Rel 6 10 mb (#5441)

* Allow cached search with consent active when safe (#5387)

Allow the search cache when using consent if safe

* Change package installation behaviour such that it updates the existing SearchParameter base with remaining resources (#5376)

* Change package installation behavior such that it updates the existing SearchParameter base with remaining resources

* Change package installation behavior such that it updates the existing SearchParameter base with remaining resources

* Use resourceType in the package installer output to fix tests. Minor change with resourceType condition. Update changelog description to make it more readable.

* Use resourceType in the package installer output to fix tests. Minor change with resourceType condition. Update changelog description to make it more readable.

* Transaction with conditional update fails if SearchNarrowingInterceptor is registered and Enabled Partitioning (#5389)

* Transaction with conditional update fails if SearchNarrowingInterceptor is registered and Enabled Partitioning - Implementation

* Reverse Chaining searches returns an error when invoked with parameter _lastUpdated. (#5177)

* version bump

* Bump to core release 6.0.22 (#5028)

* Bump to core release 6.0.16

* Bump to core version 6.0.20

* Fix errors thrown as a result of VersionSpecificWorkerContextWrapper

* Bump to core 6.0.22

* Resolve 5126 hfj res ver prov might cause migration error on db that automatically indexes the primary key (#5127)

* dropped old index FK_RESVERPROV_RES_PID on RES_PID column before adding IDX_RESVERPROV_RES_PID

* added changelog

* changed to valid version number

* changed to valid version number, need to be ordered by version number...

* 5123 - Use DEFAULT partition for server-based requests if none specified (#5124)

5123 - Use DEFAULT partition for server-based requests if none specified

* consent remove all suppresses next link in bundle (#5119)

* added FIXME with source of issue

* added FIXME with root cause

* added FIXME with root cause

* Providing solution to the issue and removing fixmes.

* Providing changelog

* auto-formatting.

* Adding new test.

* Adding a new test for standard paging

* let's try this and see if it works...?

* fix tests

* cleanup to trigger a new run

* fixing tests

---------

Co-authored-by: Ken Stevens <ken@smilecdr.com>
Co-authored-by: peartree <etienne.poirier@smilecdr.com>

* 5117 MDM Score for No Match Fields Should Not Be Included in Total Score  (#5118)

* fix, test, changelog

* fix, test, changelog

---------

Co-authored-by: justindar <justin.dar@smilecdr.com>

* _source search parameter needs to support modifiers (#5095)

_source search parameter needs to support modifiers - added support form :contains, :missing, :above modifiers

* Fix HFQL docs (#5151)

* Expunge operation on codesystem may throw 500 internal error with precondition fail message. (#5156)

* Initial failing test.

* Solution with changelog.

* fixing format.

* Addressing comment from code review.

* fixing failing test.

---------

Co-authored-by: peartree <etienne.poirier@smilecdr.com>

* documentation update (#5154)

Co-authored-by: leif stawnyczy <leifstawnyczy@leifs-MacBook-Pro.local>

* Fix hsql jdbc driver deps (#5168)

Avoid non-included classes in jdbc driver dependencies.

* $delete-expunge over 10k resources will now delete all resources (#5144)

* First commit with very rough fix and unit test.

* Refinements to ResourceIdListStep and Batch2DaoSvcImpl.  Make LoadIdsStepTest pass.   Enhance Batch2DaoSvcImplTest.

* Spotless

* Fix checkstyle errors.

* Fix test failures.

* Minor refactoring.  New unit test.  Finalize changelist.

* Spotless fix.

* Delete now useless code from unit test.

* Delete more useless code.

* Test pre-commit hook

* More spotless fixes.

* Address most code review feedback.

* Remove use of pageSize parameter and see if this breaks the pipeline.

* Remove use of pageSize parameter and see if this breaks the pipeline.

* Fix the noUrl case by passing an unlimited Pegeable instead.  Effectively stop using page size for most databases.

* Deprecate the old method and have it call the new one by default.

* updating documentation (#5170)

Co-authored-by: leif stawnyczy <leifstawnyczy@leifs-MacBook-Pro.local>

* _source search parameter modifiers for Subscription matching (#5159)

* _source search parameter modifiers for Subscription matching - test, implementation and changelog

* first fix

* tests and preliminary fixes

* wip, commit before switching to release branch.

* adding capability to handle _lastUpdated in reverse search (_has)

* adding changelog

* applying spotless.

* addressing code review comments.

---------

Co-authored-by: tadgh <garygrantgraham@gmail.com>
Co-authored-by: dotasek <david.otasek@smilecdr.com>
Co-authored-by: Steve Corbett <137920358+steve-corbett-smilecdr@users.noreply.github.com>
Co-authored-by: Ken Stevens <khstevens@gmail.com>
Co-authored-by: Ken Stevens <ken@smilecdr.com>
Co-authored-by: peartree <etienne.poirier@smilecdr.com>
Co-authored-by: jdar8 <69840459+jdar8@users.noreply.github.com>
Co-authored-by: justindar <justin.dar@smilecdr.com>
Co-authored-by: volodymyr-korzh <132366313+volodymyr-korzh@users.noreply.github.com>
Co-authored-by: Nathan Doef <n.doef@protonmail.com>
Co-authored-by: Etienne Poirier <33007955+epeartree@users.noreply.github.com>
Co-authored-by: TipzCM <leif.stawnyczy@gmail.com>
Co-authored-by: leif stawnyczy <leifstawnyczy@leifs-MacBook-Pro.local>
Co-authored-by: michaelabuckley <michaelabuckley@gmail.com>
Co-authored-by: Luke deGruchy <luke.degruchy@smilecdr.com>

* Br 20231019 add cr settings for cds hooks (#5394)

* Add settings used in CR CDS Services.  Remove config dependency on Spring Boot.

* Add changelog

* Use String.format rather than concat strings

* spotless apply

* Add javadoc

* Upgrade notes for the forced-id change (#5400)

Add upgrade notes for forced-id

* Clean stale search results more aggressively. (#5396)

Use bulk DMA statements when cleaning the search cache.
The cleaner job now works as long as possible until a deadline based on the scheduling frequency.

* bump version of clinical reasoning (#5406)

* Transaction fails if SearchNarrowingInterceptor is registered and Partitioning Enabled - fix cross-tenant requests failure (#5408)

* Transaction with conditional update fails if SearchNarrowingInterceptor is registered and Enabled Partitioning - fix and tests added

* removed unused alias from SQL query of mdm-clear (#5416)

* Issue 5418 support Boolean class return type in BaseInterceptorService (#5421)

* Enable child classes to use Boolean class return type

* spotless

---------

Co-authored-by: juan.marchionatto <juan.marchionatto@smilecdr.com>

* If AutoInflateBinaries is enabled, binaries are created on the disk only for the first resource entry of the bundle (#5420)

* If AutoInflateBinaries is enabled, binaries created on disk by bundled requests are created only for the first resource entry - fix

* Revert "Issue 5418 support Boolean class return type in BaseInterceptorService (#5421)" (#5423)

This reverts commit 4e295a59fb.

Co-authored-by: Nathan Doef <nathaniel.doef@smilecdr.com>

* Use new FHIR_ID column for sorting (#5405)

* Sort `_id` using new FHIR_ID column.
* Fix old tests that put client-assigned ids first.

* Better indexing for sort

* Bump core to 6.1.2.2 (#5425)

* Bump core to 6.1.2.1

Patch release that uses https for primary org.hl7.fhir.core package server

* Bump core to 6.1.2.2

* Make sure to return always a value for Boolean class return type. (#5424)

Implement change in a non-disruptive way for overriders

Co-authored-by: juan.marchionatto <juan.marchionatto@smilecdr.com>

* Add non-standard __pid SP for breaking ties cheaply during sorts. (#5428)

Add a non-standard __pid SP.

* Review changes for new _pid SP. (#5430)

Change name to _pid to match our standard and add warning.

* Fix VersionCanonicalizer conversion from R5 into DSTU2 for CapabilityStatement, Parameters and StructuredDefinition (#5432)

* Fix VersionCanonicalizer conversion from R5 into DSTU2 for CapabilityStatement, Parameters and StructuredDefinition.

* Fix spotless issue

* CVEs for 6.10.0 (#5433)

* Bump jetty

* Bump okio-jvm

* 8.2.0 mysql connector

* Jena and elastic bumps

* Fix test

* 5412 post bundle on partition incorrect response.link shown (#5413)

* Initial fix and unit test provided

* spottless check

* Made relevant changes to make solution version agnostic

* relevant logic changes made

* spotless changes made

* New logic added to fix failing test cases

* formatting

* New logic to make the function more robust

* spotless checks

* Left a trailing slash in the tests

* Made relevant test changes and changed logic

* spotless changes

* Update hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5412-during-partition-fullUrl-not-shown-in-response.yaml

changing changelog

Co-authored-by: volodymyr-korzh <132366313+volodymyr-korzh@users.noreply.github.com>

* Formatting requirements

---------

Co-authored-by: volodymyr-korzh <132366313+volodymyr-korzh@users.noreply.github.com>

* Resolve We don't have guaranteed subscription delivery if a resource is too large (#5414)

* first fix

* - added the ability to handle null payload to SubscriptionDeliveringMessageSubscriber and SubscriptionDeliveringEmailSubscriber
- refactored code to reduce repeated code
- cleaned unnecessary comments and reformatted files

* Changed myResourceModifiedMessagePersistenceSvc to be autowired

* removed unused import

* added error handling when inflating the message to email and message subscriber

* reformatted code

* Fixing subscription tests with mocked IResourceModifiedMessagePersistenceSvc

* Changes by gary

* Reformatted file

* fixed failed tests

* implemented test for message and email delivery subscriber. Fixed logical error. Reformatted File.

* - implemented IT
- fixed logical error
- added changelog

* fix for cdr tests, NOTE: this makes the assumption that we will always succeed for inflating the database in the tests that uses SynchronousSubscriptionMatcherInterceptor

* fix for cdr tests, NOTE: this makes the assumption that we will always succeed for inflating the database in the tests that uses SynchronousSubscriptionMatcherInterceptor

* resolve code review comments

* reformatted files

* fixed tests

* Fix for failing IT test in jpaserver-starter (#5435)

Co-authored-by: dotasek <dotasek.dev@gmail.com>

* wip

---------

Co-authored-by: michaelabuckley <michaelabuckley@gmail.com>
Co-authored-by: Martha Mitran <martha.mitran@smilecdr.com>
Co-authored-by: volodymyr-korzh <132366313+volodymyr-korzh@users.noreply.github.com>
Co-authored-by: TynerGjs <132295567+TynerGjs@users.noreply.github.com>
Co-authored-by: dotasek <david.otasek@smilecdr.com>
Co-authored-by: Steve Corbett <137920358+steve-corbett-smilecdr@users.noreply.github.com>
Co-authored-by: Ken Stevens <khstevens@gmail.com>
Co-authored-by: Ken Stevens <ken@smilecdr.com>
Co-authored-by: peartree <etienne.poirier@smilecdr.com>
Co-authored-by: jdar8 <69840459+jdar8@users.noreply.github.com>
Co-authored-by: justindar <justin.dar@smilecdr.com>
Co-authored-by: Nathan Doef <n.doef@protonmail.com>
Co-authored-by: Etienne Poirier <33007955+epeartree@users.noreply.github.com>
Co-authored-by: TipzCM <leif.stawnyczy@gmail.com>
Co-authored-by: leif stawnyczy <leifstawnyczy@leifs-MacBook-Pro.local>
Co-authored-by: Luke deGruchy <luke.degruchy@smilecdr.com>
Co-authored-by: Brenin Rhodes <brenin@alphora.com>
Co-authored-by: Justin McKelvy <60718638+Capt-Mac@users.noreply.github.com>
Co-authored-by: jmarchionatto <60409882+jmarchionatto@users.noreply.github.com>
Co-authored-by: juan.marchionatto <juan.marchionatto@smilecdr.com>
Co-authored-by: Nathan Doef <nathaniel.doef@smilecdr.com>
Co-authored-by: LalithE <132382565+LalithE@users.noreply.github.com>
Co-authored-by: dotasek <dotasek.dev@gmail.com>

hapi-fhir-base/src/main/java/ca/uhn/fhir/interceptor/executor/BaseInterceptorService.java

@@ -263,10 +263,14 @@ public abstract class BaseInterceptorService<POINTCUT extends Enum<POINTCUT> & I
 		return myRegisteredPointcuts.contains(thePointcut);
 	}
 
+	protected Class<?> getBooleanReturnType() {
+		return boolean.class;
+	}
+
 	@Override
 	public boolean callHooks(POINTCUT thePointcut, HookParams theParams) {
 		assert haveAppropriateParams(thePointcut, theParams);
-		assert thePointcut.getReturnType() == void.class || thePointcut.getReturnType() == boolean.class;
+		assert thePointcut.getReturnType() == void.class || thePointcut.getReturnType() == getBooleanReturnType();
 
 		Object retValObj = doCallHooks(thePointcut, theParams, true);
 		return (Boolean) retValObj;
@@ -282,14 +286,16 @@ public abstract class BaseInterceptorService<POINTCUT extends Enum<POINTCUT> & I
 		for (BaseInvoker nextInvoker : invokers) {
 			Object nextOutcome = nextInvoker.invoke(theParams);
 			Class<?> pointcutReturnType = thePointcut.getReturnType();
-			if (pointcutReturnType.equals(boolean.class)) {
+			if (pointcutReturnType.equals(getBooleanReturnType())) {
 				Boolean nextOutcomeAsBoolean = (Boolean) nextOutcome;
 				if (Boolean.FALSE.equals(nextOutcomeAsBoolean)) {
 					ourLog.trace("callHooks({}) for invoker({}) returned false", thePointcut, nextInvoker);
 					theRetVal = false;
 					break;
+				} else {
+					theRetVal = true;
 				}
-			} else if (pointcutReturnType.equals(void.class) == false) {
+			} else if (!pointcutReturnType.equals(void.class)) {
 				if (nextOutcome != null) {
 					theRetVal = nextOutcome;
 					break;
@@ -349,7 +355,7 @@ public abstract class BaseInterceptorService<POINTCUT extends Enum<POINTCUT> & I
 
 		List<BaseInvoker> retVal;
 
-		if (haveMultiple == false) {
+		if (!haveMultiple) {
 
 			// The global list doesn't need to be sorted every time since it's sorted on
 			// insertion each time. Doing so is a waste of cycles..
@@ -485,9 +491,9 @@ public abstract class BaseInterceptorService<POINTCUT extends Enum<POINTCUT> & I
 			myMethod = theHookMethod;
 
 			Class<?> returnType = theHookMethod.getReturnType();
-			if (myPointcut.getReturnType().equals(boolean.class)) {
+			if (myPointcut.getReturnType().equals(getBooleanReturnType())) {
 				Validate.isTrue(
-						boolean.class.equals(returnType) || void.class.equals(returnType),
+						getBooleanReturnType().equals(returnType) || void.class.equals(returnType),
 						"Method does not return boolean or void: %s",
 						theHookMethod);
 			} else if (myPointcut.getReturnType().equals(void.class)) {

hapi-fhir-base/src/main/java/ca/uhn/fhir/rest/api/Constants.java

@@ -199,6 +199,8 @@ public class Constants {
 	public static final String PARAM_PRETTY_VALUE_FALSE = "false";
 	public static final String PARAM_PRETTY_VALUE_TRUE = "true";
 	public static final String PARAM_PROFILE = "_profile";
+	public static final String PARAM_PID = "_pid";
+
 	public static final String PARAM_QUERY = "_query";
 	public static final String PARAM_RESPONSE_URL = "response-url"; // Used in messaging
 	public static final String PARAM_REVINCLUDE = "_revinclude";

hapi-fhir-converter/src/main/java/ca/uhn/hapi/converters/canonical/VersionCanonicalizer.java

@@ -458,7 +458,7 @@ public class VersionCanonicalizer {
 		@Override
 		public IBaseParameters parametersFromCanonical(Parameters theParameters) {
 			Resource converted = VersionConvertorFactory_10_40.convertResource(theParameters, ADVISOR_10_40);
-			return (IBaseParameters) reencodeToHl7Org(converted);
+			return (IBaseParameters) reencodeFromHl7Org(converted);
 		}
 
 		@Override
@@ -470,7 +470,7 @@ public class VersionCanonicalizer {
 		@Override
 		public IBaseResource structureDefinitionFromCanonical(StructureDefinition theResource) {
 			Resource converted = VersionConvertorFactory_10_50.convertResource(theResource, ADVISOR_10_50);
-			return reencodeToHl7Org(converted);
+			return reencodeFromHl7Org(converted);
 		}
 
 		@Override
@@ -514,7 +514,7 @@ public class VersionCanonicalizer {
 		@Override
 		public IBaseConformance capabilityStatementFromCanonical(CapabilityStatement theResource) {
 			Resource converted = VersionConvertorFactory_10_50.convertResource(theResource, ADVISOR_10_50);
-			return (IBaseConformance) reencodeToHl7Org(converted);
+			return (IBaseConformance) reencodeFromHl7Org(converted);
 		}
 
 		private Resource reencodeToHl7Org(IBaseResource theInput) {

hapi-fhir-converter/src/test/java/ca/uhn/hapi/converters/canonical/VersionCanonicalizerTest.java

@@ -2,22 +2,19 @@ package ca.uhn.hapi.converters.canonical;
 
 import ca.uhn.fhir.context.FhirVersionEnum;
 import ca.uhn.fhir.model.dstu2.composite.CodingDt;
+import ca.uhn.fhir.model.dstu2.resource.Conformance;
 import ca.uhn.fhir.util.HapiExtensions;
-import org.apache.commons.lang3.StringUtils;
-import org.hl7.fhir.convertors.factory.VersionConvertorFactory_40_50;
 import org.hl7.fhir.instance.model.api.IBaseCoding;
-import org.hl7.fhir.instance.model.api.IBaseHasExtensions;
-import org.hl7.fhir.instance.model.api.IBaseResource;
-import org.hl7.fhir.instance.model.api.IPrimitiveType;
 import org.hl7.fhir.r4.model.CodeType;
 import org.hl7.fhir.r4.model.Coding;
-import org.hl7.fhir.r5.model.Base;
+import org.hl7.fhir.r4.model.Parameters;
+import org.hl7.fhir.r5.model.CapabilityStatement;
 import org.hl7.fhir.r5.model.Enumeration;
 import org.hl7.fhir.r5.model.SearchParameter;
+import org.hl7.fhir.r5.model.StructureDefinition;
+import org.junit.jupiter.api.Nested;
 import org.junit.jupiter.api.Test;
 
-import javax.annotation.Nonnull;
-import java.util.List;
 import java.util.stream.Collectors;
 
 import static ca.uhn.fhir.util.ExtensionUtil.getExtensionPrimitiveValues;
@@ -25,40 +22,23 @@ import static org.hamcrest.MatcherAssert.assertThat;
 import static org.hamcrest.Matchers.contains;
 import static org.hamcrest.Matchers.empty;
 import static org.junit.jupiter.api.Assertions.assertEquals;
+import static org.junit.jupiter.api.Assertions.assertNotNull;
 
 class VersionCanonicalizerTest {
+	@Nested
+	class VersionCanonicalizerR4 {
 
+		private static final FhirVersionEnum FHIR_VERSION = FhirVersionEnum.R4;
+		private static final VersionCanonicalizer ourCanonicalizer = new VersionCanonicalizer(FHIR_VERSION);
 		@Test
-	public void testToCanonicalCoding() {
+		public void testToCanonical_SearchParameterNoCustomResourceType_ConvertedCorrectly() {
-		VersionCanonicalizer canonicalizer = new VersionCanonicalizer(FhirVersionEnum.DSTU2);
-		IBaseCoding coding = new CodingDt("dstuSystem", "dstuCode");
-		Coding convertedCoding = canonicalizer.codingToCanonical(coding);
-		assertEquals("dstuCode", convertedCoding.getCode());
-		assertEquals("dstuSystem", convertedCoding.getSystem());
-	}
-
-	@Test
-	public void testFromCanonicalSearchParameter() {
-		VersionCanonicalizer canonicalizer = new VersionCanonicalizer(FhirVersionEnum.DSTU2);
-
-		SearchParameter inputR5 = new SearchParameter();
-		inputR5.setUrl("http://foo");
-		ca.uhn.fhir.model.dstu2.resource.SearchParameter outputDstu2 = (ca.uhn.fhir.model.dstu2.resource.SearchParameter) canonicalizer.searchParameterFromCanonical(inputR5);
-		assertEquals("http://foo", outputDstu2.getUrl());
-	}
-
-	@Test
-	public void testToCanonicalSearchParameter_NoCustomResourceType() {
-		// Setup
-		VersionCanonicalizer canonicalizer = new VersionCanonicalizer(FhirVersionEnum.R4);
-
 			org.hl7.fhir.r4.model.SearchParameter input = new org.hl7.fhir.r4.model.SearchParameter();
 			input.addBase("Patient");
 			input.addBase("Observation");
 			input.addTarget("Organization");
 
 			// Test
-		org.hl7.fhir.r5.model.SearchParameter actual = canonicalizer.searchParameterToCanonical(input);
+			org.hl7.fhir.r5.model.SearchParameter actual = ourCanonicalizer.searchParameterToCanonical(input);
 
 			// Verify
 			assertThat(actual.getBase().stream().map(Enumeration::getCode).collect(Collectors.toList()), contains("Patient", "Observation"));
@@ -69,10 +49,8 @@ class VersionCanonicalizerTest {
 		}
 
 		@Test
-	public void testToCanonicalSearchParameter_WithCustomResourceType() {
+		public void testToCanonical_SearchParameterWithCustomResourceType__ConvertedCorrectly() {
 			// Setup
-		VersionCanonicalizer canonicalizer = new VersionCanonicalizer(FhirVersionEnum.R4);
-
 			org.hl7.fhir.r4.model.SearchParameter input = new org.hl7.fhir.r4.model.SearchParameter();
 			input.addBase("Base1");
 			input.addBase("Base2");
@@ -80,7 +58,7 @@ class VersionCanonicalizerTest {
 			input.addTarget("Target2");
 
 			// Test
-		org.hl7.fhir.r5.model.SearchParameter actual = canonicalizer.searchParameterToCanonical(input);
+			org.hl7.fhir.r5.model.SearchParameter actual = ourCanonicalizer.searchParameterToCanonical(input);
 
 			// Verify
 			assertThat(actual.getBase().stream().map(Enumeration::getCode).collect(Collectors.toList()), empty());
@@ -92,6 +70,52 @@ class VersionCanonicalizerTest {
 			assertThat(input.getTarget().stream().map(CodeType::getCode).toList(), contains("Target1", "Target2"));
 
 		}
+	}
 
+	@Nested
+	class VersionCanonicalizerDstu2 {
+		private static final FhirVersionEnum FHIR_VERSION = FhirVersionEnum.DSTU2;
+		private static final VersionCanonicalizer ourCanonicalizer = new VersionCanonicalizer(FHIR_VERSION);
 
+		@Test
+		public void testToCanonical_Coding_ConvertSuccessful() {
+			IBaseCoding coding = new CodingDt("dstuSystem", "dstuCode");
+			Coding convertedCoding = ourCanonicalizer.codingToCanonical(coding);
+			assertEquals("dstuCode", convertedCoding.getCode());
+			assertEquals("dstuSystem", convertedCoding.getSystem());
+		}
+
+		@Test
+		public void testFromCanonical_SearchParameter_ConvertSuccessful() {
+			SearchParameter inputR5 = new SearchParameter();
+			inputR5.setUrl("http://foo");
+			ca.uhn.fhir.model.dstu2.resource.SearchParameter outputDstu2 = (ca.uhn.fhir.model.dstu2.resource.SearchParameter) ourCanonicalizer.searchParameterFromCanonical(inputR5);
+			assertEquals("http://foo", outputDstu2.getUrl());
+		}
+
+		@Test
+		public void testFromCanonical_CapabilityStatement_ConvertSuccessful() {
+			CapabilityStatement inputR5 = new CapabilityStatement();
+			inputR5.setUrl("http://foo");
+			Conformance conformance = (Conformance) ourCanonicalizer.capabilityStatementFromCanonical(inputR5);
+			assertEquals("http://foo", conformance.getUrl());
+		}
+
+		@Test
+		public void testFromCanonical_StructureDefinition_ConvertSuccessful() {
+			StructureDefinition inputR5 = new StructureDefinition();
+			inputR5.setId("123");
+			ca.uhn.fhir.model.dstu2.resource.StructureDefinition structureDefinition = (ca.uhn.fhir.model.dstu2.resource.StructureDefinition) ourCanonicalizer.structureDefinitionFromCanonical(inputR5);
+			assertEquals("StructureDefinition/123", structureDefinition.getId().getValue());
+		}
+
+		@Test
+		public void testFromCanonical_Parameters_ConvertSuccessful() {
+			org.hl7.fhir.r4.model.Parameters inputR4 = new Parameters();
+			inputR4.setParameter("paramA", "1");
+			ca.uhn.fhir.model.dstu2.resource.Parameters parameters = (ca.uhn.fhir.model.dstu2.resource.Parameters) ourCanonicalizer.parametersFromCanonical(inputR4);
+			assertNotNull(parameters.getParameter());
+			assertEquals("paramA", parameters.getParameter().get(0).getName());
+		}
+	}
 }

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5176-supporting-lastUpdated-sp-with-reverse-chaining.yaml

@@ -0,0 +1,6 @@
+---
+type: fix
+issue: 5176
+jira: SMILE-6333
+title: "Previously, the use of search parameter _lastUpdated as part of a reverse chaining search would return an error
+ message to the client.  This issue has been fixed"

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5366-package-installer-overrides-build-in-search-parameters-with-multiple-base-resources.yaml

@@ -0,0 +1,7 @@
+---
+type: add
+issue: 5366
+jira: SMILE-5184
+title: "The package installer overrides existing (built-in) SearchParameter with multiple base resources. 
+    This is happening when installing US Core package for Practitioner.given as an example.
+    This change allows the existing SearchParameter to continue to exist with the remaining base resources."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5375-add-cr-settings-for-cds-hooks.yaml

@@ -0,0 +1,4 @@
+---
+type: add
+issue: 5375
+title: "Add settings for CDS Services using CDS on FHIR.  Also removed the dependency on Spring Boot from the CR configs used by CDS Hooks."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5387-allow-cached-search-with-consent.yaml

@@ -0,0 +1,6 @@
+---
+type: perf
+issue: 5387
+title: "Enable the search cache for some requests even when a consent interceptor is active.  
+  If no consent service uses canSeeResource (i.e. shouldProcessCanSeeResource() returns false);
+   or startOperation() returns AUTHORIZED; then the search cache is enabled."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5388-fhir-transaction-fails-if-searchnarrowinginterceptor-is-registered-and-partitioning-enabled.yaml

@@ -0,0 +1,6 @@
+---
+type: fix
+issue: 5388
+title: "Previously, with partitioning enabled and `UrlBaseTenantIdentificationStrategy` used, registering 
+`SearchNarrowingInterceptor` would cause to incorrect resolution of `entry.request.url` parameter during 
+transaction bundle processing. This has been fixed."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5395-search-cleaner-faster.yaml

@@ -0,0 +1,5 @@
+---
+type: perf
+issue: 5395
+title: "The background activity that clears stale search results now has higher throughput.
+  Busy servers should no longer accumulate dead stale search results."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5404-cql-translator-fhirhelpers-bug.yaml

@@ -0,0 +1,4 @@
+---
+type: fix
+issue: 5404
+title: "Cql translating bug where FHIRHelpers library function was erroring and blocking clinical reasoning content functionality"

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5405-use-new-fhir-id-for-sort.yaml

@@ -0,0 +1,4 @@
+---
+type: perf
+issue: 5405
+title: "Sorting by _id now uses the FHIR_ID column on HFJ_RESOURCE and avoid joins."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5407-we-dont-have-guaranteed-subscription-delivery-if-a-resource-is-too-large.yaml

@@ -0,0 +1,7 @@
+---
+type: add
+issue: 5407
+title: "Previously, when the payload of a subscription message exceeds the broker maximum message size, exception would 
+be thrown and retry will be performed indefinitely until the maximum message size is adjusted. Now, the message will be
+successfully delivered for rest-hook and email subscriptions, while message subscriptions remains the same behavior as
+before."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5412-during-partition-response-link-is-incorrect.yaml

@@ -0,0 +1,4 @@
+---
+type: fix
+issue: 5412
+title: "Previously, with Partitioning enabled, submitting a bundle request would return a response with the partition name displayed twice in `response.link` property. This has been fixed."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5415-mdm-clear-fails-on-mssql.yaml

@@ -0,0 +1,4 @@
+---
+type: fix
+issue: 5415
+title: "Previously, `$mdm-clear` jobs would fail on MSSQL. This is now fixed."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5419-binaries-created-only-for-the-first-resource-entry-of-the-bundle.yaml

@@ -0,0 +1,6 @@
+---
+type: fix
+issue: 5419
+title: "Previously, when `AllowAutoInflateBinaries` was enabled in `JpaStorageSettings` and bundles with multiple 
+resources were submitted, binaries were created on the disk only for the first resource entry of the bundle. 
+This has been fixed."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5428-pid-sp.yaml

@@ -0,0 +1,5 @@
+---
+type: add
+issue: 5428
+title: "Add support for non-standard _pid SearchParameter to the the JPA engine.
+  This new SP provides an efficient tie-breaking sort key."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/5431-version_canonicalizer_fails_capabilitystatement_dstu2.yaml

@@ -0,0 +1,5 @@
+---
+type: fix
+issue: 5431
+jira: SMILE-5306
+title: "Previously, using VersionCanonicalizer to convert a CapabilityStatement from R5 to DSTU2 would fail. This is now fixed."

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/changes.yaml

@@ -11,5 +11,5 @@
         <li>Thymeleaf (Testpage Overlay): 3.0.14.RELEASE -&gt; 3.1.2.RELEASE</li>
         <li>xpp3 (All): 1.1.4c.0 -&gt; 1.1.6</li>
         <li>HtmlUnit (All): 2.67.0 -&gt; 2.70.0</li>
-        <li>org.hl7.fhir.core (All): 6.0.22.2 -&gt; 6.1.2</li>
+        <li>org.hl7.fhir.core (All): 6.0.22.2 -&gt; 6.1.2.2</li>
    </ul>"

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_10_0/upgrade.md

@@ -1,3 +1,9 @@
+### Major Database Change
+
+This release makes performance changes to the database definition in a way that is incompatible with releases before 6.4.
+Attempting to run version 6.2 or older simultaneously with this release may experience errors when saving new resources.
+
+### Change Tracking and Subscriptions
 This release introduces significant a change to the mechanism performing submission of resource modification events
 to the message broker.  Previously, an event would be submitted as part of the synchronous transaction
 modifying a resource.  Synchronous submission yielded responsive publishing with the caveat that events would be dropped
@@ -8,6 +14,7 @@ database upon completion of the transaction and subsequently submitted to the br
 This new asynchronous submission mechanism will introduce a slight delay in event publishing.  It is our view that such
 delay is largely compensated by the capability to retry submission upon failure which will eliminate event losses.
 
+### Tag, Security Label, and Profile changes
 
 There are some potentially breaking changes: 
 * On resource retrieval and before storage, tags, security label and profile collections in resource meta will be 

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/security/consent_interceptor.md

@@ -24,3 +24,13 @@ The ConsentInterceptor requires a user-supplied instance of the [IConsentService
 ```java
 {{snippet:classpath:/ca/uhn/hapi/fhir/docs/ConsentInterceptors.java|service}}
 ``` 
+
+## Performance and Privacy
+
+Filtering search results in `canSeeResource()` requires inspecting every resource during a search and editing the results.
+This is slower than the normal path, and will prevent the reuse of the results from the search cache.
+The `willSeeResource()` operation supports reusing cached search results, but removed resources may be 'visible' as holes in returned bundles.
+Disabling `canSeeResource()` by returning `false` from `processCanSeeResource()` will enable the search cache.
+
+
+

hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/server_jpa/search.md

@@ -22,6 +22,12 @@ Searching on Location.Position using `near` currently uses a box search, not a r
 
 The special `_filter` is only partially implemented.
 
+### _pid
+
+The JPA server implements a non-standard special `_pid` which matches/sorts on the raw internal database id.
+This sort is useful for imposing tie-breaking sort order in an efficient way.
+
+Note that this is an internal feature that may change or be removed in the future. Use with caution.
 
