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HealtheInsights Application API v1

The HealtheIntent HealtheInsights Application API enables configuration of the HealtheInsights application.

URL: https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1

Workbooks

A workbook represents a collection or grouping of categorized worklists made available to an authorized set of users. It also provides the context and configuration details that influence what the user sees when moving through HealtheInsights application workflows. When interacting with the application, this context must be selected or specified. Otherwise, a default workbook for the tenant is used to set context.

Create a Workbook

Example Request:




require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Content-Type' => 'application/json',
  'Accept' => 'application/json'
} 

result = HTTParty.post('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks', headers: headers, body: {"name":"Default Workbook","defaultPopulation":{"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","subpopulationId":"c4784eb5-e546-45c3-8735-61c489fbd9da"},"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","subpopulationId":"7cd017ef-7d31-390e-b4fe-52d9f86cDfhy","personSearchIdentifierType":"MEMBER_ID","personSummaryReportKey":"PatientProfile/PatientSummary"}.to_json )

print JSON.pretty_generate(result)





# You can also use wget
curl -X POST https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks \
-H 'Authorization: {auth_header}' \
-H 'Content-Type: application/json' \ \
-H 'Accept: application/json' \
-d {"name":"Default Workbook","defaultPopulation":{"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","subpopulationId":"c4784eb5-e546-45c3-8735-61c489fbd9da"},"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","subpopulationId":"7cd017ef-7d31-390e-b4fe-52d9f86cDfhy","personSearchIdentifierType":"MEMBER_ID","personSummaryReportKey":"PatientProfile/PatientSummary"}

Example response

{
  "id": "12628e5e-09e2-11e8-9dc2-587234acdcbf0",
  "name": "Default workbook",
  "defaultPopulation": {
    "id": "7cd017ef-7d31-390e-b4fe-52d9f86e517e",
    "subpopulationId": "c4784eb5-e546-45c3-8735-61c489fbd9da"
  },
  "personSearchIdentifierType": "MEMBER_ID",
  "personSummaryReportKey": "PatientProfile/PatientSummary",
  "createdAt": "2018-01-10T15:48:32Z",
  "updatedAt": "2019-04-15T11:03:15Z"
}

POST /workbooks

Creates a workbook.

Parameters

Parameter In Type Required Default Description Accepted Values
body body postWorkbooks true N/A No description -

Response Statuses

Status Meaning Description Schema
201 Created Created Workbook
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
409 Conflict Conflict Error

Retrieve a List of Workbooks

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.get('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X GET https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

Example response

{
  "items": [
    {
      "id": "12628e5e-09e2-11e8-9dc2-587234acdcbf0",
      "name": "Default workbook",
      "defaultPopulation": {
        "id": "7cd017ef-7d31-390e-b4fe-52d9f86e517e",
        "subpopulationId": "c4784eb5-e546-45c3-8735-61c489fbd9da"
      },
      "personSearchIdentifierType": "MEMBER_ID",
      "personSummaryReportKey": "PatientProfile/PatientSummary",
      "createdAt": "2018-01-10T15:48:32Z",
      "updatedAt": "2019-04-15T11:03:15Z"
    },
    {
      "id": "c4784eb5-e546-45c3-8735-61c489fbd9dx",
      "name": "Test workbook",
      "defaultPopulation": {
        "id": "7cd017ef-7d31-390e-b4fe-52d9f86e517e",
        "subpopulationId": "a4723eb5-e546-45c3-8735-61c489fbgf6c"
      },
      "personSearchIdentifierType": "MEMBER_ID",
      "personSummaryReportKey": "PatientProfile/PatientSummary",
      "createdAt": "2018-01-10T15:48:32Z",
      "updatedAt": "2018-05-15T12:23:12Z"
    }
  ],
  "totalResults": 2,
  "firstLink": "https://cernerdemo.api.us.healtheintent.com/insights-application/v1/workbooks/?offset=0&limit=100",
  "lastLink": "https://cernerdemo.api.us.healtheintent.com/insights-application/v1/workbooks/?offset=0&limit=100"
}

GET /workbooks

Retrieves a list of HealtheInsights workbooks.

