Workflow or API calls:
USCDIv1 FHIR R4 Resources
Background Information:
Failure to provide answers will impact our ability to respond in a timely and effective manner
Developer questions:
Are you an OPN Member? No
Have you signed up to be in the Healthcare Developer Track? No
Are you a registered Code Program member? Yes
Does your App have a presence on the Oracle Healthcare App Marketplace? No
Are you developing on behalf of an Oracle Health client?
If so, which client: No
Application ID - 9e226eeb-2fc9-44d5-b02c-9abe504364e0
Client ID - 1b287363-2410-49bd-a20c-da9fa266eeba
We have a patient access app that allow patients to collect their medical records from multiple institutions and view them all in a single application. We've started seeing multiple examples of our sync operation taking 12+ hours to complete. This is incredibly unusual and concerning since most other EHRs are able to sync in 5 minutes or less.
Since Cerner does not support the /$everything operation, our sync operation will query every USCDI FHIR Resource Type for records associated with the patient id, and then paginate though each bundle. We will parse each resource and find references to Binaries and other non-queryable resources which we will request individually.
Expected Result:
Patient's full medical history (all FHIR resources) should sync in less than an hour.
Actual Result:
We've started seeing multiple examples of our sync operation taking 12+ hours to complete