API Evangelist enhancements for the Thomas Jefferson University Hospital FHIR R4 API

overlay: 1.0.0
info:
  title: API Evangelist enhancements for the Thomas Jefferson University Hospital FHIR R4 API
  version: 1.0.0
x-generated: '2026-08-15'
x-method: generated
x-source: >-
  Live CapabilityStatement, SMART configuration and OIDC discovery documents
  fetched 2026-08-15, plus the artifacts in conformance/, conventions/, errors/,
  lifecycle/ and scopes/. Applies API Evangelist findings on top of the harvested
  contract without mutating it.
extends: openapi/_original/jefferson-health-tjuh-fhir-r4-api-openapi.yml
actions:
  - target: $.info
    update:
      x-apievangelist-provider: jefferson-health
      x-apievangelist-api: tjuh-fhir-r4
      x-fhir-version: 4.0.1
      x-server-software: Epic
      x-server-version: February 2026
      x-server-release-date: '2026-05-28'
      x-capability-statement: https://fhir.jefferson.edu/FHIRProxy/api/FHIR/R4/metadata
      x-capability-statement-artifact: conformance/jefferson-health-tjuh-fhir-r4-capabilitystatement.json
      x-implementation-guides:
        - http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server|6.1.0
        - http://hl7.org/fhir/uv/bulkdata/CapabilityStatement/bulk-data
      x-resource-types-served: 59
      x-resource-types-described: 10
      x-coverage-note: >-
        The live server exposes 59 FHIR resource types; this contract describes
        10. Immunization, Procedure, DiagnosticReport, CarePlan, CareTeam, Goal,
        Coverage, ExplanationOfBenefit and ImagingStudy are among the callable,
        undescribed resources.

  - target: $.info
    update:
      x-conventions: conventions/jefferson-health-conventions.yml
      x-error-catalog: errors/jefferson-health-problem-types.yml
      x-lifecycle: lifecycle/jefferson-health-lifecycle.yml
      x-authentication: authentication/jefferson-health-authentication.yml
      x-oauth-scopes: scopes/jefferson-health-scopes.yml
      x-data-model: data-model/jefferson-health-data-model.yml
      x-agentic-access: agentic-access/jefferson-health-agentic-access.yml

  - target: $.info
    update:
      x-idempotency:
        supported: false
        evidence: >-
          Every resource in the live CapabilityStatement declares
          conditionalCreate false, conditionalUpdate false, conditionalDelete
          not-supported and updateCreate false.
      x-rate-limit-headers: []
      x-content-negotiation:
        default: application/xml
        recommended: application/fhir+json
        note: Send an explicit Accept header or the server returns XML.

  - target: $.servers
    update:
      - url: https://fhir.jefferson.edu/FHIRProxy/api/FHIR/R4
        description: >-
          Production Thomas Jefferson University Hospital FHIR R4 endpoint,
          verified live 2026-08-15 (GET /metadata -> 200).
        x-verified: '2026-08-15'
        x-http-status: 200

  - target: $.components.securitySchemes.smartOnFhir
    update:
      x-discovery:
        smart_configuration: https://fhir.jefferson.edu/FHIRProxy/api/FHIR/R4/.well-known/smart-configuration
        openid_configuration: https://fhir.jefferson.edu/FHIRProxy/api/FHIR/R4/.well-known/openid-configuration
        jwks_uri: https://fhir.jefferson.edu/FHIRProxy/api/epic/2019/Security/Open/PublicKeys/530027/OIDC
        issuer: https://fhir.jefferson.edu/FHIRProxy/oauth2
      x-pkce-methods: [S256]
      x-token-endpoint-auth-methods: [client_secret_post, client_secret_basic, private_key_jwt]
      x-grant-types:
        - authorization_code
        - refresh_token
        - client_credentials
        - urn:ietf:params:oauth:grant-type:jwt-bearer
        - urn:ietf:params:oauth:grant-type:token-exchange
      x-smart-capabilities:
        - launch-ehr
        - launch-standalone
        - client-public
        - client-confidential-symmetric
        - client-confidential-asymmetric
        - context-ehr-patient
        - context-ehr-encounter
        - context-standalone-patient
        - permission-offline
        - permission-patient
        - permission-user
        - permission-v1
        - permission-v2
        - sso-openid-connect
        - authorize-post

  - target: $.paths['/Patient/{id}'].get
    update:
      x-observed-unauthenticated-status: 401
      x-observed-unauthenticated-body: '(empty)'
      x-agent-note: >-
        A 401 from this endpoint carries no body and no OperationOutcome. Branch
        on the status code; do not try to parse the response.

  - target: $.paths['/Group/{id}/$export'].get
    update:
      x-async: true
      x-async-pattern: HL7 FHIR Bulk Data Access — poll the Content-Location URL returned with 202.
      x-required-header: 'Prefer: respond-async'