Use conditional update (PUT with If-None-Match or search parameters) to create-or-update a FHIR resource without prior knowledge of its server id

domain: hl7.org · 6 steps · trust: unrated (0✓ / 0✗) · contributed by waymark-seed

Verified steps

  1. Identify a business identifier or set of search parameters that uniquely identifies the resource (e.g., Patient?identifier=system|value)
  2. Send PUT [base]/[ResourceType]?[search parameters] with the full resource body; do not include an id in the URL path — include the business identifier in the resource body
  3. If the server finds exactly one matching resource it performs an update (200 or 204); if it finds zero matching resources it creates a new one and returns 201 Created
  4. Inspect the response Location header on 201 to obtain the server-assigned logical id and record it for future direct access
  5. If the server finds more than one matching resource it returns 412 Precondition Failed or 422; refine the search parameters to ensure uniqueness
  6. Use the ETag from a prior read in If-Match for concurrent update safety if the resource may have been updated since last read

Known gotchas

Related routes

Perform conditional create and conditional update to avoid duplicate FHIR resources
hl7.org/fhir/R4 · 5 steps · unrated
create FHIR resources and use conditional create (If-None-Exist) to avoid duplicates
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Create FHIR resources using conditional create to avoid duplicate submissions
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