openapi: 3.1.0
info:
  title: Orion Health FHIR Alerts Consent API
  description: The Orion Health FHIR API provides standards-based access to healthcare data using the HL7 FHIR (Fast Healthcare Interoperability Resources) specification. It enables healthcare organizations to read, search, create, and update clinical resources including patients, encounters, observations, conditions, medications, allergies, procedures, diagnostic reports, and care plans. The API conforms to FHIR R4 (v4.0.1) and supports both JSON and XML representations.
  version: 1.0.0
  contact:
    name: Orion Health API Support
    email: apisupport@orionhealth.com
    url: https://www.orionhealth.com/support
  license:
    name: Proprietary
    url: https://www.orionhealth.com/terms-of-service
  termsOfService: https://www.orionhealth.com/terms-of-service
servers:
- url: https://api.orionhealth.com/fhir
  description: Production FHIR Server
- url: https://sandbox.orionhealth.com/fhir
  description: Sandbox FHIR Server
security:
- oauth2: []
- bearerAuth: []
tags:
- name: Consent
  description: Patient consent management for data sharing
paths:
  /consent:
    get:
      operationId: searchConsents
      summary: Orion Health Search for patient consents
      description: Search for patient consent directives governing the sharing of health information within the HIE network.
      tags:
      - Consent
      parameters:
      - name: patientId
        in: query
        required: true
        schema:
          type: string
      - name: status
        in: query
        schema:
          type: string
          enum:
          - active
          - inactive
          - revoked
          - expired
      - name: purpose
        in: query
        description: Purpose of use
        schema:
          type: string
          enum:
          - treatment
          - payment
          - operations
          - research
          - public-health
      - $ref: '#/components/parameters/PageOffset'
      - $ref: '#/components/parameters/PageLimit'
      responses:
        '200':
          description: List of consent directives
          content:
            application/json:
              schema:
                type: object
                properties:
                  data:
                    type: array
                    items:
                      $ref: '#/components/schemas/Consent'
                  pagination:
                    $ref: '#/components/schemas/Pagination'
        '401':
          $ref: '#/components/responses/Unauthorized'
    post:
      operationId: createConsent
      summary: Orion Health Create a patient consent directive
      description: Record a new patient consent directive specifying permissions for sharing health information within the HIE network.
      tags:
      - Consent
      requestBody:
        required: true
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/ConsentCreate'
      responses:
        '201':
          description: Consent directive created
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Consent'
        '400':
          $ref: '#/components/responses/BadRequest'
        '401':
          $ref: '#/components/responses/Unauthorized'
  /consent/{consentId}:
    get:
      operationId: getConsent
      summary: Orion Health Get a consent directive
      description: Retrieve a specific patient consent directive.
      tags:
      - Consent
      parameters:
      - name: consentId
        in: path
        required: true
        schema:
          type: string
          format: uuid
      responses:
        '200':
          description: Consent directive
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Consent'
        '401':
          $ref: '#/components/responses/Unauthorized'
        '404':
          $ref: '#/components/responses/NotFound'
    put:
      operationId: updateConsent
      summary: Orion Health Update a consent directive
      description: Update an existing patient consent directive.
      tags:
      - Consent
      parameters:
      - name: consentId
        in: path
        required: true
        schema:
          type: string
          format: uuid
      requestBody:
        required: true
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/ConsentCreate'
      responses:
        '200':
          description: Consent directive updated
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Consent'
        '400':
          $ref: '#/components/responses/BadRequest'
        '401':
          $ref: '#/components/responses/Unauthorized'
        '404':
          $ref: '#/components/responses/NotFound'
  /consent/{consentId}/revoke:
    post:
      operationId: revokeConsent
      summary: Orion Health Revoke a consent directive
      description: Revoke a patient consent directive, preventing further data sharing.
      tags:
      - Consent
      parameters:
      - name: consentId
        in: path
        required: true
        schema:
          type: string
          format: uuid
      requestBody:
        content:
          application/json:
            schema:
              type: object
              properties:
                reason:
                  type: string
                  description: Reason for revocation
                effectiveDate:
                  type: string
                  format: date-time
      responses:
        '200':
          description: Consent revoked
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Consent'
        '401':
          $ref: '#/components/responses/Unauthorized'
        '404':
          $ref: '#/components/responses/NotFound'
components:
  responses:
    NotFound:
      description: Resource not found
      content:
        application/json:
          schema:
            $ref: '#/components/schemas/Error'
    BadRequest:
      description: Invalid request parameters
      content:
        application/json:
          schema:
            $ref: '#/components/schemas/Error'
    Unauthorized:
      description: Authentication required
      content:
        application/json:
          schema:
            $ref: '#/components/schemas/Error'
  parameters:
    PageLimit:
      name: limit
      in: query
      description: Maximum number of items to return
      schema:
        type: integer
        minimum: 1
        maximum: 100
        default: 20
    PageOffset:
      name: offset
      in: query
      description: Number of items to skip
      schema:
        type: integer
        minimum: 0
        default: 0
  schemas:
    Error:
      type: object
      properties:
        code:
          type: string
        message:
          type: string
        details:
          type: array
          items:
            type: object
            properties:
              field:
                type: string
              message:
                type: string
    ConsentCreate:
      type: object
      required:
      - patientId
      - scope
      - purposes
      properties:
        patientId:
          type: string
        scope:
          type: string
          enum:
          - opt-in
          - opt-out
        purposes:
          type: array
          items:
            type: string
            enum:
            - treatment
            - payment
            - operations
            - research
            - public-health
        grantedOrganizations:
          type: array
          items:
            type: string
        deniedOrganizations:
          type: array
          items:
            type: string
        documentTypes:
          type: array
          items:
            type: string
        effectiveDate:
          type: string
          format: date-time
        expirationDate:
          type: string
          format: date-time
    Consent:
      type: object
      properties:
        id:
          type: string
          format: uuid
        patientId:
          type: string
        status:
          type: string
          enum:
          - active
          - inactive
          - revoked
          - expired
        scope:
          type: string
          enum:
          - opt-in
          - opt-out
        purposes:
          type: array
          items:
            type: string
            enum:
            - treatment
            - payment
            - operations
            - research
            - public-health
        grantedOrganizations:
          type: array
          items:
            type: string
          description: Organizations allowed to access data (opt-in)
        deniedOrganizations:
          type: array
          items:
            type: string
          description: Organizations denied access (opt-out)
        documentTypes:
          type: array
          items:
            type: string
          description: Document types covered by consent
        effectiveDate:
          type: string
          format: date-time
        expirationDate:
          type: string
          format: date-time
        createdAt:
          type: string
          format: date-time
        updatedAt:
          type: string
          format: date-time
    Pagination:
      type: object
      properties:
        offset:
          type: integer
        limit:
          type: integer
        total:
          type: integer
        hasMore:
          type: boolean
  securitySchemes:
    oauth2:
      type: oauth2
      description: OAuth 2.0 authorization using SMART on FHIR
      flows:
        authorizationCode:
          authorizationUrl: https://auth.orionhealth.com/oauth2/authorize
          tokenUrl: https://auth.orionhealth.com/oauth2/token
          scopes:
            patient/*.read: Read access to all patient data
            patient/*.write: Write access to all patient data
            patient/Patient.read: Read access to Patient resources
            patient/Observation.read: Read access to Observation resources
            patient/Condition.read: Read access to Condition resources
            patient/MedicationRequest.read: Read access to MedicationRequest resources
            launch: Launch context
            openid: OpenID Connect
            fhirUser: FHIR user identity
    bearerAuth:
      type: http
      scheme: bearer
      bearerFormat: JWT