MedicationStatement
A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient’s memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains.
https://hl7.org/fhir/R4/medicationstatement.html
MedicationStatement resources can be created in several ways. Canvas Prescribe commands create MedicationRequest resources, but these Prescribe commands are also represented as MedicationStatement resources. MedicationStatement resources that were created with a Prescribe command will contain a reference to the related MedicationRequest resource in the derivedFrom attribute.
MedicationStatement resources can also be created with the Medication Statement command. See our Zendesk article for more information.
MedicationStatement create
Create a MedicationStatement resource.
If context is provided, the MedicationStatement will be added to the existing encounter (note). If it is not provided, a new data import note will be created.
Create requests support either medicationReference or medicationCodeableConcept in the request body; Canvas recommends using medicationReference. Medication identifiers for medicationReference can be obtained from the Medication search endpoint.
Attributes
The identifier of the MedicationStatement
Canvas supports a note identifier extension on this resource for create interactions. The note identifier can be used with the Canvas Note API.
Important: For create interactions, Canvas recommends sending the note identifier extension or the Encounter reference, but not both. If both are supplied, they must both refer to the same note.
See the request and response examples for more information.
Literal reference that defines the content of this object. Currently we only support extensions for note identifier we have a url of http://schemas.canvasmedical.com/fhir/extensions/note-id
The valueId field is used for the Note extension and will be the note’s unique identifier
A code representing the patient or other source’s judgment about the state of the medication used that this statement is about
Supported codes for create interactions are: active, entered-in-error, stopped
What medication was taken.
Canvas recommends using a medicationReference on create/update to ensure a proper medication lookup is done on validation similar to our commands framework on the Canvas UI. Use the Medication search endpoint to help find the correct FDB ID.
A create/update requires either a medicationReference or medicationCodeableConcept when making a request
The reference string of the medication in the format of "Medication/fdb-449732"
The display name of the medication
What medication was taken.
Canvas recommends using a medicationReference on create/update; however on a Read/Search the medicationCodeableConcept will be returned to allow visibility into all the coding associated with the medication (e.g RxNorm, FDB)
A create/update requires either a medicationReference or medicationCodeableConcept when making a request
The url of the medication coding. Currently Canvas supports "http://www.nlm.nih.gov/research/umls/rxnorm" or "http://www.fdbhealth.com/"
The code value of the medication coding
The display name of the medication
Who is/was taking the medication
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787"
Type the reference refers to (e.g. “Patient”)
Encounter / Episode associated with MedicationStatement
The context attribute is accepted by create and update interactions, but is not returned by read or search interactions. If ommitted in the create request, a Data Import note will be added to the timeline based on the timestamp of creation of the create request
Canvas does not currently support concurrent creation of resources on the same encounter. Please avoid issuing concurrent requests that reference the same encounter to this endpoint, or to any other endpoints that reference encounters. It is OK to issue concurrent requests to these endpoints as long as the requests reference different encounters.
The reference string of the encounter in the format of "Encounter/948b54e2-40b7-4648-bfce-e2373f9802af"
Type the reference refers to (e.g. “Encounter”)
The interval when the medication is/was/will be taken.
The datetime string represented the start time of the medication in ISO 8601 format like "2022-03-19T14:54:12.194952+00:00". If omitted this will default to the current timestamp.
The datetime string represented the end time of the medication in ISO 8601 format like "2022-03-19T14:54:12.194952+00:00". If omitted, this field will be left empty.
When the statement was asserted. This is autogenerated on a create request.
Additional supporting information that will display in a Read/Search only and ignored in a Create/Update. Currently this will display if the medication was added to the Patient’s chart via a MedicationRequest (prescribe or refill command).
The reference string of the MedicationRequest in the format of "medicationReference/948b54e2-40b7-4648-bfce-e2373f9802af"
Type the reference refers to (e.g. “MedicationRequest”)
Details of how medication is/was taken or should be taken
The text attribute for the Dosage object contains the SIG.