 <a name="uplifted-refchains"/>
 

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/config/HapiFhirHibernateJpaDialect.java

@@ -96,7 +96,7 @@ public class HapiFhirHibernateJpaDialect extends HibernateJpaDialect {
 							+ makeErrorMessage(
 									messageToPrepend, "resourceIndexedCompositeStringUniqueConstraintFailure"));
 				}
-				if (constraintName.contains(ResourceTable.IDX_RES_FHIR_ID)) {
+				if (constraintName.contains(ResourceTable.IDX_RES_TYPE_FHIR_ID)) {
 					throw new ResourceVersionConflictException(
 							Msg.code(825) + makeErrorMessage(messageToPrepend, "forcedIdConstraintFailure"));
 				}

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/config/JpaConfig.java

@@ -114,7 +114,6 @@ import ca.uhn.fhir.jpa.search.builder.predicate.ComboNonUniqueSearchParameterPre
 import ca.uhn.fhir.jpa.search.builder.predicate.ComboUniqueSearchParameterPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.CoordsPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.DatePredicateBuilder;
-import ca.uhn.fhir.jpa.search.builder.predicate.ForcedIdPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.NumberPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.QuantityNormalizedPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.QuantityPredicateBuilder;
@@ -613,12 +612,6 @@ public class JpaConfig {
 		return new DatePredicateBuilder(theSearchBuilder);
 	}
 
-	@Bean
-	@Scope("prototype")
-	public ForcedIdPredicateBuilder newForcedIdPredicateBuilder(SearchQueryBuilder theSearchBuilder) {
-		return new ForcedIdPredicateBuilder(theSearchBuilder);
-	}
-
 	@Bean
 	@Scope("prototype")
 	public NumberPredicateBuilder newNumberPredicateBuilder(SearchQueryBuilder theSearchBuilder) {

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/data/IMdmLinkJpaRepository.java

@@ -53,7 +53,7 @@ public interface IMdmLinkJpaRepository
 	@Modifying
 	@Query(
 			value =
-					"DELETE FROM MPI_LINK_AUD f WHERE GOLDEN_RESOURCE_PID IN (:goldenPids) OR TARGET_PID IN (:goldenPids)",
+					"DELETE FROM MPI_LINK_AUD WHERE GOLDEN_RESOURCE_PID IN (:goldenPids) OR TARGET_PID IN (:goldenPids)",
 			nativeQuery = true)
 	void deleteLinksHistoryWithAnyReferenceToPids(@Param("goldenPids") List<Long> theResourcePids);
 

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/data/ISearchDao.java

@@ -20,8 +20,7 @@
 package ca.uhn.fhir.jpa.dao.data;
 
 import ca.uhn.fhir.jpa.entity.Search;
-import org.springframework.data.domain.Pageable;
+import com.google.errorprone.annotations.CanIgnoreReturnValue;
-import org.springframework.data.domain.Slice;
 import org.springframework.data.jpa.repository.JpaRepository;
 import org.springframework.data.jpa.repository.Modifying;
 import org.springframework.data.jpa.repository.Query;
@@ -30,6 +29,8 @@ import org.springframework.data.repository.query.Param;
 import java.util.Collection;
 import java.util.Date;
 import java.util.Optional;
+import java.util.Set;
+import java.util.stream.Stream;
 
 public interface ISearchDao extends JpaRepository<Search, Long>, IHapiFhirJpaRepository {
 
@@ -38,10 +39,12 @@ public interface ISearchDao extends JpaRepository<Search, Long>, IHapiFhirJpaRep
 
 	@Query(
 			"SELECT s.myId FROM Search s WHERE (s.myCreated < :cutoff) AND (s.myExpiryOrNull IS NULL OR s.myExpiryOrNull < :now) AND (s.myDeleted IS NULL OR s.myDeleted = FALSE)")
-	Slice<Long> findWhereCreatedBefore(@Param("cutoff") Date theCutoff, @Param("now") Date theNow, Pageable thePage);
+	Stream<Long> findWhereCreatedBefore(@Param("cutoff") Date theCutoff, @Param("now") Date theNow);
 
-	@Query("SELECT s.myId FROM Search s WHERE s.myDeleted = TRUE")
+	@Query("SELECT new ca.uhn.fhir.jpa.dao.data.SearchIdAndResultSize(" + "s.myId, "
-	Slice<Long> findDeleted(Pageable thePage);
+			+ "(select max(sr.myOrder) as maxOrder from SearchResult sr where sr.mySearchPid = s.myId)) "
+			+ "FROM Search s WHERE s.myDeleted = TRUE")
+	Stream<SearchIdAndResultSize> findDeleted();
 
 	@Query(
 			"SELECT s FROM Search s WHERE s.myResourceType = :type AND s.mySearchQueryStringHash = :hash AND (s.myCreated > :cutoff) AND s.myDeleted = FALSE AND s.myStatus <> 'FAILED'")
@@ -54,10 +57,15 @@ public interface ISearchDao extends JpaRepository<Search, Long>, IHapiFhirJpaRep
 	int countDeleted();
 
 	@Modifying
-	@Query("UPDATE Search s SET s.myDeleted = :deleted WHERE s.myId = :pid")
+	@Query("UPDATE Search s SET s.myDeleted = :deleted WHERE s.myId in (:pids)")
-	void updateDeleted(@Param("pid") Long thePid, @Param("deleted") boolean theDeleted);
+	@CanIgnoreReturnValue
+	int updateDeleted(@Param("pids") Set<Long> thePid, @Param("deleted") boolean theDeleted);
 
 	@Modifying
 	@Query("DELETE FROM Search s WHERE s.myId = :pid")
 	void deleteByPid(@Param("pid") Long theId);
+
+	@Modifying
+	@Query("DELETE FROM Search s WHERE s.myId in (:pids)")
+	void deleteByPids(@Param("pids") Collection<Long> theSearchToDelete);
 }

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/data/ISearchIncludeDao.java

@@ -20,14 +20,18 @@
 package ca.uhn.fhir.jpa.dao.data;
 
 import ca.uhn.fhir.jpa.entity.SearchInclude;
+import com.google.errorprone.annotations.CanIgnoreReturnValue;
 import org.springframework.data.jpa.repository.JpaRepository;
 import org.springframework.data.jpa.repository.Modifying;
 import org.springframework.data.jpa.repository.Query;
 import org.springframework.data.repository.query.Param;
 
+import java.util.Collection;
+
 public interface ISearchIncludeDao extends JpaRepository<SearchInclude, Long>, IHapiFhirJpaRepository {
 
 	@Modifying
-	@Query(value = "DELETE FROM SearchInclude r WHERE r.mySearchPid = :search")
+	@Query(value = "DELETE FROM SearchInclude r WHERE r.mySearchPid in (:search)")
-	void deleteForSearch(@Param("search") Long theSearchPid);
+	@CanIgnoreReturnValue
+	int deleteForSearch(@Param("search") Collection<Long> theSearchPid);
 }

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/data/ISearchResultDao.java

@@ -20,6 +20,7 @@
 package ca.uhn.fhir.jpa.dao.data;
 
 import ca.uhn.fhir.jpa.entity.SearchResult;
+import com.google.errorprone.annotations.CanIgnoreReturnValue;
 import org.springframework.data.domain.Pageable;
 import org.springframework.data.domain.Slice;
 import org.springframework.data.jpa.repository.JpaRepository;
@@ -27,6 +28,7 @@ import org.springframework.data.jpa.repository.Modifying;
 import org.springframework.data.jpa.repository.Query;
 import org.springframework.data.repository.query.Param;
 
+import java.util.Collection;
 import java.util.List;
 
 public interface ISearchResultDao extends JpaRepository<SearchResult, Long>, IHapiFhirJpaRepository {
@@ -37,12 +39,19 @@ public interface ISearchResultDao extends JpaRepository<SearchResult, Long>, IHa
 	@Query(value = "SELECT r.myResourcePid FROM SearchResult r WHERE r.mySearchPid = :search")
 	List<Long> findWithSearchPidOrderIndependent(@Param("search") Long theSearchPid);
 
-	@Query(value = "SELECT r.myId FROM SearchResult r WHERE r.mySearchPid = :search")
+	@Modifying
-	Slice<Long> findForSearch(Pageable thePage, @Param("search") Long theSearchPid);
+	@Query("DELETE FROM SearchResult s WHERE s.mySearchPid IN :searchIds")
+	@CanIgnoreReturnValue
+	int deleteBySearchIds(@Param("searchIds") Collection<Long> theSearchIds);
 
 	@Modifying
-	@Query("DELETE FROM SearchResult s WHERE s.myId IN :ids")
+	@Query(
-	void deleteByIds(@Param("ids") List<Long> theContent);
+			"DELETE FROM SearchResult s WHERE s.mySearchPid = :searchId and s.myOrder >= :rangeStart and s.myOrder <= :rangeEnd")
+	@CanIgnoreReturnValue
+	int deleteBySearchIdInRange(
+			@Param("searchId") Long theSearchId,
+			@Param("rangeStart") int theRangeStart,
+			@Param("rangeEnd") int theRangeEnd);
 
 	@Query("SELECT count(r) FROM SearchResult r WHERE r.mySearchPid = :search")
 	int countForSearch(@Param("search") Long theSearchPid);

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/data/SearchIdAndResultSize.java

@@ -0,0 +1,37 @@
+/*-
+ * #%L
+ * HAPI FHIR JPA Server
+ * %%
+ * Copyright (C) 2014 - 2023 Smile CDR, Inc.
+ * %%
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *      http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ * #L%
+ */
+package ca.uhn.fhir.jpa.dao.data;
+
+import java.util.Objects;
+
+/**
+ * Record for search result returning the PK of a Search, and the number of associated SearchResults
+ */
+public class SearchIdAndResultSize {
+	/** Search PK */
+	public final long searchId;
+	/** Number of SearchResults attached */
+	public final int size;
+
+	public SearchIdAndResultSize(long theSearchId, Integer theSize) {
+		searchId = theSearchId;
+		size = Objects.requireNonNullElse(theSize, 0);
+	}
+}

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/entity/SearchResult.java

@@ -37,21 +37,22 @@ public class SearchResult implements Serializable {
 
 	private static final long serialVersionUID = 1L;
 
+	@Deprecated(since = "6.10", forRemoval = true) // migrating to composite PK on searchPid,Order
 	@GeneratedValue(strategy = GenerationType.AUTO, generator = "SEQ_SEARCH_RES")
 	@SequenceGenerator(name = "SEQ_SEARCH_RES", sequenceName = "SEQ_SEARCH_RES")
 	@Id
 	@Column(name = "PID")
 	private Long myId;
 
-	@Column(name = "SEARCH_ORDER", nullable = false, insertable = true, updatable = false)
+	@Column(name = "SEARCH_PID", insertable = true, updatable = false, nullable = false)
+	private Long mySearchPid;
+
+	@Column(name = "SEARCH_ORDER", insertable = true, updatable = false, nullable = false)
 	private int myOrder;
 
 	@Column(name = "RESOURCE_PID", insertable = true, updatable = false, nullable = false)
 	private Long myResourcePid;
 
-	@Column(name = "SEARCH_PID", insertable = true, updatable = false, nullable = false)
-	private Long mySearchPid;
-
 	/**
 	 * Constructor
 	 */

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/migrate/tasks/HapiFhirJpaMigrationTasks.java

@@ -118,12 +118,19 @@ public class HapiFhirJpaMigrationTasks extends BaseMigrationTasks<VersionEnum> {
 
 		Builder.BuilderWithTableName hfjResource = version.onTable("HFJ_RESOURCE");
 		hfjResource.modifyColumn("20231018.2", "FHIR_ID").nonNullable();
+
+		hfjResource.dropIndex("20231027.1", "IDX_RES_FHIR_ID");
 		hfjResource
-				.addIndex("20231018.3", "IDX_RES_FHIR_ID")
+				.addIndex("20231027.2", "IDX_RES_TYPE_FHIR_ID")
 				.unique(true)
 				.online(true)
-				.includeColumns("RES_ID")
+				// include res_id and our deleted flag so we can satisfy Observation?_sort=_id from the index on
-				.withColumns("FHIR_ID", "RES_TYPE");
+				// platforms that support it.
+				.includeColumns("RES_ID, RES_DELETED_AT")
+				.withColumns("RES_TYPE", "FHIR_ID");
+
+		// For resolving references that don't supply the type.
+		hfjResource.addIndex("20231027.3", "IDX_RES_FHIR_ID").unique(false).withColumns("FHIR_ID");
 	}
 
 	protected void init680() {

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/packages/PackageInstallerSvcImpl.java

@@ -40,6 +40,7 @@ import ca.uhn.fhir.jpa.searchparam.SearchParameterMap;
 import ca.uhn.fhir.jpa.searchparam.registry.ISearchParamRegistryController;
 import ca.uhn.fhir.jpa.searchparam.util.SearchParameterHelper;
 import ca.uhn.fhir.rest.api.server.IBundleProvider;
+import ca.uhn.fhir.rest.api.server.RequestDetails;
 import ca.uhn.fhir.rest.api.server.SystemRequestDetails;
 import ca.uhn.fhir.rest.param.StringParam;
 import ca.uhn.fhir.rest.param.TokenParam;
@@ -64,12 +65,13 @@ import org.springframework.beans.factory.annotation.Autowired;
 
 import java.io.IOException;
 import java.util.Collection;
+import java.util.HashSet;
 import java.util.List;
 import java.util.Optional;
-import javax.annotation.Nonnull;
 import javax.annotation.PostConstruct;
 
 import static ca.uhn.fhir.jpa.packages.util.PackageUtils.DEFAULT_INSTALL_TYPES;
+import static ca.uhn.fhir.util.SearchParameterUtil.getBaseAsStrings;
 import static org.apache.commons.lang3.StringUtils.defaultString;
 import static org.apache.commons.lang3.StringUtils.isBlank;
 
@@ -251,7 +253,7 @@ public class PackageInstallerSvcImpl implements IPackageInstallerSvc {
 			for (IBaseResource next : resources) {
 				try {
 					next = isStructureDefinitionWithoutSnapshot(next) ? generateSnapshot(next) : next;
-					create(next, theInstallationSpec, theOutcome);
+					install(next, theInstallationSpec, theOutcome);
 				} catch (Exception e) {
 					ourLog.warn(
 							"Failed to upload resource of type {} with ID {} - Error: {}",
@@ -345,83 +347,42 @@ public class PackageInstallerSvcImpl implements IPackageInstallerSvc {
 	 * ============================= Utility methods ===============================
 	 */
 	@VisibleForTesting
-	void create(
+	void install(
 			IBaseResource theResource,
 			PackageInstallationSpec theInstallationSpec,
 			PackageInstallOutcomeJson theOutcome) {
-		IFhirResourceDao dao = myDaoRegistry.getResourceDao(theResource.getClass());
-		SearchParameterMap map = createSearchParameterMapFor(theResource);
-		IBundleProvider searchResult = searchResource(dao, map);
-		if (validForUpload(theResource)) {
-			if (searchResult.isEmpty()) {
 
-				ourLog.info("Creating new resource matching {}", map.toNormalizedQueryString(myFhirContext));
+		if (!validForUpload(theResource)) {
-				theOutcome.incrementResourcesInstalled(myFhirContext.getResourceType(theResource));
-
-				IIdType id = theResource.getIdElement();
-
-				if (id.isEmpty()) {
-					createResource(dao, theResource);
-					ourLog.info("Created resource with new id");
-				} else {
-					if (id.isIdPartValidLong()) {
-						String newIdPart = "npm-" + id.getIdPart();
-						id.setParts(id.getBaseUrl(), id.getResourceType(), newIdPart, id.getVersionIdPart());
-					}
-
-					try {
-						updateResource(dao, theResource);
-
-						ourLog.info("Created resource with existing id");
-					} catch (ResourceVersionConflictException exception) {
-						final Optional<IBaseResource> optResource = readResourceById(dao, id);
-
-						final String existingResourceUrlOrNull = optResource
-								.filter(MetadataResource.class::isInstance)
-								.map(MetadataResource.class::cast)
-								.map(MetadataResource::getUrl)
-								.orElse(null);
-						final String newResourceUrlOrNull = (theResource instanceof MetadataResource)
-								? ((MetadataResource) theResource).getUrl()
-								: null;
-
-						ourLog.error(
-								"Version conflict error:  This is possibly due to a collision between ValueSets from different IGs that are coincidentally using the same resource ID: [{}] and new resource URL: [{}], with the exisitng resource having URL: [{}].  Ignoring this update and continuing:  The first IG wins.  ",
-								id.getIdPart(),
-								newResourceUrlOrNull,
-								existingResourceUrlOrNull,
-								exception);
-					}
-				}
-			} else {
-				if (theInstallationSpec.isReloadExisting()) {
-					ourLog.info("Updating existing resource matching {}", map.toNormalizedQueryString(myFhirContext));
-					theResource.setId(searchResult
-							.getResources(0, 1)
-							.get(0)
-							.getIdElement()
-							.toUnqualifiedVersionless());
-					DaoMethodOutcome outcome = updateResource(dao, theResource);
-					if (!outcome.isNop()) {
-						theOutcome.incrementResourcesInstalled(myFhirContext.getResourceType(theResource));
-					}
-				} else {
-					ourLog.info(
-							"Skipping update of existing resource matching {}",
-							map.toNormalizedQueryString(myFhirContext));
-				}
-			}
-		} else {
 			ourLog.warn(
 					"Failed to upload resource of type {} with ID {} - Error: Resource failed validation",
 					theResource.fhirType(),
 					theResource.getIdElement().getValue());
+			return;
+		}
+
+		IFhirResourceDao dao = myDaoRegistry.getResourceDao(theResource.getClass());
+		SearchParameterMap map = createSearchParameterMapFor(theResource);
+		IBundleProvider searchResult = searchResource(dao, map);
+
+		String resourceQuery = map.toNormalizedQueryString(myFhirContext);
+		if (!searchResult.isEmpty() && !theInstallationSpec.isReloadExisting()) {
+			ourLog.info("Skipping update of existing resource matching {}", resourceQuery);
+			return;
+		}
+		if (!searchResult.isEmpty()) {
+			ourLog.info("Updating existing resource matching {}", resourceQuery);
+		}
+		IBaseResource existingResource =
+				!searchResult.isEmpty() ? searchResult.getResources(0, 1).get(0) : null;
+		boolean isInstalled = createOrUpdateResource(dao, theResource, existingResource);
+		if (isInstalled) {
+			theOutcome.incrementResourcesInstalled(myFhirContext.getResourceType(theResource));
 		}
 	}
 
 	private Optional<IBaseResource> readResourceById(IFhirResourceDao dao, IIdType id) {
 		try {
-			return Optional.ofNullable(dao.read(id.toUnqualifiedVersionless(), newSystemRequestDetails()));
+			return Optional.ofNullable(dao.read(id.toUnqualifiedVersionless(), createRequestDetails()));
 
 		} catch (Exception exception) {
 			// ignore because we're running this query to help build the log
@@ -432,30 +393,112 @@ public class PackageInstallerSvcImpl implements IPackageInstallerSvc {
 	}
 
 	private IBundleProvider searchResource(IFhirResourceDao theDao, SearchParameterMap theMap) {
-		return theDao.search(theMap, newSystemRequestDetails());
+		return theDao.search(theMap, createRequestDetails());
 	}
 
-	@Nonnull
+	protected boolean createOrUpdateResource(
-	private SystemRequestDetails newSystemRequestDetails() {
+			IFhirResourceDao theDao, IBaseResource theResource, IBaseResource theExistingResource) {
-		return new SystemRequestDetails().setRequestPartitionId(RequestPartitionId.defaultPartition());
+		final IIdType id = theResource.getIdElement();
+
+		if (theExistingResource == null && id.isEmpty()) {
+			ourLog.debug("Install resource without id will be created");
+			theDao.create(theResource, createRequestDetails());
+			return true;
 		}
 
-	private void createResource(IFhirResourceDao theDao, IBaseResource theResource) {
+		if (theExistingResource == null && !id.isEmpty() && id.isIdPartValidLong()) {
-		if (myPartitionSettings.isPartitioningEnabled()) {
+			String newIdPart = "npm-" + id.getIdPart();
-			SystemRequestDetails requestDetails = newSystemRequestDetails();
+			id.setParts(id.getBaseUrl(), id.getResourceType(), newIdPart, id.getVersionIdPart());
-			theDao.create(theResource, requestDetails);
+		}
+
+		boolean isExistingUpdated = updateExistingResourceIfNecessary(theDao, theResource, theExistingResource);
+		boolean shouldOverrideId = theExistingResource != null && !isExistingUpdated;
+
+		if (shouldOverrideId) {
+			ourLog.debug(
+					"Existing resource {} will be overridden with installed resource {}",
+					theExistingResource.getIdElement(),
+					id);
+			theResource.setId(theExistingResource.getIdElement().toUnqualifiedVersionless());
 		} else {
-			theDao.create(theResource);
+			ourLog.debug("Install resource {} will be created", id);
-		}
 		}
 
-	DaoMethodOutcome updateResource(IFhirResourceDao theDao, IBaseResource theResource) {
+		DaoMethodOutcome outcome = updateResource(theDao, theResource);
-		if (myPartitionSettings.isPartitioningEnabled()) {
+		return outcome != null && !outcome.isNop();
-			SystemRequestDetails requestDetails = newSystemRequestDetails();
-			return theDao.update(theResource, requestDetails);
-		} else {
-			return theDao.update(theResource, new SystemRequestDetails());
 	}
+
+	private boolean updateExistingResourceIfNecessary(
+			IFhirResourceDao theDao, IBaseResource theResource, IBaseResource theExistingResource) {
+		if (!"SearchParameter".equals(theResource.getClass().getSimpleName())) {
+			return false;
+		}
+		if (theExistingResource == null) {
+			return false;
+		}
+		if (theExistingResource
+				.getIdElement()
+				.getIdPart()
+				.equals(theResource.getIdElement().getIdPart())) {
+			return false;
+		}
+		Collection<String> remainingBaseList = new HashSet<>(getBaseAsStrings(myFhirContext, theExistingResource));
+		remainingBaseList.removeAll(getBaseAsStrings(myFhirContext, theResource));
+		if (remainingBaseList.isEmpty()) {
+			return false;
+		}
+		myFhirContext
+				.getResourceDefinition(theExistingResource)
+				.getChildByName("base")
+				.getMutator()
+				.setValue(theExistingResource, null);
+
+		for (String baseResourceName : remainingBaseList) {
+			myFhirContext.newTerser().addElement(theExistingResource, "base", baseResourceName);
+		}
+		ourLog.info(
+				"Existing SearchParameter {} will be updated with base {}",
+				theExistingResource.getIdElement().getIdPart(),
+				remainingBaseList);
+		updateResource(theDao, theExistingResource);
+		return true;
+	}
+
+	private DaoMethodOutcome updateResource(IFhirResourceDao theDao, IBaseResource theResource) {
+		DaoMethodOutcome outcome = null;
+
+		IIdType id = theResource.getIdElement();
+		RequestDetails requestDetails = createRequestDetails();
+
+		try {
+			outcome = theDao.update(theResource, requestDetails);
+		} catch (ResourceVersionConflictException exception) {
+			final Optional<IBaseResource> optResource = readResourceById(theDao, id);
+
+			final String existingResourceUrlOrNull = optResource
+					.filter(MetadataResource.class::isInstance)
+					.map(MetadataResource.class::cast)
+					.map(MetadataResource::getUrl)
+					.orElse(null);
+			final String newResourceUrlOrNull =
+					(theResource instanceof MetadataResource) ? ((MetadataResource) theResource).getUrl() : null;
+
+			ourLog.error(
+					"Version conflict error: This is possibly due to a collision between ValueSets from different IGs that are coincidentally using the same resource ID: [{}] and new resource URL: [{}], with the exisitng resource having URL: [{}].  Ignoring this update and continuing:  The first IG wins.  ",
+					id.getIdPart(),
+					newResourceUrlOrNull,
+					existingResourceUrlOrNull,
+					exception);
+		}
+		return outcome;
+	}
+
+	private RequestDetails createRequestDetails() {
+		SystemRequestDetails requestDetails = new SystemRequestDetails();
+		if (myPartitionSettings.isPartitioningEnabled()) {
+			requestDetails.setRequestPartitionId(RequestPartitionId.defaultPartition());
+		}
+		return requestDetails;
 	}
 
 	boolean validForUpload(IBaseResource theResource) {
@@ -480,7 +523,7 @@ public class PackageInstallerSvcImpl implements IPackageInstallerSvc {
 				return false;
 			}
 
-			if (SearchParameterUtil.getBaseAsStrings(myFhirContext, theResource).isEmpty()) {
+			if (getBaseAsStrings(myFhirContext, theResource).isEmpty()) {
 				ourLog.warn(
 						"Failed to validate resource of type {} with url {} - Error: Resource base is empty",
 						theResource.fhirType(),
@@ -560,20 +603,21 @@ public class PackageInstallerSvcImpl implements IPackageInstallerSvc {
 		}
 	}
 
-	private SearchParameterMap createSearchParameterMapFor(IBaseResource resource) {
+	private SearchParameterMap createSearchParameterMapFor(IBaseResource theResource) {
-		if (resource.getClass().getSimpleName().equals("NamingSystem")) {
+		String resourceType = theResource.getClass().getSimpleName();
-			String uniqueId = extractUniqeIdFromNamingSystem(resource);
+		if ("NamingSystem".equals(resourceType)) {
+			String uniqueId = extractUniqeIdFromNamingSystem(theResource);
 			return SearchParameterMap.newSynchronous().add("value", new StringParam(uniqueId).setExact(true));
-		} else if (resource.getClass().getSimpleName().equals("Subscription")) {
+		} else if ("Subscription".equals(resourceType)) {
-			String id = extractIdFromSubscription(resource);
+			String id = extractSimpleValue(theResource, "id");
 			return SearchParameterMap.newSynchronous().add("_id", new TokenParam(id));
-		} else if (resource.getClass().getSimpleName().equals("SearchParameter")) {
+		} else if ("SearchParameter".equals(resourceType)) {
-			return buildSearchParameterMapForSearchParameter(resource);
+			return buildSearchParameterMapForSearchParameter(theResource);
-		} else if (resourceHasUrlElement(resource)) {
+		} else if (resourceHasUrlElement(theResource)) {
-			String url = extractUniqueUrlFromMetadataResource(resource);
+			String url = extractSimpleValue(theResource, "url");
 			return SearchParameterMap.newSynchronous().add("url", new UriParam(url));
 		} else {
-			TokenParam identifierToken = extractIdentifierFromOtherResourceTypes(resource);
+			TokenParam identifierToken = extractIdentifierFromOtherResourceTypes(theResource);
 			return SearchParameterMap.newSynchronous().add("identifier", identifierToken);
 		}
 	}
@@ -593,7 +637,7 @@ public class PackageInstallerSvcImpl implements IPackageInstallerSvc {
 		}
 
 		if (resourceHasUrlElement(theResource)) {
-			String url = extractUniqueUrlFromMetadataResource(theResource);
+			String url = extractSimpleValue(theResource, "url");
 			return SearchParameterMap.newSynchronous().add("url", new UriParam(url));
 		} else {
 			TokenParam identifierToken = extractIdentifierFromOtherResourceTypes(theResource);
@@ -601,32 +645,17 @@ public class PackageInstallerSvcImpl implements IPackageInstallerSvc {
 		}
 	}
 
-	private String extractUniqeIdFromNamingSystem(IBaseResource resource) {
+	private String extractUniqeIdFromNamingSystem(IBaseResource theResource) {
-		FhirTerser terser = myFhirContext.newTerser();
+		IBase uniqueIdComponent = (IBase) extractValue(theResource, "uniqueId");
-		IBase uniqueIdComponent = (IBase) terser.getSingleValueOrNull(resource, "uniqueId");
 		if (uniqueIdComponent == null) {
 			throw new ImplementationGuideInstallationException(
 					Msg.code(1291) + "NamingSystem does not have uniqueId component.");
 		}
-		IPrimitiveType<?> asPrimitiveType = (IPrimitiveType<?>) terser.getSingleValueOrNull(uniqueIdComponent, "value");
+		return extractSimpleValue(uniqueIdComponent, "value");
-		return (String) asPrimitiveType.getValue();
 	}
 
-	private String extractIdFromSubscription(IBaseResource resource) {
+	private TokenParam extractIdentifierFromOtherResourceTypes(IBaseResource theResource) {
-		FhirTerser terser = myFhirContext.newTerser();
+		Identifier identifier = (Identifier) extractValue(theResource, "identifier");
-		IPrimitiveType<?> asPrimitiveType = (IPrimitiveType<?>) terser.getSingleValueOrNull(resource, "id");
-		return (String) asPrimitiveType.getValue();
-	}
-
-	private String extractUniqueUrlFromMetadataResource(IBaseResource resource) {
-		FhirTerser terser = myFhirContext.newTerser();
-		IPrimitiveType<?> asPrimitiveType = (IPrimitiveType<?>) terser.getSingleValueOrNull(resource, "url");
-		return (String) asPrimitiveType.getValue();
-	}
-
-	private TokenParam extractIdentifierFromOtherResourceTypes(IBaseResource resource) {
-		FhirTerser terser = myFhirContext.newTerser();
-		Identifier identifier = (Identifier) terser.getSingleValueOrNull(resource, "identifier");
 		if (identifier != null) {
 			return new TokenParam(identifier.getSystem(), identifier.getValue());
 		} else {
@@ -635,6 +664,15 @@ public class PackageInstallerSvcImpl implements IPackageInstallerSvc {
 		}
 	}
 
+	private Object extractValue(IBase theResource, String thePath) {
+		return myFhirContext.newTerser().getSingleValueOrNull(theResource, thePath);
+	}
+
+	private String extractSimpleValue(IBase theResource, String thePath) {
+		IPrimitiveType<?> asPrimitiveType = (IPrimitiveType<?>) extractValue(theResource, thePath);
+		return (String) asPrimitiveType.getValue();
+	}
+
 	private boolean resourceHasUrlElement(IBaseResource resource) {
 		BaseRuntimeElementDefinition<?> def = myFhirContext.getElementDefinition(resource.getClass());
 		if (!(def instanceof BaseRuntimeElementCompositeDefinition)) {

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/StaleSearchDeletingSvcImpl.java

@@ -25,12 +25,16 @@ import ca.uhn.fhir.jpa.model.sched.HapiJob;
 import ca.uhn.fhir.jpa.model.sched.IHasScheduledJobs;
 import ca.uhn.fhir.jpa.model.sched.ISchedulerService;
 import ca.uhn.fhir.jpa.model.sched.ScheduledJobDefinition;
+import ca.uhn.fhir.jpa.search.cache.DatabaseSearchCacheSvcImpl;
 import ca.uhn.fhir.jpa.search.cache.ISearchCacheSvc;
 import org.quartz.JobExecutionContext;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.transaction.annotation.Propagation;
 import org.springframework.transaction.annotation.Transactional;
 
+import java.time.Instant;
+import java.time.temporal.ChronoUnit;
+
 import static ca.uhn.fhir.jpa.search.cache.DatabaseSearchCacheSvcImpl.SEARCH_CLEANUP_JOB_INTERVAL_MILLIS;
 
 /**
@@ -42,7 +46,6 @@ import static ca.uhn.fhir.jpa.search.cache.DatabaseSearchCacheSvcImpl.SEARCH_CLE
 // in Smile.
 //
 public class StaleSearchDeletingSvcImpl implements IStaleSearchDeletingSvc, IHasScheduledJobs {
-	private static final org.slf4j.Logger ourLog = org.slf4j.LoggerFactory.getLogger(StaleSearchDeletingSvcImpl.class);
 
 	@Autowired
 	private JpaStorageSettings myStorageSettings;
@@ -53,7 +56,16 @@ public class StaleSearchDeletingSvcImpl implements IStaleSearchDeletingSvc, IHas
 	@Override
 	@Transactional(propagation = Propagation.NEVER)
 	public void pollForStaleSearchesAndDeleteThem() {
-		mySearchCacheSvc.pollForStaleSearchesAndDeleteThem(RequestPartitionId.allPartitions());
+		mySearchCacheSvc.pollForStaleSearchesAndDeleteThem(RequestPartitionId.allPartitions(), getDeadline());
+	}
+
+	/**
+	 * Calculate a deadline to finish before the next scheduled run.
+	 */
+	protected Instant getDeadline() {
+		return Instant.ofEpochMilli(DatabaseSearchCacheSvcImpl.now())
+				// target a 90% duty-cycle to avoid confusing quartz
+				.plus((long) (SEARCH_CLEANUP_JOB_INTERVAL_MILLIS * 0.90), ChronoUnit.MILLIS);
 	}
 
 	@Override

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/builder/QueryStack.java

@@ -43,7 +43,6 @@ import ca.uhn.fhir.jpa.search.builder.predicate.ComboNonUniqueSearchParameterPre
 import ca.uhn.fhir.jpa.search.builder.predicate.ComboUniqueSearchParameterPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.CoordsPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.DatePredicateBuilder;
-import ca.uhn.fhir.jpa.search.builder.predicate.ForcedIdPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.ICanMakeMissingParamPredicate;
 import ca.uhn.fhir.jpa.search.builder.predicate.NumberPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.ParsedLocationParam;
@@ -69,10 +68,10 @@ import ca.uhn.fhir.parser.DataFormatException;
 import ca.uhn.fhir.rest.api.Constants;
 import ca.uhn.fhir.rest.api.QualifiedParamList;
 import ca.uhn.fhir.rest.api.RestSearchParameterTypeEnum;
-import ca.uhn.fhir.rest.api.SearchContainedModeEnum;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
 import ca.uhn.fhir.rest.param.CompositeParam;
 import ca.uhn.fhir.rest.param.DateParam;
+import ca.uhn.fhir.rest.param.DateRangeParam;
 import ca.uhn.fhir.rest.param.HasParam;
 import ca.uhn.fhir.rest.param.NumberParam;
 import ca.uhn.fhir.rest.param.QuantityParam;
@@ -95,7 +94,6 @@ import com.healthmarketscience.sqlbuilder.ComboCondition;
 import com.healthmarketscience.sqlbuilder.Condition;
 import com.healthmarketscience.sqlbuilder.Expression;
 import com.healthmarketscience.sqlbuilder.InCondition;
-import com.healthmarketscience.sqlbuilder.OrderObject;
 import com.healthmarketscience.sqlbuilder.SelectQuery;
 import com.healthmarketscience.sqlbuilder.SetOperationQuery;
 import com.healthmarketscience.sqlbuilder.Subquery;
@@ -123,6 +121,7 @@ import java.util.function.Supplier;
 import java.util.stream.Collectors;
 import javax.annotation.Nullable;
 
