XML-RESOURCE'
  /Observation:
    get:
      tags:
      - Observation
      summary: 'search-type: Search for Observation instances'
      description: This is a search type
      parameters:
      - name: _id
        in: query
        description: The ID of the resource
        required: false
        schema:
          type: string
      - name: category
        in: query
        description: The classification of the type of observation
        required: false
        schema:
          type: string
      - name: code
        in: query
        description: The code of the observation type
        required: false
        schema:
          type: string
      - name: date
        in: query
        description: Obtained date/time. If the obtained element is a period, a date that falls in the period
        required: false
        schema:
          anyOf:
          - type: string
            format: date-time
          - type: string
            format: date
      - name: patient
        in: query
        description: The subject that the observation is about (if patient)
        required: false
        schema:
          type: string
      - name: status
        in: query
        description: The status of the observation
        required: false
        schema:
          type: string
      responses:
        '200':
          description: Success
          content:
            application/fhir+json:
              schema:
                $ref: '#/components/schemas/FHIR-JSON-RESOURCE'
              examples:
                observation-bundle:
                  summary: 'Patient observations: vital signs (temperature, blood pressure) and social history (smoking status, sexual orientation) — total 11'
                  value:
                    resourceType: Bundle
                    type: searchset
                    total: 11
                    link:
                    - relation: self
                      url: https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4/Observation?patient=1.120182.1.17082675
                    entry:
                    - fullUrl: https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4/Observation/1.120182.17.1.5.4312322
                      resource:
                        resourceType: Observation
                        id: 1.120182.17.1.5.4312322
                        meta:
                          source: Organization/1.120182
                          profile:
                          - http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs
                          - http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature
                        status: final
                        category:
                        - coding:
                          - system: http://terminology.hl7.org/CodeSystem/observation-category
                            code: vital-signs
                            display: Vital Signs
                          text: Vital Signs
                        code:
                          coding:
                          - system: http://loinc.org
                            code: 8310-5
                            display: Body Temperature
                          text: Body Temperature
                        subject:
                          reference: Patient/1.120182.1.17082675
                          type: Patient
                        effectiveDateTime: '2026-04-06T17:36:00+00:00'
                        valueQuantity:
                          value: 98.6
                          unit: '[degF]'
                          system: http://unitsofmeasure.org
                          code: '[degF]'
                    - fullUrl: https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4/Observation/1.120182.17.1.8.4312322
                      resource:
                        resourceType: Observation
                        id: 1.120182.17.1.8.4312322
                        meta:
                          source: Organization/1.120182
                          profile:
                          - http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs
                          - http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure
                        status: final
                        category:
                        - coding:
                          - system: http://terminology.hl7.org/CodeSystem/observation-category
                            code: vital-signs
                            display: Vital Signs
                          text: Vital Signs
                        code:
                          coding:
                          - system: http://loinc.org
                            code: 85354-9
                            display: Blood pressure panel with all children optional
                          text: Blood pressure panel with all children optional
                        subject:
                          reference: Patient/1.120182.1.17082675
                          type: Patient
                        effectiveDateTime: '2026-04-06T17:36:00+00:00'
                        component:
                        - code:
                            coding:
                            - system: http://loinc.org
                              code: 8480-6
                              display: Systolic Blood Pressure
                            text: Systolic Blood Pressure
                          dataAbsentReason:
                            coding:
                            - system: http://terminology.hl7.org/CodeSystem/data-absent-reason
                              code: unknown
                              display: Unknown
                        - code:
                            coding:
                            - system: http://loinc.org
                              code: 8462-4
                              display: Diastolic Blood Pressure
                            text: Diastolic Blood Pressure
                          dataAbsentReason:
                            coding:
                            - system: http://terminology.hl7.org/CodeSystem/data-absent-reason
                              code: unknown
                              display: Unknown
                    - fullUrl: https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4/Observation/1.120182.17.2.17082675
                      resource:
                        resourceType: Observation
                        id: 1.120182.17.2.17082675
                        meta:
                          source: Organization/1.120182
                        status: final
                        category:
                        - coding:
                          - system: http://terminology.hl7.org/CodeSystem/observation-category
                            code: social-history
                            display: Social History
                        code:
                          coding:
                          - system: http://loinc.org
                            code: 72166-2
                            display: Tobacco smoking status
                        subject:
                          reference: Patient/1.120182.1.17082675
                          type: Patient
                        effectiveDateTime: '2026-05-14T18:27:48+00:00'
                        valueCodeableConcept:
                          coding:
                          - system: http://snomed.info/sct
                            code: '266919005'
                            display: Never smoker
                    - fullUrl: https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4/Observation/1.120182.17.8.3050901