The SIG of the medication
Responses
Canvas returns the created resource's id as a UUID within the
location header and a null response body.Errors
MedicationStatement read
Read an MedicationStatement resource.
Read responses will always contain a medicationCodeableConcept regardless of what was used to create the MedicationStatement.
Path Parameters
Response Payload Attributes
The identifier of the MedicationStatement
Canvas supports a note identifier extension on this resource for create interactions. The note identifier can be used with the Canvas Note API.
Important: For create interactions, Canvas recommends sending the note identifier extension or the Encounter reference, but not both. If both are supplied, they must both refer to the same note.
See the request and response examples for more information.
Literal reference that defines the content of this object. Currently we only support extensions for note identifier we have a url of http://schemas.canvasmedical.com/fhir/extensions/note-id
The valueId field is used for the Note extension and will be the note’s unique identifier
A code representing the patient or other source’s judgment about the state of the medication used that this statement is about
Supported codes for create interactions are: active, entered-in-error, stopped
What medication was taken.
Canvas recommends using a medicationReference on create/update to ensure a proper medication lookup is done on validation similar to our commands framework on the Canvas UI. Use the Medication search endpoint to help find the correct FDB ID.
A create/update requires either a medicationReference or medicationCodeableConcept when making a request
The reference string of the medication in the format of "Medication/fdb-449732"
The display name of the medication
What medication was taken.
Canvas recommends using a medicationReference on create/update; however on a Read/Search the medicationCodeableConcept will be returned to allow visibility into all the coding associated with the medication (e.g RxNorm, FDB)
A create/update requires either a medicationReference or medicationCodeableConcept when making a request
The url of the medication coding. Currently Canvas supports "http://www.nlm.nih.gov/research/umls/rxnorm" or "http://www.fdbhealth.com/"
The code value of the medication coding
The display name of the medication
Who is/was taking the medication
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787"
Type the reference refers to (e.g. “Patient”)
Encounter / Episode associated with MedicationStatement
The context attribute is accepted by create and update interactions, but is not returned by read or search interactions. If ommitted in the create request, a Data Import note will be added to the timeline based on the timestamp of creation of the create request
Canvas does not currently support concurrent creation of resources on the same encounter. Please avoid issuing concurrent requests that reference the same encounter to this endpoint, or to any other endpoints that reference encounters. It is OK to issue concurrent requests to these endpoints as long as the requests reference different encounters.
The reference string of the encounter in the format of "Encounter/948b54e2-40b7-4648-bfce-e2373f9802af"
Type the reference refers to (e.g. “Encounter”)
The interval when the medication is/was/will be taken.
The datetime string represented the start time of the medication in ISO 8601 format like "2022-03-19T14:54:12.194952+00:00". If omitted this will default to the current timestamp.
The datetime string represented the end time of the medication in ISO 8601 format like "2022-03-19T14:54:12.194952+00:00". If omitted, this field will be left empty.
When the statement was asserted. This is autogenerated on a create request.
Additional supporting information that will display in a Read/Search only and ignored in a Create/Update. Currently this will display if the medication was added to the Patient’s chart via a MedicationRequest (prescribe or refill command).
The reference string of the MedicationRequest in the format of "medicationReference/948b54e2-40b7-4648-bfce-e2373f9802af"
Type the reference refers to (e.g. “MedicationRequest”)
Details of how medication is/was taken or should be taken
The text attribute for the Dosage object contains the SIG.
The SIG of the medication
Responses
Errors
MedicationStatement update
Update an MedicationStatement resource.
The only type of MedicationStatement update interaction that is supported by Canvas is to mark an existing MedicationStatement as entered-in-error. No changes to other fields will be processed.
Attributes
The identifier of the MedicationStatement
Canvas supports a note identifier extension on this resource for create interactions. The note identifier can be used with the Canvas Note API.