+import static ca.uhn.fhir.jpa.search.builder.QueryStack.SearchForIdsParams.with;
 import static ca.uhn.fhir.jpa.util.QueryParameterUtils.fromOperation;
 import static ca.uhn.fhir.jpa.util.QueryParameterUtils.getChainedPart;
 import static ca.uhn.fhir.jpa.util.QueryParameterUtils.getParamNameWithPrefix;
@@ -275,16 +274,21 @@ public class QueryStack {
 	}
 
 	public void addSortOnResourceId(boolean theAscending) {
+		ResourceTablePredicateBuilder resourceTablePredicateBuilder;
 		BaseJoiningPredicateBuilder firstPredicateBuilder = mySqlBuilder.getOrCreateFirstPredicateBuilder();
-		ForcedIdPredicateBuilder sortPredicateBuilder =
+		if (firstPredicateBuilder instanceof ResourceTablePredicateBuilder) {
-				mySqlBuilder.addForcedIdPredicateBuilder(firstPredicateBuilder.getResourceIdColumn());
+			resourceTablePredicateBuilder = (ResourceTablePredicateBuilder) firstPredicateBuilder;
-		if (!theAscending) {
-			mySqlBuilder.addSortString(
-					sortPredicateBuilder.getColumnForcedId(), false, OrderObject.NullOrder.FIRST, myUseAggregate);
 		} else {
-			mySqlBuilder.addSortString(sortPredicateBuilder.getColumnForcedId(), true, myUseAggregate);
+			resourceTablePredicateBuilder =
+					mySqlBuilder.addResourceTablePredicateBuilder(firstPredicateBuilder.getResourceIdColumn());
 		}
-		mySqlBuilder.addSortNumeric(firstPredicateBuilder.getResourceIdColumn(), theAscending, myUseAggregate);
+		mySqlBuilder.addSortString(resourceTablePredicateBuilder.getColumnFhirId(), theAscending, myUseAggregate);
+	}
+
+	/** Sort on RES_ID -- used to break ties for reliable sort */
+	public void addSortOnResourcePID(boolean theAscending) {
+		BaseJoiningPredicateBuilder predicateBuilder = mySqlBuilder.getOrCreateFirstPredicateBuilder();
+		mySqlBuilder.addSortString(predicateBuilder.getResourceIdColumn(), theAscending);
 	}
 
 	public void addSortOnResourceLink(
@@ -1107,7 +1111,7 @@ public class QueryStack {
 
 			if (paramName.startsWith("_has:")) {
 
-				ourLog.trace("Handing double _has query: {}", paramName);
+				ourLog.trace("Handling double _has query: {}", paramName);
 
 				String qualifier = paramName.substring(4);
 				for (IQueryParameterType next : nextOrList) {
@@ -1160,26 +1164,30 @@ public class QueryStack {
 				parameterName = parameterName.substring(0, colonIndex);
 			}
 
-			ResourceLinkPredicateBuilder join =
+			ResourceLinkPredicateBuilder resourceLinkTableJoin =
 					mySqlBuilder.addReferencePredicateBuilderReversed(this, theSourceJoinColumn);
-			Condition partitionPredicate = join.createPartitionIdPredicate(theRequestPartitionId);
+			Condition partitionPredicate = resourceLinkTableJoin.createPartitionIdPredicate(theRequestPartitionId);
 
-			List<String> paths = join.createResourceLinkPaths(targetResourceType, paramReference, new ArrayList<>());
+			List<String> paths = resourceLinkTableJoin.createResourceLinkPaths(
+					targetResourceType, paramReference, new ArrayList<>());
 			if (CollectionUtils.isEmpty(paths)) {
 				throw new InvalidRequestException(Msg.code(2305) + "Reference field does not exist: " + paramReference);
 			}
+
 			Condition typePredicate = BinaryCondition.equalTo(
-					join.getColumnTargetResourceType(), mySqlBuilder.generatePlaceholder(theResourceType));
+					resourceLinkTableJoin.getColumnTargetResourceType(),
-			Condition pathPredicate =
+					mySqlBuilder.generatePlaceholder(theResourceType));
-					toEqualToOrInPredicate(join.getColumnSourcePath(), mySqlBuilder.generatePlaceholders(paths));
+			Condition pathPredicate = toEqualToOrInPredicate(
-			Condition linkedPredicate = searchForIdsWithAndOr(
+					resourceLinkTableJoin.getColumnSourcePath(), mySqlBuilder.generatePlaceholders(paths));
-					join.getColumnSrcResourceId(),
+
-					targetResourceType,
+			Condition linkedPredicate =
-					parameterName,
+					searchForIdsWithAndOr(with().setSourceJoinColumn(resourceLinkTableJoin.getColumnSrcResourceId())
-					Collections.singletonList(orValues),
+							.setResourceName(targetResourceType)
-					theRequest,
+							.setParamName(parameterName)
-					theRequestPartitionId,
+							.setAndOrParams(Collections.singletonList(orValues))
-					SearchContainedModeEnum.FALSE);
+							.setRequest(theRequest)
+							.setRequestPartitionId(theRequestPartitionId));
+
 			andPredicates.add(toAndPredicate(partitionPredicate, pathPredicate, typePredicate, linkedPredicate));
 		}
 
@@ -2270,57 +2278,125 @@ public class QueryStack {
 	}
 
 	@Nullable
-	public Condition searchForIdsWithAndOr(
+	public Condition searchForIdsWithAndOr(SearchForIdsParams theSearchForIdsParams) {
-			@Nullable DbColumn theSourceJoinColumn,
-			String theResourceName,
-			String theParamName,
-			List<List<IQueryParameterType>> theAndOrParams,
-			RequestDetails theRequest,
-			RequestPartitionId theRequestPartitionId,
-			SearchContainedModeEnum theSearchContainedMode) {
 
-		if (theAndOrParams.isEmpty()) {
+		if (theSearchForIdsParams.myAndOrParams.isEmpty()) {
 			return null;
 		}
 
-		switch (theParamName) {
+		switch (theSearchForIdsParams.myParamName) {
 			case IAnyResource.SP_RES_ID:
 				return createPredicateResourceId(
-						theSourceJoinColumn, theAndOrParams, theResourceName, null, theRequestPartitionId);
+						theSearchForIdsParams.mySourceJoinColumn,
+						theSearchForIdsParams.myAndOrParams,
+						theSearchForIdsParams.myResourceName,
+						null,
+						theSearchForIdsParams.myRequestPartitionId);
+
+			case Constants.PARAM_PID:
+				return createPredicateResourcePID(
+						theSearchForIdsParams.mySourceJoinColumn, theSearchForIdsParams.myAndOrParams);
 
 			case PARAM_HAS:
 				return createPredicateHas(
-						theSourceJoinColumn, theResourceName, theAndOrParams, theRequest, theRequestPartitionId);
+						theSearchForIdsParams.mySourceJoinColumn,
+						theSearchForIdsParams.myResourceName,
+						theSearchForIdsParams.myAndOrParams,
+						theSearchForIdsParams.myRequest,
+						theSearchForIdsParams.myRequestPartitionId);
 
 			case Constants.PARAM_TAG:
 			case Constants.PARAM_PROFILE:
 			case Constants.PARAM_SECURITY:
 				if (myStorageSettings.getTagStorageMode() == JpaStorageSettings.TagStorageModeEnum.INLINE) {
 					return createPredicateSearchParameter(
-							theSourceJoinColumn,
+							theSearchForIdsParams.mySourceJoinColumn,
-							theResourceName,
+							theSearchForIdsParams.myResourceName,
-							theParamName,
+							theSearchForIdsParams.myParamName,
-							theAndOrParams,
+							theSearchForIdsParams.myAndOrParams,
-							theRequest,
+							theSearchForIdsParams.myRequest,
-							theRequestPartitionId);
+							theSearchForIdsParams.myRequestPartitionId);
 				} else {
-					return createPredicateTag(theSourceJoinColumn, theAndOrParams, theParamName, theRequestPartitionId);
+					return createPredicateTag(
+							theSearchForIdsParams.mySourceJoinColumn,
+							theSearchForIdsParams.myAndOrParams,
+							theSearchForIdsParams.myParamName,
+							theSearchForIdsParams.myRequestPartitionId);
 				}
 
 			case Constants.PARAM_SOURCE:
-				return createPredicateSourceForAndList(theSourceJoinColumn, theAndOrParams);
+				return createPredicateSourceForAndList(
+						theSearchForIdsParams.mySourceJoinColumn, theSearchForIdsParams.myAndOrParams);
+
+			case Constants.PARAM_LASTUPDATED:
+				// this case statement handles a _lastUpdated query as part of a reverse search
+				// only (/Patient?_has:Encounter:patient:_lastUpdated=ge2023-10-24).
+				// performing a _lastUpdated query on a resource (/Patient?_lastUpdated=eq2023-10-24)
+				// is handled in {@link SearchBuilder#createChunkedQuery}.
+				return createReverseSearchPredicateLastUpdated(
+						theSearchForIdsParams.myAndOrParams, theSearchForIdsParams.mySourceJoinColumn);
 
 			default:
 				return createPredicateSearchParameter(
-						theSourceJoinColumn,
+						theSearchForIdsParams.mySourceJoinColumn,
-						theResourceName,
+						theSearchForIdsParams.myResourceName,
-						theParamName,
+						theSearchForIdsParams.myParamName,
-						theAndOrParams,
+						theSearchForIdsParams.myAndOrParams,
-						theRequest,
+						theSearchForIdsParams.myRequest,
-						theRequestPartitionId);
+						theSearchForIdsParams.myRequestPartitionId);
 		}
 	}
 
+	/**
+	 * Raw match on RES_ID
+	 */
+	private Condition createPredicateResourcePID(
+			DbColumn theSourceJoinColumn, List<List<IQueryParameterType>> theAndOrParams) {
+
+		DbColumn pidColumn = theSourceJoinColumn;
+
+		if (pidColumn == null) {
+			BaseJoiningPredicateBuilder predicateBuilder = mySqlBuilder.getOrCreateFirstPredicateBuilder();
+			pidColumn = predicateBuilder.getResourceIdColumn();
+		}
+
+		// we don't support any modifiers for now
+		Set<Long> pids = theAndOrParams.stream()
+				.map(orList -> orList.stream()
+						.map(v -> v.getValueAsQueryToken(myFhirContext))
+						.map(Long::valueOf)
+						.collect(Collectors.toSet()))
+				.reduce(Sets::intersection)
+				.orElse(Set.of());
+
+		if (pids.isEmpty()) {
+			mySqlBuilder.setMatchNothing();
+			return null;
+		}
+
+		return toEqualToOrInPredicate(pidColumn, mySqlBuilder.generatePlaceholders(pids));
+	}
+
+	private Condition createReverseSearchPredicateLastUpdated(
+			List<List<IQueryParameterType>> theAndOrParams, DbColumn theSourceColumn) {
+
+		ResourceTablePredicateBuilder resourceTableJoin =
+				mySqlBuilder.addResourceTablePredicateBuilder(theSourceColumn);
+
+		List<Condition> andPredicates = new ArrayList<>(theAndOrParams.size());
+
+		for (List<IQueryParameterType> aList : theAndOrParams) {
+			if (!aList.isEmpty()) {
+				DateParam dateParam = (DateParam) aList.get(0);
+				DateRangeParam dateRangeParam = new DateRangeParam(dateParam);
+				Condition aCondition = mySqlBuilder.addPredicateLastUpdated(dateRangeParam, resourceTableJoin);
+				andPredicates.add(aCondition);
+			}
+		}
+
+		return toAndPredicate(andPredicates);
+	}
+
 	@Nullable
 	private Condition createPredicateSearchParameter(
 			@Nullable DbColumn theSourceJoinColumn,
@@ -3020,4 +3096,82 @@ public class QueryStack {
 					theParamDefinition, myOrValues, myLeafTarget, myLeafParamName, myLeafPathPrefix, myQualifiers);
 		}
 	}
+
+	public static class SearchForIdsParams {
+		DbColumn mySourceJoinColumn;
+		String myResourceName;
+		String myParamName;
+		List<List<IQueryParameterType>> myAndOrParams;
+		RequestDetails myRequest;
+		RequestPartitionId myRequestPartitionId;
+		ResourceTablePredicateBuilder myResourceTablePredicateBuilder;
+
+		public static SearchForIdsParams with() {
+			return new SearchForIdsParams();
+		}
+
+		public DbColumn getSourceJoinColumn() {
+			return mySourceJoinColumn;
+		}
+
+		public SearchForIdsParams setSourceJoinColumn(DbColumn theSourceJoinColumn) {
+			mySourceJoinColumn = theSourceJoinColumn;
+			return this;
+		}
+
+		public String getResourceName() {
+			return myResourceName;
+		}
+
+		public SearchForIdsParams setResourceName(String theResourceName) {
+			myResourceName = theResourceName;
+			return this;
+		}
+
+		public String getParamName() {
+			return myParamName;
+		}
+
+		public SearchForIdsParams setParamName(String theParamName) {
+			myParamName = theParamName;
+			return this;
+		}
+
+		public List<List<IQueryParameterType>> getAndOrParams() {
+			return myAndOrParams;
+		}
+
+		public SearchForIdsParams setAndOrParams(List<List<IQueryParameterType>> theAndOrParams) {
+			myAndOrParams = theAndOrParams;
+			return this;
+		}
+
+		public RequestDetails getRequest() {
+			return myRequest;
+		}
+
+		public SearchForIdsParams setRequest(RequestDetails theRequest) {
+			myRequest = theRequest;
+			return this;
+		}
+
+		public RequestPartitionId getRequestPartitionId() {
+			return myRequestPartitionId;
+		}
+
+		public SearchForIdsParams setRequestPartitionId(RequestPartitionId theRequestPartitionId) {
+			myRequestPartitionId = theRequestPartitionId;
+			return this;
+		}
+
+		public ResourceTablePredicateBuilder getResourceTablePredicateBuilder() {
+			return myResourceTablePredicateBuilder;
+		}
+
+		public SearchForIdsParams setResourceTablePredicateBuilder(
+				ResourceTablePredicateBuilder theResourceTablePredicateBuilder) {
+			myResourceTablePredicateBuilder = theResourceTablePredicateBuilder;
+			return this;
+		}
+	}
 }

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/builder/SearchBuilder.java

@@ -131,6 +131,7 @@ import javax.persistence.criteria.CriteriaBuilder;
 
 import static ca.uhn.fhir.jpa.model.util.JpaConstants.UNDESIRED_RESOURCE_LINKAGES_FOR_EVERYTHING_ON_PATIENT_INSTANCE;
 import static ca.uhn.fhir.jpa.search.builder.QueryStack.LOCATION_POSITION;
+import static ca.uhn.fhir.jpa.search.builder.QueryStack.SearchForIdsParams.with;
 import static org.apache.commons.lang3.StringUtils.defaultString;
 import static org.apache.commons.lang3.StringUtils.isBlank;
 import static org.apache.commons.lang3.StringUtils.isNotBlank;
@@ -281,14 +282,11 @@ public class SearchBuilder implements ISearchBuilder<JpaPid> {
 				continue;
 			}
 			List<List<IQueryParameterType>> andOrParams = myParams.get(nextParamName);
-			Condition predicate = theQueryStack.searchForIdsWithAndOr(
+			Condition predicate = theQueryStack.searchForIdsWithAndOr(with().setResourceName(myResourceName)
-					null,
+					.setParamName(nextParamName)
-					myResourceName,
+					.setAndOrParams(andOrParams)
-					nextParamName,
+					.setRequest(theRequest)
-					andOrParams,
+					.setRequestPartitionId(myRequestPartitionId));
-					theRequest,
-					myRequestPartitionId,
-					searchContainedMode);
 			if (predicate != null) {
 				theSearchSqlBuilder.addPredicate(predicate);
 			}
@@ -840,6 +838,10 @@ public class SearchBuilder implements ISearchBuilder<JpaPid> {
 
 			theQueryStack.addSortOnResourceId(ascending);
 
+		} else if (Constants.PARAM_PID.equals(theSort.getParamName())) {
+
+			theQueryStack.addSortOnResourcePID(ascending);
+
 		} else if (Constants.PARAM_LASTUPDATED.equals(theSort.getParamName())) {
 
 			theQueryStack.addSortOnLastUpdated(ascending);

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/builder/predicate/ForcedIdPredicateBuilder.java

@@ -1,51 +0,0 @@
-/*-
- * #%L
- * HAPI FHIR JPA Server
- * %%
- * Copyright (C) 2014 - 2023 Smile CDR, Inc.
- * %%
- * Licensed under the Apache License, Version 2.0 (the "License");
- * you may not use this file except in compliance with the License.
- * You may obtain a copy of the License at
- *
- *      http://www.apache.org/licenses/LICENSE-2.0
- *
- * Unless required by applicable law or agreed to in writing, software
- * distributed under the License is distributed on an "AS IS" BASIS,
- * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
- * See the License for the specific language governing permissions and
- * limitations under the License.
- * #L%
- */
-package ca.uhn.fhir.jpa.search.builder.predicate;
-
-import ca.uhn.fhir.jpa.search.builder.sql.SearchQueryBuilder;
-import com.healthmarketscience.sqlbuilder.dbspec.basic.DbColumn;
-import org.slf4j.Logger;
-import org.slf4j.LoggerFactory;
-
-public class ForcedIdPredicateBuilder extends BaseJoiningPredicateBuilder {
-
-	private static final Logger ourLog = LoggerFactory.getLogger(ForcedIdPredicateBuilder.class);
-	private final DbColumn myColumnResourceId;
-	private final DbColumn myColumnForcedId;
-
-	/**
-	 * Constructor
-	 */
-	public ForcedIdPredicateBuilder(SearchQueryBuilder theSearchSqlBuilder) {
-		super(theSearchSqlBuilder, theSearchSqlBuilder.addTable("HFJ_FORCED_ID"));
-
-		myColumnResourceId = getTable().addColumn("RESOURCE_PID");
-		myColumnForcedId = getTable().addColumn("FORCED_ID");
-	}
-
-	@Override
-	public DbColumn getResourceIdColumn() {
-		return myColumnResourceId;
-	}
-
-	public DbColumn getColumnForcedId() {
-		return myColumnForcedId;
-	}
-}

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/builder/predicate/ResourceLinkPredicateBuilder.java

@@ -51,7 +51,6 @@ import ca.uhn.fhir.model.primitive.IdDt;
 import ca.uhn.fhir.parser.DataFormatException;
 import ca.uhn.fhir.rest.api.Constants;
 import ca.uhn.fhir.rest.api.RestSearchParameterTypeEnum;
-import ca.uhn.fhir.rest.api.SearchContainedModeEnum;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
 import ca.uhn.fhir.rest.param.ReferenceParam;
 import ca.uhn.fhir.rest.param.TokenParam;
@@ -87,6 +86,7 @@ import java.util.stream.Collectors;
 import javax.annotation.Nonnull;
 import javax.annotation.Nullable;
 
+import static ca.uhn.fhir.jpa.search.builder.QueryStack.SearchForIdsParams.with;
 import static org.apache.commons.lang3.StringUtils.isBlank;
 import static org.apache.commons.lang3.StringUtils.trim;
 
@@ -456,14 +456,13 @@ public class ResourceLinkPredicateBuilder extends BaseJoiningPredicateBuilder im
 			List<Condition> andPredicates = new ArrayList<>();
 
 			List<List<IQueryParameterType>> chainParamValues = Collections.singletonList(orValues);
-			andPredicates.add(childQueryFactory.searchForIdsWithAndOr(
+			andPredicates.add(
-					myColumnTargetResourceId,
+					childQueryFactory.searchForIdsWithAndOr(with().setSourceJoinColumn(myColumnTargetResourceId)
-					subResourceName,
+							.setResourceName(subResourceName)
-					chain,
+							.setParamName(chain)
-					chainParamValues,
+							.setAndOrParams(chainParamValues)
-					theRequest,
+							.setRequest(theRequest)
-					theRequestPartitionId,
+							.setRequestPartitionId(theRequestPartitionId)));
-					SearchContainedModeEnum.FALSE));
 
 			orPredicates.add(QueryParameterUtils.toAndPredicate(andPredicates));
 		}

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/builder/predicate/ResourceTablePredicateBuilder.java

@@ -19,6 +19,7 @@
  */
 package ca.uhn.fhir.jpa.search.builder.predicate;
 
+import ca.uhn.fhir.jpa.model.entity.ResourceTable;
 import ca.uhn.fhir.jpa.search.builder.sql.SearchQueryBuilder;
 import ca.uhn.fhir.jpa.util.QueryParameterUtils;
 import com.healthmarketscience.sqlbuilder.BinaryCondition;
@@ -35,6 +36,7 @@ public class ResourceTablePredicateBuilder extends BaseJoiningPredicateBuilder {
 	private final DbColumn myColumnResType;
 	private final DbColumn myColumnLastUpdated;
 	private final DbColumn myColumnLanguage;
+	private final DbColumn myColumnFhirId;
 
 	/**
 	 * Constructor
@@ -42,10 +44,11 @@ public class ResourceTablePredicateBuilder extends BaseJoiningPredicateBuilder {
 	public ResourceTablePredicateBuilder(SearchQueryBuilder theSearchSqlBuilder) {
 		super(theSearchSqlBuilder, theSearchSqlBuilder.addTable("HFJ_RESOURCE"));
 		myColumnResId = getTable().addColumn("RES_ID");
-		myColumnResType = getTable().addColumn("RES_TYPE");
+		myColumnResType = getTable().addColumn(ResourceTable.RES_TYPE);
 		myColumnResDeletedAt = getTable().addColumn("RES_DELETED_AT");
 		myColumnLastUpdated = getTable().addColumn("RES_UPDATED");
 		myColumnLanguage = getTable().addColumn("RES_LANGUAGE");
+		myColumnFhirId = getTable().addColumn(ResourceTable.FHIR_ID);
 	}
 
 	@Override
@@ -77,4 +80,8 @@ public class ResourceTablePredicateBuilder extends BaseJoiningPredicateBuilder {
 	public DbColumn getColumnLastUpdated() {
 		return myColumnLastUpdated;
 	}
+
+	public DbColumn getColumnFhirId() {
+		return myColumnFhirId;
+	}
 }

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/builder/sql/SearchQueryBuilder.java

@@ -32,7 +32,6 @@ import ca.uhn.fhir.jpa.search.builder.predicate.ComboNonUniqueSearchParameterPre
 import ca.uhn.fhir.jpa.search.builder.predicate.ComboUniqueSearchParameterPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.CoordsPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.DatePredicateBuilder;
-import ca.uhn.fhir.jpa.search.builder.predicate.ForcedIdPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.NumberPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.QuantityNormalizedPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.QuantityPredicateBuilder;
@@ -62,7 +61,6 @@ import com.healthmarketscience.sqlbuilder.dbspec.basic.DbJoin;
 import com.healthmarketscience.sqlbuilder.dbspec.basic.DbSchema;
 import com.healthmarketscience.sqlbuilder.dbspec.basic.DbSpec;
 import com.healthmarketscience.sqlbuilder.dbspec.basic.DbTable;
-import org.apache.commons.lang3.Validate;
 import org.hibernate.dialect.Dialect;
 import org.hibernate.dialect.SQLServerDialect;
 import org.hibernate.dialect.pagination.AbstractLimitHandler;
@@ -222,18 +220,6 @@ public class SearchQueryBuilder {
 		return mySqlBuilderFactory.dateIndexTable(this);
 	}
 
-	/**
-	 * Add and return a predicate builder for selecting a forced ID. This is only intended for use with sorts so it can not
-	 * be the root query.
-	 */
-	public ForcedIdPredicateBuilder addForcedIdPredicateBuilder(@Nonnull DbColumn theSourceJoinColumn) {
-		Validate.isTrue(theSourceJoinColumn != null);
-
-		ForcedIdPredicateBuilder retVal = mySqlBuilderFactory.newForcedIdPredicateBuilder(this);
-		addTableForSorting(retVal, theSourceJoinColumn);
-		return retVal;
-	}
-
 	/**
 	 * Create, add and return a predicate builder (or a root query if no root query exists yet) for selecting on a NUMBER search parameter
 	 */
@@ -417,11 +403,6 @@ public class SearchQueryBuilder {
 		addTable(thePredicateBuilder, theSourceJoinColumn, SelectQuery.JoinType.INNER);
 	}
 
-	private void addTableForSorting(
-			BaseJoiningPredicateBuilder thePredicateBuilder, @Nullable DbColumn theSourceJoinColumn) {
-		addTable(thePredicateBuilder, theSourceJoinColumn, SelectQuery.JoinType.LEFT_OUTER);
-	}
-
 	private void addTable(
 			BaseJoiningPredicateBuilder thePredicateBuilder,
 			@Nullable DbColumn theSourceJoinColumn,
@@ -699,15 +680,24 @@ public class SearchQueryBuilder {
 
 	public ComboCondition addPredicateLastUpdated(DateRangeParam theDateRange) {
 		ResourceTablePredicateBuilder resourceTableRoot = getOrCreateResourceTablePredicateBuilder(false);
+		return addPredicateLastUpdated(theDateRange, resourceTableRoot);
+	}
+
+	public ComboCondition addPredicateLastUpdated(
+			DateRangeParam theDateRange, ResourceTablePredicateBuilder theResourceTablePredicateBuilder) {
 		List<Condition> conditions = new ArrayList<>(2);
 		BinaryCondition condition;
 
 		if (isNotEqualsComparator(theDateRange)) {
 			condition = createConditionForValueWithComparator(
-					LESSTHAN, resourceTableRoot.getLastUpdatedColumn(), theDateRange.getLowerBoundAsInstant());
+					LESSTHAN,
+					theResourceTablePredicateBuilder.getLastUpdatedColumn(),
+					theDateRange.getLowerBoundAsInstant());
 			conditions.add(condition);
 			condition = createConditionForValueWithComparator(
-					GREATERTHAN, resourceTableRoot.getLastUpdatedColumn(), theDateRange.getUpperBoundAsInstant());
+					GREATERTHAN,
+					theResourceTablePredicateBuilder.getLastUpdatedColumn(),
+					theDateRange.getUpperBoundAsInstant());
 			conditions.add(condition);
 			return ComboCondition.or(conditions.toArray(new Condition[0]));
 		}
@@ -715,7 +705,7 @@ public class SearchQueryBuilder {
 		if (theDateRange.getLowerBoundAsInstant() != null) {
 			condition = createConditionForValueWithComparator(
 					GREATERTHAN_OR_EQUALS,
-					resourceTableRoot.getLastUpdatedColumn(),
+					theResourceTablePredicateBuilder.getLastUpdatedColumn(),
 					theDateRange.getLowerBoundAsInstant());
 			conditions.add(condition);
 		}
@@ -723,7 +713,7 @@ public class SearchQueryBuilder {
 		if (theDateRange.getUpperBoundAsInstant() != null) {
 			condition = createConditionForValueWithComparator(
 					LESSTHAN_OR_EQUALS,
-					resourceTableRoot.getLastUpdatedColumn(),
+					theResourceTablePredicateBuilder.getLastUpdatedColumn(),
 					theDateRange.getUpperBoundAsInstant());
 			conditions.add(condition);
 		}
@@ -757,7 +747,7 @@ public class SearchQueryBuilder {
 
 		List<Long> excludePids = JpaPid.toLongList(theExistingPidSetToExclude);
 
-		ourLog.trace("excludePids = " + excludePids);
+		ourLog.trace("excludePids = {}", excludePids);
 
 		DbColumn resourceIdColumn = getOrCreateFirstPredicateBuilder().getResourceIdColumn();
 		InCondition predicate = new InCondition(resourceIdColumn, generatePlaceholders(excludePids));

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/builder/sql/SqlObjectFactory.java

@@ -24,7 +24,6 @@ import ca.uhn.fhir.jpa.search.builder.predicate.ComboNonUniqueSearchParameterPre
 import ca.uhn.fhir.jpa.search.builder.predicate.ComboUniqueSearchParameterPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.CoordsPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.DatePredicateBuilder;
-import ca.uhn.fhir.jpa.search.builder.predicate.ForcedIdPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.NumberPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.QuantityNormalizedPredicateBuilder;
 import ca.uhn.fhir.jpa.search.builder.predicate.QuantityPredicateBuilder;
@@ -63,10 +62,6 @@ public class SqlObjectFactory {
 		return myApplicationContext.getBean(DatePredicateBuilder.class, theSearchSqlBuilder);
 	}
 
-	public ForcedIdPredicateBuilder newForcedIdPredicateBuilder(SearchQueryBuilder theSearchSqlBuilder) {
-		return myApplicationContext.getBean(ForcedIdPredicateBuilder.class, theSearchSqlBuilder);
-	}
-
 	public NumberPredicateBuilder numberIndexTable(SearchQueryBuilder theSearchSqlBuilder) {
 		return myApplicationContext.getBean(NumberPredicateBuilder.class, theSearchSqlBuilder);
 	}

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/cache/DatabaseSearchCacheSvcImpl.java

@@ -25,29 +25,35 @@ import ca.uhn.fhir.jpa.api.config.JpaStorageSettings;
 import ca.uhn.fhir.jpa.dao.data.ISearchDao;
 import ca.uhn.fhir.jpa.dao.data.ISearchIncludeDao;
 import ca.uhn.fhir.jpa.dao.data.ISearchResultDao;
+import ca.uhn.fhir.jpa.dao.data.SearchIdAndResultSize;
 import ca.uhn.fhir.jpa.dao.tx.HapiTransactionService;
 import ca.uhn.fhir.jpa.dao.tx.IHapiTransactionService;
+import ca.uhn.fhir.jpa.dao.tx.IHapiTransactionService.IExecutionBuilder;
 import ca.uhn.fhir.jpa.entity.Search;
 import ca.uhn.fhir.jpa.model.search.SearchStatusEnum;
 import ca.uhn.fhir.system.HapiSystemProperties;
 import com.google.common.annotations.VisibleForTesting;
-import com.google.common.collect.Lists;
 import org.apache.commons.lang3.Validate;
 import org.apache.commons.lang3.time.DateUtils;
+import org.hibernate.Session;
 import org.hl7.fhir.dstu3.model.InstantType;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
 import org.springframework.beans.factory.annotation.Autowired;
-import org.springframework.data.domain.PageRequest;
-import org.springframework.data.domain.Slice;
 import org.springframework.transaction.annotation.Propagation;
 import org.springframework.transaction.annotation.Transactional;
 
+import java.sql.Connection;
 import java.time.Instant;
 import java.util.Collection;
 import java.util.Date;
-import java.util.List;
+import java.util.HashSet;
 import java.util.Optional;
+import java.util.Set;
+import java.util.concurrent.atomic.AtomicInteger;
+import java.util.stream.Stream;
+import javax.annotation.Nonnull;
+import javax.persistence.EntityManager;
 
 public class DatabaseSearchCacheSvcImpl implements ISearchCacheSvc {
 	/*
@@ -56,13 +62,12 @@ public class DatabaseSearchCacheSvcImpl implements ISearchCacheSvc {
 	 * type query and this can fail if we have 1000s of params
 	 */
 	public static final int DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_STMT = 500;
-	public static final int DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_PAS = 20000;
+	public static final int DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_PAS = 50000;
 	public static final long SEARCH_CLEANUP_JOB_INTERVAL_MILLIS = DateUtils.MILLIS_PER_MINUTE;
 	public static final int DEFAULT_MAX_DELETE_CANDIDATES_TO_FIND = 2000;
 	private static final Logger ourLog = LoggerFactory.getLogger(DatabaseSearchCacheSvcImpl.class);
 	private static int ourMaximumResultsToDeleteInOneStatement = DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_STMT;
-	private static int ourMaximumResultsToDeleteInOnePass = DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_PAS;
+	private static int ourMaximumResultsToDeleteInOneCommit = DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_PAS;
-	private static int ourMaximumSearchesToCheckForDeletionCandidacy = DEFAULT_MAX_DELETE_CANDIDATES_TO_FIND;
 	private static Long ourNowForUnitTests;
 	/*
 	 * We give a bit of extra leeway just to avoid race conditions where a query result
@@ -74,6 +79,9 @@ public class DatabaseSearchCacheSvcImpl implements ISearchCacheSvc {
 	@Autowired
 	private ISearchDao mySearchDao;
 
+	@Autowired
+	private EntityManager myEntityManager;
+
 	@Autowired
 	private ISearchResultDao mySearchResultDao;
 
@@ -169,14 +177,249 @@ public class DatabaseSearchCacheSvcImpl implements ISearchCacheSvc {
 		return Optional.empty();
 	}
 