Parameters

Parameter In Type Required Default Description Accepted Values
offset query integer(int32) false 0 The number of results to skip from the beginning of the list of results (typically for the purpose of paging). The minimum offset is 0. There is no maximum offset. -
limit query integer(int32) false 20 The maximum number of results to display per page. The minimum limit is 1. The maximum limit is 100. -
orderBy query string false name A comma-separated list of fields by which to sort. name

Response Statuses

Status Meaning Description Schema
200 OK A list of HealtheInsights workbooks Workbooks
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error

Remove a Workbook

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.delete('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/g89fa3dd-0000-494b-1111-4640ccc081e3', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X DELETE https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/g89fa3dd-0000-494b-1111-4640ccc081e3 \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

DELETE /workbooks/{workbookId}

Removes a workbook from the collection of available workbooks.

Parameters

Parameter In Type Required Default Description Accepted Values
workbookId path string true N/A The unique ID of the workbook. -

Response Statuses

Status Meaning Description Schema
204 No Content No Content None
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error

Retrieve a Single Workbook

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.get('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/g89fa3dd-0000-494b-1111-4640ccc081e3', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X GET https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/g89fa3dd-0000-494b-1111-4640ccc081e3 \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

Example response

{
  "id": "12628e5e-09e2-11e8-9dc2-587234acdcbf0",
  "name": "Default workbook",
  "defaultPopulation": {
    "id": "7cd017ef-7d31-390e-b4fe-52d9f86e517e",
    "subpopulationId": "c4784eb5-e546-45c3-8735-61c489fbd9da"
  },
  "personSearchIdentifierType": "MEMBER_ID",
  "personSummaryReportKey": "PatientProfile/PatientSummary",
  "createdAt": "2018-01-10T15:48:32Z"
}

GET /workbooks/{workbookId}

Retrieves a HealtheInsights workbook by ID.

Parameters

Parameter In Type Required Default Description Accepted Values
workbookId path string true N/A The unique ID of the workbook. -

Response Statuses

Status Meaning Description Schema
200 OK A single HealtheInsights workbook Workbook
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error

Update a Workbook

Example Request:




require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Content-Type' => 'application/json',
  'Accept' => 'application/json'
} 

result = HTTParty.put('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/e5f34c23-e572-44c3-a2cd-7ca358dcec9f', headers: headers, body: {"name":"Default Workbook","defaultPopulation":{"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","subpopulationId":"c4784eb5-e546-45c3-8735-61c489fbd9da"},"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","subpopulationId":"7cd017ef-7d31-390e-b4fe-52d9f86cDfhy","personSearchIdentifierType":"MEMBER_ID","personSummaryReportKey":"PatientProfile/PatientSummary"}.to_json )

print JSON.pretty_generate(result)





# You can also use wget
curl -X PUT https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/e5f34c23-e572-44c3-a2cd-7ca358dcec9f \
-H 'Authorization: {auth_header}' \
-H 'Content-Type: application/json' \ \
-H 'Accept: application/json' \
-d {"name":"Default Workbook","defaultPopulation":{"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","subpopulationId":"c4784eb5-e546-45c3-8735-61c489fbd9da"},"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","subpopulationId":"7cd017ef-7d31-390e-b4fe-52d9f86cDfhy","personSearchIdentifierType":"MEMBER_ID","personSummaryReportKey":"PatientProfile/PatientSummary"}

PUT /workbooks/{workbookId}

Updates a workbook.

