Cloud Healthcare API release notes

General availability: The FHIR bulk-delete operation is available. You can use this long-running operation to delete or purge multiple FHIR resources based on filters like resource type and last updated time. This feature supports deleting current versions, historical versions, or both. For more information, see Bulk-deleting FHIR resources.

• The Cloud Healthcare API now supports transcoding DICOM data with the following transfer syntaxes:

• 1.2.840.10008.1.2.1.99 (Deflated Explicit VR Little Endian)

• 1.2.840.10008.1.2.4.51 (JPEG Extended)

• 1.2.840.10008.1.2.4.80 (JPEG-LS Lossless)

• 1.2.840.10008.1.2.4.81 (JPEG-LS Near-Lossless)

• 1.2.840.10008.1.2.4.110 (JPEG XL Lossless)

• 1.2.840.10008.1.2.4.111 (JPEG XL JPEG Recompression)

• 1.2.840.10008.1.2.4.112 (JPEG XL)

• 1.2.840.10008.1.2.4.201 (HTJ2K Lossless Only)

• 1.2.840.10008.1.2.4.202 (HTJ2K Lossless Only with RPCL Options)

• 1.2.840.10008.1.2.4.203 (HTJ2K)

• 1.2.840.10008.1.2.8.1 (Deflated Image Frame Compression)

• The RetrieveRenderedFrames now supports multipart requests to retrieve multiple rendered frames in a single API call.

• DICOM streaming to BigQuery using the new JSON schema now supports Change Data Capture
• For more information on enabling change data capture, see the BigQueryDestination field.

• DICOM exports to BigQuery now support a new JSON schema option
• DICOM streaming to BigQuery now supports a new JSON schema option
• The new JSON schema option contains fewer columns and works more gracefully with the 33,000 public tags defined in the DICOM standard. For more information on the new schema, see the BigQueryDestination field.

VersionedStorageSizeBytes was added to the output of GetFhirStoreMetrics.

• The Cloud Healthcare API is now available in the me-central1 (Qatar) and me-central2 (KSA) regions.

• A new application has been added to the Cloud Console under "Healthcare", called "DICOM Studio"
• This new application provides a web interface for exploring DICOM Stores in the Cloud Healthcare API similar to "FHIR Viewer".
  • Search and find studies, series, and instances in any DICOM Store using our DICOM Web API
  • View studies, series and instance metadata
  • Edit studies, series and instance metadata
  • Perform CRUD operations (Delete) on studies, series and instances
  • View studies, series and instance images via a transcoded image preview

• Accept-Encoding compression headers on DICOM frame requests that contain uncompressed pixel data (as defined by the DICOM transfer syntax) are now supported and can return compressed results

Note: For very large downlinks and very large files where downlink vastly outpaces compression speed, latency may slightly increase. Compression can be disabled by not including the header in these cases.

Preview: Cloud Healthcare API has launched DICOM Updates and Patches. This allows customers to update their DICOM data in-place. For more information, see Update and patch DICOM studies, series, and instances.

The Healthcare Natural Language API is deprecated and will be shut down on May 27, 2026. For more information, see Deprecations.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

DICOM files have a limit of 4 GB per tag. This limit does not apply for values with undefined length. For more information, see Resource limits.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

The DICOM "viewport" URL parameter is supported when rendering DICOM instances and frames.

For more information, see:

• Pricing: Request volume pricing
• Quota: Resource limits

The Cloud Healthcare API offers single-region support in the australia-southeast2 (Melbourne, Australia) region.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

The DICOMweb API supports floating point pixel data and DICOM images with a Bits Allocated value of 1. For more information, see the DICOM conformance statement.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

Getting all FHIR Encounter resource details is available in Preview.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

Using customer-managed encryption keys (CMEK) to encrypt Cloud Healthcare API datasets is generally available (GA) and available in Preview. For more information, see Enable customer-managed encryption keys (CMEK) for Cloud Healthcare API datasets.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

The fhir_read_ops, fhir_write_ops, and fhir_search_ops quota metrics are generally available (GA) and have replaced the legacy fhir_ops quota metric. For more information, see FHIR quotas.

Importing and exporting FHIR resources, including their historical versions, as history bundles using Cloud Storage is available in Preview.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

Using a filter when exporting HL7v2 messages to Cloud Storage is generally available (GA) and available in Preview.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

Explaining data access using FHIR is available in Preview.