+	/**
+	 * A transient worker for a single pass through stale-search deletion.
+	 */
+	class DeleteRun {
+		final RequestPartitionId myRequestPartitionId;
+		final Instant myDeadline;
+		final Date myCutoffForDeletion;
+		final Set<Long> myUpdateDeletedFlagBatch = new HashSet<>();
+		final Set<Long> myDeleteSearchBatch = new HashSet<>();
+		/** the Search pids of the SearchResults we plan to delete in a chunk */
+		final Set<Long> myDeleteSearchResultsBatch = new HashSet<>();
+		/**
+		 * Number of results we have queued up in mySearchPidsToDeleteResults to delete.
+		 * We try to keep this to a reasonable size to avoid long transactions that may escalate to a table lock.
+		 */
+		private int myDeleteSearchResultsBatchCount = 0;
+
+		DeleteRun(Instant theDeadline, Date theCutoffForDeletion, RequestPartitionId theRequestPartitionId) {
+			myDeadline = theDeadline;
+			myCutoffForDeletion = theCutoffForDeletion;
+			myRequestPartitionId = theRequestPartitionId;
+		}
+
+		/**
+		 * Mark all ids in the mySearchesToMarkForDeletion buffer as deleted, and clear the buffer.
+		 */
+		public void flushDeleteMarks() {
+			if (myUpdateDeletedFlagBatch.isEmpty()) {
+				return;
+			}
+			ourLog.debug("Marking {} searches as deleted", myUpdateDeletedFlagBatch.size());
+			mySearchDao.updateDeleted(myUpdateDeletedFlagBatch, true);
+			myUpdateDeletedFlagBatch.clear();
+			commitOpenChanges();
+		}
+
+		/**
+		 * Dig into the guts of our Hibernate session, flush any changes in the session, and commit the underlying connection.
+		 */
+		private void commitOpenChanges() {
+			// flush to force Hibernate to actually get a connection from the pool
+			myEntityManager.flush();
+			// get our connection from the underlying Hibernate session, and commit
+			//noinspection resource
+			myEntityManager.unwrap(Session.class).doWork(Connection::commit);
+		}
+
+		void throwIfDeadlineExpired() {
+			boolean result = Instant.ofEpochMilli(now()).isAfter(myDeadline);
+			if (result) {
+				throw new DeadlineException(
+						Msg.code(2443) + "Deadline expired while cleaning Search cache - " + myDeadline);
+			}
+		}
+
+		private int deleteMarkedSearchesInBatches() {
+			AtomicInteger deletedCounter = new AtomicInteger(0);
+
+			try (final Stream<SearchIdAndResultSize> toDelete = mySearchDao.findDeleted()) {
+				assert toDelete != null;
+
+				toDelete.forEach(nextSearchToDelete -> {
+					throwIfDeadlineExpired();
+
+					deleteSearchAndResults(nextSearchToDelete.searchId, nextSearchToDelete.size);
+
+					deletedCounter.incrementAndGet();
+				});
+			}
+
+			// flush anything left in the buffers
+			flushSearchResultDeletes();
+			flushSearchAndIncludeDeletes();
+
+			int deletedCount = deletedCounter.get();
+
+			ourLog.info("Deleted {} expired searches", deletedCount);
+
+			return deletedCount;
+		}
+
+		/**
+		 * Schedule theSearchPid for deletion assuming it has theNumberOfResults SearchResults attached.
+		 *
+		 * We accumulate a batch of search pids for deletion, and then do a bulk DML as we reach a threshold number
+		 * of SearchResults.
+		 *
+		 * @param theSearchPid pk of the Search
+		 * @param theNumberOfResults the number of SearchResults attached
+		 */
+		private void deleteSearchAndResults(long theSearchPid, int theNumberOfResults) {
+			ourLog.trace("Buffering deletion of search pid {} and {} results", theSearchPid, theNumberOfResults);
+
+			myDeleteSearchBatch.add(theSearchPid);
+
+			if (theNumberOfResults > ourMaximumResultsToDeleteInOneCommit) {
+				// don't buffer this one - do it inline
+				deleteSearchResultsByChunk(theSearchPid, theNumberOfResults);
+				return;
+			}
+			myDeleteSearchResultsBatch.add(theSearchPid);
+			myDeleteSearchResultsBatchCount += theNumberOfResults;
+
+			if (myDeleteSearchResultsBatchCount > ourMaximumResultsToDeleteInOneCommit) {
+				flushSearchResultDeletes();
+			}
+
+			if (myDeleteSearchBatch.size() > ourMaximumResultsToDeleteInOneStatement) {
+				// flush the results to make sure we don't have any references.
+				flushSearchResultDeletes();
+
+				flushSearchAndIncludeDeletes();
+			}
+		}
+
+		/**
+		 * If this Search has more results than our max delete size,
+		 * delete in by itself in range chunks.
+		 * @param theSearchPid the target Search pid
+		 * @param theNumberOfResults the number of search results present
+		 */
+		private void deleteSearchResultsByChunk(long theSearchPid, int theNumberOfResults) {
+			ourLog.debug(
+					"Search {} is large: has {} results.  Deleting results in chunks.",
+					theSearchPid,
+					theNumberOfResults);
+			for (int rangeEnd = theNumberOfResults; rangeEnd >= 0; rangeEnd -= ourMaximumResultsToDeleteInOneCommit) {
+				int rangeStart = rangeEnd - ourMaximumResultsToDeleteInOneCommit;
+				ourLog.trace("Deleting results for search {}: {} - {}", theSearchPid, rangeStart, rangeEnd);
+				mySearchResultDao.deleteBySearchIdInRange(theSearchPid, rangeStart, rangeEnd);
+				commitOpenChanges();
+			}
+		}
+
+		private void flushSearchAndIncludeDeletes() {
+			if (myDeleteSearchBatch.isEmpty()) {
+				return;
+			}
+			ourLog.debug("Deleting {} Search records", myDeleteSearchBatch.size());
+			// referential integrity requires we delete includes before the search
+			mySearchIncludeDao.deleteForSearch(myDeleteSearchBatch);
+			mySearchDao.deleteByPids(myDeleteSearchBatch);
+			myDeleteSearchBatch.clear();
+			commitOpenChanges();
+		}
+
+		private void flushSearchResultDeletes() {
+			if (myDeleteSearchResultsBatch.isEmpty()) {
+				return;
+			}
+			ourLog.debug(
+					"Deleting {} Search Results from {} searches",
+					myDeleteSearchResultsBatchCount,
+					myDeleteSearchResultsBatch.size());
+			mySearchResultDao.deleteBySearchIds(myDeleteSearchResultsBatch);
+			myDeleteSearchResultsBatch.clear();
+			myDeleteSearchResultsBatchCount = 0;
+			commitOpenChanges();
+		}
+
+		IExecutionBuilder getTxBuilder() {
+			return myTransactionService.withSystemRequest().withRequestPartitionId(myRequestPartitionId);
+		}
+
+		private void run() {
+			ourLog.debug("Searching for searches which are before {}", myCutoffForDeletion);
+
+			// this tx builder is not really for tx management.
+			// Instead, it is used bind a Hibernate session + connection to this thread.
+			// We will run a streaming query to look for work, and then commit changes in batches during the loops.
+			getTxBuilder().execute(theStatus -> {
+				try {
+					markDeletedInBatches();
+
+					throwIfDeadlineExpired();
+
+					// Delete searches that are marked as deleted
+					int deletedCount = deleteMarkedSearchesInBatches();
+
+					throwIfDeadlineExpired();
+
+					if ((ourLog.isDebugEnabled() || HapiSystemProperties.isTestModeEnabled()) && (deletedCount > 0)) {
+						Long total = mySearchDao.count();
+						ourLog.debug("Deleted {} searches, {} remaining", deletedCount, total);
+					}
+				} catch (DeadlineException theTimeoutException) {
+					ourLog.warn(theTimeoutException.getMessage());
+				}
+
+				return null;
+			});
+		}
+
+		/**
+		 * Stream through a list of pids before our cutoff, and set myDeleted=true in batches in a DML statement.
+		 */
+		private void markDeletedInBatches() {
+
+			try (Stream<Long> toMarkDeleted =
+					mySearchDao.findWhereCreatedBefore(myCutoffForDeletion, new Date(now()))) {
+				assert toMarkDeleted != null;
+
+				toMarkDeleted.forEach(nextSearchToDelete -> {
+					throwIfDeadlineExpired();
+
+					if (myUpdateDeletedFlagBatch.size() >= ourMaximumResultsToDeleteInOneStatement) {
+						flushDeleteMarks();
+					}
+					ourLog.trace("Marking search with PID {} as ready for deletion", nextSearchToDelete);
+					myUpdateDeletedFlagBatch.add(nextSearchToDelete);
+				});
+
+				flushDeleteMarks();
+			}
+		}
+	}
+
+	/**
+	 * Marker to abandon our delete run when we are over time.
+	 */
+	private static class DeadlineException extends RuntimeException {
+		public DeadlineException(String message) {
+			super(message);
+		}
+	}
+
 	@Override
-	public void pollForStaleSearchesAndDeleteThem(RequestPartitionId theRequestPartitionId) {
+	public void pollForStaleSearchesAndDeleteThem(RequestPartitionId theRequestPartitionId, Instant theDeadline) {
 		HapiTransactionService.noTransactionAllowed();
 
 		if (!myStorageSettings.isExpireSearchResults()) {
 			return;
 		}
 
+		final Date cutoff = getCutoff();
+
+		final DeleteRun run = new DeleteRun(theDeadline, cutoff, theRequestPartitionId);
+
+		run.run();
+	}
+
+	@Nonnull
+	private Date getCutoff() {
 		long cutoffMillis = myStorageSettings.getExpireSearchResultsAfterMillis();
 		if (myStorageSettings.getReuseCachedSearchResultsForMillis() != null) {
 			cutoffMillis = cutoffMillis + myStorageSettings.getReuseCachedSearchResultsForMillis();
@@ -189,108 +432,16 @@ public class DatabaseSearchCacheSvcImpl implements ISearchCacheSvc {
 					new InstantType(cutoff),
 					new InstantType(new Date(now())));
 		}
-
+		return cutoff;
-		ourLog.debug("Searching for searches which are before {}", cutoff);
-
-		// Mark searches as deleted if they should be
-		final Slice<Long> toMarkDeleted = myTransactionService
-				.withSystemRequestOnPartition(theRequestPartitionId)
-				.execute(theStatus -> mySearchDao.findWhereCreatedBefore(
-						cutoff, new Date(), PageRequest.of(0, ourMaximumSearchesToCheckForDeletionCandidacy)));
-		assert toMarkDeleted != null;
-		for (final Long nextSearchToDelete : toMarkDeleted) {
-			ourLog.debug("Deleting search with PID {}", nextSearchToDelete);
-			myTransactionService
-					.withSystemRequest()
-					.withRequestPartitionId(theRequestPartitionId)
-					.execute(t -> {
-						mySearchDao.updateDeleted(nextSearchToDelete, true);
-						return null;
-					});
-		}
-
-		// Delete searches that are marked as deleted
-		final Slice<Long> toDelete = myTransactionService
-				.withSystemRequestOnPartition(theRequestPartitionId)
-				.execute(theStatus ->
-						mySearchDao.findDeleted(PageRequest.of(0, ourMaximumSearchesToCheckForDeletionCandidacy)));
-		assert toDelete != null;
-		for (final Long nextSearchToDelete : toDelete) {
-			ourLog.debug("Deleting search with PID {}", nextSearchToDelete);
-			myTransactionService
-					.withSystemRequest()
-					.withRequestPartitionId(theRequestPartitionId)
-					.execute(t -> {
-						deleteSearch(nextSearchToDelete);
-						return null;
-					});
-		}
-
-		int count = toDelete.getContent().size();
-		if (count > 0) {
-			if (ourLog.isDebugEnabled() || HapiSystemProperties.isTestModeEnabled()) {
-				Long total = myTransactionService
-						.withSystemRequest()
-						.withRequestPartitionId(theRequestPartitionId)
-						.execute(t -> mySearchDao.count());
-				ourLog.debug("Deleted {} searches, {} remaining", count, total);
-			}
-		}
-	}
-
-	private void deleteSearch(final Long theSearchPid) {
-		mySearchDao.findById(theSearchPid).ifPresent(searchToDelete -> {
-			mySearchIncludeDao.deleteForSearch(searchToDelete.getId());
-
-			/*
-			 * Note, we're only deleting up to 500 results in an individual search here. This
-			 * is to prevent really long running transactions in cases where there are
-			 * huge searches with tons of results in them. By the time we've gotten here
-			 * we have marked the parent Search entity as deleted, so it's not such a
-			 * huge deal to be only partially deleting search results. They'll get deleted
-			 * eventually
-			 */
-			int max = ourMaximumResultsToDeleteInOnePass;
-			Slice<Long> resultPids = mySearchResultDao.findForSearch(PageRequest.of(0, max), searchToDelete.getId());
-			if (resultPids.hasContent()) {
-				List<List<Long>> partitions =
-						Lists.partition(resultPids.getContent(), ourMaximumResultsToDeleteInOneStatement);
-				for (List<Long> nextPartition : partitions) {
-					mySearchResultDao.deleteByIds(nextPartition);
-				}
-			}
-
-			// Only delete if we don't have results left in this search
-			if (resultPids.getNumberOfElements() < max) {
-				ourLog.debug(
-						"Deleting search {}/{} - Created[{}]",
-						searchToDelete.getId(),
-						searchToDelete.getUuid(),
-						new InstantType(searchToDelete.getCreated()));
-				mySearchDao.deleteByPid(searchToDelete.getId());
-			} else {
-				ourLog.debug(
-						"Purged {} search results for deleted search {}/{}",
-						resultPids.getSize(),
-						searchToDelete.getId(),
-						searchToDelete.getUuid());
-			}
-		});
-	}
-
-	@VisibleForTesting
-	public static void setMaximumSearchesToCheckForDeletionCandidacyForUnitTest(
-			int theMaximumSearchesToCheckForDeletionCandidacy) {
-		ourMaximumSearchesToCheckForDeletionCandidacy = theMaximumSearchesToCheckForDeletionCandidacy;
 	}
 
 	@VisibleForTesting
 	public static void setMaximumResultsToDeleteInOnePassForUnitTest(int theMaximumResultsToDeleteInOnePass) {
-		ourMaximumResultsToDeleteInOnePass = theMaximumResultsToDeleteInOnePass;
+		ourMaximumResultsToDeleteInOneCommit = theMaximumResultsToDeleteInOnePass;
 	}
 
 	@VisibleForTesting
-	public static void setMaximumResultsToDeleteForUnitTest(int theMaximumResultsToDelete) {
+	public static void setMaximumResultsToDeleteInOneStatement(int theMaximumResultsToDelete) {
 		ourMaximumResultsToDeleteInOneStatement = theMaximumResultsToDelete;
 	}
 
@@ -302,7 +453,7 @@ public class DatabaseSearchCacheSvcImpl implements ISearchCacheSvc {
 		ourNowForUnitTests = theNowForUnitTests;
 	}
 
-	private static long now() {
+	public static long now() {
 		if (ourNowForUnitTests != null) {
 			return ourNowForUnitTests;
 		}

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/search/cache/ISearchCacheSvc.java

@@ -23,6 +23,7 @@ import ca.uhn.fhir.interceptor.model.RequestPartitionId;
 import ca.uhn.fhir.jpa.entity.Search;
 
 import java.time.Instant;
+import java.time.temporal.ChronoUnit;
 import java.util.Optional;
 
 public interface ISearchCacheSvc {
@@ -86,5 +87,10 @@ public interface ISearchCacheSvc {
 	 * if they have some other mechanism for expiring stale results other than manually looking for them
 	 * and deleting them.
 	 */
-	void pollForStaleSearchesAndDeleteThem(RequestPartitionId theRequestPartitionId);
+	void pollForStaleSearchesAndDeleteThem(RequestPartitionId theRequestPartitionId, Instant theDeadline);
+
+	@Deprecated(since = "6.10", forRemoval = true) // wipmb delete once cdr merges
+	default void pollForStaleSearchesAndDeleteThem(RequestPartitionId theRequestPartitionId) {
+		pollForStaleSearchesAndDeleteThem(theRequestPartitionId, Instant.now().plus(1, ChronoUnit.MINUTES));
+	}
 }

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/subscription/ResourceModifiedMessagePersistenceSvcImpl.java

@@ -35,6 +35,7 @@ import ca.uhn.fhir.jpa.subscription.async.AsyncResourceModifiedSubmitterSvc;
 import ca.uhn.fhir.jpa.subscription.model.ResourceModifiedMessage;
 import ca.uhn.fhir.model.primitive.IdDt;
 import ca.uhn.fhir.rest.api.server.SystemRequestDetails;
+import ca.uhn.fhir.rest.server.exceptions.ResourceNotFoundException;
 import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import com.fasterxml.jackson.core.JsonProcessingException;
 import com.fasterxml.jackson.databind.ObjectMapper;
@@ -45,6 +46,7 @@ import org.slf4j.LoggerFactory;
 
 import java.util.Date;
 import java.util.List;
+import java.util.Optional;
 
 import static ca.uhn.fhir.jpa.model.entity.PersistedResourceModifiedMessageEntityPK.with;
 
@@ -92,9 +94,43 @@ public class ResourceModifiedMessagePersistenceSvcImpl implements IResourceModif
 
 	@Override
 	public ResourceModifiedMessage inflatePersistedResourceModifiedMessage(
-			IPersistedResourceModifiedMessage thePersistedResourceModifiedMessage) {
+			ResourceModifiedMessage theResourceModifiedMessage) {
 
-		return inflateResourceModifiedMessageFromEntity((ResourceModifiedEntity) thePersistedResourceModifiedMessage);
+		return inflateResourceModifiedMessageFromEntity(createEntityFrom(theResourceModifiedMessage));
+	}
+
+	@Override
+	public Optional<ResourceModifiedMessage> inflatePersistedResourceModifiedMessageOrNull(
+			ResourceModifiedMessage theResourceModifiedMessage) {
+		ResourceModifiedMessage inflatedResourceModifiedMessage = null;
+
+		try {
+			inflatedResourceModifiedMessage = inflatePersistedResourceModifiedMessage(theResourceModifiedMessage);
+		} catch (ResourceNotFoundException e) {
+			IdDt idDt = new IdDt(
+					theResourceModifiedMessage.getPayloadType(myFhirContext),
+					theResourceModifiedMessage.getPayloadId(),
+					theResourceModifiedMessage.getPayloadVersion());
+
+			ourLog.warn("Scheduled submission will be ignored since resource {} cannot be found", idDt.getIdPart(), e);
+		} catch (Exception ex) {
+			ourLog.error("Unknown error encountered on inflation of resources.", ex);
+		}
+
+		return Optional.ofNullable(inflatedResourceModifiedMessage);
+	}
+
+	@Override
+	public ResourceModifiedMessage createResourceModifiedMessageFromEntityWithoutInflation(
+			IPersistedResourceModifiedMessage thePersistedResourceModifiedMessage) {
+		ResourceModifiedMessage resourceModifiedMessage = getPayloadLessMessageFromString(
+				((ResourceModifiedEntity) thePersistedResourceModifiedMessage).getSummaryResourceModifiedMessage());
+
+		IdDt resourceId =
+				createIdDtFromResourceModifiedEntity((ResourceModifiedEntity) thePersistedResourceModifiedMessage);
+		resourceModifiedMessage.setPayloadId(resourceId);
+
+		return resourceModifiedMessage;
 	}
 
 	@Override
@@ -112,17 +148,13 @@ public class ResourceModifiedMessagePersistenceSvcImpl implements IResourceModif
 
 	protected ResourceModifiedMessage inflateResourceModifiedMessageFromEntity(
 			ResourceModifiedEntity theResourceModifiedEntity) {
-		String resourcePid =
-				theResourceModifiedEntity.getResourceModifiedEntityPK().getResourcePid();
-		String resourceVersion =
-				theResourceModifiedEntity.getResourceModifiedEntityPK().getResourceVersion();
 		String resourceType = theResourceModifiedEntity.getResourceType();
 		ResourceModifiedMessage retVal =
 				getPayloadLessMessageFromString(theResourceModifiedEntity.getSummaryResourceModifiedMessage());
 		SystemRequestDetails systemRequestDetails =
 				new SystemRequestDetails().setRequestPartitionId(retVal.getPartitionId());
 
-		IdDt resourceIdDt = new IdDt(resourceType, resourcePid, resourceVersion);
+		IdDt resourceIdDt = createIdDtFromResourceModifiedEntity(theResourceModifiedEntity);
 		IFhirResourceDao dao = myDaoRegistry.getResourceDao(resourceType);
 
 		IBaseResource iBaseResource = dao.read(resourceIdDt, systemRequestDetails, true);
@@ -164,6 +196,16 @@ public class ResourceModifiedMessagePersistenceSvcImpl implements IResourceModif
 		}
 	}
 
+	private IdDt createIdDtFromResourceModifiedEntity(ResourceModifiedEntity theResourceModifiedEntity) {
+		String resourcePid =
+				theResourceModifiedEntity.getResourceModifiedEntityPK().getResourcePid();
+		String resourceVersion =
+				theResourceModifiedEntity.getResourceModifiedEntityPK().getResourceVersion();
+		String resourceType = theResourceModifiedEntity.getResourceType();
+
+		return new IdDt(resourceType, resourcePid, resourceVersion);
+	}
+
 	private static class PayloadLessResourceModifiedMessage extends ResourceModifiedMessage {
 
 		public PayloadLessResourceModifiedMessage(ResourceModifiedMessage theMsg) {

hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/term/TermReadSvcImpl.java

@@ -2979,7 +2979,7 @@ public class TermReadSvcImpl implements ITermReadSvc, IHasScheduledJobs {
 
 		if (resultList.size() > 1)
 			throw new NonUniqueResultException(Msg.code(911) + "More than one CodeSystem is pointed by forcedId: "
-					+ theForcedId + ". Was constraint " + ResourceTable.IDX_RES_FHIR_ID + " removed?");
+					+ theForcedId + ". Was constraint " + ResourceTable.IDX_RES_TYPE_FHIR_ID + " removed?");
 
 		IFhirResourceDao<CodeSystem> csDao = myDaoRegistry.getResourceDao("CodeSystem");
 		IBaseResource cs = myJpaStorageResourceParser.toResource(resultList.get(0), false);

hapi-fhir-jpaserver-base/src/test/java/ca/uhn/fhir/jpa/packages/PackageInstallerSvcImplTest.java

@@ -5,7 +5,6 @@ import ca.uhn.fhir.context.FhirVersionEnum;
 import ca.uhn.fhir.context.support.IValidationSupport;
 import ca.uhn.fhir.jpa.api.dao.DaoRegistry;
 import ca.uhn.fhir.jpa.api.dao.IFhirResourceDao;
-import ca.uhn.fhir.jpa.api.model.DaoMethodOutcome;
 import ca.uhn.fhir.jpa.dao.data.INpmPackageVersionDao;
 import ca.uhn.fhir.jpa.dao.tx.IHapiTransactionService;
 import ca.uhn.fhir.jpa.dao.tx.NonTransactionalHapiTransactionService;
@@ -13,18 +12,24 @@ import ca.uhn.fhir.jpa.model.config.PartitionSettings;
 import ca.uhn.fhir.jpa.packages.loader.PackageResourceParsingSvc;
 import ca.uhn.fhir.jpa.searchparam.SearchParameterMap;
 import ca.uhn.fhir.jpa.searchparam.registry.ISearchParamRegistryController;
+import ca.uhn.fhir.jpa.searchparam.util.SearchParameterHelper;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
 import ca.uhn.fhir.rest.server.SimpleBundleProvider;
+import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.r4.model.CodeSystem;
+import org.hl7.fhir.r4.model.CodeType;
 import org.hl7.fhir.r4.model.Communication;
 import org.hl7.fhir.r4.model.DocumentReference;
 import org.hl7.fhir.r4.model.Enumerations;
+import org.hl7.fhir.r4.model.IdType;
 import org.hl7.fhir.r4.model.SearchParameter;
 import org.hl7.fhir.r4.model.Subscription;
 import org.hl7.fhir.utilities.npm.NpmPackage;
 import org.hl7.fhir.utilities.npm.PackageGenerator;
 import org.junit.jupiter.api.Test;
 import org.junit.jupiter.api.extension.ExtendWith;
+import org.junit.jupiter.params.ParameterizedTest;
+import org.junit.jupiter.params.provider.MethodSource;
 import org.mockito.ArgumentCaptor;
 import org.mockito.Captor;
 import org.mockito.InjectMocks;
@@ -36,6 +41,9 @@ import javax.annotation.Nonnull;
 import java.io.ByteArrayOutputStream;
 import java.io.IOException;
 import java.nio.charset.StandardCharsets;
+import java.util.ArrayList;
+import java.util.Collection;
+import java.util.Iterator;
 import java.util.List;
 import java.util.Optional;
 
@@ -45,12 +53,10 @@ import static org.junit.jupiter.api.Assertions.assertTrue;
 import static org.mockito.ArgumentMatchers.any;
 import static org.mockito.Mockito.times;
 import static org.mockito.Mockito.verify;
-import static org.mockito.Mockito.verifyNoInteractions;
 import static org.mockito.Mockito.when;
 
 @ExtendWith(MockitoExtension.class)
 public class PackageInstallerSvcImplTest {
-
 	public static final String PACKAGE_VERSION = "1.0";
 	public static final String PACKAGE_ID_1 = "package1";
 
@@ -65,7 +71,13 @@ public class PackageInstallerSvcImplTest {
 	@Mock
 	private IFhirResourceDao<CodeSystem> myCodeSystemDao;
 	@Mock
+	private IFhirResourceDao<SearchParameter> mySearchParameterDao;
+	@Mock
 	private IValidationSupport myIValidationSupport;
+	@Mock
+	private SearchParameterHelper mySearchParameterHelper;
+	@Mock
+	private SearchParameterMap mySearchParameterMap;
 	@Spy
 	private FhirContext myCtx = FhirContext.forR4Cached();
 	@Spy
@@ -77,6 +89,15 @@ public class PackageInstallerSvcImplTest {
 	@InjectMocks
 	private PackageInstallerSvcImpl mySvc;
 
+	@Captor
+	private ArgumentCaptor<SearchParameterMap> mySearchParameterMapCaptor;
+	@Captor
+	private ArgumentCaptor<CodeSystem> myCodeSystemCaptor;
+	@Captor
+	private ArgumentCaptor<SearchParameter> mySearchParameterCaptor;
+	@Captor
+	private ArgumentCaptor<RequestDetails> myRequestDetailsCaptor;
+
 	@Test
 	public void testPackageCompatibility() {
 		mySvc.assertFhirVersionsAreCompatible("R4", "R4B");
@@ -206,19 +227,7 @@ public class PackageInstallerSvcImplTest {
 		cs.setUrl("http://my-code-system");
 		cs.setContent(CodeSystem.CodeSystemContentMode.COMPLETE);
 
-		NpmPackage pkg = createPackage(cs, PACKAGE_ID_1);
+		PackageInstallationSpec spec = setupResourceInPackage(existingCs, cs, myCodeSystemDao);
-
-		when(myPackageVersionDao.findByPackageIdAndVersion(any(), any())).thenReturn(Optional.empty());
-		when(myPackageCacheManager.installPackage(any())).thenReturn(pkg);
-		when(myDaoRegistry.getResourceDao(CodeSystem.class)).thenReturn(myCodeSystemDao);
-		when(myCodeSystemDao.search(any(), any())).thenReturn(new SimpleBundleProvider(existingCs));
-		when(myCodeSystemDao.update(any(),any(RequestDetails.class))).thenReturn(new DaoMethodOutcome());
-
-		PackageInstallationSpec spec = new PackageInstallationSpec();
-		spec.setName(PACKAGE_ID_1);
-		spec.setVersion(PACKAGE_VERSION);
-		spec.setInstallMode(PackageInstallationSpec.InstallModeEnum.STORE_AND_INSTALL);
-		spec.setPackageContents(packageToBytes(pkg));
 
 		// Test
 		mySvc.install(spec);
@@ -233,34 +242,108 @@ public class PackageInstallerSvcImplTest {
 		assertEquals("existingcs", codeSystem.getIdPart());
 	}
 
-	@Nonnull
+	public enum InstallType {
-	private static byte[] packageToBytes(NpmPackage pkg) throws IOException {
+		CREATE, UPDATE_WITH_EXISTING, UPDATE, UPDATE_OVERRIDE
-		ByteArrayOutputStream stream = new ByteArrayOutputStream();
-		pkg.save(stream);
-		byte[] bytes = stream.toByteArray();
-		return bytes;
 	}
 
-	@Captor
+	public static List<Object[]> parameters() {
-	private ArgumentCaptor<SearchParameterMap> mySearchParameterMapCaptor;
+		return List.of(
-	@Captor
+			new Object[]{null, null, null, List.of("Patient"), InstallType.CREATE},
-	private ArgumentCaptor<CodeSystem> myCodeSystemCaptor;
+			new Object[]{null, null, "us-core-patient-given", List.of("Patient"), InstallType.UPDATE},
+			new Object[]{"individual-given",  List.of("Patient", "Practitioner"), "us-core-patient-given", List.of("Patient"), InstallType.UPDATE_WITH_EXISTING},
+			new Object[]{"patient-given",  List.of("Patient"), "us-core-patient-given", List.of("Patient"), InstallType.UPDATE_OVERRIDE}
+		);
+	}
+
+	@ParameterizedTest
+	@MethodSource("parameters")
+	public void testCreateOrUpdate_withSearchParameter(String theExistingId, Collection<String> theExistingBase,
+													   String theInstallId, Collection<String> theInstallBase,
+													   InstallType theInstallType) throws IOException {
+		// Setup
+		SearchParameter existingSP = null;
+		if (theExistingId != null) {
+			existingSP = createSearchParameter(theExistingId, theExistingBase);
+		}
+		SearchParameter installSP = createSearchParameter(theInstallId, theInstallBase);
+		PackageInstallationSpec spec = setupResourceInPackage(existingSP, installSP, mySearchParameterDao);
+
+		// Test
+		mySvc.install(spec);
+
+		// Verify
+		if (theInstallType == InstallType.CREATE) {
+			verify(mySearchParameterDao, times(1)).create(mySearchParameterCaptor.capture(), myRequestDetailsCaptor.capture());
+		} else if (theInstallType == InstallType.UPDATE_WITH_EXISTING){
+			verify(mySearchParameterDao, times(2)).update(mySearchParameterCaptor.capture(), myRequestDetailsCaptor.capture());
+		} else {
+			verify(mySearchParameterDao, times(1)).update(mySearchParameterCaptor.capture(), myRequestDetailsCaptor.capture());
+		}
+
+		Iterator<SearchParameter> iteratorSP = mySearchParameterCaptor.getAllValues().iterator();
+		if (theInstallType == InstallType.UPDATE_WITH_EXISTING) {
+			SearchParameter capturedSP = iteratorSP.next();
+			assertEquals(theExistingId, capturedSP.getIdPart());
+			List<String> expectedBase = new ArrayList<>(theExistingBase);
+			expectedBase.removeAll(theInstallBase);
+			assertEquals(expectedBase, capturedSP.getBase().stream().map(CodeType::getCode).toList());
+		}
+		SearchParameter capturedSP = iteratorSP.next();
+		if (theInstallType == InstallType.UPDATE_OVERRIDE) {
+			assertEquals(theExistingId, capturedSP.getIdPart());
+		} else {
+			assertEquals(theInstallId, capturedSP.getIdPart());
+		}
+		assertEquals(theInstallBase, capturedSP.getBase().stream().map(CodeType::getCode).toList());
+	}
+
+	private PackageInstallationSpec setupResourceInPackage(IBaseResource myExistingResource, IBaseResource myInstallResource,
+														   IFhirResourceDao myFhirResourceDao) throws IOException {
+		NpmPackage pkg = createPackage(myInstallResource, myInstallResource.getClass().getSimpleName());
+
+		when(myPackageVersionDao.findByPackageIdAndVersion(any(), any())).thenReturn(Optional.empty());
+		when(myPackageCacheManager.installPackage(any())).thenReturn(pkg);
+		when(myDaoRegistry.getResourceDao(myInstallResource.getClass())).thenReturn(myFhirResourceDao);
+		when(myFhirResourceDao.search(any(), any())).thenReturn(myExistingResource != null ?
+			new SimpleBundleProvider(myExistingResource) : new SimpleBundleProvider());
+		if (myInstallResource.getClass().getSimpleName().equals("SearchParameter")) {
+			when(mySearchParameterHelper.buildSearchParameterMapFromCanonical(any())).thenReturn(Optional.of(mySearchParameterMap));
+		}
+
+		PackageInstallationSpec spec = new PackageInstallationSpec();
+		spec.setName(PACKAGE_ID_1);
+		spec.setVersion(PACKAGE_VERSION);
+		spec.setInstallMode(PackageInstallationSpec.InstallModeEnum.STORE_AND_INSTALL);
+		ByteArrayOutputStream stream = new ByteArrayOutputStream();
+		pkg.save(stream);
+		spec.setPackageContents(stream.toByteArray());
+
+		return spec;
+	}
 
 	@Nonnull
-	private NpmPackage createPackage(CodeSystem cs, String packageId) throws IOException {
+	private NpmPackage createPackage(IBaseResource theResource, String theResourceType) {
 		PackageGenerator manifestGenerator = new PackageGenerator();
-		manifestGenerator.name(packageId);
+		manifestGenerator.name(PACKAGE_ID_1);
 		manifestGenerator.version(PACKAGE_VERSION);
 		manifestGenerator.description("a package");
 		manifestGenerator.fhirVersions(List.of(FhirVersionEnum.R4.getFhirVersionString()));
 
+		String csString = myCtx.newJsonParser().encodeResourceToString(theResource);
 		NpmPackage pkg = NpmPackage.empty(manifestGenerator);
-
+		pkg.addFile("package", theResourceType + ".json", csString.getBytes(StandardCharsets.UTF_8), theResourceType);
-		String csString = myCtx.newJsonParser().encodeResourceToString(cs);
-		pkg.addFile("package", "cs.json", csString.getBytes(StandardCharsets.UTF_8), "CodeSystem");
 
 		return pkg;
 	}
 
-
+	private static SearchParameter createSearchParameter(String theId, Collection<String> theBase) {
+		SearchParameter searchParameter = new SearchParameter();
+		if (theId != null) {
+			searchParameter.setId(new IdType("SearchParameter", theId));
+		}
+		searchParameter.setCode("someCode");
+		theBase.forEach(base -> searchParameter.getBase().add(new CodeType(base)));
+		searchParameter.setExpression("someExpression");
+		return searchParameter;
+	}
 }

hapi-fhir-jpaserver-elastic-test-utilities/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4SearchLastNAsyncIT.java

@@ -22,6 +22,7 @@ import java.util.ArrayList;
 import java.util.HashMap;
 import java.util.List;
 import java.util.Map;
+import java.util.Set;
 import java.util.stream.Collectors;
 
 import static org.hamcrest.MatcherAssert.assertThat;
@@ -72,9 +73,9 @@ public class FhirResourceDaoR4SearchLastNAsyncIT extends BaseR4SearchLastN {
 	public void testLastNChunking() {
 
 		runInTransaction(() -> {
-			for (Search search : mySearchDao.findAll()) {
+			Set<Long> all = mySearchDao.findAll().stream().map(Search::getId).collect(Collectors.toSet());
-				mySearchDao.updateDeleted(search.getId(), true);
+
-			}
+			mySearchDao.updateDeleted(all, true);
 		});
 
 		// Set up search parameters that will return 75 Observations.

hapi-fhir-jpaserver-model/src/main/java/ca/uhn/fhir/jpa/model/entity/ResourceTable.java

@@ -76,7 +76,7 @@ import javax.persistence.Transient;
 import javax.persistence.UniqueConstraint;
 import javax.persistence.Version;
 
-import static ca.uhn.fhir.jpa.model.entity.ResourceTable.IDX_RES_FHIR_ID;
+import static ca.uhn.fhir.jpa.model.entity.ResourceTable.IDX_RES_TYPE_FHIR_ID;
 