Parameters

Parameter In Type Required Default Description Accepted Values
workbookId path string true N/A The unique ID of the workbook. -
body body putWorkbooks true N/A No description -

Response Statuses

Status Meaning Description Schema
204 No Content No Content None
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error
409 Conflict Conflict Error

Retrieve a List of Worklists Assigned to the Workbook

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.get('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/12628e5e-09e2-11e8-9dc2-587234acdcbf0/worklists', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X GET https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/12628e5e-09e2-11e8-9dc2-587234acdcbf0/worklists \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

Example response

{
  "items": [
    {
      "id": "g89fa3dd-0000-494b-1111-4640ccc081e3",
      "worklistCategory": {
        "id": "581433f4-b179-3df4-9bb2-9768ef76493c",
        "name": "Gaps in Care"
      },
      "name": "High Opportunity",
      "description": "Worklist organizing patients based on identified gaps in care.",
      "worklistKey": "GapsTemplateWorklist/MemberWorklist",
      "createdAt": "2018-01-10T15:48:32Z",
      "updatedAt": "2018-05-15T12:23:12Z"
    },
    {
      "id": "a68a1daa-bd3f-468d-ae16-543d7c369dbd",
      "worklistCategory": {
        "id": "e5f34c23-e572-44c3-a2cd-7ca358dcec9f",
        "name": "Med Management"
      },
      "name": "90-Day Fill Opportunities to Improve Adherence to Statins",
      "description": "Worklist focused on patients requiring medication management assistance.",
      "worklistKey": "GapsTemplateWorklist/MemberWorklist",
      "createdAt": "2018-01-10T15:48:32Z",
      "updatedAt": "2018-05-15T12:23:12Z"
    }
  ],
  "totalResults": 2,
  "firstLink": "https://cernerdemo.api.us.healtheintent.com/insights-application/v1/workbooks/12628e5e-09e2-11e8-9dc2-587234acdcbf0/worklists/?offset=0&limit=100",
  "lastLink": "https://cernerdemo.api.us.healtheintent.com/insights-application/v1/workbooks/12628e5e-09e2-11e8-9dc2-587234acdcbf0/worklists/?offset=0&limit=100"
}

GET /workbooks/{workbookId}/worklists

Retrieves a list of HealtheInsights worklists that are assigned to the workbook.

Parameters

Parameter In Type Required Default Description Accepted Values
workbookId path string true N/A The unique ID of the workbook. -
worklistCategoryId query string false N/A The ID of the worklist category to which the worklist is assigned. -
offset query integer(int32) false 0 The number of results to skip from the beginning of the list of results (typically for the purpose of paging). The minimum offset is 0. There is no maximum offset. -
limit query integer(int32) false 20 The maximum number of results to display per page. The minimum limit is 1. The maximum limit is 100. -
orderBy query string false name A comma-separated list of fields by which to sort. name

Response Statuses

Status Meaning Description Schema
200 OK A collection of worklist reports Worklists
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error

Remove a Worklist From the Workbook

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.delete('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/e5f34c23-e572-44c3-a2cd-7ca358dcec9f/worklists/7209f9fb-3a5d-44c1-8dbb-123f340a9850', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X DELETE https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/e5f34c23-e572-44c3-a2cd-7ca358dcec9f/worklists/7209f9fb-3a5d-44c1-8dbb-123f340a9850 \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

DELETE /workbooks/{workbookId}/worklists/{worklistId}

Removes a worklist from the workbook.

Parameters

Parameter In Type Required Default Description Accepted Values
workbookId path string true N/A The unique ID of the workbook. -
worklistId path string true N/A The unique ID of the worklist. -

Response Statuses

Status Meaning Description Schema
204 No Content No Content None
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error

Add a Worklist to the Workbook

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.put('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/e5f34c23-e572-44c3-a2cd-7ca358dcec9f/worklists/7209f9fb-3a5d-44c1-8dbb-123f340a9850', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X PUT https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/workbooks/e5f34c23-e572-44c3-a2cd-7ca358dcec9f/worklists/7209f9fb-3a5d-44c1-8dbb-123f340a9850 \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

PUT /workbooks/{workbookId}/worklists/{worklistId}

Adds a worklist to the workbook.

Parameters

Parameter In Type Required Default Description Accepted Values
workbookId path string true N/A The unique ID of the workbook. -
worklistId path string true N/A The unique ID of the worklist. -

Response Statuses

Status Meaning Description Schema
204 No Content No Content None
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error
409 Conflict Conflict Error

Worklists

On the home page of the HealtheInsights application, users can select from a collection of categorized worklists. Each worklist represents a different perspective on patient populations with a focus on attributes such as gaps in care, medication management, or admissions. The purpose of the worklist is to drive subsequent tasks such as patient outreach or scheduling for the subset of prioritized patients requiring attention.