Important: For create interactions, Canvas recommends sending the note identifier extension or the Encounter reference, but not both. If both are supplied, they must both refer to the same note.
See the request and response examples for more information.
Literal reference that defines the content of this object. Currently we only support extensions for note identifier we have a url of http://schemas.canvasmedical.com/fhir/extensions/note-id
The valueId field is used for the Note extension and will be the note’s unique identifier
A code representing the patient or other source’s judgment about the state of the medication used that this statement is about
Supported codes for create interactions are: active, entered-in-error, stopped
What medication was taken.
Canvas recommends using a medicationReference on create/update to ensure a proper medication lookup is done on validation similar to our commands framework on the Canvas UI. Use the Medication search endpoint to help find the correct FDB ID.
A create/update requires either a medicationReference or medicationCodeableConcept when making a request
The reference string of the medication in the format of "Medication/fdb-449732"
The display name of the medication
What medication was taken.
Canvas recommends using a medicationReference on create/update; however on a Read/Search the medicationCodeableConcept will be returned to allow visibility into all the coding associated with the medication (e.g RxNorm, FDB)
A create/update requires either a medicationReference or medicationCodeableConcept when making a request
The url of the medication coding. Currently Canvas supports "http://www.nlm.nih.gov/research/umls/rxnorm" or "http://www.fdbhealth.com/"
The code value of the medication coding
The display name of the medication
Who is/was taking the medication
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787"
Type the reference refers to (e.g. “Patient”)
Encounter / Episode associated with MedicationStatement
The context attribute is accepted by create and update interactions, but is not returned by read or search interactions. If ommitted in the create request, a Data Import note will be added to the timeline based on the timestamp of creation of the create request
Canvas does not currently support concurrent creation of resources on the same encounter. Please avoid issuing concurrent requests that reference the same encounter to this endpoint, or to any other endpoints that reference encounters. It is OK to issue concurrent requests to these endpoints as long as the requests reference different encounters.
The reference string of the encounter in the format of "Encounter/948b54e2-40b7-4648-bfce-e2373f9802af"
Type the reference refers to (e.g. “Encounter”)
The interval when the medication is/was/will be taken.
The datetime string represented the start time of the medication in ISO 8601 format like "2022-03-19T14:54:12.194952+00:00". If omitted this will default to the current timestamp.
The datetime string represented the end time of the medication in ISO 8601 format like "2022-03-19T14:54:12.194952+00:00". If omitted, this field will be left empty.
When the statement was asserted. This is autogenerated on a create request.
Additional supporting information that will display in a Read/Search only and ignored in a Create/Update. Currently this will display if the medication was added to the Patient’s chart via a MedicationRequest (prescribe or refill command).
The reference string of the MedicationRequest in the format of "medicationReference/948b54e2-40b7-4648-bfce-e2373f9802af"
Type the reference refers to (e.g. “MedicationRequest”)
Details of how medication is/was taken or should be taken
The text attribute for the Dosage object contains the SIG.
The SIG of the medication
Responses
Canvas returns a
null response body.Errors
MedicationStatement search
Search for MedicationStatement resources.
Search bundle entries will always contain values for medicationCodeableConcept regardless of what was used to create the MedicationStatement.
Query Parameters
The identifier of the MedicationStatement
Returns statements for a specific patient
Response Payload Attributes
The FHIR Resource name.
This element and value designate that the bundle is a search response. Search result bundles will always have the Bundle.type of searchset .
The number of resources that match the search parameter.
Attributes relevant to pagination, see our Pagination page for more detail.
The relation of the page search
The search url for the specific relation
The results bundle that lists out each object returned in the search
The attributes specific to the resource type, see the Attributes section below
Attributes
The identifier of the MedicationStatement
Canvas supports a note identifier extension on this resource for create interactions. The note identifier can be used with the Canvas Note API.