 @Indexed(routingBinder = @RoutingBinderRef(type = ResourceTableRoutingBinder.class))
 @Entity
@@ -84,12 +84,13 @@ import static ca.uhn.fhir.jpa.model.entity.ResourceTable.IDX_RES_FHIR_ID;
 		name = ResourceTable.HFJ_RESOURCE,
 		uniqueConstraints = {
 			@UniqueConstraint(
-					name = IDX_RES_FHIR_ID,
+					name = IDX_RES_TYPE_FHIR_ID,
-					columnNames = {"FHIR_ID", "RES_TYPE"})
+					columnNames = {"RES_TYPE", "FHIR_ID"})
 		},
 		indexes = {
 			// Do not reuse previously used index name: IDX_INDEXSTATUS, IDX_RES_TYPE
 			@Index(name = "IDX_RES_DATE", columnList = BaseHasResource.RES_UPDATED),
+			@Index(name = "IDX_RES_FHIR_ID", columnList = "FHIR_ID"),
 			@Index(
 					name = "IDX_RES_TYPE_DEL_UPDATED",
 					columnList = "RES_TYPE,RES_DELETED_AT,RES_UPDATED,PARTITION_ID,RES_ID"),
@@ -100,10 +101,11 @@ public class ResourceTable extends BaseHasResource implements Serializable, IBas
 	public static final int RESTYPE_LEN = 40;
 	public static final String HFJ_RESOURCE = "HFJ_RESOURCE";
 	public static final String RES_TYPE = "RES_TYPE";
+	public static final String FHIR_ID = "FHIR_ID";
 	private static final int MAX_LANGUAGE_LENGTH = 20;
 	private static final long serialVersionUID = 1L;
 	public static final int MAX_FORCED_ID_LENGTH = 100;
-	public static final String IDX_RES_FHIR_ID = "IDX_RES_FHIR_ID";
+	public static final String IDX_RES_TYPE_FHIR_ID = "IDX_RES_TYPE_FHIR_ID";
 
 	/**
 	 * Holds the narrative text only - Used for Fulltext searching but not directly stored in the DB
@@ -381,7 +383,7 @@ public class ResourceTable extends BaseHasResource implements Serializable, IBas
 	 * Will be null during insert time until the first read.
 	 */
 	@Column(
-			name = "FHIR_ID",
+			name = FHIR_ID,
 			// [A-Za-z0-9\-\.]{1,64} - https://www.hl7.org/fhir/datatypes.html#id
 			length = 64,
 			// we never update this after insert, and the Generator will otherwise "dirty" the object.

hapi-fhir-jpaserver-searchparam/src/main/java/ca/uhn/fhir/jpa/searchparam/ResourceMetaParams.java

@@ -51,6 +51,8 @@ public class ResourceMetaParams {
 		Map<String, Class<? extends IQueryParameterAnd<?>>> resourceMetaAndParams = new HashMap<>();
 		resourceMetaParams.put(IAnyResource.SP_RES_ID, StringParam.class);
 		resourceMetaAndParams.put(IAnyResource.SP_RES_ID, StringAndListParam.class);
+		resourceMetaParams.put(Constants.PARAM_PID, TokenParam.class);
+		resourceMetaAndParams.put(Constants.PARAM_PID, TokenAndListParam.class);
 		resourceMetaParams.put(Constants.PARAM_TAG, TokenParam.class);
 		resourceMetaAndParams.put(Constants.PARAM_TAG, TokenAndListParam.class);
 		resourceMetaParams.put(Constants.PARAM_PROFILE, UriParam.class);

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/subscription/match/deliver/BaseSubscriptionDeliverySubscriber.java

@@ -33,7 +33,9 @@ import ca.uhn.fhir.jpa.subscription.match.registry.ActiveSubscription;
 import ca.uhn.fhir.jpa.subscription.match.registry.SubscriptionRegistry;
 import ca.uhn.fhir.jpa.subscription.model.CanonicalSubscription;
 import ca.uhn.fhir.jpa.subscription.model.ResourceDeliveryMessage;
+import ca.uhn.fhir.jpa.subscription.model.ResourceModifiedMessage;
 import ca.uhn.fhir.rest.api.server.IBundleProvider;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import ca.uhn.fhir.util.BundleBuilder;
 import com.google.common.annotations.VisibleForTesting;
 import org.apache.commons.text.StringSubstitutor;
@@ -48,6 +50,7 @@ import org.springframework.messaging.MessagingException;
 
 import java.util.HashMap;
 import java.util.Map;
+import java.util.Optional;
 
 import static ca.uhn.fhir.jpa.subscription.util.SubscriptionUtil.createRequestDetailForPartitionedRequest;
 
@@ -60,6 +63,9 @@ public abstract class BaseSubscriptionDeliverySubscriber implements MessageHandl
 	@Autowired
 	protected SubscriptionRegistry mySubscriptionRegistry;
 
+	@Autowired
+	protected IResourceModifiedMessagePersistenceSvc myResourceModifiedMessagePersistenceSvc;
+
 	@Autowired
 	private IInterceptorBroadcaster myInterceptorBroadcaster;
 
@@ -149,6 +155,13 @@ public abstract class BaseSubscriptionDeliverySubscriber implements MessageHandl
 		return builder.getBundle();
 	}
 
+	protected Optional<ResourceModifiedMessage> inflateResourceModifiedMessageFromDeliveryMessage(
+			ResourceDeliveryMessage theMsg) {
+		ResourceModifiedMessage payloadLess =
+				new ResourceModifiedMessage(theMsg.getPayloadId(myFhirContext), theMsg.getOperationType());
+		return myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(payloadLess);
+	}
+
 	@VisibleForTesting
 	public void setFhirContextForUnitTest(FhirContext theCtx) {
 		myFhirContext = theCtx;
@@ -174,6 +187,12 @@ public abstract class BaseSubscriptionDeliverySubscriber implements MessageHandl
 		myMatchUrlService = theMatchUrlService;
 	}
 
+	@VisibleForTesting
+	public void setResourceModifiedMessagePersistenceSvcForUnitTest(
+			IResourceModifiedMessagePersistenceSvc theResourceModifiedMessagePersistenceSvc) {
+		myResourceModifiedMessagePersistenceSvc = theResourceModifiedMessagePersistenceSvc;
+	}
+
 	public IInterceptorBroadcaster getInterceptorBroadcaster() {
 		return myInterceptorBroadcaster;
 	}

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/subscription/match/deliver/email/SubscriptionDeliveringEmailSubscriber.java

@@ -24,6 +24,7 @@ import ca.uhn.fhir.jpa.model.entity.StorageSettings;
 import ca.uhn.fhir.jpa.subscription.match.deliver.BaseSubscriptionDeliverySubscriber;
 import ca.uhn.fhir.jpa.subscription.model.CanonicalSubscription;
 import ca.uhn.fhir.jpa.subscription.model.ResourceDeliveryMessage;
+import ca.uhn.fhir.jpa.subscription.model.ResourceModifiedMessage;
 import ca.uhn.fhir.rest.api.EncodingEnum;
 import com.google.common.annotations.VisibleForTesting;
 import org.apache.commons.lang3.StringUtils;
@@ -33,6 +34,7 @@ import org.springframework.beans.factory.annotation.Autowired;
 
 import java.util.ArrayList;
 import java.util.List;
+import java.util.Optional;
 
 import static org.apache.commons.lang3.StringUtils.defaultString;
 import static org.apache.commons.lang3.StringUtils.isNotBlank;
@@ -73,7 +75,7 @@ public class SubscriptionDeliveringEmailSubscriber extends BaseSubscriptionDeliv
 		if (isNotBlank(subscription.getPayloadString())) {
 			EncodingEnum encoding = EncodingEnum.forContentType(subscription.getPayloadString());
 			if (encoding != null) {
-				payload = theMessage.getPayloadString();
+				payload = getPayloadStringFromMessageOrEmptyString(theMessage);
 			}
 		}
 
@@ -112,4 +114,24 @@ public class SubscriptionDeliveringEmailSubscriber extends BaseSubscriptionDeliv
 	public IEmailSender getEmailSender() {
 		return myEmailSender;
 	}
+
+	/**
+	 * Get the payload string, fetch it from the DB when the payload is null.
+	 */
+	private String getPayloadStringFromMessageOrEmptyString(ResourceDeliveryMessage theMessage) {
+		String payload = theMessage.getPayloadString();
+
+		if (theMessage.getPayload(myCtx) != null) {
+			return payload;
+		}
+
+		Optional<ResourceModifiedMessage> inflatedMessage =
+				inflateResourceModifiedMessageFromDeliveryMessage(theMessage);
+		if (inflatedMessage.isEmpty()) {
+			return "";
+		}
+
+		payload = inflatedMessage.get().getPayloadString();
+		return payload;
+	}
 }

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/subscription/match/deliver/message/SubscriptionDeliveringMessageSubscriber.java

@@ -39,6 +39,7 @@ import org.springframework.messaging.MessagingException;
 
 import java.net.URI;
 import java.net.URISyntaxException;
+import java.util.Optional;
 
 import static org.apache.commons.lang3.StringUtils.isNotBlank;
 
@@ -66,7 +67,7 @@ public class SubscriptionDeliveringMessageSubscriber extends BaseSubscriptionDel
 			IBaseResource payloadResource = createDeliveryBundleForPayloadSearchCriteria(
 					theSubscription, theWrappedMessageToSend.getPayload().getPayload(myFhirContext));
 			ResourceModifiedJsonMessage newWrappedMessageToSend =
-					convertDeliveryMessageToResourceModifiedMessage(theSourceMessage, payloadResource);
+					convertDeliveryMessageToResourceModifiedJsonMessage(theSourceMessage, payloadResource);
 			theWrappedMessageToSend.setPayload(newWrappedMessageToSend.getPayload());
 			payloadId =
 					payloadResource.getIdElement().toUnqualifiedVersionless().getValue();
@@ -82,7 +83,7 @@ public class SubscriptionDeliveringMessageSubscriber extends BaseSubscriptionDel
 						.getValue());
 	}
 
-	private ResourceModifiedJsonMessage convertDeliveryMessageToResourceModifiedMessage(
+	private ResourceModifiedJsonMessage convertDeliveryMessageToResourceModifiedJsonMessage(
 			ResourceDeliveryMessage theMsg, IBaseResource thePayloadResource) {
 		ResourceModifiedMessage payload =
 				new ResourceModifiedMessage(myFhirContext, thePayloadResource, theMsg.getOperationType());
@@ -96,8 +97,17 @@ public class SubscriptionDeliveringMessageSubscriber extends BaseSubscriptionDel
 	public void handleMessage(ResourceDeliveryMessage theMessage) throws MessagingException, URISyntaxException {
 		CanonicalSubscription subscription = theMessage.getSubscription();
 		IBaseResource payloadResource = theMessage.getPayload(myFhirContext);
+		if (payloadResource == null) {
+			Optional<ResourceModifiedMessage> inflatedMsg =
+					inflateResourceModifiedMessageFromDeliveryMessage(theMessage);
+			if (inflatedMsg.isEmpty()) {
+				return;
+			}
+			payloadResource = inflatedMsg.get().getPayload(myFhirContext);
+		}
+
 		ResourceModifiedJsonMessage messageWrapperToSend =
-				convertDeliveryMessageToResourceModifiedMessage(theMessage, payloadResource);
+				convertDeliveryMessageToResourceModifiedJsonMessage(theMessage, payloadResource);
 
 		// Interceptor call: SUBSCRIPTION_BEFORE_MESSAGE_DELIVERY
 		HookParams params = new HookParams()

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/subscription/match/matcher/subscriber/SubscriptionActivatingSubscriber.java

@@ -31,6 +31,7 @@ import ca.uhn.fhir.rest.api.server.SystemRequestDetails;
 import ca.uhn.fhir.rest.server.exceptions.ResourceGoneException;
 import ca.uhn.fhir.rest.server.exceptions.UnprocessableEntityException;
 import ca.uhn.fhir.subscription.SubscriptionConstants;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import ca.uhn.fhir.util.SubscriptionUtil;
 import org.hl7.fhir.dstu2.model.Subscription;
 import org.hl7.fhir.instance.model.api.IBaseResource;
@@ -41,6 +42,7 @@ import org.springframework.messaging.Message;
 import org.springframework.messaging.MessageHandler;
 import org.springframework.messaging.MessagingException;
 
+import java.util.Optional;
 import javax.annotation.Nonnull;
 
 /**
@@ -64,6 +66,8 @@ public class SubscriptionActivatingSubscriber implements MessageHandler {
 	@Autowired
 	private StorageSettings myStorageSettings;
 
+	@Autowired
+	private IResourceModifiedMessagePersistenceSvc myResourceModifiedMessagePersistenceSvc;
 	/**
 	 * Constructor
 	 */
@@ -86,6 +90,16 @@ public class SubscriptionActivatingSubscriber implements MessageHandler {
 		switch (payload.getOperationType()) {
 			case CREATE:
 			case UPDATE:
+				if (payload.getPayload(myFhirContext) == null) {
+					Optional<ResourceModifiedMessage> inflatedMsg =
+							myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(
+									payload);
+					if (inflatedMsg.isEmpty()) {
+						return;
+					}
+					payload = inflatedMsg.get();
+				}
+
 				activateSubscriptionIfRequired(payload.getNewPayload(myFhirContext));
 				break;
 			case TRANSACTION:
@@ -104,7 +118,7 @@ public class SubscriptionActivatingSubscriber implements MessageHandler {
 	 */
 	public synchronized boolean activateSubscriptionIfRequired(final IBaseResource theSubscription) {
 		// Grab the value for "Subscription.channel.type" so we can see if this
-		// subscriber applies..
+		// subscriber applies.
 		CanonicalSubscriptionChannelType subscriptionChannelType =
 				mySubscriptionCanonicalizer.getChannelType(theSubscription);
 

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/subscription/match/matcher/subscriber/SubscriptionMatchDeliverer.java

@@ -25,6 +25,7 @@ import ca.uhn.fhir.interceptor.api.HookParams;
 import ca.uhn.fhir.interceptor.api.IInterceptorBroadcaster;
 import ca.uhn.fhir.interceptor.api.Pointcut;
 import ca.uhn.fhir.jpa.searchparam.matcher.InMemoryMatchResult;
+import ca.uhn.fhir.jpa.subscription.channel.api.PayloadTooLargeException;
 import ca.uhn.fhir.jpa.subscription.channel.subscription.SubscriptionChannelRegistry;
 import ca.uhn.fhir.jpa.subscription.match.registry.ActiveSubscription;
 import ca.uhn.fhir.jpa.subscription.model.CanonicalSubscription;
@@ -156,8 +157,21 @@ public class SubscriptionMatchDeliverer {
 				ourLog.warn("Failed to send message to Delivery Channel.");
 			}
 		} catch (RuntimeException e) {
+			if (e.getCause() instanceof PayloadTooLargeException) {
+				ourLog.warn("Failed to send message to Delivery Channel because the payload size is larger than broker "
+						+ "max message size. Retry is about to be performed without payload.");
+				ResourceDeliveryJsonMessage msgPayloadLess = nullOutPayload(theWrappedMsg);
+				trySendToDeliveryChannel(msgPayloadLess, theDeliveryChannel);
+			} else {
 				ourLog.error("Failed to send message to Delivery Channel", e);
 				throw new RuntimeException(Msg.code(7) + "Failed to send message to Delivery Channel", e);
 			}
 		}
+	}
+
+	private ResourceDeliveryJsonMessage nullOutPayload(ResourceDeliveryJsonMessage theWrappedMsg) {
+		ResourceDeliveryMessage resourceDeliveryMessage = theWrappedMsg.getPayload();
+		resourceDeliveryMessage.setPayloadToNull();
+		return new ResourceDeliveryJsonMessage(resourceDeliveryMessage);
+	}
 }

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/subscription/match/matcher/subscriber/SubscriptionMatchingSubscriber.java

@@ -30,6 +30,7 @@ import ca.uhn.fhir.jpa.subscription.match.registry.SubscriptionRegistry;
 import ca.uhn.fhir.jpa.subscription.model.CanonicalSubscription;
 import ca.uhn.fhir.jpa.subscription.model.ResourceModifiedJsonMessage;
 import ca.uhn.fhir.jpa.subscription.model.ResourceModifiedMessage;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.instance.model.api.IIdType;
 import org.slf4j.Logger;
@@ -40,6 +41,7 @@ import org.springframework.messaging.MessageHandler;
 import org.springframework.messaging.MessagingException;
 
 import java.util.Collection;
+import java.util.Optional;
 import javax.annotation.Nonnull;
 
 import static ca.uhn.fhir.rest.server.messaging.BaseResourceMessage.OperationTypeEnum.DELETE;
@@ -64,6 +66,9 @@ public class SubscriptionMatchingSubscriber implements MessageHandler {
 	@Autowired
 	private SubscriptionMatchDeliverer mySubscriptionMatchDeliverer;
 
+	@Autowired
+	private IResourceModifiedMessagePersistenceSvc myResourceModifiedMessagePersistenceSvc;
+
 	/**
 	 * Constructor
 	 */
@@ -97,6 +102,16 @@ public class SubscriptionMatchingSubscriber implements MessageHandler {
 				return;
 		}
 
+		if (theMsg.getPayload(myFhirContext) == null) {
+			// inflate the message and ignore any resource that cannot be found.
+			Optional<ResourceModifiedMessage> inflatedMsg =
+					myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(theMsg);
+			if (inflatedMsg.isEmpty()) {
+				return;
+			}
+			theMsg = inflatedMsg.get();
+		}
+
 		// Interceptor call: SUBSCRIPTION_BEFORE_PERSISTED_RESOURCE_CHECKED
 		HookParams params = new HookParams().add(ResourceModifiedMessage.class, theMsg);
 		if (!myInterceptorBroadcaster.callHooks(Pointcut.SUBSCRIPTION_BEFORE_PERSISTED_RESOURCE_CHECKED, params)) {

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/subscription/submit/interceptor/SynchronousSubscriptionMatcherInterceptor.java

@@ -20,9 +20,11 @@
 package ca.uhn.fhir.jpa.subscription.submit.interceptor;
 
 import ca.uhn.fhir.jpa.subscription.async.AsyncResourceModifiedProcessingSchedulerSvc;
+import ca.uhn.fhir.jpa.subscription.channel.api.PayloadTooLargeException;
 import ca.uhn.fhir.jpa.subscription.match.matcher.matching.IResourceModifiedConsumer;
 import ca.uhn.fhir.jpa.subscription.model.ResourceModifiedMessage;
 import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.messaging.MessageDeliveryException;
 import org.springframework.transaction.support.TransactionSynchronizationAdapter;
 import org.springframework.transaction.support.TransactionSynchronizationManager;
 
@@ -49,11 +51,33 @@ public class SynchronousSubscriptionMatcherInterceptor extends SubscriptionMatch
 
 				@Override
 				public void afterCommit() {
-					myResourceModifiedConsumer.submitResourceModified(theResourceModifiedMessage);
+					doSubmitResourceModified(theResourceModifiedMessage);
 				}
 			});
 		} else {
+			doSubmitResourceModified(theResourceModifiedMessage);
+		}
+	}
+
+	/**
+	 * Submit the message through the broker channel to the matcher.
+	 *
+	 * Note: most of our integrated tests for subscription assume we can successfully inflate the message and therefore
+	 * does not run with an actual database to persist the data. In these cases, submitting the complete message (i.e.
+	 * with payload) is OK. However, there are a few tests that do not assume it and do run with an actual DB. For them,
+	 * we should null out the payload body before submitting. This try-catch block only covers the case where the
+	 * payload is too large, which is enough for now. However, for better practice we might want to consider splitting
+	 * this interceptor into two, each for tests with/without DB connection.
+	 * @param theResourceModifiedMessage
+	 */
+	private void doSubmitResourceModified(ResourceModifiedMessage theResourceModifiedMessage) {
+		try {
+			myResourceModifiedConsumer.submitResourceModified(theResourceModifiedMessage);
+		} catch (MessageDeliveryException e) {
+			if (e.getCause() instanceof PayloadTooLargeException) {
+				theResourceModifiedMessage.setPayloadToNull();
 				myResourceModifiedConsumer.submitResourceModified(theResourceModifiedMessage);
 			}
 		}
+	}
 }

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/subscription/submit/svc/ResourceModifiedSubmitterSvc.java

@@ -35,7 +35,6 @@ import ca.uhn.fhir.rest.server.exceptions.ResourceNotFoundException;
 import ca.uhn.fhir.subscription.api.IResourceModifiedConsumerWithRetries;
 import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import org.apache.commons.lang3.Validate;
-import org.hl7.fhir.r5.model.IdType;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
 import org.springframework.context.event.ContextRefreshedEvent;
@@ -45,8 +44,6 @@ import org.springframework.messaging.MessageDeliveryException;
 import org.springframework.transaction.annotation.Propagation;
 import org.springframework.transaction.support.TransactionCallback;
 
-import java.util.Optional;
-
 import static ca.uhn.fhir.jpa.subscription.match.matcher.subscriber.SubscriptionMatchingSubscriber.SUBSCRIPTION_MATCHING_CHANNEL_NAME;
 
 /**
@@ -151,12 +148,11 @@ public class ResourceModifiedSubmitterSvc implements IResourceModifiedConsumer,
 				boolean wasDeleted = deletePersistedResourceModifiedMessage(
 						thePersistedResourceModifiedMessage.getPersistedResourceModifiedMessagePk());
 
-				Optional<ResourceModifiedMessage> optionalResourceModifiedMessage =
+				// submit the resource modified message with empty payload, actual inflation is done by the matcher.
-						inflatePersistedResourceMessage(thePersistedResourceModifiedMessage);
+				resourceModifiedMessage =
+						createResourceModifiedMessageWithoutInflation(thePersistedResourceModifiedMessage);
 
-				if (wasDeleted && optionalResourceModifiedMessage.isPresent()) {
+				if (wasDeleted) {
-					// the PK did exist and we were able to deleted it, ie, we are the only one processing the message
-					resourceModifiedMessage = optionalResourceModifiedMessage.get();
 					submitResourceModified(resourceModifiedMessage);
 				}
 			} catch (MessageDeliveryException exception) {
@@ -186,32 +182,10 @@ public class ResourceModifiedSubmitterSvc implements IResourceModifiedConsumer,
 		};
 	}
 
-	private Optional<ResourceModifiedMessage> inflatePersistedResourceMessage(
+	private ResourceModifiedMessage createResourceModifiedMessageWithoutInflation(
 			IPersistedResourceModifiedMessage thePersistedResourceModifiedMessage) {
-		ResourceModifiedMessage resourceModifiedMessage = null;
+		return myResourceModifiedMessagePersistenceSvc.createResourceModifiedMessageFromEntityWithoutInflation(
-
-		try {
-			resourceModifiedMessage = myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessage(
 				thePersistedResourceModifiedMessage);
-
-		} catch (ResourceNotFoundException e) {
-			IPersistedResourceModifiedMessagePK persistedResourceModifiedMessagePk =
-					thePersistedResourceModifiedMessage.getPersistedResourceModifiedMessagePk();
-
-			IdType idType = new IdType(
-					thePersistedResourceModifiedMessage.getResourceType(),
-					persistedResourceModifiedMessagePk.getResourcePid(),
-					persistedResourceModifiedMessagePk.getResourceVersion());
-
-			ourLog.warn(
-					"Scheduled submission will be ignored since resource {} cannot be found",
-					idType.asStringValue(),
-					e);
-		} catch (Exception ex) {
-			ourLog.error("Unknown error encountered on inflation of resources.", ex);
-		}
-
-		return Optional.ofNullable(resourceModifiedMessage);
 	}
 
 	private boolean deletePersistedResourceModifiedMessage(IPersistedResourceModifiedMessagePK theResourceModifiedPK) {

hapi-fhir-jpaserver-subscription/src/main/java/ca/uhn/fhir/jpa/topic/SubscriptionTopicMatchingSubscriber.java

@@ -30,6 +30,7 @@ import ca.uhn.fhir.jpa.subscription.model.ResourceModifiedJsonMessage;
 import ca.uhn.fhir.jpa.subscription.model.ResourceModifiedMessage;
 import ca.uhn.fhir.jpa.topic.filter.InMemoryTopicFilterMatcher;
 import ca.uhn.fhir.rest.api.RestOperationTypeEnum;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import ca.uhn.fhir.util.Logs;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.r5.model.SubscriptionTopic;
@@ -42,6 +43,7 @@ import org.springframework.messaging.MessagingException;
 import java.util.Collection;
 import java.util.Collections;
 import java.util.List;
+import java.util.Optional;
 import javax.annotation.Nonnull;
 
 public class SubscriptionTopicMatchingSubscriber implements MessageHandler {
@@ -73,6 +75,9 @@ public class SubscriptionTopicMatchingSubscriber implements MessageHandler {
 	@Autowired
 	private InMemoryTopicFilterMatcher myInMemoryTopicFilterMatcher;
 
+	@Autowired
+	private IResourceModifiedMessagePersistenceSvc myResourceModifiedMessagePersistenceSvc;
+
 	public SubscriptionTopicMatchingSubscriber(FhirContext theFhirContext) {
 		myFhirContext = theFhirContext;
 	}
@@ -88,6 +93,16 @@ public class SubscriptionTopicMatchingSubscriber implements MessageHandler {
 
 		ResourceModifiedMessage msg = ((ResourceModifiedJsonMessage) theMessage).getPayload();
 
+		if (msg.getPayload(myFhirContext) == null) {
+			// inflate the message and ignore any resource that cannot be found.
+			Optional<ResourceModifiedMessage> inflatedMsg =
+					myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(msg);
+			if (inflatedMsg.isEmpty()) {
+				return;
+			}
+			msg = inflatedMsg.get();
+		}
+
 		// Interceptor call: SUBSCRIPTION_TOPIC_BEFORE_PERSISTED_RESOURCE_CHECKED
 		HookParams params = new HookParams().add(ResourceModifiedMessage.class, msg);
 		if (!myInterceptorBroadcaster.callHooks(

hapi-fhir-jpaserver-subscription/src/test/java/ca/uhn/fhir/jpa/subscription/match/deliver/BaseSubscriptionDeliverySubscriberTest.java

@@ -8,10 +8,13 @@ import ca.uhn.fhir.interceptor.api.Pointcut;
 import ca.uhn.fhir.interceptor.model.RequestPartitionId;
 import ca.uhn.fhir.jpa.api.dao.DaoRegistry;
 import ca.uhn.fhir.jpa.api.dao.IFhirResourceDao;
+import ca.uhn.fhir.jpa.model.entity.StorageSettings;
 import ca.uhn.fhir.jpa.searchparam.MatchUrlService;
 import ca.uhn.fhir.jpa.searchparam.SearchParameterMap;
 import ca.uhn.fhir.jpa.subscription.channel.api.IChannelFactory;
 import ca.uhn.fhir.jpa.subscription.channel.api.IChannelProducer;
+import ca.uhn.fhir.jpa.subscription.match.deliver.email.IEmailSender;
+import ca.uhn.fhir.jpa.subscription.match.deliver.email.SubscriptionDeliveringEmailSubscriber;
 import ca.uhn.fhir.jpa.subscription.match.deliver.message.SubscriptionDeliveringMessageSubscriber;
 import ca.uhn.fhir.jpa.subscription.match.deliver.resthook.SubscriptionDeliveringRestHookSubscriber;
 import ca.uhn.fhir.jpa.subscription.match.registry.SubscriptionRegistry;
@@ -26,6 +29,7 @@ import ca.uhn.fhir.rest.client.api.IGenericClient;
 import ca.uhn.fhir.rest.client.api.IRestfulClientFactory;
 import ca.uhn.fhir.rest.server.SimpleBundleProvider;
 import ca.uhn.fhir.rest.server.exceptions.InternalErrorException;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import com.fasterxml.jackson.core.JsonProcessingException;
 import org.hl7.fhir.r4.model.Bundle;
 import org.hl7.fhir.r4.model.IdType;
@@ -33,6 +37,8 @@ import org.hl7.fhir.r4.model.Patient;
 import org.junit.jupiter.api.BeforeEach;
 import org.junit.jupiter.api.Test;
 import org.junit.jupiter.api.extension.ExtendWith;
+import org.junit.jupiter.params.ParameterizedTest;
+import org.junit.jupiter.params.provider.ValueSource;
 import org.mockito.Answers;
 import org.mockito.ArgumentCaptor;
 import org.mockito.ArgumentMatchers;
@@ -57,6 +63,7 @@ import static org.hamcrest.Matchers.hasSize;
 import static org.junit.jupiter.api.Assertions.assertEquals;
 import static org.junit.jupiter.api.Assertions.assertFalse;
 import static org.junit.jupiter.api.Assertions.assertNotNull;
+import static org.junit.jupiter.api.Assertions.assertThrows;
 import static org.junit.jupiter.api.Assertions.fail;
 import static org.mockito.ArgumentMatchers.any;
 import static org.mockito.ArgumentMatchers.anyString;
@@ -71,6 +78,7 @@ public class BaseSubscriptionDeliverySubscriberTest {
 
 	private SubscriptionDeliveringRestHookSubscriber mySubscriber;
 	private SubscriptionDeliveringMessageSubscriber myMessageSubscriber;
+	private SubscriptionDeliveringEmailSubscriber myEmailSubscriber;
 	private final FhirContext myCtx = FhirContext.forR4();
 
 	@Mock
@@ -96,6 +104,12 @@ public class BaseSubscriptionDeliverySubscriberTest {
 	@Mock
 	private MatchUrlService myMatchUrlService;
 
+	@Mock
+	private IResourceModifiedMessagePersistenceSvc myResourceModifiedMessagePersistenceSvc;
+
+	@Mock
+	private IEmailSender myEmailSender;
+
 	@BeforeEach
 	public void before() {
 		mySubscriber = new SubscriptionDeliveringRestHookSubscriber();
@@ -109,8 +123,15 @@ public class BaseSubscriptionDeliverySubscriberTest {
 		myMessageSubscriber.setSubscriptionRegistryForUnitTest(mySubscriptionRegistry);
 		myMessageSubscriber.setDaoRegistryForUnitTest(myDaoRegistry);
 		myMessageSubscriber.setMatchUrlServiceForUnitTest(myMatchUrlService);
+		myMessageSubscriber.setResourceModifiedMessagePersistenceSvcForUnitTest(myResourceModifiedMessagePersistenceSvc);
 		myCtx.setRestfulClientFactory(myRestfulClientFactory);
 		when(myRestfulClientFactory.newGenericClient(any())).thenReturn(myGenericClient);
+
+		myEmailSubscriber = new SubscriptionDeliveringEmailSubscriber(myEmailSender);
+		myEmailSubscriber.setFhirContextForUnitTest(myCtx);
+		myEmailSubscriber.setInterceptorBroadcasterForUnitTest(myInterceptorBroadcaster);
+		myEmailSubscriber.setSubscriptionRegistryForUnitTest(mySubscriptionRegistry);
+		myEmailSubscriber.setResourceModifiedMessagePersistenceSvcForUnitTest(myResourceModifiedMessagePersistenceSvc);
 	}
 
 	@Test
@@ -400,6 +421,38 @@ public class BaseSubscriptionDeliverySubscriberTest {
 		}
 	}
 
+	@ParameterizedTest
+	@ValueSource(strings = {"message", "email"})
+	public void testMessageAndEmailSubscriber_whenPayloadIsNull_shouldTryInflateMessage(String theSubscriber) {
+		// setup
+		when(myInterceptorBroadcaster.callHooks(any(), any())).thenReturn(true);
+
+		Patient patient = generatePatient();
+
+		CanonicalSubscription subscription = generateSubscription();
+
+		ResourceDeliveryMessage payload = new ResourceDeliveryMessage();
+		payload.setSubscription(subscription);
+		payload.setPayload(myCtx, patient, EncodingEnum.JSON);
+		payload.setOperationType(ResourceModifiedMessage.OperationTypeEnum.CREATE);
+
+		// mock the inflated message
+		when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(any())).thenReturn(any());
+
+		// this will null out the payload but keep the resource id and version.
+		payload.setPayloadToNull();
+
+		// execute & verify
+        switch (theSubscriber) {
+            case "message" ->
+                    assertThrows(MessagingException.class, () -> myMessageSubscriber.handleMessage(new ResourceDeliveryJsonMessage(payload)));
+            case "email" ->
+                    assertThrows(MessagingException.class, () -> myEmailSubscriber.handleMessage(new ResourceDeliveryJsonMessage(payload)));
+        }
+
+		verify(myResourceModifiedMessagePersistenceSvc, times(1)).inflatePersistedResourceModifiedMessageOrNull(any());
+	}
+
 	@Nonnull
 	private Patient generatePatient() {
 		Patient patient = new Patient();

hapi-fhir-jpaserver-subscription/src/test/java/ca/uhn/fhir/jpa/subscription/match/matcher/matching/DaoSubscriptionMatcherTest.java

@@ -15,6 +15,7 @@ import ca.uhn.fhir.jpa.subscription.match.config.SubscriptionProcessorConfig;
 import ca.uhn.fhir.jpa.subscription.match.deliver.email.IEmailSender;
 import ca.uhn.fhir.jpa.subscription.submit.config.SubscriptionSubmitterConfig;
 import ca.uhn.fhir.jpa.subscription.submit.interceptor.SubscriptionQueryValidator;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import org.junit.jupiter.api.Test;
 import org.junit.jupiter.api.extension.ExtendWith;
 import org.springframework.beans.factory.annotation.Autowired;
@@ -90,6 +91,11 @@ public class DaoSubscriptionMatcherTest {
 		public IEmailSender emailSender(){
 			return mock(IEmailSender.class);
 		}
+
+		@Bean
+		public IResourceModifiedMessagePersistenceSvc resourceModifiedMessagePersistenceSvc() {
+			return mock(IResourceModifiedMessagePersistenceSvc.class);
+		}
 	}
 
 }

hapi-fhir-jpaserver-subscription/src/test/java/ca/uhn/fhir/jpa/subscription/module/cache/SubscriptionRegistrySharedTest.java