Create a Worklist Category

Example Request:




require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Content-Type' => 'application/json',
  'Accept' => 'application/json'
} 

result = HTTParty.post('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories', headers: headers, body: {"name":"Gaps in Care"}.to_json )

print JSON.pretty_generate(result)





# You can also use wget
curl -X POST https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories \
-H 'Authorization: {auth_header}' \
-H 'Content-Type: application/json' \ \
-H 'Accept: application/json' \
-d {"name":"Gaps in Care"}

Example response

{
  "id": "581433f4-b179-3df4-9bb2-9768ef76493c",
  "name": "Gaps in Care",
  "createdAt": "2018-09-18T19:07:33Z",
  "updatedAt": "2018-09-18T19:07:33Z"
}

POST /worklist-categories

Creates a worklist category.

Parameters

Parameter In Type Required Default Description Accepted Values
body body postWorklistCategories true N/A No description -

Response Statuses

Status Meaning Description Schema
201 Created Created WorklistCategory
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
409 Conflict Conflict Error

Retrieve a List of Worklist Categories

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.get('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X GET https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

Example response

{
  "items": [
    {
      "id": "e5f34c23-e572-44c3-a2cd-7ca358dcec9f",
      "name": "Med Management",
      "createdAt": "2018-01-10T15:48:32Z",
      "updatedAt": "2019-01-12T10:25:18Z"
    },
    {
      "id": "581433f4-b179-3df4-9bb2-9768ef76493c",
      "name": "Gaps in Care",
      "createdAt": "2018-01-10T15:48:32Z",
      "updatedAt": "2018-05-15T12:23:12Z"
    }
  ],
  "totalResults": 2,
  "firstLink": "https://cernerdemo.api.us.healtheintent.com/insights-application/v1/worklist-categories/?offset=0&limit=100",
  "lastLink": "https://cernerdemo.api.us.healtheintent.com/insights-application/v1/worklist-categories/?offset=0&limit=100"
}

GET /worklist-categories

Retrieves a list of HealtheInsights worklist categories.

Parameters

Parameter In Type Required Default Description Accepted Values
offset query integer(int32) false 0 The number of results to skip from the beginning of the list of results (typically for the purpose of paging). The minimum offset is 0. There is no maximum offset. -
limit query integer(int32) false 20 The maximum number of results to display per page. The minimum limit is 1. The maximum limit is 100. -
orderBy query string false name A comma-separated list of fields by which to sort. name

Response Statuses

Status Meaning Description Schema
200 OK A collection of worklist categories WorklistCategories
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error

Remove a Worklist Category

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.delete('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories/e5f34c23-e572-44c3-a2cd-7ca358dcec9f', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X DELETE https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories/e5f34c23-e572-44c3-a2cd-7ca358dcec9f \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

DELETE /worklist-categories/{worklistCategoryId}

Removes a worklist category from the collection of available worklist categories.

Parameters

Parameter In Type Required Default Description Accepted Values
worklistCategoryId path string true N/A The ID of the worklist category. -

Response Statuses

Status Meaning Description Schema
204 No Content No Content None
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error
409 Conflict Conflict Error

Retrieve a Single Worklist Category

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.get('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories/581433f4-b179-3df4-9bb2-9768ef76493c', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X GET https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories/581433f4-b179-3df4-9bb2-9768ef76493c \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

Example response

{
  "id": "581433f4-b179-3df4-9bb2-9768ef76493c",
  "name": "Gaps in Care",
  "createdAt": "2018-09-18T19:07:33Z",
  "updatedAt": "2018-09-18T19:07:33Z"
}

GET /worklist-categories/{worklistCategoryId}

Retrieves a HealtheInsights worklist category by ID.