The Healthcare Natural Language API supports the following entity mention types in Preview:

• Oncology
• Social determinants of health (SDOH)
• Protected health information (PHI)

A new release is available. This release may include some or all of the following: general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

You can use the Google Cloud console to view HL7v2 store metrics.

You can use the Google Cloud console to view DICOM store metrics.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

Recover FHIR resources with point-in-time recovery (PITR) is generally available (GA).

You can use the Google Cloud console to enable FHIR implementation guides.

DICOM RetrieveBulkdata endpoint is available in Preview. This allows RetrieveMetadata to return BulkDataURIs for bulkdata tags. For more information, see Retrieve bulkdata.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

Configuring Blob storage settings is now available in Preview. With this feature you can do the following:

• Specify a storage class to import DICOM objects
• Specify a storage class to store DICOM instances
• Change DICOM storage classes

Connecting to applications using SMART on FHIR in the Cloud Healthcare API is available in Preview.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

Recover FHIR resources with point-in-time recovery (PITR) is available in Preview.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

The Cloud Healthcare API offers multi-region support in the Europe (eu) region.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

FHIR access control with admin cascading policy is available in Preview.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

Pub/Sub notifications for DICOM store bulk import is generally available (GA).

The following conditional FHIR methods are generally available (GA) using the FHIR identifier search parameter:

• The fhir.create FHIR standard conditional create
• fhir.conditionalDelete
• fhir.conditionalPatch
• fhir.conditionalUpdate

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

You can extract the Healthcare Natural Language API entities as a FHIR R4 bundle, as an additional output format, when using the nlp.analyzeEntities method.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

FHIR admin consent for FHIR access control is available in Preview.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

Streaming DICOM metadata to BigQuery is generally available (GA).

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

Using the notificationConfig object on a FHIR store is deprecated. Use the notificationConfigs object instead.

Pub/Sub notifications containing FHIR data is generally available (GA).

Exporting and streaming FHIR data to partitioned tables in BigQuery is generally available (GA).

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

The Cloud Healthcare API offers single-region support in the northamerica-northeast2 (Toronto, Canada) region.

FHIR search results are limited by the response size. For more information, see Pagination and sorting and Including additional resources in search results.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

The Cloud Healthcare API offers single-region support in the me-west1 (Tel Aviv, Israel) region.

Viewing FHIR store metrics is generally available (GA).

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

The V3 HL7v2 store parser version is generally available (GA).

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

The Cloud Healthcare API offers single-region support in the asia-east1 (Taiwan) and the asia-northeast2 (Osaka, Japan) regions.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

When you export DICOM metadata to BigQuery, the generated BigQuery table now contains two new columns, and contains metadata identifying if the DICOM instance in the DICOM store was deleted. For more information, see LastUpdated and Type columns.

A demo for the Healthcare Natural Language API is now available. For more information, see Try the Healthcare Natural Language API.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

FHIR access control is available in Preview.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

The Cloud Healthcare API offers single-region support in the asia-southeast2 (Jakarta, Indonesia) region.

Improved performance when searching for large FHIR resources in the FHIR viewer.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

Added the complexDataTypeReferenceParsing field to the FHIR store resource, which lets you parse references within complex FHIR data types, such as FHIR extensions.

De-identification operations are now billed progressively as the work completes. An operation that does not complete might still incur billing for the work that was completed successfully.

When a FHIR resource is modified, the full contents of the FHIR resource can be sent in a Pub/Sub notification. For more information, see FHIR notifications containing FHIR data.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

The Healthcare Natural Language API is now available in the europe-west2 location.

The following methods now look up references to resource versions and return them if they exist:

• fhir.search with an _include parameter
• fhir.Patient-everything

The Healthcare Natural Language API is available in the following locations:

• asia-south1
• europe-west4
• us-central1

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

Performing a FHIR search with the _content parameter and without specifying a FHIR resource type will be deprecated on May 23, 2022. You must specify a FHIR resource type when searching with the _content parameter. See Text search for more information.

Fixed an issue with FHIR base profile validation when data is imported from Google Cloud Storage.

A release was made. Updates may include general performance improvements, bug fixes, and updates to the API reference documentation.

You can now specify PATCH requests in a FHIR bundle. This feature is available in Preview. See Executing a PATCH request in a FHIR bundle for more information.

The Cloud Healthcare API offers single-region support in the us-west1 (Oregon) region.

The Cloud Healthcare API offers single-region support in the us-east1 (South Carolina) region.

The Cloud Healthcare API offers single-region support in the us-west3 (Salt Lake City) region.