@@ -2,8 +2,10 @@ package ca.uhn.fhir.jpa.subscription.module.cache;
 
 import ca.uhn.fhir.jpa.subscription.channel.subscription.ISubscriptionDeliveryChannelNamer;
 import ca.uhn.fhir.jpa.subscription.model.CanonicalSubscription;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import org.hl7.fhir.dstu3.model.Subscription;
 import org.junit.jupiter.api.Test;
+import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.context.annotation.Bean;
 import org.springframework.context.annotation.Configuration;
 import org.springframework.context.annotation.Primary;
@@ -18,6 +20,9 @@ public class SubscriptionRegistrySharedTest extends BaseSubscriptionRegistryTest
 
 	private static final String OTHER_ID = "OTHER_ID";
 
+	@Autowired
+	private IResourceModifiedMessagePersistenceSvc myResourceModifiedMessagePersistenceSvc;
+
 	@Configuration
 	public static class SpringConfig {
 

hapi-fhir-jpaserver-subscription/src/test/java/ca/uhn/fhir/jpa/subscription/module/config/TestSubscriptionDstu3Config.java

@@ -6,6 +6,7 @@ import ca.uhn.fhir.jpa.api.dao.DaoRegistry;
 import ca.uhn.fhir.jpa.api.dao.IFhirResourceDao;
 import ca.uhn.fhir.jpa.model.sched.ISchedulerService;
 import ca.uhn.fhir.jpa.searchparam.registry.ISearchParamProvider;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import com.google.common.collect.Lists;
 import org.hl7.fhir.dstu3.model.Subscription;
 import org.slf4j.Logger;
@@ -62,4 +63,9 @@ public class TestSubscriptionDstu3Config {
 		return mock;
 	}
 
+	@Bean
+	public IResourceModifiedMessagePersistenceSvc resourceModifiedMessagePersistenceSvc() {
+		return mock(IResourceModifiedMessagePersistenceSvc.class);
+	}
+
 }

hapi-fhir-jpaserver-subscription/src/test/java/ca/uhn/fhir/jpa/subscription/module/standalone/BaseBlockingQueueSubscribableChannelDstu3Test.java

@@ -26,6 +26,7 @@ import ca.uhn.fhir.rest.api.Constants;
 import ca.uhn.fhir.rest.api.MethodOutcome;
 import ca.uhn.fhir.rest.server.IResourceProvider;
 import ca.uhn.fhir.rest.server.RestfulServer;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import ca.uhn.fhir.test.utilities.JettyUtil;
 import ca.uhn.test.concurrency.IPointcutLatch;
 import ca.uhn.test.concurrency.PointcutLatch;
@@ -54,6 +55,10 @@ import javax.servlet.http.HttpServletRequest;
 import java.util.ArrayList;
 import java.util.Collections;
 import java.util.List;
+import java.util.Optional;
+
+import static org.mockito.ArgumentMatchers.any;
+import static org.mockito.Mockito.when;
 
 public abstract class BaseBlockingQueueSubscribableChannelDstu3Test extends BaseSubscriptionDstu3Test {
 	public static final ChannelConsumerSettings CONSUMER_OPTIONS = new ChannelConsumerSettings().setConcurrentConsumers(1);
@@ -100,6 +105,8 @@ public abstract class BaseBlockingQueueSubscribableChannelDstu3Test extends Base
 	IInterceptorService myInterceptorRegistry;
 	@Autowired
 	private ISubscriptionDeliveryChannelNamer mySubscriptionDeliveryChannelNamer;
+	@Autowired
+	private IResourceModifiedMessagePersistenceSvc myResourceModifiedMessagePersistenceSvc;
 
 	@BeforeEach
 	public void beforeReset() {
@@ -140,6 +147,8 @@ public abstract class BaseBlockingQueueSubscribableChannelDstu3Test extends Base
 	public <T extends IBaseResource> T sendResource(T theResource, RequestPartitionId theRequestPartitionId) throws InterruptedException {
 		ResourceModifiedMessage msg = new ResourceModifiedMessage(myFhirContext, theResource, ResourceModifiedMessage.OperationTypeEnum.CREATE, null, theRequestPartitionId);
 		ResourceModifiedJsonMessage message = new ResourceModifiedJsonMessage(msg);
+		when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(any())).thenReturn(Optional.of(msg));
+
 		mySubscriptionMatchingPost.setExpectedCount(1);
 		ourSubscribableChannel.send(message);
 		mySubscriptionMatchingPost.awaitExpected();

hapi-fhir-jpaserver-subscription/src/test/java/ca/uhn/fhir/jpa/subscription/module/subscriber/SubscriptionMatchingSubscriberTest.java

@@ -17,6 +17,7 @@ import ca.uhn.fhir.jpa.subscription.module.standalone.BaseBlockingQueueSubscriba
 import ca.uhn.fhir.model.primitive.IdDt;
 import ca.uhn.fhir.rest.api.Constants;
 import ca.uhn.fhir.rest.server.messaging.BaseResourceModifiedMessage;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import ca.uhn.fhir.util.HapiExtensions;
 import com.google.common.collect.Lists;
 import org.hl7.fhir.dstu3.model.BooleanType;
@@ -33,6 +34,7 @@ import org.mockito.Mockito;
 
 import java.util.Collections;
 import java.util.List;
+import java.util.Optional;
 
 import static ca.uhn.fhir.jpa.subscription.match.matcher.subscriber.SubscriptionCriteriaParser.TypeEnum.STARTYPE_EXPRESSION;
 import static org.junit.jupiter.api.Assertions.assertEquals;
@@ -434,6 +436,8 @@ public class SubscriptionMatchingSubscriberTest extends BaseBlockingQueueSubscri
 		SubscriptionCriteriaParser.SubscriptionCriteria mySubscriptionCriteria;
 		@Mock
 		SubscriptionMatchDeliverer mySubscriptionMatchDeliverer;
+		@Mock
+		IResourceModifiedMessagePersistenceSvc myResourceModifiedMessagePersistenceSvc;
 		@InjectMocks
 		SubscriptionMatchingSubscriber subscriber;
 
@@ -445,6 +449,7 @@ public class SubscriptionMatchingSubscriberTest extends BaseBlockingQueueSubscri
 			when(myInterceptorBroadcaster.callHooks(
 				eq(Pointcut.SUBSCRIPTION_BEFORE_PERSISTED_RESOURCE_CHECKED), any(HookParams.class))).thenReturn(true);
 			when(mySubscriptionRegistry.getAll()).thenReturn(Collections.emptyList());
+			when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(any())).thenReturn(Optional.ofNullable(message));
 
 			subscriber.matchActiveSubscriptionsAndDeliver(message);
 
@@ -465,6 +470,7 @@ public class SubscriptionMatchingSubscriberTest extends BaseBlockingQueueSubscri
 			when(myActiveSubscription.getCriteria()).thenReturn(mySubscriptionCriteria);
 			when(myActiveSubscription.getId()).thenReturn("Patient/123");
 			when(mySubscriptionCriteria.getType()).thenReturn(STARTYPE_EXPRESSION);
+			when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(any())).thenReturn(Optional.ofNullable(message));
 
 			subscriber.matchActiveSubscriptionsAndDeliver(message);
 
@@ -486,6 +492,7 @@ public class SubscriptionMatchingSubscriberTest extends BaseBlockingQueueSubscri
 			when(myNonDeleteSubscription.getCriteria()).thenReturn(mySubscriptionCriteria);
 			when(myNonDeleteSubscription.getId()).thenReturn("Patient/123");
 			when(mySubscriptionCriteria.getType()).thenReturn(STARTYPE_EXPRESSION);
+			when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(any())).thenReturn(Optional.ofNullable(message));
 
 			subscriber.matchActiveSubscriptionsAndDeliver(message);
 
@@ -505,6 +512,7 @@ public class SubscriptionMatchingSubscriberTest extends BaseBlockingQueueSubscri
 			when(myActiveSubscription.getId()).thenReturn("Patient/123");
 			when(mySubscriptionCriteria.getType()).thenReturn(STARTYPE_EXPRESSION);
 			when(myCanonicalSubscription.getSendDeleteMessages()).thenReturn(true);
+			when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessageOrNull(any())).thenReturn(Optional.ofNullable(message));
 
 			subscriber.matchActiveSubscriptionsAndDeliver(message);
 

hapi-fhir-jpaserver-subscription/src/test/java/ca/uhn/fhir/jpa/subscription/module/subscriber/websocket/WebsocketConnectionValidatorTest.java

@@ -20,6 +20,7 @@ import ca.uhn.fhir.jpa.subscription.match.registry.SubscriptionRegistry;
 import ca.uhn.fhir.jpa.subscription.model.CanonicalSubscription;
 import ca.uhn.fhir.jpa.subscription.model.CanonicalSubscriptionChannelType;
 import ca.uhn.fhir.rest.server.util.ISearchParamRegistry;
+import ca.uhn.fhir.subscription.api.IResourceModifiedMessagePersistenceSvc;
 import org.hl7.fhir.r4.model.IdType;
 import org.junit.jupiter.api.BeforeEach;
 import org.junit.jupiter.api.Test;
@@ -146,5 +147,10 @@ public class WebsocketConnectionValidatorTest {
 			return mock(IEmailSender.class);
 		}
 
+		@Bean
+		public IResourceModifiedMessagePersistenceSvc resourceModifiedMessagePersistenceSvc(){
+			return mock(IResourceModifiedMessagePersistenceSvc.class);
+		}
+
 	}
 }

hapi-fhir-jpaserver-test-dstu2/src/test/java/ca/uhn/fhir/jpa/dao/dstu2/FhirResourceDaoDstu2Test.java

@@ -2189,21 +2189,21 @@ public class FhirResourceDaoDstu2Test extends BaseJpaDstu2Test {
 		pm.setSort(new SortSpec(BaseResource.SP_RES_ID));
 		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
 		assertEquals(5, actual.size());
-		assertThat(actual, contains(idMethodName, id1, id2, id3, id4));
+		assertThat(actual, contains(id1, id2, id3, id4, idMethodName));
 
 		pm = new SearchParameterMap();
 		pm.add(Patient.SP_IDENTIFIER, new TokenParam("urn:system", methodName));
 		pm.setSort(new SortSpec(BaseResource.SP_RES_ID).setOrder(SortOrderEnum.ASC));
 		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
 		assertEquals(5, actual.size());
-		assertThat(actual, contains(idMethodName, id1, id2, id3, id4));
+		assertThat(actual, contains(id1, id2, id3, id4, idMethodName));
 
 		pm = new SearchParameterMap();
 		pm.add(Patient.SP_IDENTIFIER, new TokenParam("urn:system", methodName));
 		pm.setSort(new SortSpec(BaseResource.SP_RES_ID).setOrder(SortOrderEnum.DESC));
 		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
 		assertEquals(5, actual.size());
-		assertThat(actual, contains(id4, id3, id2, id1, idMethodName));
+		assertThat(actual, contains(idMethodName, id4, id3, id2, id1));
 	}
 
 	@Test

hapi-fhir-jpaserver-test-dstu3/src/test/java/ca/uhn/fhir/jpa/dao/dstu3/FhirResourceDaoDstu3SearchNoFtTest.java

@@ -3323,7 +3323,7 @@ public class FhirResourceDaoDstu3SearchNoFtTest extends BaseJpaDstu3Test {
 		map = new SearchParameterMap();
 		map.setSort(new SortSpec("_id", SortOrderEnum.ASC));
 		ids = toUnqualifiedVersionlessIdValues(myPatientDao.search(map));
-		assertThat(ids, contains("Patient/AA", "Patient/AB", id1, id2));
+		assertThat(ids, contains(id1, id2, "Patient/AA", "Patient/AB"));
 
 	}
 

hapi-fhir-jpaserver-test-dstu3/src/test/java/ca/uhn/fhir/jpa/dao/dstu3/FhirResourceDaoDstu3Test.java

@@ -2788,21 +2788,21 @@ public class FhirResourceDaoDstu3Test extends BaseJpaDstu3Test {
 		pm.setSort(new SortSpec(IAnyResource.SP_RES_ID));
 		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
 		assertEquals(5, actual.size());
-		assertThat(actual.toString(), actual, contains(idMethodName, id1, id2, id3, id4));
+		assertThat(actual.toString(), actual, contains(id1, id2, id3, id4, idMethodName));
 
 		pm = new SearchParameterMap();
 		pm.add(Patient.SP_IDENTIFIER, new TokenParam("urn:system", methodName));
 		pm.setSort(new SortSpec(IAnyResource.SP_RES_ID).setOrder(SortOrderEnum.ASC));
 		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
 		assertEquals(5, actual.size());
-		assertThat(actual.toString(), actual, contains(idMethodName, id1, id2, id3, id4));
+		assertThat(actual.toString(), actual, contains(id1, id2, id3, id4, idMethodName));
 
 		pm = new SearchParameterMap();
 		pm.add(Patient.SP_IDENTIFIER, new TokenParam("urn:system", methodName));
 		pm.setSort(new SortSpec(IAnyResource.SP_RES_ID).setOrder(SortOrderEnum.DESC));
 		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
 		assertEquals(5, actual.size());
-		assertThat(actual.toString(), actual, contains(id4, id3, id2, id1, idMethodName));
+		assertThat(actual.toString(), actual, contains(idMethodName, id4, id3, id2, id1));
 	}
 
 	@Test

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/dao/r4/BasePartitioningR4Test.java

@@ -138,7 +138,7 @@ public abstract class BasePartitioningR4Test extends BaseJpaR4SystemTest {
 	protected void dropForcedIdUniqueConstraint() {
 		runInTransaction(() -> {
 			myEntityManager.createNativeQuery("alter table " + ForcedId.HFJ_FORCED_ID + " drop constraint " + ForcedId.IDX_FORCEDID_TYPE_FID).executeUpdate();
-			myEntityManager.createNativeQuery("alter table " + ResourceTable.HFJ_RESOURCE + " drop constraint " + ResourceTable.IDX_RES_FHIR_ID).executeUpdate();
+			myEntityManager.createNativeQuery("alter table " + ResourceTable.HFJ_RESOURCE + " drop constraint " + ResourceTable.IDX_RES_TYPE_FHIR_ID).executeUpdate();
 		});
 		myHaveDroppedForcedIdUniqueConstraint = true;
 	}

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4QuerySandbox.java

@@ -0,0 +1,150 @@
+package ca.uhn.fhir.jpa.dao.r4;
+
+import ca.uhn.fhir.context.FhirContext;
+import ca.uhn.fhir.interceptor.api.Hook;
+import ca.uhn.fhir.interceptor.api.Pointcut;
+import ca.uhn.fhir.jpa.dao.TestDaoSearch;
+import ca.uhn.fhir.jpa.test.BaseJpaTest;
+import ca.uhn.fhir.jpa.test.config.TestHSearchAddInConfig;
+import ca.uhn.fhir.jpa.test.config.TestR4Config;
+import ca.uhn.fhir.jpa.util.SqlQuery;
+import ca.uhn.fhir.jpa.util.SqlQueryList;
+import ca.uhn.fhir.rest.api.server.RequestDetails;
+import ca.uhn.fhir.storage.test.DaoTestDataBuilder;
+import org.junit.jupiter.api.BeforeEach;
+import org.junit.jupiter.api.Test;
+import org.junit.jupiter.api.extension.ExtendWith;
+import org.junit.jupiter.api.extension.RegisterExtension;
+import org.slf4j.Logger;
+import org.slf4j.LoggerFactory;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.test.annotation.DirtiesContext;
+import org.springframework.test.context.ContextConfiguration;
+import org.springframework.test.context.TestContext;
+import org.springframework.test.context.TestExecutionListeners;
+import org.springframework.test.context.junit.jupiter.SpringExtension;
+import org.springframework.test.context.support.DependencyInjectionTestExecutionListener;
+import org.springframework.test.context.support.DirtiesContextTestExecutionListener;
+import org.springframework.transaction.PlatformTransactionManager;
+
+import java.util.ArrayList;
+import java.util.List;
+
+import static org.hamcrest.MatcherAssert.assertThat;
+import static org.hamcrest.Matchers.empty;
+import static org.hamcrest.Matchers.not;
+
+/**
+ * Sandbox for implementing queries.
+ * This will NOT run during the build - use this class as a convenient
+ * place to explore, debug, profile, and optimize.
+ */
+@ExtendWith(SpringExtension.class)
+@ContextConfiguration(classes = {
+	TestR4Config.class,
+	TestHSearchAddInConfig.NoFT.class,
+	DaoTestDataBuilder.Config.class,
+	TestDaoSearch.Config.class
+})
+@DirtiesContext(classMode = DirtiesContext.ClassMode.AFTER_CLASS)
+@TestExecutionListeners(listeners = {
+	DependencyInjectionTestExecutionListener.class
+	, FhirResourceDaoR4QuerySandbox.TestDirtiesContextTestExecutionListener.class
+})
+public class FhirResourceDaoR4QuerySandbox extends BaseJpaTest {
+	private static final Logger ourLog = LoggerFactory.getLogger(FhirResourceDaoR4QuerySandbox.class);
+
+	@Autowired
+	PlatformTransactionManager myTxManager;
+	@Autowired
+	FhirContext myFhirCtx;
+	@RegisterExtension
+	@Autowired
+	DaoTestDataBuilder myDataBuilder;
+	@Autowired
+	TestDaoSearch myTestDaoSearch;
+
+	@Override
+	protected PlatformTransactionManager getTxManager() {
+		return myTxManager;
+	}
+
+	@Override
+	protected FhirContext getFhirContext() {
+		return myFhirCtx;
+	}
+
+	List<String> myCapturedQueries = new ArrayList<>();
+	@BeforeEach
+	void registerLoggingInterceptor() {
+		registerInterceptor(new Object(){
+			@Hook(Pointcut.JPA_PERFTRACE_RAW_SQL)
+			public void captureSql(RequestDetails theRequestDetails, SqlQueryList theQueries) {
+				for (SqlQuery next : theQueries) {
+					String output = next.getSql(true, true, true);
+					ourLog.info("Query: {}", output);
+					myCapturedQueries.add(output);
+				}
+			}
+		});
+
+	}
+
+	@Test
+	public void testSearches_logQueries() {
+		myDataBuilder.createPatient();
+
+		myTestDaoSearch.searchForIds("Patient?name=smith");
+
+		assertThat(myCapturedQueries, not(empty()));
+	}
+
+	@Test
+	void testQueryByPid() {
+
+		// sentinel for over-match
+		myDataBuilder.createPatient();
+
+		String id = myDataBuilder.createPatient(
+			myDataBuilder.withBirthdate("1971-01-01"),
+			myDataBuilder.withActiveTrue(),
+			myDataBuilder.withFamily("Smith")).getIdPart();
+
+		myTestDaoSearch.assertSearchFindsOnly("search by server assigned id", "Patient?_pid=" + id, id);
+	}
+
+	@Test
+	void testQueryByPid_withOtherSPAvoidsResourceTable() {
+		// sentinel for over-match
+		myDataBuilder.createPatient();
+
+		String id = myDataBuilder.createPatient(
+			myDataBuilder.withBirthdate("1971-01-01"),
+			myDataBuilder.withActiveTrue(),
+			myDataBuilder.withFamily("Smith")).getIdPart();
+
+		myTestDaoSearch.assertSearchFindsOnly("search by server assigned id", "Patient?name=smith&_pid=" + id, id);
+	}
+
+	@Test
+	void testSortByPid() {
+
+		String id1 = myDataBuilder.createPatient(myDataBuilder.withFamily("Smithy")).getIdPart();
+		String id2 = myDataBuilder.createPatient(myDataBuilder.withFamily("Smithwick")).getIdPart();
+		String id3 = myDataBuilder.createPatient(myDataBuilder.withFamily("Smith")).getIdPart();
+
+		myTestDaoSearch.assertSearchFindsInOrder("sort by server assigned id", "Patient?family=smith&_sort=_pid", id1,id2,id3);
+		myTestDaoSearch.assertSearchFindsInOrder("reverse sort by server assigned id", "Patient?family=smith&_sort=-_pid", id3,id2,id1);
+	}
+
+	public static final class TestDirtiesContextTestExecutionListener extends DirtiesContextTestExecutionListener {
+
+		@Override
+		protected void beforeOrAfterTestClass(TestContext testContext, DirtiesContext.ClassMode requiredClassMode) throws Exception {
+			if (!testContext.getTestClass().getName().contains("$")) {
+				super.beforeOrAfterTestClass(testContext, requiredClassMode);
+			}
+		}
+	}
+
+}

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4SearchNoFtTest.java

@@ -176,6 +176,7 @@ import static ca.uhn.fhir.rest.param.ParamPrefixEnum.LESSTHAN;
 import static ca.uhn.fhir.rest.param.ParamPrefixEnum.LESSTHAN_OR_EQUALS;
 import static ca.uhn.fhir.rest.param.ParamPrefixEnum.NOT_EQUAL;
 import static ca.uhn.fhir.test.utilities.CustomMatchersUtil.assertDoesNotContainAnyOf;
+import static ca.uhn.fhir.util.DateUtils.convertDateToIso8601String;
 import static org.apache.commons.lang3.StringUtils.countMatches;
 import static org.apache.commons.lang3.StringUtils.leftPad;
 import static org.hamcrest.CoreMatchers.is;
@@ -447,6 +448,57 @@ public class FhirResourceDaoR4SearchNoFtTest extends BaseJpaR4Test {
 		assertEquals(0, ids.size());
 	}
 
+	@Test
+	public void testHasEncounterAndLastUpdated() {
+		// setup
+		Patient patientA = new Patient();
+		String patientIdA = myPatientDao.create(patientA).getId().toUnqualifiedVersionless().getValue();
+
+		Patient patientB = new Patient();
+		String patientIdB = myPatientDao.create(patientA).getId().toUnqualifiedVersionless().getValue();
+
+		Encounter encounterA = new Encounter();
+		encounterA.getClass_().setSystem("http://snomed.info/sct").setCode("55822004");
+		encounterA.getSubject().setReference(patientIdA);
+
+		// record time between encounter A and B
+		TestUtil.sleepOneClick();
+		Date beforeA = new Date();
+		TestUtil.sleepOneClick();
+
+		myEncounterDao.create(encounterA);
+
+		Encounter encounterB = new Encounter();
+		encounterB.getClass_().setSystem("http://snomed.info/sct").setCode("55822005");
+		encounterB.getSubject().setReference(patientIdB);
+
+		// record time between encounter A and B
+		TestUtil.sleepOneClick();
+		Date beforeB = new Date();
+		TestUtil.sleepOneClick();
+
+		myEncounterDao.create(encounterB);
+
+		// execute
+		String criteriaA = "_has:Encounter:patient:_lastUpdated=ge" + convertDateToIso8601String(beforeA);
+		SearchParameterMap mapA = myMatchUrlService.translateMatchUrl(criteriaA, myFhirContext.getResourceDefinition(Patient.class));
+		mapA.setLoadSynchronous(true);
+		myCaptureQueriesListener.clear();
+		IBundleProvider resultA = myPatientDao.search(mapA);
+		myCaptureQueriesListener.logSelectQueries();
+		List<String> idsBeforeA = toUnqualifiedVersionlessIdValues(resultA);
+
+		String criteriaB = "_has:Encounter:patient:_lastUpdated=ge" + convertDateToIso8601String(beforeB);
+		SearchParameterMap mapB = myMatchUrlService.translateMatchUrl(criteriaB, myFhirContext.getResourceDefinition(Patient.class));
+		mapB.setLoadSynchronous(true);
+		IBundleProvider resultB = myPatientDao.search(mapB);
+		List<String> idsBeforeB = toUnqualifiedVersionlessIdValues(resultB);
+
+		// verify
+		assertEquals(2, idsBeforeA.size());
+		assertEquals(1, idsBeforeB.size());
+	}
+
 	@Test
 	public void testGenderBirthdateHasCondition() {
 		Patient patient = new Patient();

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4SortTest.java

@@ -89,12 +89,12 @@ public class FhirResourceDaoR4SortTest extends BaseJpaR4Test {
 		map = new SearchParameterMap();
 		map.setSort(new SortSpec("_id", SortOrderEnum.ASC));
 		ids = toUnqualifiedVersionlessIdValues(myPatientDao.search(map));
-		assertThat(ids, contains("Patient/AA", "Patient/AB", id1, id2));
+		assertThat(ids, contains(id1, id2, "Patient/AA", "Patient/AB"));
 
 		map = new SearchParameterMap();
 		map.setSort(new SortSpec("_id", SortOrderEnum.DESC));
 		ids = toUnqualifiedVersionlessIdValues(myPatientDao.search(map));
-		assertThat(ids, contains(id2, id1, "Patient/AB", "Patient/AA"));
+		assertThat(ids, contains("Patient/AB", "Patient/AA", id2, id1));
 	}
 
 	@Test

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4StandardQueriesNoFTTest.java

@@ -4,15 +4,17 @@ import ca.uhn.fhir.context.FhirContext;
 import ca.uhn.fhir.jpa.api.dao.DaoRegistry;
 import ca.uhn.fhir.jpa.api.dao.IFhirResourceDao;
 import ca.uhn.fhir.jpa.dao.TestDaoSearch;
-import ca.uhn.fhir.jpa.search.CompositeSearchParameterTestCases;
-import ca.uhn.fhir.jpa.search.QuantitySearchParameterTestCases;
 import ca.uhn.fhir.jpa.search.BaseSourceSearchParameterTestCases;
+import ca.uhn.fhir.jpa.search.CompositeSearchParameterTestCases;
+import ca.uhn.fhir.jpa.search.IIdSearchTestTemplate;
+import ca.uhn.fhir.jpa.search.QuantitySearchParameterTestCases;
 import ca.uhn.fhir.jpa.searchparam.MatchUrlService;
 import ca.uhn.fhir.jpa.test.BaseJpaTest;
 import ca.uhn.fhir.jpa.test.config.TestHSearchAddInConfig;
 import ca.uhn.fhir.jpa.test.config.TestR4Config;
 import ca.uhn.fhir.storage.test.BaseDateSearchDaoTests;
 import ca.uhn.fhir.storage.test.DaoTestDataBuilder;
+import ca.uhn.fhir.test.utilities.ITestDataBuilder;
 import ca.uhn.fhir.test.utilities.ITestDataBuilder.ICreationArgument;
 import org.hl7.fhir.instance.model.api.IIdType;
 import org.hl7.fhir.r4.model.Observation;
@@ -36,9 +38,14 @@ import static org.hamcrest.MatcherAssert.assertThat;
 import static org.hamcrest.Matchers.contains;
 import static org.hamcrest.Matchers.equalTo;
 import static org.hamcrest.Matchers.hasItem;
-import static org.hamcrest.Matchers.hasItems;
 import static org.hamcrest.Matchers.not;
 
+/**
+ * Verify that our query behaviour matches the spec.
+ * Note: we do not extend BaseJpaR4Test here.
+ * That does a full purge in @AfterEach which is a bit slow.
+ * Instead, this test tracks all created resources in DaoTestDataBuilder, and deletes them in teardown.
+ */
 @ExtendWith(SpringExtension.class)
 @ContextConfiguration(classes = {
 	TestR4Config.class,
@@ -256,10 +263,10 @@ public class FhirResourceDaoR4StandardQueriesNoFTTest extends BaseJpaTest {
 					String idExM = withObservation(myDataBuilder.withObservationCode("http://example.org", "MValue")).getIdPart();
 
 					List<String> allIds = myTestDaoSearch.searchForIds("/Observation?_sort=code");
-					assertThat(allIds, hasItems(idAlphaA, idAlphaM, idAlphaZ, idExA, idExD, idExM));
+					assertThat(allIds, contains(idAlphaA, idAlphaM, idAlphaZ, idExA, idExD, idExM));
 
 					allIds = myTestDaoSearch.searchForIds("/Observation?_sort=code&code=http://example.org|");
-					assertThat(allIds, hasItems(idExA, idExD, idExM));
+					assertThat(allIds, contains(idExA, idExD, idExM));
 				}
 			}
 		}
@@ -368,7 +375,7 @@ public class FhirResourceDaoR4StandardQueriesNoFTTest extends BaseJpaTest {
 				String idAlpha5 = withRiskAssessmentWithProbabilty(0.5).getIdPart();
 
 				List<String> allIds = myTestDaoSearch.searchForIds("/RiskAssessment?_sort=probability");
-				assertThat(allIds, hasItems(idAlpha2, idAlpha5, idAlpha7));
+				assertThat(allIds, contains(idAlpha2, idAlpha5, idAlpha7));
 			}
 
 		}
@@ -491,12 +498,51 @@ public class FhirResourceDaoR4StandardQueriesNoFTTest extends BaseJpaTest {
 				String idAlpha5 = withObservationWithValueQuantity(0.5).getIdPart();
 
 				List<String> allIds = myTestDaoSearch.searchForIds("/Observation?_sort=value-quantity");
-				assertThat(allIds, hasItems(idAlpha2, idAlpha5, idAlpha7));
+				assertThat(allIds, contains(idAlpha2, idAlpha5, idAlpha7));
 			}
 		}
 
 	}
 
+	@Test
+	void testQueryByPid() {
+
+		// sentinel for over-match
+		myDataBuilder.createPatient();
+
+		String id = myDataBuilder.createPatient(
+			myDataBuilder.withBirthdate("1971-01-01"),
+			myDataBuilder.withActiveTrue(),
+			myDataBuilder.withFamily("Smith")).getIdPart();
+
+		myTestDaoSearch.assertSearchFindsOnly("search by server assigned id", "Patient?_pid=" + id, id);
+		myTestDaoSearch.assertSearchFindsOnly("search by server assigned id", "Patient?family=smith&_pid=" + id, id);
+	}
+
+	@Test
+	void testSortByPid() {
+
+		String id1 = myDataBuilder.createPatient(myDataBuilder.withFamily("Smithy")).getIdPart();
+		String id2 = myDataBuilder.createPatient(myDataBuilder.withFamily("Smithwick")).getIdPart();
+		String id3 = myDataBuilder.createPatient(myDataBuilder.withFamily("Smith")).getIdPart();
+
+		myTestDaoSearch.assertSearchFindsInOrder("sort by server assigned id", "Patient?family=smith&_sort=_pid", id1,id2,id3);
+		myTestDaoSearch.assertSearchFindsInOrder("reverse sort by server assigned id", "Patient?family=smith&_sort=-_pid", id3,id2,id1);
+	}
+
+	@Nested
+	public class IdSearch implements IIdSearchTestTemplate {
+		@Override
+		public TestDaoSearch getSearch() {
+			return myTestDaoSearch;
+		}
+
+		@Override
+		public ITestDataBuilder getBuilder() {
+			return myDataBuilder;
+		}
+	}
+
 	// todo mb re-enable this.  Some of these fail!
 	@Disabled
 	@Nested

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4Test.java

@@ -3352,63 +3352,6 @@ public class FhirResourceDaoR4Test extends BaseJpaR4Test {
 	}
 
 
-	@Test
-	public void testSortById() {
-		String methodName = "testSortBTyId";
-
-		Patient p = new Patient();
-		p.addIdentifier().setSystem("urn:system").setValue(methodName);
-		IIdType id1 = myPatientDao.create(p, mySrd).getId().toUnqualifiedVersionless();
-
-		p = new Patient();
-		p.addIdentifier().setSystem("urn:system").setValue(methodName);
-		IIdType id2 = myPatientDao.create(p, mySrd).getId().toUnqualifiedVersionless();
-
-		p = new Patient();
-		p.setId(methodName + "1");
-		p.addIdentifier().setSystem("urn:system").setValue(methodName);
-		IIdType idMethodName1 = myPatientDao.update(p, mySrd).getId().toUnqualifiedVersionless();
-		assertEquals(methodName + "1", idMethodName1.getIdPart());
-
-		p = new Patient();
-		p.addIdentifier().setSystem("urn:system").setValue(methodName);
-		IIdType id3 = myPatientDao.create(p, mySrd).getId().toUnqualifiedVersionless();
-
-		p = new Patient();
-		p.setId(methodName + "2");
-		p.addIdentifier().setSystem("urn:system").setValue(methodName);
-		IIdType idMethodName2 = myPatientDao.update(p, mySrd).getId().toUnqualifiedVersionless();
-		assertEquals(methodName + "2", idMethodName2.getIdPart());
-
-		p = new Patient();
-		p.addIdentifier().setSystem("urn:system").setValue(methodName);
-		IIdType id4 = myPatientDao.create(p, mySrd).getId().toUnqualifiedVersionless();
-
-		SearchParameterMap pm;
-		List<IIdType> actual;
-
-		pm = SearchParameterMap.newSynchronous();
-		pm.add(Patient.SP_IDENTIFIER, new TokenParam("urn:system", methodName));
-		pm.setSort(new SortSpec(IAnyResource.SP_RES_ID));
-		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
-		assertEquals(6, actual.size());
-		assertThat(actual, contains(idMethodName1, idMethodName2, id1, id2, id3, id4));
-
-		pm = SearchParameterMap.newSynchronous();
-		pm.add(Patient.SP_IDENTIFIER, new TokenParam("urn:system", methodName));
-		pm.setSort(new SortSpec(IAnyResource.SP_RES_ID).setOrder(SortOrderEnum.ASC));
-		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
-		assertEquals(6, actual.size());
-		assertThat(actual, contains(idMethodName1, idMethodName2, id1, id2, id3, id4));
-
-		pm = SearchParameterMap.newSynchronous();
-		pm.add(Patient.SP_IDENTIFIER, new TokenParam("urn:system", methodName));
-		pm.setSort(new SortSpec(IAnyResource.SP_RES_ID).setOrder(SortOrderEnum.DESC));
-		actual = toUnqualifiedVersionlessIds(myPatientDao.search(pm));
-		assertEquals(6, actual.size());
-		assertThat(actual, contains(id4, id3, id2, id1, idMethodName2, idMethodName1));
-	}
-
 	@ParameterizedTest
 	@ValueSource(booleans = {true, false})
 	public void testSortByMissingAttribute(boolean theIndexMissingData) {

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/dao/r4/SearchCoordinatorSvcImplTest.java