Parameters

Parameter In Type Required Default Description Accepted Values
worklistCategoryId path string true N/A The ID of the worklist category. -

Response Statuses

Status Meaning Description Schema
200 OK A single HealtheInsights worklist category Worklist
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error

Update a Worklist Category

Example Request:




require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Content-Type' => 'application/json',
  'Accept' => 'application/json'
} 

result = HTTParty.put('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories/e5f34c23-e572-44c3-a2cd-7ca358dcec9f', headers: headers, body: {"name":"Gaps in Care"}.to_json )

print JSON.pretty_generate(result)





# You can also use wget
curl -X PUT https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklist-categories/e5f34c23-e572-44c3-a2cd-7ca358dcec9f \
-H 'Authorization: {auth_header}' \
-H 'Content-Type: application/json' \ \
-H 'Accept: application/json' \
-d {"name":"Gaps in Care"}

PUT /worklist-categories/{worklistCategoryId}

Updates a worklist category.

Parameters

Parameter In Type Required Default Description Accepted Values
worklistCategoryId path string true N/A The ID of the worklist category. -
body body putWorklistCategories true N/A No description -

Response Statuses

Status Meaning Description Schema
204 No Content No Content None
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error
409 Conflict Conflict Error

Create a Worklist

Example Request:




require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Content-Type' => 'application/json',
  'Accept' => 'application/json'
} 

result = HTTParty.post('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists', headers: headers, body: {"worklistCategory":{"id":"581433f4-b179-3df4-9bb2-9768ef76493c"},"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","name":"High Opportunity","description":"Worklist organizing patients based on identified gaps in care","worklistKey":"GapsTemplateWorklist/MemberWorklist"}.to_json )

print JSON.pretty_generate(result)





# You can also use wget
curl -X POST https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists \
-H 'Authorization: {auth_header}' \
-H 'Content-Type: application/json' \ \
-H 'Accept: application/json' \
-d {"worklistCategory":{"id":"581433f4-b179-3df4-9bb2-9768ef76493c"},"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","name":"High Opportunity","description":"Worklist organizing patients based on identified gaps in care","worklistKey":"GapsTemplateWorklist/MemberWorklist"}

Example response

{
  "id": "g89fa3dd-0000-494b-1111-4640ccc081e3",
  "worklistCategory": {
    "id": "581433f4-b179-3df4-9bb2-9768ef76493c",
    "name": "Gaps in Care"
  },
  "name": "High Opportunity",
  "description": "Worklist organizing patients based on identified gaps in care.",
  "worklistKey": "GapsTemplateWorklist/MemberWorklist",
  "createdAt": "2019-03-19T16:50:12Z",
  "updatedAt": "2019-03-19T17:08:25Z"
}

POST /worklists

Creates a worklist.

Parameters

Parameter In Type Required Default Description Accepted Values
body body postWorklists true N/A No description -

Response Statuses

Status Meaning Description Schema
201 Created Created Worklist
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
409 Conflict Conflict Error

Retrieve a List of Worklists

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.get('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X GET https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

Example response

{
  "items": [
    {
      "id": "g89fa3dd-0000-494b-1111-4640ccc081e3",
      "worklistCategory": {
        "id": "581433f4-b179-3df4-9bb2-9768ef76493c",
        "name": "Gaps in Care"
      },
      "name": "High Opportunity",
      "description": "Worklist organizing patients based on identified gaps in care.",
      "worklistKey": "GapsTemplateWorklist/MemberWorklist",
      "createdAt": "2018-01-10T15:48:32Z",
      "updatedAt": "2018-05-15T12:23:12Z"
    },
    {
      "id": "a68a1daa-bd3f-468d-ae16-543d7c369dbd",
      "worklistCategory": {
        "id": "e5f34c23-e572-44c3-a2cd-7ca358dcec9f",
        "name": "Med Management"
      },
      "name": "90-Day Fill Opportunities to Improve Adherence to Statins",
      "description": "Worklist to identify patients at risk of medication nonadherence for targeted interventions.",
      "worklistKey": "MedicationManagement/HighOpportunity",
      "createdAt": "2018-01-10T15:48:32Z",
      "updatedAt": "2018-05-15T12:23:12Z"
    }
  ],
  "totalResults": 2,
  "firstLink": "https://cernerdemo.api.us.healtheintent.com/insights-application/v1/worklists/?offset=0&limit=100",
  "lastLink": "https://cernerdemo.api.us.healtheintent.com/insights-application/v1/worklists/?offset=0&limit=100"
}

GET /worklists

Retrieves a list of HealtheInsights worklists.