Important: For create interactions, Canvas recommends sending the note identifier extension or the Encounter reference, but not both. If both are supplied, they must both refer to the same note.
See the request and response examples for more information.
Literal reference that defines the content of this object. Currently we only support extensions for note identifier we have a url of http://schemas.canvasmedical.com/fhir/extensions/note-id
The valueId field is used for the Note extension and will be the note’s unique identifier
A code representing the patient or other source’s judgment about the state of the medication used that this statement is about
Supported codes for create interactions are: active, entered-in-error, stopped
What medication was taken.
Canvas recommends using a medicationReference on create/update to ensure a proper medication lookup is done on validation similar to our commands framework on the Canvas UI. Use the Medication search endpoint to help find the correct FDB ID.
A create/update requires either a medicationReference or medicationCodeableConcept when making a request
The reference string of the medication in the format of "Medication/fdb-449732"
The display name of the medication
What medication was taken.
Canvas recommends using a medicationReference on create/update; however on a Read/Search the medicationCodeableConcept will be returned to allow visibility into all the coding associated with the medication (e.g RxNorm, FDB)
A create/update requires either a medicationReference or medicationCodeableConcept when making a request
The url of the medication coding. Currently Canvas supports "http://www.nlm.nih.gov/research/umls/rxnorm" or "http://www.fdbhealth.com/"
The code value of the medication coding
The display name of the medication
Who is/was taking the medication
The reference string of the subject in the format of "Patient/a39cafb9d1b445be95a2e2548e12a787"
Type the reference refers to (e.g. “Patient”)
Encounter / Episode associated with MedicationStatement
The context attribute is accepted by create and update interactions, but is not returned by read or search interactions. If ommitted in the create request, a Data Import note will be added to the timeline based on the timestamp of creation of the create request
Canvas does not currently support concurrent creation of resources on the same encounter. Please avoid issuing concurrent requests that reference the same encounter to this endpoint, or to any other endpoints that reference encounters. It is OK to issue concurrent requests to these endpoints as long as the requests reference different encounters.
The reference string of the encounter in the format of "Encounter/948b54e2-40b7-4648-bfce-e2373f9802af"
Type the reference refers to (e.g. “Encounter”)
The interval when the medication is/was/will be taken.
The datetime string represented the start time of the medication in ISO 8601 format like "2022-03-19T14:54:12.194952+00:00". If omitted this will default to the current timestamp.
The datetime string represented the end time of the medication in ISO 8601 format like "2022-03-19T14:54:12.194952+00:00". If omitted, this field will be left empty.
When the statement was asserted. This is autogenerated on a create request.
Additional supporting information that will display in a Read/Search only and ignored in a Create/Update. Currently this will display if the medication was added to the Patient’s chart via a MedicationRequest (prescribe or refill command).
The reference string of the MedicationRequest in the format of "medicationReference/948b54e2-40b7-4648-bfce-e2373f9802af"
Type the reference refers to (e.g. “MedicationRequest”)
Details of how medication is/was taken or should be taken
The text attribute for the Dosage object contains the SIG.