@@ -1,7 +1,6 @@
 package ca.uhn.fhir.jpa.dao.r4;
 
 import ca.uhn.fhir.interceptor.model.RequestPartitionId;
-import ca.uhn.fhir.jpa.api.svc.ISearchCoordinatorSvc;
 import ca.uhn.fhir.jpa.dao.data.ISearchDao;
 import ca.uhn.fhir.jpa.dao.data.ISearchResultDao;
 import ca.uhn.fhir.jpa.entity.Search;
@@ -16,6 +15,8 @@ import org.junit.jupiter.api.AfterEach;
 import org.junit.jupiter.api.Test;
 import org.springframework.beans.factory.annotation.Autowired;
 
+import java.time.Instant;
+import java.time.temporal.ChronoUnit;
 import java.util.Date;
 import java.util.UUID;
 
@@ -31,22 +32,20 @@ public class SearchCoordinatorSvcImplTest extends BaseJpaR4Test {
 	@Autowired
 	private ISearchResultDao mySearchResultDao;
 
-	@Autowired
-	private ISearchCoordinatorSvc mySearchCoordinator;
-
 	@Autowired
 	private ISearchCacheSvc myDatabaseCacheSvc;
 
 	@AfterEach
 	public void after() {
 		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteInOnePassForUnitTest(DatabaseSearchCacheSvcImpl.DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_PAS);
-		DatabaseSearchCacheSvcImpl.setMaximumSearchesToCheckForDeletionCandidacyForUnitTest(DEFAULT_MAX_DELETE_CANDIDATES_TO_FIND);
 	}
 
+	/**
+	 * Semi-obsolete test.  This used to test incremental deletion, but we now work until done or a timeout.
+	 */
 	@Test
 	public void testDeleteDontMarkPreviouslyMarkedSearchesAsDeleted() {
 		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteInOnePassForUnitTest(5);
-		DatabaseSearchCacheSvcImpl.setMaximumSearchesToCheckForDeletionCandidacyForUnitTest(10);
 
 		runInTransaction(()->{
 			mySearchResultDao.deleteAll();
@@ -86,28 +85,12 @@ public class SearchCoordinatorSvcImplTest extends BaseJpaR4Test {
 			assertEquals(30, mySearchResultDao.count());
 		});
 
-		myDatabaseCacheSvc.pollForStaleSearchesAndDeleteThem(RequestPartitionId.allPartitions());
+		myDatabaseCacheSvc.pollForStaleSearchesAndDeleteThem(RequestPartitionId.allPartitions(), Instant.now().plus(10, ChronoUnit.SECONDS));
 		runInTransaction(()->{
 			// We should delete up to 10, but 3 don't get deleted since they have too many results to delete in one pass
-			assertEquals(13, mySearchDao.count());
-			assertEquals(3, mySearchDao.countDeleted());
-			// We delete a max of 5 results per search, so half are gone
-			assertEquals(15, mySearchResultDao.count());
-		});
-
-		myDatabaseCacheSvc.pollForStaleSearchesAndDeleteThem(RequestPartitionId.allPartitions());
-		runInTransaction(()->{
-			// Once again we attempt to delete 10, but the first 3 don't get deleted and still remain
-			// (total is 6 because 3 weren't deleted, and they blocked another 3 that might have been)
-			assertEquals(6, mySearchDao.count());
-			assertEquals(6, mySearchDao.countDeleted());
-			assertEquals(0, mySearchResultDao.count());
-		});
-
-		myDatabaseCacheSvc.pollForStaleSearchesAndDeleteThem(RequestPartitionId.allPartitions());
-		runInTransaction(()->{
 			assertEquals(0, mySearchDao.count());
 			assertEquals(0, mySearchDao.countDeleted());
+			// We delete a max of 5 results per search, so half are gone
 			assertEquals(0, mySearchResultDao.count());
 		});
 	}

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/packages/PackageInstallerSvcImplCreateTest.java

@@ -22,7 +22,6 @@ import java.io.ByteArrayOutputStream;
 import java.io.IOException;
 import java.nio.charset.StandardCharsets;
 import java.util.List;
-import java.util.stream.Collectors;
 
 import static org.junit.jupiter.api.Assertions.assertEquals;
 import static org.junit.jupiter.api.Assertions.assertFalse;
@@ -53,7 +52,7 @@ public class PackageInstallerSvcImplCreateTest extends BaseJpaR4Test {
 		final NamingSystem namingSystem = new NamingSystem();
 		namingSystem.getUniqueId().add(new NamingSystem.NamingSystemUniqueIdComponent().setValue("123"));
 
-		create(namingSystem);
+		install(namingSystem);
 
 		assertEquals(1, myNamingSystemDao.search(SearchParameterMap.newSynchronous(), REQUEST_DETAILS).getAllResources().size());
 	}
@@ -184,7 +183,7 @@ public class PackageInstallerSvcImplCreateTest extends BaseJpaR4Test {
 	}
 
 	private void createValueSetAndCallCreate(String theOid, String theResourceVersion, String theValueSetVersion, String theUrl, String theCopyright) throws IOException {
-		create(createValueSet(theOid, theResourceVersion, theValueSetVersion, theUrl, theCopyright));
+		install(createValueSet(theOid, theResourceVersion, theValueSetVersion, theUrl, theCopyright));
 	}
 
 	@Nonnull
@@ -199,8 +198,8 @@ public class PackageInstallerSvcImplCreateTest extends BaseJpaR4Test {
 		return valueSetFromFirstIg;
 	}
 
-	private void create(IBaseResource theResource) throws IOException {
+	private void install(IBaseResource theResource) throws IOException {
-		mySvc.create(theResource, createInstallationSpec(packageToBytes()), new PackageInstallOutcomeJson());
+		mySvc.install(theResource, createInstallationSpec(packageToBytes()), new PackageInstallOutcomeJson());
 	}
 
 	@Nonnull

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/packages/PackageInstallerSvcImplRewriteHistoryTest.java

@@ -38,7 +38,7 @@ public class PackageInstallerSvcImplRewriteHistoryTest extends BaseJpaR4Test {
 
 		// execute
 		// red-green this threw a NPE before the fix
-		mySvc.updateResource(myConceptMapDao, conceptMap);
+		mySvc.createOrUpdateResource(myConceptMapDao, conceptMap, null);
 
 		// verify
 		ConceptMap readConceptMap = myConceptMapDao.read(CONCEPT_MAP_TEST_ID);

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/provider/r4/BinaryStorageInterceptorR4Test.java

@@ -10,6 +10,7 @@ import ca.uhn.fhir.jpa.binary.interceptor.BinaryStorageInterceptor;
 import ca.uhn.fhir.jpa.binstore.MemoryBinaryStorageSvcImpl;
 import ca.uhn.fhir.jpa.model.entity.StorageSettings;
 import ca.uhn.fhir.jpa.provider.BaseResourceProviderR4Test;
+import ca.uhn.fhir.model.primitive.IdDt;
 import ca.uhn.fhir.rest.api.RestOperationTypeEnum;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
 import ca.uhn.fhir.rest.client.api.IClientInterceptor;
@@ -18,13 +19,16 @@ import ca.uhn.fhir.rest.client.api.IHttpResponse;
 import ca.uhn.fhir.rest.server.exceptions.InvalidRequestException;
 import ca.uhn.fhir.util.HapiExtensions;
 import org.hl7.fhir.instance.model.api.IBaseHasExtensions;
-import org.hl7.fhir.instance.model.api.IBaseMetaType;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.instance.model.api.IIdType;
 import org.hl7.fhir.r4.model.Binary;
+import org.hl7.fhir.r4.model.Bundle;
 import org.hl7.fhir.r4.model.DocumentReference;
 import org.hl7.fhir.r4.model.Enumerations;
 import org.hl7.fhir.r4.model.Extension;
+import org.hl7.fhir.r4.model.IdType;
+import org.hl7.fhir.r4.model.Patient;
+import org.hl7.fhir.r4.model.Resource;
 import org.hl7.fhir.r4.model.StringType;
 import org.junit.jupiter.api.AfterEach;
 import org.junit.jupiter.api.BeforeEach;
@@ -32,7 +36,6 @@ import org.junit.jupiter.api.Test;
 import org.junit.jupiter.api.extension.ExtendWith;
 import org.junit.jupiter.params.ParameterizedTest;
 import org.junit.jupiter.params.provider.EnumSource;
-import org.junit.jupiter.params.provider.ValueSource;
 import org.mockito.junit.jupiter.MockitoExtension;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
@@ -62,6 +65,7 @@ public class BinaryStorageInterceptorR4Test extends BaseResourceProviderR4Test {
 	public static final byte[] FEW_BYTES = {4, 3, 2, 1};
 	public static final byte[] SOME_BYTES = {1, 2, 3, 4, 5, 6, 7, 8, 7, 6, 5, 4, 3, 2, 1, 8, 9, 0, 10, 9};
 	public static final byte[] SOME_BYTES_2 = {6, 7, 8, 7, 6, 5, 4, 3, 2, 1, 5, 5, 5, 6};
+	public static final byte[] SOME_BYTES_3 = {5, 5, 5, 6, 6, 7, 7, 7, 8, 8, 8};
 	private static final Logger ourLog = LoggerFactory.getLogger(BinaryStorageInterceptorR4Test.class);
 
 	@Autowired
@@ -381,12 +385,8 @@ public class BinaryStorageInterceptorR4Test extends BaseResourceProviderR4Test {
 
 		// Create a resource with a big enough docRef
 		DocumentReference docRef = new DocumentReference();
-		DocumentReference.DocumentReferenceContentComponent content = docRef.addContent();
+		addDocumentAttachmentData(docRef, SOME_BYTES);
-		content.getAttachment().setContentType("application/octet-stream");
+		addDocumentAttachmentData(docRef, SOME_BYTES_2);
-		content.getAttachment().setData(SOME_BYTES);
-		DocumentReference.DocumentReferenceContentComponent content2 = docRef.addContent();
-		content2.getAttachment().setContentType("application/octet-stream");
-		content2.getAttachment().setData(SOME_BYTES_2);
 		DaoMethodOutcome outcome = myDocumentReferenceDao.create(docRef, mySrd);
 
 		// Make sure it was externalized
@@ -422,18 +422,73 @@ public class BinaryStorageInterceptorR4Test extends BaseResourceProviderR4Test {
 
 	}
 
+	@Test
+	public void testCreateBinaryAttachments_bundleWithMultipleDocumentReferences_createdAndReadBackSuccessfully() {
+		// Create Patient
+		Patient patient = new Patient();
+		patient.addIdentifier().setSystem("urn:system").setValue("001");
+		patient.addName().addGiven("Johnny").setFamily("Walker");
+
+		// Create first DocumentReference with a big enough attachments
+		DocumentReference docRef = new DocumentReference();
+		addDocumentAttachmentData(docRef, SOME_BYTES);
+		addDocumentAttachmentData(docRef, SOME_BYTES_2);
+
+		// Create second DocumentReference with a big enough attachment
+		DocumentReference docRef2 = new DocumentReference();
+		addDocumentAttachmentData(docRef2, SOME_BYTES_3);
+
+		// Create Bundle
+		Bundle bundle = new Bundle();
+		bundle.setType(Bundle.BundleType.TRANSACTION);
+		// Patient entry component
+		addBundleEntry(bundle, patient, "Patient");
+		// First DocumentReference entry component
+		addBundleEntry(bundle, docRef, "DocumentReference");
+		// Second DocumentReference entry component
+		addBundleEntry(bundle, docRef2, "DocumentReference");
+
+		// Execute transaction
+		Bundle output = myClient.transaction().withBundle(bundle).execute();
+		ourLog.debug(myFhirContext.newXmlParser().setPrettyPrint(true).encodeResourceToString(output));
+
+		// Verify bundle response
+		assertEquals(3, output.getEntry().size());
+		output.getEntry().forEach(entry -> assertEquals("201 Created", entry.getResponse().getStatus()));
+
+		// Read back and verify first DocumentReference and attachments
+		IIdType firstDocRef = new IdType(output.getEntry().get(1).getResponse().getLocation());
+		DocumentReference firstDoc = myDocumentReferenceDao.read(firstDocRef, mySrd);
+		assertEquals("application/octet-stream", firstDoc.getContentFirstRep().getAttachment().getContentType());
+		assertArrayEquals(SOME_BYTES, firstDoc.getContentFirstRep().getAttachment().getData());
+		assertEquals("application/octet-stream", firstDoc.getContent().get(1).getAttachment().getContentType());
+		assertArrayEquals(SOME_BYTES_2, firstDoc.getContent().get(1).getAttachment().getData());
+
+		// Read back and verify second DocumentReference and attachment
+		IIdType secondDocRef = new IdType(output.getEntry().get(2).getResponse().getLocation());
+		DocumentReference secondDoc = myDocumentReferenceDao.read(secondDocRef, mySrd);
+		assertEquals("application/octet-stream", secondDoc.getContentFirstRep().getAttachment().getContentType());
+		assertArrayEquals(SOME_BYTES_3, secondDoc.getContentFirstRep().getAttachment().getData());
+	}
+
+	private void addBundleEntry(Bundle theBundle, Resource theResource, String theUrl) {
+		Bundle.BundleEntryComponent getComponent = new Bundle.BundleEntryComponent();
+		Bundle.BundleEntryRequestComponent requestComponent = new Bundle.BundleEntryRequestComponent();
+		requestComponent.setMethod(Bundle.HTTPVerb.POST);
+		requestComponent.setUrl(theUrl);
+		getComponent.setRequest(requestComponent);
+		getComponent.setResource(theResource);
+		getComponent.setFullUrl(IdDt.newRandomUuid().getValue());
+		theBundle.addEntry(getComponent);
+	}
 
 	@Test
 	public void testUpdateRejectsIncorrectBinary() {
 
 		// Create a resource with a big enough docRef
 		DocumentReference docRef = new DocumentReference();
-		DocumentReference.DocumentReferenceContentComponent content = docRef.addContent();
+		addDocumentAttachmentData(docRef, SOME_BYTES);
-		content.getAttachment().setContentType("application/octet-stream");
+		addDocumentAttachmentData(docRef, SOME_BYTES_2);
-		content.getAttachment().setData(SOME_BYTES);
-		DocumentReference.DocumentReferenceContentComponent content2 = docRef.addContent();
-		content2.getAttachment().setContentType("application/octet-stream");
-		content2.getAttachment().setData(SOME_BYTES_2);
 		DaoMethodOutcome outcome = myDocumentReferenceDao.create(docRef, mySrd);
 
 		// Make sure it was externalized
@@ -449,13 +504,13 @@ public class BinaryStorageInterceptorR4Test extends BaseResourceProviderR4Test {
 		docRef = new DocumentReference();
 		docRef.setId(id.toUnqualifiedVersionless());
 		docRef.setStatus(Enumerations.DocumentReferenceStatus.CURRENT);
-		content = docRef.addContent();
+		DocumentReference.DocumentReferenceContentComponent content = docRef.addContent();
 		content.getAttachment().setContentType("application/octet-stream");
 		content.getAttachment().getDataElement().addExtension(
 			HapiExtensions.EXT_EXTERNALIZED_BINARY_ID,
 			new StringType(binaryId)
 		);
-		content2 = docRef.addContent();
+		DocumentReference.DocumentReferenceContentComponent content2 = docRef.addContent();
 		content2.getAttachment().setContentType("application/octet-stream");
 		content2.getAttachment().getDataElement().addExtension(
 			HapiExtensions.EXT_EXTERNALIZED_BINARY_ID,
@@ -497,5 +552,10 @@ public class BinaryStorageInterceptorR4Test extends BaseResourceProviderR4Test {
 
 	}
 
+	private void addDocumentAttachmentData(DocumentReference theDocumentReference, byte[] theData) {
+		DocumentReference.DocumentReferenceContentComponent content = theDocumentReference.addContent();
+		content.getAttachment().setContentType("application/octet-stream");
+		content.getAttachment().setData(theData);
+	}
 
 }

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/provider/r4/ConsentInterceptorResourceProviderR4IT.java

@@ -12,6 +12,7 @@ import ca.uhn.fhir.rest.api.Constants;
 import ca.uhn.fhir.rest.api.PreferReturnEnum;
 import ca.uhn.fhir.rest.api.RestOperationTypeEnum;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
+import ca.uhn.fhir.rest.client.api.IHttpResponse;
 import ca.uhn.fhir.rest.client.interceptor.CapturingInterceptor;
 import ca.uhn.fhir.rest.gclient.StringClientParam;
 import ca.uhn.fhir.rest.server.exceptions.BaseServerResponseException;
@@ -66,12 +67,15 @@ import java.util.Arrays;
 import java.util.List;
 import java.util.stream.Collectors;
 
+import static org.apache.commons.lang3.StringUtils.isEmpty;
 import static org.apache.commons.lang3.StringUtils.leftPad;
 import static org.awaitility.Awaitility.await;
-import static org.hamcrest.CoreMatchers.containsString;
+import static org.hamcrest.Matchers.containsString;
-import static org.hamcrest.CoreMatchers.equalTo;
+import static org.hamcrest.Matchers.equalTo;
-import static org.hamcrest.CoreMatchers.is;
+import static org.hamcrest.Matchers.hasItem;
-import static org.hamcrest.CoreMatchers.not;
+import static org.hamcrest.Matchers.is;
+import static org.hamcrest.Matchers.empty;
+import static org.hamcrest.Matchers.not;
 import static org.hamcrest.MatcherAssert.assertThat;
 import static org.hamcrest.Matchers.blankOrNullString;
 import static org.hamcrest.Matchers.hasSize;
@@ -189,8 +193,64 @@ public class ConsentInterceptorResourceProviderR4IT extends BaseResourceProvider
 		myServer.getRestfulServer().getInterceptorService().registerInterceptor(myConsentInterceptor);
 
 		// Perform a search and only allow even
+		String context = "active consent - hide odd";
 		consentService.setTarget(new ConsentSvcCantSeeOddNumbered());
-		Bundle result = myClient
+		List<String> returnedIdValues = searchForObservations();
+		assertEquals(myObservationIdsEvenOnly.subList(0, 15), returnedIdValues);
+		assertResponseIsNotFromCache(context, capture.getLastResponse());
+
+		// Perform a search and only allow odd
+		context = "active consent - hide even";
+		consentService.setTarget(new ConsentSvcCantSeeEvenNumbered());
+		returnedIdValues = searchForObservations();
+		assertEquals(myObservationIdsOddOnly.subList(0, 15), returnedIdValues);
+		assertResponseIsNotFromCache(context, capture.getLastResponse());
+
+		// Perform a search and allow all with a PROCEED
+		context = "active consent - PROCEED on cache";
+		consentService.setTarget(new ConsentSvcNop(ConsentOperationStatusEnum.PROCEED));
+		returnedIdValues = searchForObservations();
+		assertEquals(myObservationIds.subList(0, 15), returnedIdValues);
+		assertResponseIsNotFromCache(context, capture.getLastResponse());
+
+		// Perform a search and allow all with an AUTHORIZED (no further checking)
+		context = "active consent - AUTHORIZED after a PROCEED";
+		consentService.setTarget(new ConsentSvcNop(ConsentOperationStatusEnum.AUTHORIZED));
+		returnedIdValues = searchForObservations();
+		assertEquals(myObservationIds.subList(0, 15), returnedIdValues);
+
+		// Perform a second search and allow all with an AUTHORIZED (no further checking)
+		// which means we should finally get one from the cache
+		context = "active consent - AUTHORIZED after AUTHORIZED";
+		consentService.setTarget(new ConsentSvcNop(ConsentOperationStatusEnum.AUTHORIZED));
+		returnedIdValues = searchForObservations();
+		assertEquals(myObservationIds.subList(0, 15), returnedIdValues);
+		assertResponseIsFromCache(context, capture.getLastResponse());
+
+		// Perform another search, now with an active consent interceptor that promises not to use canSeeResource.
+		// Should re-use cache result
+		context = "active consent - canSeeResource disabled, after AUTHORIZED - should reuse cache";
+		consentService.setTarget(new ConsentSvcNop(ConsentOperationStatusEnum.PROCEED, false));
+		returnedIdValues = searchForObservations();
+		assertEquals(myObservationIds.subList(0, 15), returnedIdValues);
+		assertResponseIsFromCache(context, capture.getLastResponse());
+
+		myClient.unregisterInterceptor(capture);
+	}
+
+	private static void assertResponseIsNotFromCache(String theContext, IHttpResponse lastResponse) {
+		List<String> cacheOutcome= lastResponse.getHeaders(Constants.HEADER_X_CACHE);
+		assertThat(theContext + " - No cache response headers", cacheOutcome, empty());
+	}
+
+	private static void assertResponseIsFromCache(String theContext, IHttpResponse lastResponse) {
+		List<String> cacheOutcome = lastResponse.getHeaders(Constants.HEADER_X_CACHE);
+		assertThat(theContext + " - Response came from cache", cacheOutcome, hasItem(matchesPattern("^HIT from .*")));
+	}
+
+	private List<String> searchForObservations() {
+		Bundle result;
+		result = myClient
 			.search()
 			.forResource("Observation")
 			.sort()
@@ -199,77 +259,7 @@ public class ConsentInterceptorResourceProviderR4IT extends BaseResourceProvider
 			.count(15)
 			.execute();
 		List<IBaseResource> resources = BundleUtil.toListOfResources(myFhirContext, result);
-		List<String> returnedIdValues = toUnqualifiedVersionlessIdValues(resources);
+		return toUnqualifiedVersionlessIdValues(resources);
-		assertEquals(myObservationIdsEvenOnly.subList(0, 15), returnedIdValues);
-		List<String> cacheOutcome = capture.getLastResponse().getHeaders(Constants.HEADER_X_CACHE);
-		assertEquals(0, cacheOutcome.size());
-
-		// Perform a search and only allow odd
-		consentService.setTarget(new ConsentSvcCantSeeEvenNumbered());
-		result = myClient
-			.search()
-			.forResource("Observation")
-			.sort()
-			.ascending(Observation.SP_IDENTIFIER)
-			.returnBundle(Bundle.class)
-			.count(15)
-			.execute();
-		resources = BundleUtil.toListOfResources(myFhirContext, result);
-		returnedIdValues = toUnqualifiedVersionlessIdValues(resources);
-		assertEquals(myObservationIdsOddOnly.subList(0, 15), returnedIdValues);
-		cacheOutcome = capture.getLastResponse().getHeaders(Constants.HEADER_X_CACHE);
-		assertEquals(0, cacheOutcome.size());
-
-		// Perform a search and allow all with a PROCEED
-		consentService.setTarget(new ConsentSvcNop(ConsentOperationStatusEnum.PROCEED));
-		result = myClient
-			.search()
-			.forResource("Observation")
-			.sort()
-			.ascending(Observation.SP_IDENTIFIER)
-			.returnBundle(Bundle.class)
-			.count(15)
-			.execute();
-		resources = BundleUtil.toListOfResources(myFhirContext, result);
-		returnedIdValues = toUnqualifiedVersionlessIdValues(resources);
-		assertEquals(myObservationIds.subList(0, 15), returnedIdValues);
-		cacheOutcome = capture.getLastResponse().getHeaders(Constants.HEADER_X_CACHE);
-		assertEquals(0, cacheOutcome.size());
-
-		// Perform a search and allow all with an AUTHORIZED (no further checking)
-		consentService.setTarget(new ConsentSvcNop(ConsentOperationStatusEnum.AUTHORIZED));
-		result = myClient
-			.search()
-			.forResource("Observation")
-			.sort()
-			.ascending(Observation.SP_IDENTIFIER)
-			.returnBundle(Bundle.class)
-			.count(15)
-			.execute();
-		resources = BundleUtil.toListOfResources(myFhirContext, result);
-		returnedIdValues = toUnqualifiedVersionlessIdValues(resources);
-		assertEquals(myObservationIds.subList(0, 15), returnedIdValues);
-		cacheOutcome = capture.getLastResponse().getHeaders(Constants.HEADER_X_CACHE);
-		assertEquals(0, cacheOutcome.size());
-
-		// Perform a second search and allow all with an AUTHORIZED (no further checking)
-		// which means we should finally get one from the cache
-		consentService.setTarget(new ConsentSvcNop(ConsentOperationStatusEnum.AUTHORIZED));
-		result = myClient
-			.search()
-			.forResource("Observation")
-			.sort()
-			.ascending(Observation.SP_IDENTIFIER)
-			.returnBundle(Bundle.class)
-			.count(15)
-			.execute();
-		resources = BundleUtil.toListOfResources(myFhirContext, result);
-		returnedIdValues = toUnqualifiedVersionlessIdValues(resources);
-		assertEquals(myObservationIds.subList(0, 15), returnedIdValues);
-		cacheOutcome = capture.getLastResponse().getHeaders(Constants.HEADER_X_CACHE);
-		assertThat(cacheOutcome.get(0), matchesPattern("^HIT from .*"));
-
-		myClient.unregisterInterceptor(capture);
 	}
 
 	@Test
@@ -528,6 +518,7 @@ public class ConsentInterceptorResourceProviderR4IT extends BaseResourceProvider
 
 		IConsentService svc = mock(IConsentService.class);
 		when(svc.startOperation(any(), any())).thenReturn(ConsentOutcome.PROCEED);
+		when(svc.shouldProcessCanSeeResource(any(), any())).thenReturn(true);
 		when(svc.canSeeResource(any(), any(), any())).thenReturn(ConsentOutcome.REJECT);
 
 		consentService.setTarget(svc);
@@ -560,6 +551,7 @@ public class ConsentInterceptorResourceProviderR4IT extends BaseResourceProvider
 
 		IConsentService svc = mock(IConsentService.class);
 		when(svc.startOperation(any(), any())).thenReturn(ConsentOutcome.PROCEED);
+		when(svc.shouldProcessCanSeeResource(any(), any())).thenReturn(true);
 		when(svc.canSeeResource(any(RequestDetails.class), any(IBaseResource.class), any())).thenAnswer(t -> {
 			IBaseResource resource = t.getArgument(1, IBaseResource.class);
 			if (resource instanceof Organization) {
@@ -998,16 +990,27 @@ public class ConsentInterceptorResourceProviderR4IT extends BaseResourceProvider
 	private static class ConsentSvcNop implements IConsentService {
 
 		private final ConsentOperationStatusEnum myOperationStatus;
+		private boolean myEnableCanSeeResource = true;
 
 		private ConsentSvcNop(ConsentOperationStatusEnum theOperationStatus) {
 			myOperationStatus = theOperationStatus;
 		}
 
+		private ConsentSvcNop(ConsentOperationStatusEnum theOperationStatus, boolean theEnableCanSeeResource) {
+			myOperationStatus = theOperationStatus;
+			myEnableCanSeeResource = theEnableCanSeeResource;
+		}
+
 		@Override
 		public ConsentOutcome startOperation(RequestDetails theRequestDetails, IConsentContextServices theContextServices) {
 			return new ConsentOutcome(myOperationStatus);
 		}
 
+		@Override
+		public boolean shouldProcessCanSeeResource(RequestDetails theRequestDetails, IConsentContextServices theContextServices) {
+			return myEnableCanSeeResource;
+		}
+
 		@Override
 		public ConsentOutcome canSeeResource(RequestDetails theRequestDetails, IBaseResource theResource, IConsentContextServices theContextServices) {
 			return new ConsentOutcome(ConsentOperationStatusEnum.PROCEED);

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/provider/r4/MultitenantServerR4Test.java

@@ -23,6 +23,7 @@ import ca.uhn.fhir.rest.server.RestfulServer;
 import ca.uhn.fhir.rest.server.exceptions.InvalidRequestException;
 import ca.uhn.fhir.rest.server.exceptions.MethodNotAllowedException;
 import ca.uhn.fhir.rest.server.exceptions.ResourceNotFoundException;
+import ca.uhn.fhir.rest.server.interceptor.auth.SearchNarrowingInterceptor;
 import ca.uhn.fhir.rest.server.provider.ProviderConstants;
 import ca.uhn.fhir.rest.server.servlet.ServletRequestDetails;
 import ca.uhn.fhir.test.utilities.ITestDataBuilder;
@@ -40,11 +41,14 @@ import org.hl7.fhir.r4.model.Condition;
 import org.hl7.fhir.r4.model.IdType;
 import org.hl7.fhir.r4.model.Organization;
 import org.hl7.fhir.r4.model.Patient;
+import org.hl7.fhir.r4.model.Resource;
 import org.hl7.fhir.r4.model.StringType;
 import org.junit.jupiter.api.AfterEach;
 import org.junit.jupiter.api.BeforeEach;
 import org.junit.jupiter.api.Nested;
 import org.junit.jupiter.api.Test;
+import org.junit.jupiter.params.ParameterizedTest;
+import org.junit.jupiter.params.provider.ValueSource;
 import org.mockito.InjectMocks;
 import org.mockito.Mock;
 import org.mockito.Spy;
@@ -65,6 +69,7 @@ import static org.hamcrest.Matchers.containsString;
 import static org.hamcrest.Matchers.hasSize;
 import static org.junit.jupiter.api.Assertions.assertEquals;
 import static org.junit.jupiter.api.Assertions.assertFalse;
+import static org.junit.jupiter.api.Assertions.assertNotNull;
 import static org.junit.jupiter.api.Assertions.assertNull;
 import static org.junit.jupiter.api.Assertions.assertTrue;
 import static org.junit.jupiter.api.Assertions.fail;
@@ -424,6 +429,55 @@ public class MultitenantServerR4Test extends BaseMultitenantResourceProviderR4Te
 
 	}
 
+	@Test
+	public void testTransactionPut_withSearchNarrowingInterceptor_createsPatient() {
+		// setup
+		IBaseResource patientA = buildPatient(withTenant(TENANT_B), withActiveTrue(), withId("1234a"),
+			withFamily("Family"), withGiven("Given"));
+
+		Bundle transactioBundle = new Bundle();
+		transactioBundle.setType(Bundle.BundleType.TRANSACTION);
+		transactioBundle.addEntry()
+			.setFullUrl("http://localhost:8000/TENANT-A/Patient/1234a")
+			.setResource((Resource) patientA)
+			.getRequest().setUrl("Patient/1234a").setMethod(Bundle.HTTPVerb.PUT);
+
+		myServer.registerInterceptor(new SearchNarrowingInterceptor());
+
+		// execute
+		myClient.transaction().withBundle(transactioBundle).execute();
+
+		// verify - read back using DAO
+		SystemRequestDetails requestDetails = new SystemRequestDetails();
+		requestDetails.setTenantId(TENANT_B);
+		Patient patient1 = myPatientDao.read(new IdType("Patient/1234a"), requestDetails);
+		assertEquals("Family", patient1.getName().get(0).getFamily());
+	}
+
+	@ParameterizedTest
+	@ValueSource(strings = {"Patient/1234a", "TENANT-B/Patient/1234a"})
+	public void testTransactionGet_withSearchNarrowingInterceptor_retrievesPatient(String theEntryUrl) {
+		// setup
+		createPatient(withTenant(TENANT_B), withActiveTrue(), withId("1234a"),
+			withFamily("Family"), withGiven("Given"));
+
+		Bundle transactioBundle = new Bundle();
+		transactioBundle.setType(Bundle.BundleType.TRANSACTION);
+		transactioBundle.addEntry()
+			.getRequest().setUrl(theEntryUrl).setMethod(Bundle.HTTPVerb.GET);
+
+		myServer.registerInterceptor(new SearchNarrowingInterceptor());
+
+		// execute
+		Bundle result = myClient.transaction().withBundle(transactioBundle).execute();
+
+		// verify
+		assertEquals(1, result.getEntry().size());
+		Patient retrievedPatient = (Patient) result.getEntry().get(0).getResource();
+		assertNotNull(retrievedPatient);
+		assertEquals("Family", retrievedPatient.getName().get(0).getFamily());
+	}
+
 	@Test
 	public void testDirectDaoAccess_PartitionInRequestDetails_Create() {
 

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/provider/r4/StaleSearchDeletingSvcR4Test.java

@@ -48,7 +48,7 @@ public class StaleSearchDeletingSvcR4Test extends BaseResourceProviderR4Test {
 		super.after();
 		DatabaseSearchCacheSvcImpl staleSearchDeletingSvc = AopTestUtils.getTargetObject(mySearchCacheSvc);
 		staleSearchDeletingSvc.setCutoffSlackForUnitTest(DatabaseSearchCacheSvcImpl.SEARCH_CLEANUP_JOB_INTERVAL_MILLIS);
-		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteForUnitTest(DatabaseSearchCacheSvcImpl.DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_STMT);
+		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteInOneStatement(DatabaseSearchCacheSvcImpl.DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_STMT);
 		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteInOnePassForUnitTest(DatabaseSearchCacheSvcImpl.DEFAULT_MAX_RESULTS_TO_DELETE_IN_ONE_PAS);
 	}
 
@@ -108,7 +108,7 @@ public class StaleSearchDeletingSvcR4Test extends BaseResourceProviderR4Test {
 
 	@Test
 	public void testDeleteVeryLargeSearch() {
-		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteForUnitTest(10);
+		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteInOneStatement(10);
 		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteInOnePassForUnitTest(10);
 
 		runInTransaction(() -> {
@@ -120,24 +120,21 @@ public class StaleSearchDeletingSvcR4Test extends BaseResourceProviderR4Test {
 			search.setResourceType("Patient");
 			search = mySearchEntityDao.save(search);
 
-			for (int i = 0; i < 15; i++) {
 			ResourceTable resource = new ResourceTable();
 			resource.setPublished(new Date());
 			resource.setUpdated(new Date());
 			resource.setResourceType("Patient");
 			resource = myResourceTableDao.saveAndFlush(resource);
 
+			for (int i = 0; i < 50; i++) {
 				SearchResult sr = new SearchResult(search);
 				sr.setOrder(i);
 				sr.setResourcePid(resource.getId());
 				mySearchResultDao.save(sr);
 			}
-
 		});
 