                      resource:
                        resourceType: Observation
                        id: 1.120182.17.8.3050901
                        meta:
                          source: Organization/1.120182
                          profile:
                          - http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation
                        status: final
                        category:
                        - coding:
                          - system: http://terminology.hl7.org/CodeSystem/observation-category
                            code: social-history
                            display: Social History
                        code:
                          coding:
                          - system: http://loinc.org
                            code: 76690-7
                            display: Sexual orientation
                          text: Sexual orientation
                        subject:
                          reference: Patient/1.120182.1.17082675
                          type: Patient
                        effectiveDateTime: '2026-03-02T13:25:10+00:00'
                        valueCodeableConcept:
                          coding:
                          - system: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
                            code: UNK
                            display: Unknown
                          text: Unknown
            application/fhir+xml:
              schema:
                $ref: '#/components/schemas/FHIR-XML-RESOURCE'
components:
  schemas:
    FHIR-XML-RESOURCE:
      type: object
      description: A FHIR resource
    FHIR-JSON-RESOURCE:
      type: object
      description: A FHIR resource
  securitySchemes:
    smartOnFhir:
      type: oauth2
      flows:
        authorizationCode:
          authorizationUrl: https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4/auth/realms/fhir/protocol/openid-connect/auth
          tokenUrl: https://fhirmp.mmi.prod.fhir.ema-api.com/fhir/r4/auth/realms/fhir/protocol/openid-connect/token
          scopes:
            openid: OpenID Connect (auto-granted)
            fhirUser: FHIR reference to the authenticated practitioner
            profile: Standard OIDC profile claims
            launch/patient: Request patient context in the token
            offline_access: Request a long-lived refresh token
            patient/AllergyIntolerance.rs: Read/search AllergyIntolerance (patient context)
            patient/CarePlan.rs: Read/search CarePlan (patient context)
            patient/CareTeam.rs: Read/search CareTeam (patient context)
            patient/Condition.rs: Read/search Condition (patient context)
            patient/Coverage.rs: Read/search Coverage (patient context)
            patient/Device.rs: Read/search Device (patient context)
            patient/DiagnosticReport.rs: Read/search DiagnosticReport (patient context)
            patient/DocumentReference.rs: Read/search DocumentReference (patient context)
            patient/Encounter.rs: Read/search Encounter (patient context)
            patient/Goal.rs: Read/search Goal (patient context)
            patient/Immunization.rs: Read/search Immunization (patient context)
            patient/Location.rs: Read/search Location (patient context)
            patient/Medication.rs: Read/search Medication (patient context)
            patient/MedicationRequest.rs: Read/search MedicationRequest (patient context)
            patient/Observation.rs: Read/search Observation (patient context)
            patient/Organization.rs: Read/search Organization (patient context)
            patient/Patient.rs: Read/search Patient (patient context)
            patient/Practitioner.rs: Read/search Practitioner (patient context)
            patient/PractitionerRole.rs: Read/search PractitionerRole (patient context)
            patient/Procedure.rs: Read/search Procedure (patient context)
            patient/Provenance.rs: Read/search Provenance (patient context)
            patient/RelatedPerson.rs: Read/search RelatedPerson (patient context)
            patient/ServiceRequest.rs: Read/search ServiceRequest (patient context)
            user/AllergyIntolerance.rs: Read/search AllergyIntolerance (user context)
            user/CarePlan.rs: Read/search CarePlan (user context)
            user/CareTeam.rs: Read/search CareTeam (user context)
            user/Condition.rs: Read/search Condition (user context)
            user/Coverage.rs: Read/search Coverage (user context)
            user/Device.rs: Read/search Device (user context)
            user/DiagnosticReport.rs: Read/search DiagnosticReport (user context)
            user/DocumentReference.rs: Read/search DocumentReference (user context)
            user/Encounter.rs: Read/search Encounter (user context)
            user/Goal.rs: Read/search Goal (user context)
            user/Immunization.rs: Read/search Immunization (user context)
            user/Location.rs: Read/search Location (user context)
            user/Medication.rs: Read/search Medication (user context)
            user/MedicationRequest.rs: Read/search MedicationRequest (user context)
            user/Observation.rs: Read/search Observation (user context)
            user/Organization.rs: Read/search Organization (user context)
            user/Patient.rs: Read/search Patient (user context)
            user/Practitioner.rs: Read/search Practitioner (user context)
            user/PractitionerRole.rs: Read/search PractitionerRole (user context)
            user/Procedure.rs: Read/search Procedure (user context)
            user/Provenance.rs: Read/search Provenance (user context)
            user/RelatedPerson.rs: Read/search RelatedPerson (user context)
            user/ServiceRequest.rs: Read/search ServiceRequest (user context)
            system/AllergyIntolerance.rs: Read/search AllergyIntolerance (system/bulk context)
            system/CarePlan.rs: Read/search CarePlan (system/bulk context)
            system/CareTeam.rs: Read/search CareTeam (system/bulk context)
            system/Condition.rs: Read/search Condition (system/bulk context)
            system/Coverage.rs: Read/search Coverage (system/bulk context)
            system/Device.rs: Read/search Device (system/bulk context)
            system/DiagnosticReport.rs: Read/search DiagnosticReport (system/bulk context)
            system/DocumentReference.rs: Read/search DocumentReference (system/bulk context)
            system/Encounter.rs: Read/search Encounter (system/bulk context)
            system/Goal.rs: Read/search Goal (system/bulk context)
            system/Immunization.rs: Read/search Immunization (system/bulk context)
            system/Location.rs: Read/search Location (system/bulk context)
            system/Medication.rs: Read/search Medication (system/bulk context)
            system/MedicationRequest.rs: Read/search MedicationRequest (system/bulk context)
            system/Observation.rs: Read/search Observation (system/bulk context)
            system/Organization.rs: Read/search Organization (system/bulk context)
            system/Patient.rs: Read/search Patient (system/bulk context)
            system/Practitioner.rs: Read/search Practitioner (system/bulk context)
            system/PractitionerRole.rs: Read/search PractitionerRole (system/bulk context)
            system/Procedure.rs: Read/search Procedure (system/bulk context)
            system/Provenance.rs: Read/search Provenance (system/bulk context)
            system/RelatedPerson.rs: Read/search RelatedPerson (system/bulk context)
            system/ServiceRequest.rs: Read/search ServiceRequest (system/bulk context)