The SIG of the medication
Responses
Errors
curl --request POST \ --url 'https://fumage-example.canvasmedical.com/MedicationStatement' \ --header 'Authorization: Bearer <token>' \ --header 'accept: application/json' \ --header 'content-type: application/json' \ --data ' { "resourceType": "MedicationStatement", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/note-id", "valueId": "2a8154d8-9420-4ab5-97f8-c2dae5a10af5", } ], "status": "active", "medicationReference": { "reference": "Medication/fdb-259181", "display": "Advil 200 mg tablet" }, "subject": { "reference": "Patient/b8dfa97bdcdf4754bcd8197ca78ef0f0" }, "context": { "reference": "Encounter/eae3c8a5-a129-4960-9715-fc26da30eccc" }, "effectivePeriod": { "start": "2023-06-15T15:00:00-04:00", "end": "2023-06-25T15:00:00-04:00" }, "dosage": [ { "text": "1-2 tablets once daily at bedtime as needed for restless legs" } ] }'import requests url = "https://fumage-example.canvasmedical.com/MedicationStatement" headers = { "accept": "application/json", "Authorization": "Bearer <token>", "content-type": "application/json" } payload = { "resourceType": "MedicationStatement", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/note-id", "valueId": "2a8154d8-9420-4ab5-97f8-c2dae5a10af5", } ], "status": "active", "medicationReference": { "reference": "Medication/fdb-259181", "display": "Advil 200 mg tablet" }, "subject": { "reference": "Patient/b8dfa97bdcdf4754bcd8197ca78ef0f0" }, "context": { "reference": "Encounter/eae3c8a5-a129-4960-9715-fc26da30eccc" }, "effectivePeriod": { "start": "2023-06-15T15:00:00-04:00", "end": "2023-06-25T15:00:00-04:00" }, "dosage": [ { "text": "1-2 tablets once daily at bedtime as needed for restless legs" } ] } response = requests.post(url, json=payload, headers=headers) print(response.text)
null{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "invalid", "details": { "text": "Bad request" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "unknown", "details": { "text": "Authentication failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "forbidden", "details": { "text": "Authorization failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "not-supported", "details": { "text": "Operation is not supported" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "business-rule", "details": { "text": "Unprocessable entity" } } ] }
curl --request GET \ --url 'https://fumage-example.canvasmedical.com/MedicationStatement/<id>' \ --header 'Authorization: Bearer <token>' \ --header 'accept: application/json'import requests url = "https://fumage-example.canvasmedical.com/MedicationStatement/<id>" headers = { "accept": "application/json", "Authorization": "Bearer <token>" } response = requests.get(url, headers=headers) print(response.text)
{ "resourceType": "MedicationStatement", "id": "e76e44b4-4e68-4f72-b1c3-1de528a3bb2a", "status": "active", "medicationCodeableConcept": { "coding": [ { "system": "http://www.fdbhealth.com/", "code": "259181", "display": "Advil 200 mg tablet" }, { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "310965", "display": "Advil 200 mg tablet" } ] }, "subject": { "reference": "Patient/b8dfa97bdcdf4754bcd8197ca78ef0f0" }, "context": { "reference": "Encounter/eae3c8a5-a129-4960-9715-fc26da30eccc" }, "effectivePeriod": { "start": "2023-06-15T15:00:00-04:00", "end": "2023-06-25T15:00:00-04:00" }, "dosage": [ { "text": "1-2 tablets once daily at bedtime as needed for restless legs" } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "unknown", "details": { "text": "Authentication failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "forbidden", "details": { "text": "Authorization failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "not-found", "details": { "text": "Unknown MedicationStatement resource 'a47c7b0e-bbb4-42cd-bc4a-df259d148ea1'" } } ] }