Parameters

Parameter In Type Required Default Description Accepted Values
worklistCategoryId query string false N/A The ID of the worklist category. -
offset query integer(int32) false 0 The number of results to skip from the beginning of the list of results (typically for the purpose of paging). The minimum offset is 0. There is no maximum offset. -
limit query integer(int32) false 20 The maximum number of results to display per page. The minimum limit is 1. The maximum limit is 100. -
orderBy query string false name A comma-separated list of fields by which to sort. name

Response Statuses

Status Meaning Description Schema
200 OK A collection of worklist reports Worklists
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error

Remove a Worklist

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.delete('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists/g89fa3dd-0000-494b-1111-4640ccc081e3', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X DELETE https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists/g89fa3dd-0000-494b-1111-4640ccc081e3 \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

DELETE /worklists/{worklistId}

Removes a worklist from the collection of available worklists.

Parameters

Parameter In Type Required Default Description Accepted Values
worklistId path string true N/A The ID of the worklist that belongs to a HealtheInsights worklist category. -

Response Statuses

Status Meaning Description Schema
204 No Content No Content None
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error

Retrieve a Single Worklist

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.get('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists/g89fa3dd-0000-494b-1111-4640ccc081e3', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X GET https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists/g89fa3dd-0000-494b-1111-4640ccc081e3 \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

Example response

{
  "id": "g89fa3dd-0000-494b-1111-4640ccc081e3",
  "worklistCategory": {
    "id": "581433f4-b179-3df4-9bb2-9768ef76493c",
    "name": "Gaps in Care"
  },
  "name": "High Opportunity",
  "description": "Worklist organizing patients based on identified gaps in care.",
  "worklistKey": "GapsTemplateWorklist/MemberWorklist",
  "createdAt": "2018-01-10T15:48:32Z",
  "updatedAt": "2018-05-15T12:23:12Z"
}

GET /worklists/{worklistId}

Retrieves a HealtheInsights worklist by ID.

Parameters

Parameter In Type Required Default Description Accepted Values
worklistId path string true N/A The ID of the worklist that belongs to a HealtheInsights worklist category. -

Response Statuses

Status Meaning Description Schema
200 OK A single HealtheInsights worklist Worklist
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error

Update a Worklist

Example Request:




require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Content-Type' => 'application/json',
  'Accept' => 'application/json'
} 

result = HTTParty.put('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists/g89fa3dd-0000-494b-1111-4640ccc081e3', headers: headers, body: {"worklistCategory":{"id":"581433f4-b179-3df4-9bb2-9768ef76493c"},"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","name":"High Opportunity","description":"Worklist organizing patients based on identified gaps in care","worklistKey":"GapsTemplateWorklist/MemberWorklist"}.to_json )

print JSON.pretty_generate(result)





# You can also use wget
curl -X PUT https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/worklists/g89fa3dd-0000-494b-1111-4640ccc081e3 \
-H 'Authorization: {auth_header}' \
-H 'Content-Type: application/json' \ \
-H 'Accept: application/json' \
-d {"worklistCategory":{"id":"581433f4-b179-3df4-9bb2-9768ef76493c"},"id":"7cd017ef-7d31-390e-b4fe-52d9f86e517e","name":"High Opportunity","description":"Worklist organizing patients based on identified gaps in care","worklistKey":"GapsTemplateWorklist/MemberWorklist"}

PUT /worklists/{worklistId}

Updates a worklist in the collection of HealtheInsights worklists.

Parameters

Parameter In Type Required Default Description Accepted Values
worklistId path string true N/A The ID of the worklist that belongs to a HealtheInsights worklist category. -
body body putWorklists true N/A No description -

Response Statuses

Status Meaning Description Schema
204 No Content No Content None
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error
409 Conflict Conflict Error

Insights Patient Summary

The Insights Patient Summary represents a Team Huddle report view of a patient. The data being retrieved by this service will populate Demographics, Additional Demographics and other relevant sections of the report.