-		// It should take two passes to delete the search fully
+		// we are able to delete this in one pass.
-		runInTransaction(() -> assertEquals(1, mySearchEntityDao.count()));
-		myStaleSearchDeletingSvc.pollForStaleSearchesAndDeleteThem();
 		runInTransaction(() -> assertEquals(1, mySearchEntityDao.count()));
 		myStaleSearchDeletingSvc.pollForStaleSearchesAndDeleteThem();
 		runInTransaction(() -> assertEquals(0, mySearchEntityDao.count()));
@@ -146,7 +143,7 @@ public class StaleSearchDeletingSvcR4Test extends BaseResourceProviderR4Test {
 
 	@Test
 	public void testDeleteVerySmallSearch() {
-		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteForUnitTest(10);
+		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteInOneStatement(10);
 
         runInTransaction(() -> {
 			Search search = new Search();
@@ -172,7 +169,7 @@ public class StaleSearchDeletingSvcR4Test extends BaseResourceProviderR4Test {
 
 	@Test
 	public void testDontDeleteSearchBeforeExpiry() {
-		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteForUnitTest(10);
+		DatabaseSearchCacheSvcImpl.setMaximumResultsToDeleteInOneStatement(10);
 
         runInTransaction(() -> {
 			Search search = new Search();
@@ -186,7 +183,7 @@ public class StaleSearchDeletingSvcR4Test extends BaseResourceProviderR4Test {
 			search.setCreated(DateUtils.addDays(new Date(), -10000));
 			search.setSearchType(SearchTypeEnum.SEARCH);
 			search.setResourceType("Patient");
-			search = mySearchEntityDao.save(search);
+			mySearchEntityDao.save(search);
 
 		});
 

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/subscription/message/MessageSubscriptionR4Test.java

@@ -253,22 +253,24 @@ public class MessageSubscriptionR4Test extends BaseSubscriptionsR4Test {
 	}
 
 	@Test
-	public void testPersistedResourceModifiedMessage_whenFetchFromDb_willEqualOriginalMessage() throws JsonProcessingException {
+	public void testMethodInflatePersistedResourceModifiedMessage_whenGivenResourceModifiedMessageWithEmptyPayload_willEqualOriginalMessage() {
 		mySubscriptionTestUtil.unregisterSubscriptionInterceptor();
-		// given
+		// setup
 		TransactionTemplate transactionTemplate = new TransactionTemplate(myTxManager);
 		Observation obs = sendObservation("zoop", "SNOMED-CT", "theExplicitSource", "theRequestId");
 
 		ResourceModifiedMessage originalResourceModifiedMessage = createResourceModifiedMessage(obs);
+		ResourceModifiedMessage resourceModifiedMessageWithEmptyPayload = createResourceModifiedMessage(obs);
+		resourceModifiedMessageWithEmptyPayload.setPayloadToNull();
 
 		transactionTemplate.execute(tx -> {
 
-				IPersistedResourceModifiedMessage persistedResourceModifiedMessage = myResourceModifiedMessagePersistenceSvc.persist(originalResourceModifiedMessage);
+			myResourceModifiedMessagePersistenceSvc.persist(originalResourceModifiedMessage);
 
-				// when
+			// execute
-				ResourceModifiedMessage restoredResourceModifiedMessage = myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessage(persistedResourceModifiedMessage);
+			ResourceModifiedMessage restoredResourceModifiedMessage = myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessage(resourceModifiedMessageWithEmptyPayload);
 
-				// then
+			// verify
 			assertEquals(toJson(originalResourceModifiedMessage), toJson(restoredResourceModifiedMessage));
 			assertEquals(originalResourceModifiedMessage, restoredResourceModifiedMessage);
 

hapi-fhir-jpaserver-test-r4/src/test/java/ca/uhn/fhir/jpa/subscription/svc/ResourceModifiedSubmitterSvcTest.java

@@ -105,7 +105,7 @@ public class ResourceModifiedSubmitterSvcTest {
 		// given
 		// a successful deletion implies that the message did exist.
 		when(myResourceModifiedMessagePersistenceSvc.deleteByPK(any())).thenReturn(true);
-		when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessage(any())).thenReturn(new ResourceModifiedMessage());
+		when(myResourceModifiedMessagePersistenceSvc.createResourceModifiedMessageFromEntityWithoutInflation(any())).thenReturn(new ResourceModifiedMessage());
 
 		// when
 		boolean wasProcessed = myResourceModifiedSubmitterSvc.submitPersisedResourceModifiedMessage(new ResourceModifiedEntity());
@@ -134,7 +134,7 @@ public class ResourceModifiedSubmitterSvcTest {
 		// when
 		when(myResourceModifiedMessagePersistenceSvc.deleteByPK(any()))
 			.thenThrow(new RuntimeException(deleteExMsg));
-		when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessage(any()))
+		when(myResourceModifiedMessagePersistenceSvc.createResourceModifiedMessageFromEntityWithoutInflation(any()))
 			.thenThrow(new RuntimeException(inflationExMsg));
 
 		// test
@@ -180,7 +180,7 @@ public class ResourceModifiedSubmitterSvcTest {
 		// when
 		when(myResourceModifiedMessagePersistenceSvc.deleteByPK(any()))
 			.thenReturn(true);
-		when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessage(any()))
+		when(myResourceModifiedMessagePersistenceSvc.createResourceModifiedMessageFromEntityWithoutInflation(any()))
 			.thenReturn(msg);
 		when(myChannelProducer.send(any()))
 			.thenThrow(new RuntimeException(exceptionString));
@@ -206,7 +206,7 @@ public class ResourceModifiedSubmitterSvcTest {
 		// given
 		// deletion fails, someone else was faster and processed the message
 		when(myResourceModifiedMessagePersistenceSvc.deleteByPK(any())).thenReturn(false);
-		when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessage(any())).thenReturn(new ResourceModifiedMessage());
+		when(myResourceModifiedMessagePersistenceSvc.createResourceModifiedMessageFromEntityWithoutInflation(any())).thenReturn(new ResourceModifiedMessage());
 
 		// when
 		boolean wasProcessed = myResourceModifiedSubmitterSvc.submitPersisedResourceModifiedMessage(new ResourceModifiedEntity());
@@ -223,7 +223,7 @@ public class ResourceModifiedSubmitterSvcTest {
 	public void testSubmitPersistedResourceModifiedMessage_whitErrorOnSending_willRollbackDeletion(){
 		// given
 		when(myResourceModifiedMessagePersistenceSvc.deleteByPK(any())).thenReturn(true);
-		when(myResourceModifiedMessagePersistenceSvc.inflatePersistedResourceModifiedMessage(any())).thenReturn(new ResourceModifiedMessage());
+		when(myResourceModifiedMessagePersistenceSvc.createResourceModifiedMessageFromEntityWithoutInflation(any())).thenReturn(new ResourceModifiedMessage());
 
 		// simulate failure writing to the channel
 		when(myChannelProducer.send(any())).thenThrow(new MessageDeliveryException("sendingError"));

hapi-fhir-jpaserver-test-utilities/src/main/java/ca/uhn/fhir/jpa/dao/TestDaoSearch.java

@@ -46,6 +46,9 @@ import java.util.List;
 import java.util.stream.Collectors;
 import javax.annotation.Nonnull;
 
+import static org.apache.commons.lang3.ArrayUtils.EMPTY_STRING_ARRAY;
+import static org.hamcrest.Matchers.contains;
+import static org.hamcrest.Matchers.containsInAnyOrder;
 import static org.hamcrest.Matchers.everyItem;
 import static org.hamcrest.Matchers.hasItems;
 import static org.hamcrest.Matchers.in;
@@ -105,6 +108,10 @@ public class TestDaoSearch {
 		assertSearchResultIds(theQueryUrl, theReason, hasItems(theIds));
 	}
 
+	public void assertSearchFinds(String theReason, String theQueryUrl, List<String> theIds) {
+		assertSearchFinds(theReason, theQueryUrl, theIds.toArray(EMPTY_STRING_ARRAY));
+	}
+
 	/**
 	 * Assert that the FHIR search has theIds in the search results.
 	 * @param theReason junit reason message
@@ -117,6 +124,27 @@ public class TestDaoSearch {
 		assertSearchResultIds(theQueryUrl, theReason, hasItems(bareIds));
 	}
 
+	public void assertSearchFindsInOrder(String theReason, String theQueryUrl, String... theIds) {
+		List<String> ids = searchForIds(theQueryUrl);
+
+		MatcherAssert.assertThat(theReason, ids, contains(theIds));
+	}
+
+	public void assertSearchFindsInOrder(String theReason, String theQueryUrl, List<String> theIds) {
+		assertSearchFindsInOrder(theReason, theQueryUrl, theIds.toArray(EMPTY_STRING_ARRAY));
+	}
+
+	public void assertSearchFindsOnly(String theReason, String theQueryUrl, String... theIds) {
+		assertSearchIdsMatch(theReason, theQueryUrl, containsInAnyOrder(theIds));
+	}
+
+	public void assertSearchIdsMatch(
+			String theReason, String theQueryUrl, Matcher<? super Iterable<String>> theMatchers) {
+		List<String> ids = searchForIds(theQueryUrl);
+
+		MatcherAssert.assertThat(theReason, ids, theMatchers);
+	}
+
 	public void assertSearchResultIds(String theQueryUrl, String theReason, Matcher<Iterable<String>> matcher) {
 		List<String> ids = searchForIds(theQueryUrl);
 

hapi-fhir-jpaserver-test-utilities/src/main/java/ca/uhn/fhir/jpa/search/IIdSearchTestTemplate.java

@@ -0,0 +1,74 @@
+/*-
+ * #%L
+ * HAPI FHIR JPA Server Test Utilities
+ * %%
+ * Copyright (C) 2014 - 2023 Smile CDR, Inc.
+ * %%
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *      http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ * #L%
+ */
+package ca.uhn.fhir.jpa.search;
+
+import ca.uhn.fhir.jpa.dao.TestDaoSearch;
+import ca.uhn.fhir.test.utilities.ITestDataBuilder;
+import org.hl7.fhir.instance.model.api.IIdType;
+import org.junit.jupiter.api.Test;
+
+import java.util.List;
+
+public interface IIdSearchTestTemplate {
+	TestDaoSearch getSearch();
+
+	ITestDataBuilder getBuilder();
+
+	@Test
+	default void testSearchByServerAssignedId_findsResource() {
+		IIdType id = getBuilder().createPatient();
+
+		getSearch().assertSearchFinds("search by server assigned id", "Patient?_id=" + id.getIdPart(), id);
+	}
+
+	@Test
+	default void testSearchByClientAssignedId_findsResource() {
+		ITestDataBuilder b = getBuilder();
+		b.createPatient(b.withId("client-assigned-id"));
+
+		getSearch()
+				.assertSearchFinds(
+						"search by client assigned id", "Patient?_id=client-assigned-id", "client-assigned-id");
+	}
+
+	/**
+	 * The _id SP is defined as token, and there is no system.
+	 * So sorting should be string order of the value.
+	 */
+	@Test
+	default void testSortById_treatsIdsAsString() {
+		ITestDataBuilder b = getBuilder();
+		b.createPatient(b.withId("client-assigned-id"));
+		IIdType serverId = b.createPatient();
+		b.createPatient(b.withId("0-sorts-before-other-numbers"));
+
+		getSearch()
+				.assertSearchFindsInOrder(
+						"sort by resource id",
+						"Patient?_sort=_id",
+						List.of("0-sorts-before-other-numbers", serverId.getIdPart(), "client-assigned-id"));
+
+		getSearch()
+				.assertSearchFindsInOrder(
+						"reverse sort by resource id",
+						"Patient?_sort=-_id",
+						List.of("client-assigned-id", serverId.getIdPart(), "0-sorts-before-other-numbers"));
+	}
+}

hapi-fhir-jpaserver-test-utilities/src/main/java/ca/uhn/fhir/jpa/test/BaseJpaTest.java

@@ -431,6 +431,11 @@ public abstract class BaseJpaTest extends BaseTest {
 		return deliveryLatch;
 	}
 
+	protected void registerInterceptor(Object theInterceptor) {
+		myRegisteredInterceptors.add(theInterceptor);
+		myInterceptorRegistry.registerInterceptor(theInterceptor);
+	}
+
 	protected void purgeHibernateSearch(EntityManager theEntityManager) {
 		runInTransaction(() -> {
 			if (myFulltestSearchSvc != null && !myFulltestSearchSvc.isDisabled()) {

hapi-fhir-jpaserver-test-utilities/src/main/java/ca/uhn/fhir/jpa/test/config/ConnectionWrapper.java

@@ -65,6 +65,7 @@ public class ConnectionWrapper implements Connection {
 
 	@Override
 	public void commit() throws SQLException {
+		if (ourLog.isTraceEnabled()) { ourLog.trace("commit: {}", myWrap.hashCode()); }
 		myWrap.commit();
 	}
 

hapi-fhir-jpaserver-test-utilities/src/test/java/ca/uhn/fhir/jpa/config/ConnectionWrapper.java

@@ -46,6 +46,7 @@ public class ConnectionWrapper implements Connection {
 
 	@Override
 	public void commit() throws SQLException {
+		if (ourLog.isTraceEnabled()) { ourLog.trace("Commit: {}", myWrap.hashCode()); }
 		myWrap.commit();
 	}
 

hapi-fhir-jpaserver-test-utilities/src/test/java/ca/uhn/fhir/jpa/config/HapiFhirHibernateJpaDialectTest.java

@@ -36,7 +36,7 @@ public class HapiFhirHibernateJpaDialectTest {
 		assertThat(outcome.getMessage(), containsString("this is a message"));
 
 		try {
-			mySvc.convertHibernateAccessException(new ConstraintViolationException("this is a message", new SQLException("reason"), ResourceTable.IDX_RES_FHIR_ID));
+			mySvc.convertHibernateAccessException(new ConstraintViolationException("this is a message", new SQLException("reason"), ResourceTable.IDX_RES_TYPE_FHIR_ID));
 			fail();
 		} catch (ResourceVersionConflictException e) {
 			assertThat(e.getMessage(), containsString("The operation has failed with a client-assigned ID constraint failure"));
@@ -67,7 +67,7 @@ public class HapiFhirHibernateJpaDialectTest {
 		assertEquals("FOO", outcome.getMessage());
 
 		try {
-			PersistenceException exception = new PersistenceException("a message", new ConstraintViolationException("this is a message", new SQLException("reason"), ResourceTable.IDX_RES_FHIR_ID));
+			PersistenceException exception = new PersistenceException("a message", new ConstraintViolationException("this is a message", new SQLException("reason"), ResourceTable.IDX_RES_TYPE_FHIR_ID));
 			mySvc.translate(exception, "a message");
 			fail();
 		} catch (ResourceVersionConflictException e) {

hapi-fhir-server-cds-hooks/src/main/java/ca/uhn/hapi/fhir/cdshooks/api/ICdsConfigService.java

@@ -26,6 +26,7 @@ import ca.uhn.fhir.rest.api.server.RequestDetails;
 import ca.uhn.fhir.rest.api.server.SystemRequestDetails;
 import ca.uhn.fhir.rest.api.server.SystemRestfulResponse;
 import ca.uhn.fhir.rest.server.RestfulServer;
+import ca.uhn.hapi.fhir.cdshooks.svc.cr.CdsCrSettings;
 import com.fasterxml.jackson.databind.ObjectMapper;
 import org.opencds.cqf.fhir.utility.Ids;
 
@@ -39,6 +40,9 @@ public interface ICdsConfigService {
 	@Nonnull
 	ObjectMapper getObjectMapper();
 
+	@Nonnull
+	CdsCrSettings getCdsCrSettings();
+
 	@Nullable
 	default DaoRegistry getDaoRegistry() {
 		return null;

hapi-fhir-server-cds-hooks/src/main/java/ca/uhn/hapi/fhir/cdshooks/config/CdsCrConfig.java

@@ -0,0 +1,37 @@
+/*-
+ * #%L
+ * HAPI FHIR - CDS Hooks
+ * %%
+ * Copyright (C) 2014 - 2023 Smile CDR, Inc.
+ * %%
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *      http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ * #L%
+ */
+package ca.uhn.hapi.fhir.cdshooks.config;
+
+import ca.uhn.fhir.cr.config.CrConfigCondition;
+import ca.uhn.fhir.cr.config.RepositoryConfig;
+import ca.uhn.fhir.cr.config.r4.ApplyOperationConfig;
+import org.springframework.context.annotation.Conditional;
+import org.springframework.context.annotation.Configuration;
+import org.springframework.context.annotation.Import;
+
+/**
+ * This class exists as a wrapper for the CR configs required for CDS on FHIR to be loaded only when dependencies are met.
+ * Adding the condition to the configs themselves causes issues with downstream projects.
+ *
+ */
+@Configuration
+@Conditional(CrConfigCondition.class)
+@Import({RepositoryConfig.class, ApplyOperationConfig.class})
+public class CdsCrConfig {}

hapi-fhir-server-cds-hooks/src/main/java/ca/uhn/hapi/fhir/cdshooks/config/CdsHooksConfig.java

@@ -35,6 +35,7 @@ import ca.uhn.hapi.fhir.cdshooks.svc.CdsConfigServiceImpl;
 import ca.uhn.hapi.fhir.cdshooks.svc.CdsHooksContextBooter;
 import ca.uhn.hapi.fhir.cdshooks.svc.CdsServiceRegistryImpl;
 import ca.uhn.hapi.fhir.cdshooks.svc.cr.CdsCrServiceRegistry;
+import ca.uhn.hapi.fhir.cdshooks.svc.cr.CdsCrSettings;
 import ca.uhn.hapi.fhir.cdshooks.svc.cr.CdsServiceInterceptor;
 import ca.uhn.hapi.fhir.cdshooks.svc.cr.ICdsCrService;
 import ca.uhn.hapi.fhir.cdshooks.svc.cr.ICdsCrServiceFactory;
@@ -56,12 +57,14 @@ import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.beans.factory.annotation.Qualifier;
 import org.springframework.context.annotation.Bean;
 import org.springframework.context.annotation.Configuration;
+import org.springframework.context.annotation.Import;
 
 import java.lang.reflect.Constructor;
 import java.lang.reflect.InvocationTargetException;
 import java.util.Optional;
 
 @Configuration
+@Import(CdsCrConfig.class)
 public class CdsHooksConfig {
 	private static final Logger ourLog = LoggerFactory.getLogger(CdsHooksConfig.class);
 
@@ -128,8 +131,8 @@ public class CdsHooksConfig {
 			}
 			try {
 				Constructor<? extends ICdsCrService> constructor =
-						clazz.get().getConstructor(RequestDetails.class, Repository.class);
+						clazz.get().getConstructor(RequestDetails.class, Repository.class, ICdsConfigService.class);
-				return constructor.newInstance(rd, repository);
+				return constructor.newInstance(rd, repository, theCdsConfigService);
 			} catch (NoSuchMethodException
 					| InvocationTargetException
 					| InstantiationException
@@ -189,9 +192,11 @@ public class CdsHooksConfig {
 
 	@Bean
 	public ICdsConfigService cdsConfigService(
-			FhirContext theFhirContext, @Qualifier(CDS_HOOKS_OBJECT_MAPPER_FACTORY) ObjectMapper theObjectMapper) {
+			FhirContext theFhirContext,
+			@Qualifier(CDS_HOOKS_OBJECT_MAPPER_FACTORY) ObjectMapper theObjectMapper,
+			CdsCrSettings theCdsCrSettings) {
 		return new CdsConfigServiceImpl(
-				theFhirContext, theObjectMapper, myDaoRegistry, myRepositoryFactory, myRestfulServer);
+				theFhirContext, theObjectMapper, theCdsCrSettings, myDaoRegistry, myRepositoryFactory, myRestfulServer);
 	}
 
 	@Bean

hapi-fhir-server-cds-hooks/src/main/java/ca/uhn/hapi/fhir/cdshooks/svc/CdsConfigServiceImpl.java

@@ -24,6 +24,7 @@ import ca.uhn.fhir.cr.common.IRepositoryFactory;
 import ca.uhn.fhir.jpa.api.dao.DaoRegistry;
 import ca.uhn.fhir.rest.server.RestfulServer;
 import ca.uhn.hapi.fhir.cdshooks.api.ICdsConfigService;
+import ca.uhn.hapi.fhir.cdshooks.svc.cr.CdsCrSettings;
 import com.fasterxml.jackson.databind.ObjectMapper;
 
 import javax.annotation.Nonnull;
@@ -32,6 +33,7 @@ import javax.annotation.Nullable;
 public class CdsConfigServiceImpl implements ICdsConfigService {
 	private final FhirContext myFhirContext;
 	private final ObjectMapper myObjectMapper;
+	private final CdsCrSettings myCdsCrSettings;
 	private final DaoRegistry myDaoRegistry;
 	private final IRepositoryFactory myRepositoryFactory;
 	private final RestfulServer myRestfulServer;
@@ -39,11 +41,13 @@ public class CdsConfigServiceImpl implements ICdsConfigService {
 	public CdsConfigServiceImpl(
 			@Nonnull FhirContext theFhirContext,
 			@Nonnull ObjectMapper theObjectMapper,
+			@Nonnull CdsCrSettings theCdsCrSettings,
 			@Nullable DaoRegistry theDaoRegistry,
 			@Nullable IRepositoryFactory theRepositoryFactory,
 			@Nullable RestfulServer theRestfulServer) {
 		myFhirContext = theFhirContext;
 		myObjectMapper = theObjectMapper;
+		myCdsCrSettings = theCdsCrSettings;
 		myDaoRegistry = theDaoRegistry;
 		myRepositoryFactory = theRepositoryFactory;
 		myRestfulServer = theRestfulServer;
@@ -61,6 +65,12 @@ public class CdsConfigServiceImpl implements ICdsConfigService {
 		return myObjectMapper;
 	}
 
+	@Nonnull
+	@Override
+	public CdsCrSettings getCdsCrSettings() {
+		return myCdsCrSettings;
+	}
+
 	@Nullable
 	@Override
 	public DaoRegistry getDaoRegistry() {

hapi-fhir-server-cds-hooks/src/main/java/ca/uhn/hapi/fhir/cdshooks/svc/cr/CdsCrServiceDstu3.java

@@ -21,7 +21,16 @@ package ca.uhn.hapi.fhir.cdshooks.svc.cr;
 
 import ca.uhn.fhir.context.FhirVersionEnum;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
-import ca.uhn.hapi.fhir.cdshooks.api.json.*;
+import ca.uhn.hapi.fhir.cdshooks.api.ICdsConfigService;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceRequestAuthorizationJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceRequestJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseCardJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseCardSourceJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseLinkJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSuggestionActionJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSuggestionJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSystemActionJson;
 import org.hl7.fhir.dstu3.model.Bundle;
 import org.hl7.fhir.dstu3.model.CarePlan;
 import org.hl7.fhir.dstu3.model.Endpoint;
@@ -60,10 +69,13 @@ import static org.opencds.cqf.fhir.utility.dstu3.Parameters.part;
 public class CdsCrServiceDstu3 implements ICdsCrService {
 	protected final RequestDetails myRequestDetails;
 	protected final Repository myRepository;
+	protected final ICdsConfigService myCdsConfigService;
 	protected CarePlan myResponse;
 	protected CdsServiceResponseJson myServiceResponse;
 
-	public CdsCrServiceDstu3(RequestDetails theRequestDetails, Repository theRepository) {
+	public CdsCrServiceDstu3(
+			RequestDetails theRequestDetails, Repository theRepository, ICdsConfigService theCdsConfigService) {
+		myCdsConfigService = theCdsConfigService;
 		myRequestDetails = theRequestDetails;
 		myRepository = theRepository;
 	}
@@ -108,6 +120,12 @@ public class CdsCrServiceDstu3 implements ICdsCrService {
 				endpoint.addHeader(String.format(
 						"Authorization: %s %s",
 						tokenType, theJson.getServiceRequestAuthorizationJson().getAccessToken()));
+				if (theJson.getServiceRequestAuthorizationJson().getSubject() != null) {
+					endpoint.addHeader(String.format(
+							"%s: %s",
+							myCdsConfigService.getCdsCrSettings().getClientIdHeaderName(),
+							theJson.getServiceRequestAuthorizationJson().getSubject()));
+				}
 			}
 			parameters.addParameter(part(APPLY_PARAMETER_DATA_ENDPOINT, endpoint));
 		}

hapi-fhir-server-cds-hooks/src/main/java/ca/uhn/hapi/fhir/cdshooks/svc/cr/CdsCrServiceR4.java

@@ -22,7 +22,17 @@ package ca.uhn.hapi.fhir.cdshooks.svc.cr;
 import ca.uhn.fhir.context.FhirVersionEnum;
 import ca.uhn.fhir.i18n.Msg;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
-import ca.uhn.hapi.fhir.cdshooks.api.json.*;
+import ca.uhn.hapi.fhir.cdshooks.api.ICdsConfigService;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceIndicatorEnum;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceRequestAuthorizationJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceRequestJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseCardJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseCardSourceJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseLinkJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSuggestionActionJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSuggestionJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSystemActionJson;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.r4.model.Bundle;
 import org.hl7.fhir.r4.model.CanonicalType;
@@ -61,10 +71,13 @@ import static org.opencds.cqf.fhir.utility.r4.Parameters.part;
 public class CdsCrServiceR4 implements ICdsCrService {
 	protected final RequestDetails myRequestDetails;
 	protected final Repository myRepository;
+	protected final ICdsConfigService myCdsConfigService;
 	protected Bundle myResponseBundle;
 	protected CdsServiceResponseJson myServiceResponse;
 
-	public CdsCrServiceR4(RequestDetails theRequestDetails, Repository theRepository) {
+	public CdsCrServiceR4(
+			RequestDetails theRequestDetails, Repository theRepository, ICdsConfigService theCdsConfigService) {
+		myCdsConfigService = theCdsConfigService;
 		myRequestDetails = theRequestDetails;
 		myRepository = theRepository;
 	}
@@ -109,8 +122,13 @@ public class CdsCrServiceR4 implements ICdsCrService {
 				endpoint.addHeader(String.format(
 						"Authorization: %s %s",
 						tokenType, theJson.getServiceRequestAuthorizationJson().getAccessToken()));
+				if (theJson.getServiceRequestAuthorizationJson().getSubject() != null) {
+					endpoint.addHeader(String.format(
+							"%s: %s",
+							myCdsConfigService.getCdsCrSettings().getClientIdHeaderName(),
+							theJson.getServiceRequestAuthorizationJson().getSubject()));
+				}
 			}
-			endpoint.addHeader("Epic-Client-ID: 2cb5af9f-f483-4e2a-aedc-54c3a31cb153");
 			parameters.addParameter(part(APPLY_PARAMETER_DATA_ENDPOINT, endpoint));
 		}
 		return parameters;

hapi-fhir-server-cds-hooks/src/main/java/ca/uhn/hapi/fhir/cdshooks/svc/cr/CdsCrServiceR5.java

@@ -22,7 +22,17 @@ package ca.uhn.hapi.fhir.cdshooks.svc.cr;
 import ca.uhn.fhir.context.FhirVersionEnum;
 import ca.uhn.fhir.i18n.Msg;
 import ca.uhn.fhir.rest.api.server.RequestDetails;
-import ca.uhn.hapi.fhir.cdshooks.api.json.*;
+import ca.uhn.hapi.fhir.cdshooks.api.ICdsConfigService;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceIndicatorEnum;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceRequestAuthorizationJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceRequestJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseCardJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseCardSourceJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseLinkJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSuggestionActionJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSuggestionJson;
+import ca.uhn.hapi.fhir.cdshooks.api.json.CdsServiceResponseSystemActionJson;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.hl7.fhir.r5.model.Bundle;
 import org.hl7.fhir.r5.model.CanonicalType;
@@ -61,10 +71,13 @@ import static org.opencds.cqf.fhir.utility.r5.Parameters.part;
 public class CdsCrServiceR5 implements ICdsCrService {
 	protected final RequestDetails myRequestDetails;
 	protected final Repository myRepository;
+	protected final ICdsConfigService myCdsConfigService;
 	protected Bundle myResponseBundle;
 	protected CdsServiceResponseJson myServiceResponse;
 
-	public CdsCrServiceR5(RequestDetails theRequestDetails, Repository theRepository) {
+	public CdsCrServiceR5(
+			RequestDetails theRequestDetails, Repository theRepository, ICdsConfigService theCdsConfigService) {
+		myCdsConfigService = theCdsConfigService;
 		myRequestDetails = theRequestDetails;
 		myRepository = theRepository;
 	}
@@ -109,6 +122,12 @@ public class CdsCrServiceR5 implements ICdsCrService {
 				endpoint.addHeader(String.format(
 						"Authorization: %s %s",
 						tokenType, theJson.getServiceRequestAuthorizationJson().getAccessToken()));
+				if (theJson.getServiceRequestAuthorizationJson().getSubject() != null) {
+					endpoint.addHeader(String.format(
+							"%s: %s",
+							myCdsConfigService.getCdsCrSettings().getClientIdHeaderName(),
+							theJson.getServiceRequestAuthorizationJson().getSubject()));
+				}
 			}
 			parameters.addParameter(part(APPLY_PARAMETER_DATA_ENDPOINT, endpoint));
 		}

hapi-fhir-server-cds-hooks/src/main/java/ca/uhn/hapi/fhir/cdshooks/svc/cr/CdsCrSettings.java

@@ -0,0 +1,44 @@
+/*-
+ * #%L
+ * HAPI FHIR - CDS Hooks
+ * %%
+ * Copyright (C) 2014 - 2023 Smile CDR, Inc.
+ * %%
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *      http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ * #L%
+ */
+package ca.uhn.hapi.fhir.cdshooks.svc.cr;
+
+public class CdsCrSettings {
+	private final String DEFAULT_CLIENT_ID_HEADER_NAME = "client_id";
+	private String myClientIdHeaderName;
+
+	public static CdsCrSettings getDefault() {
+		CdsCrSettings settings = new CdsCrSettings();
+		settings.setClientIdHeaderName(settings.DEFAULT_CLIENT_ID_HEADER_NAME);
+		return settings;
+	}
+
+	public void setClientIdHeaderName(String theName) {
+		myClientIdHeaderName = theName;
+	}
+
+	public String getClientIdHeaderName() {
+		return myClientIdHeaderName;
+	}
+
+	public CdsCrSettings withClientIdHeaderName(String theName) {
+		myClientIdHeaderName = theName;
+		return this;
+	}
+}

hapi-fhir-server-cds-hooks/src/test/java/ca/uhn/hapi/fhir/cdshooks/config/TestCdsHooksConfig.java

@@ -5,6 +5,7 @@ import ca.uhn.fhir.jpa.api.dao.DaoRegistry;
 import ca.uhn.hapi.fhir.cdshooks.api.ICdsHooksDaoAuthorizationSvc;
 import ca.uhn.hapi.fhir.cdshooks.controller.TestServerAppCtx;
 import ca.uhn.hapi.fhir.cdshooks.svc.CdsHooksContextBooter;
+import ca.uhn.hapi.fhir.cdshooks.svc.cr.CdsCrSettings;
 import org.hl7.fhir.instance.model.api.IBaseResource;
 import org.springframework.context.annotation.Bean;
 import org.springframework.context.annotation.Configuration;
@@ -16,6 +17,9 @@ public class TestCdsHooksConfig {
 		return FhirContext.forR4Cached();
 	}
 
+	@Bean
+	CdsCrSettings cdsCrSettings() { return CdsCrSettings.getDefault(); }
+
 	@Bean
 	public CdsHooksContextBooter cdsHooksContextBooter() {
 		CdsHooksContextBooter retVal = new CdsHooksContextBooter();

hapi-fhir-server-cds-hooks/src/test/java/ca/uhn/hapi/fhir/cdshooks/svc/cr/BaseCrTest.java

@@ -14,4 +14,6 @@ public abstract class BaseCrTest {
 
 	@Autowired
 	protected FhirContext myFhirContext;
+	@Autowired
+	protected CdsCrSettings myCdsCrSettings;
 }

hapi-fhir-server-cds-hooks/src/test/java/ca/uhn/hapi/fhir/cdshooks/svc/cr/TestCrConfig.java

@@ -2,13 +2,37 @@ package ca.uhn.hapi.fhir.cdshooks.svc.cr;
 
 import ca.uhn.fhir.context.FhirContext;
 import ca.uhn.fhir.jpa.api.dao.DaoRegistry;
+import ca.uhn.hapi.fhir.cdshooks.api.ICdsConfigService;
+import ca.uhn.hapi.fhir.cdshooks.module.CdsHooksObjectMapperFactory;
+import ca.uhn.hapi.fhir.cdshooks.svc.CdsConfigServiceImpl;
+import com.fasterxml.jackson.databind.ObjectMapper;
+import org.springframework.beans.factory.annotation.Qualifier;
 import org.springframework.context.annotation.Bean;
 import org.springframework.context.annotation.Configuration;
 
+import static ca.uhn.hapi.fhir.cdshooks.config.CdsHooksConfig.CDS_HOOKS_OBJECT_MAPPER_FACTORY;
+
 @Configuration
 public class TestCrConfig {
 	@Bean
 	FhirContext fhirContext() {
 		return FhirContext.forR4Cached();
 	}
+
+	@Bean(name = CDS_HOOKS_OBJECT_MAPPER_FACTORY)
+	public ObjectMapper objectMapper(FhirContext theFhirContext) {
+		return new CdsHooksObjectMapperFactory(theFhirContext).newMapper();
+	}
+
+	@Bean
+	CdsCrSettings cdsCrSettings() { return CdsCrSettings.getDefault(); }
+
+	@Bean
+	public ICdsConfigService cdsConfigService(
+		FhirContext theFhirContext,
+		@Qualifier(CDS_HOOKS_OBJECT_MAPPER_FACTORY) ObjectMapper theObjectMapper,
+		CdsCrSettings theCdsCrSettings) {
+		return new CdsConfigServiceImpl(
+			theFhirContext, theObjectMapper, theCdsCrSettings, null, null, null);
+	}
 }