curl --request PUT \ --url 'https://fumage-example.canvasmedical.com/MedicationStatement/<id>' \ --header 'Authorization: Bearer <token>' \ --header 'accept: application/json' \ --header 'content-type: application/json' \ --data ' { "resourceType": "MedicationStatement", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/note-id", "valueId": "2a8154d8-9420-4ab5-97f8-c2dae5a10af5", } ], "status": "entered-in-error", "medicationReference": { "reference": "Medication/fdb-259181", "display": "Advil 200 mg tablet" }, "subject": { "reference": "Patient/b8dfa97bdcdf4754bcd8197ca78ef0f0" }, "context": { "reference": "Encounter/eae3c8a5-a129-4960-9715-fc26da30eccc" }, "effectivePeriod": { "start": "2023-06-15T15:00:00-04:00", "end": "2023-06-25T15:00:00-04:00" }, "dosage": [ { "text": "1-2 tablets once daily at bedtime as needed for restless legs" } ] }'import requests url = "https://fumage-example.canvasmedical.com/MedicationStatement/<id>" headers = { "accept": "application/json", "Authorization": "Bearer <token>", "content-type": "application/json" } payload = { "resourceType": "MedicationStatement", "extension": [ { "url": "http://schemas.canvasmedical.com/fhir/extensions/note-id", "valueId": "2a8154d8-9420-4ab5-97f8-c2dae5a10af5", } ], "status": "entered-in-error", "medicationReference": { "reference": "Medication/fdb-259181", "display": "Advil 200 mg tablet" }, "subject": { "reference": "Patient/b8dfa97bdcdf4754bcd8197ca78ef0f0" }, "context": { "reference": "Encounter/eae3c8a5-a129-4960-9715-fc26da30eccc" }, "effectivePeriod": { "start": "2023-06-15T15:00:00-04:00", "end": "2023-06-25T15:00:00-04:00" }, "dosage": [ { "text": "1-2 tablets once daily at bedtime as needed for restless legs" } ] } response = requests.put(url, json=payload, headers=headers) print(response.text)
null{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "invalid", "details": { "text": "Bad request" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "unknown", "details": { "text": "Authentication failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "forbidden", "details": { "text": "Authorization failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "not-found", "details": { "text": "Unknown MedicationStatement resource 'a47c7b0e-bbb4-42cd-bc4a-df259d148ea1'" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "not-supported", "details": { "text": "Operation is not supported" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "conflict", "details": { "text": "Resource updated since If-Unmodified-Since date" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "business-rule", "details": { "text": "Unprocessable entity" } } ] }
curl --request GET \ --url 'https://fumage-example.canvasmedical.com/MedicationStatement?patient=Patient%2Fb8dfa97bdcdf4754bcd8197ca78ef0f0' \ --header 'Authorization: Bearer <token>' \ --header 'accept: application/json'import requests url = "https://fumage-example.canvasmedical.com/MedicationStatement?patient=Patient%2Fb8dfa97bdcdf4754bcd8197ca78ef0f0" headers = { "accept": "application/json", "Authorization": "Bearer <token>" } response = requests.get(url, headers=headers) print(response.text)
{ "resourceType": "Bundle", "type": "searchset", "total": 1, "link": [ { "relation": "self", "url": "/MedicationStatement?patient=Patient%2Fb8dfa97bdcdf4754bcd8197ca78ef0f0&_count=10&_offset=0" }, { "relation": "first", "url": "/MedicationStatement?patient=Patient%2Fb8dfa97bdcdf4754bcd8197ca78ef0f0&_count=10&_offset=0" }, { "relation": "last", "url": "/MedicationStatement?patient=Patient%2Fb8dfa97bdcdf4754bcd8197ca78ef0f0&_count=10&_offset=0" } ], "entry": [ { "resource": { "resourceType": "MedicationStatement", "id": "e76e44b4-4e68-4f72-b1c3-1de528a3bb2a", "status": "active", "medicationCodeableConcept": { "coding": [ { "system": "http://www.fdbhealth.com/", "code": "259181", "display": "Advil 200 mg tablet" }, { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "310965", "display": "Advil 200 mg tablet" } ] }, "subject": { "reference": "Patient/b8dfa97bdcdf4754bcd8197ca78ef0f0" }, "context": { "reference": "Encounter/eae3c8a5-a129-4960-9715-fc26da30eccc" }, "effectivePeriod": { "start": "2023-06-15T15:00:00-04:00", "end": "2023-06-25T15:00:00-04:00" }, "dosage": [ { "text": "1-2 tablets once daily at bedtime as needed for restless legs" } ] } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "invalid", "details": { "text": "Bad request" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "unknown", "details": { "text": "Authentication failed" } } ] }{ "resourceType": "OperationOutcome", "issue": [ { "severity": "error", "code": "forbidden", "details": { "text": "Authorization failed" } } ] }