Tutorial: Subscribe to Topic (R4B)

a

While FHIR topic-based subscriptions are functional, they will no longer receive active development or new features. For enhanced capabilities and ongoing support, please use Aidbox topic-based subscriptions. This newer implementation offers improved performance, flexibility, and will continue to be developed to meet future needs.

Introduction

This tutorial requires configuring your Aidbox instance with a specific SubscriptionTopic for Observation resource. Additionally, a web service that will receive rest-hook notifications is required. This Repo contains a suitable template project, which should be used for this tutorial.

Choose a topic

Use FHIR API to discover available topics. Each topic contains URL field which should be specified as a criteria field of Subscription.

GET /fhir/SubscriptionTopic
accept: application/json

json

{
 "resourceType": "Bundle",
 "type": "searchset",
 "meta": {
  "versionId": "0"
 },
 "total": 1,
 "link": [
  {
   "relation": "first",
   "url": "http://localhost:8765/fhir/SubscriptionTopic?page=1"
  },
  {
   "relation": "self",
   "url": "http://localhost:8765/fhir/SubscriptionTopic?page=1"
  }
 ],
 "entry": [
  {
   "resource": {
    "id": "cf153a1fde850de90215a6cd0f0abcf5",
    "url": "http://aidbox.app/SubscriptionTopic/observations",
    "meta": {
     "slot_name": "tbs_aidbox_with_subscriptions__observation_topic_srv",
     "queue_table_name": "observation_topic",
     "subscription_status_table_name": "observation_topic_subs_status",
     "lastUpdated": "2023-08-31T15:17:40.355938Z",
     "versionId": "0",
     "extension": [
      {
       "url": "ex:createdAt",
       "valueInstant": "2023-08-31T15:17:40.355938Z"
      }
     ]
    },
    "status": "active",
    "canFilterBy": [
     {
      "modifier": [
       "eq",
       "gt",
       "lt",
       "ge",
       "le"
      ],
      "resource": "Observation",
      "filterParameter": "value"
     },
     {
      "modifier": [
       "eq"
      ],
      "resource": "Observation",
      "filterParameter": "value-increase"
     }
    ],
    "resourceType": "SubscriptionTopic",
    "resourceTrigger": [
     {
      "resource": "Observation",
      "fhirPathCriteria": "%current.value.ofType(Quantity).value > 10"
     }
    ]
   },
   "search": {
    "mode": "match"
   },
   "fullUrl": "http://localhost:8765/SubscriptionTopic/cf153a1fde850de90215a6cd0f0abcf5",
   "link": [
    {
     "relation": "self",
     "url": "http://localhost:8765/SubscriptionTopic/cf153a1fde850de90215a6cd0f0abcf5"
    }
   ]
  }
 ]
}

In response, one configured topic is available, with "url": "http://aidbox.app/SubscriptionTopic/observations".

Create Subscription (R4B)

Create a Subscription resource with all the necessary attributes.

Profile http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription is required for R4B.

Most interesting part are:

"criteria" : "http://aidbox.app/SubscriptionTopic/observations"the Topic that a subscription are created for.
{"url" : "http://hl7.org/fhir/uv/subscriptionsbackport/StructureDefinition/backportmaxcount", "valuePositiveInt" : 2} notification will be delivered immediately when specified number of suitable events is met.
{"url" : "http://hl7.org/fhir/uv/subscriptionsbackport/StructureDefinition/backportheartbeatperiod", valueUnsignedInt" : 20} period in seconds when all available to the moment messages will be delivered. if no messages collectedheartbeat event will be fired.
{"url" : "http://hl7.org/fhir/uv/subscriptionsbackport/StructureDefinition/backportpayloadcontent", "valueCode" : "idonly"} notification will only contain ids of resources. The other options are fullresource and empty.
"endpoint" : "http://subscriptiondemoserver:9000/callbacktest1" endpoint to which POST request with notifications will be sent.
{"url" : "http://hl7.org/fhir/uv/subscriptionsbackport/StructureDefinition/backportfiltercriteria", "valueString" : "Observation?value=42"} specifies, that only observation with value=42 should be delivered for this notification. Available filters or resources may be configured in SubscriptionTopic.

json

POST /fhir/Subscription
content-type: application/json
accept: application/json

{
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription" ]
  },
  "criteria" : "http://aidbox.app/SubscriptionTopic/observations",
  "channel" : {
    "extension" : [ {
      "url" : "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period",
      "valueUnsignedInt" : 20
    }, {
      "url" : "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-timeout",
      "valueUnsignedInt" : 60
    }, {
      "url" : "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-max-count",
      "valuePositiveInt" : 2
    } ],
    "type" : "rest-hook",
    "endpoint" : "http://subscription-demo-server:9000/callback-test-1",
    "payload" : "application/fhir+json",
    "_payload" : {
      "extension" : [ {
        "url" : "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content",
        "valueCode" : "id-only"
      } ]
    }
  },
  "_criteria" : {
    "extension" : [ {
      "url" : "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria",
      "valueString" : "Observation?value=42"
    } ]
  },
  "resourceType" : "Subscription",
  "reason" : "R4/B Test Topic-Based Subscription for Observation",
  "status" : "requested",
  "id" : "test-sub-1",
  "end" : "2024-12-31T12:00:00.000-00:00"
}

Status: 201 { "meta": { "profile": [ "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription" ], "lastUpdated": "2023-08-31T16:30:26.411663Z", "versionId": "12", "extension": [ { "url": "ex:createdAt", "valueInstant": "2023-08-31T16:30:26.411663Z" } ] }, "criteria": "http://aidbox.app/SubscriptionTopic/observations", "channel": { "type": "rest-hook", "payload": "application/fhir+json", "extension": [ { "url": "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-timeout", "valueUnsignedInt": 60 }, { "url": "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-max-count", "valuePositiveInt": 4 }, { "url": "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-heartbeat-period", "valueUnsignedInt": 120 } ], "_payload": { "extension": [ { "url": "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-payload-content", "valueCode": "id-only" } ] }, "endpoint": "http://localhost:27193/callback-url" }, "_criteria": { "extension": [ { "url": "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-filter-criteria", "valueString": "Observation?value=10" } ] }, "resourceType": "Subscription", "reason": "R4/B Test Topic-Based Subscription for Observation", "status": "requested", "id": "test-sub-id", "end": "2024-12-31T12:00:00.000-00:00" }

As a result of this step Aidbox will try to perform a handshake with the subscriber service. By default Aidbox expects Status:200 response.

You may notice handshake event in demo server UI:

After the successful handshake, the status of the Subscription will be active.

GET /fhir/Subscription/test-sub-id/$status
content-type: application/json
accept: application/json

Status: 200

json

{
 "resourceType": "Bundle",
 "type": "history",
 "timestamp": "2023-08-31T16:33:59.161865Z",
 "entry": [
  {
   "resource": {
    "resourceType": "SubscriptionStatus",
    "status": "active",
    "type": "query-status",
    "eventsSinceSubscriptionStart": 0,
    "subscription": {
     "reference": "http://localhost:8765/fhir/Subscription/test-sub-id"
    },
    "topic": "http://aidbox.app/SubscriptionTopic/observations",
    "error": []
     }
    ]
   }
  }
 ]
}

Aidbox will attempt a handshake with the service three times at 10-second intervals. If no successful response is received, the subscription will be shifted to an "errored" status. To restart the process, the subscription should be deleted and recreated