Retrieve a Patient Care Summary

Example Request:


require 'httparty' # Using HTTParty 0.16.2
require 'json'

headers = {
  'Authorization' => '<auth_header>',
  'Accept' => 'application/json'
} 

result = HTTParty.get('https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/populations/0fa79ed3-1413-4d40-ab71-d9d5e6c4babe/patients/0e62e9f6-16a0-4f24-9326-a2c2d2d56429/patient-care-summary', headers: headers)

print JSON.pretty_generate(result)



# You can also use wget
curl -X GET https://cernerdemo.api.us-1.healtheintent.com/insights-application/v1/populations/0fa79ed3-1413-4d40-ab71-d9d5e6c4babe/patients/0e62e9f6-16a0-4f24-9326-a2c2d2d56429/patient-care-summary \
-H 'Authorization: {auth_header}' \
-H 'Accept: application/json'

Example response

{
  "id": "c2daa46-ed91-3ee1-15d4-2cd6ba7d7627",
  "demographicSummary": {
    "name": [
      {
        "fullName": "Ms Analisa Roberson",
        "givenNames": [
          "Analisa",
          "Elizabeth"
        ],
        "familyNames": [
          "Roberson"
        ]
      }
    ],
    "birthDate": "1980-08-02",
    "deceased": "false",
    "administrativeGender": {
      "sourceCodings": [
        {
          "system": "urn:cerner:coding:codingsystem:codeset:57",
          "code": "362",
          "display": "Female"
        }
      ],
      "codings": [
        {
          "system": "2.16.840.1.113883.6.96",
          "code": "248152002",
          "display": "Female"
        }
      ],
      "text": "Female"
    },
    "address": {
      "lines": [
        "1924 Schiller Plains",
        "Apartment 19"
      ],
      "city": "Los Angeles",
      "state": {
        "sourceCodings": [
          {
            "system": "2.16.840.1.113883.6.92",
            "code": "CA",
            "display": "California"
          }
        ],
        "codings": [
          {
            "system": "2.16.840.1.113883.6.92",
            "code": "CA",
            "display": "California"
          }
        ],
        "text": "California"
      },
      "postalCode": "90717",
      "country": {
        "sourceCodings": [
          {
            "system": "urn:cerner:coding:codingsystem:codeset:15",
            "code": "309221",
            "display": "US"
          }
        ],
        "text": "US"
      }
    },
    "ethnicities": [
      {
        "sourceCodings": [
          {
            "system": "urn:cerner:coding:codingsystem:codeset:27",
            "code": "312507",
            "display": "Non-Hispanic"
          }
        ],
        "codings": [
          {
            "system": "2.16.840.1.113883.5.50",
            "code": "2186-5",
            "display": "Not Hispanic or Latino"
          }
        ],
        "text": "Non-Hispanic"
      }
    ],
    "languages": [
      {
        "sourceCodings": [
          {
            "system": "2.16.840.1.113883.6.96",
            "code": "297487008",
            "display": "English language"
          }
        ],
        "codings": [
          {
            "system": "2.16.840.1.113883.6.96",
            "code": "297487008",
            "display": "English language"
          }
        ],
        "text": "English language"
      }
    ],
    "telecoms": [
      {
        "value": "555-203-1314",
        "countryCode": "001"
      }
    ]
  },
  "benefitCoverageSummaries": [
    {
      "memberId": "10-10101010",
      "planName": "UHC Choice EPO Select",
      "payerName": "XYZ Advantage (HMO) Medical",
      "policyOrGroupNumber": "12344321",
      "policyOrGroupName": "Group A",
      "benefitType": {
        "sourceCodings": [
          {
            "system": "urn:cerner:coding:codingsystem:codeset:354",
            "code": "634773",
            "display": "Private Health Insurance"
          }
        ],
        "codings": [
          {
            "system": "2.16.840.1.113883.3.221.5",
            "code": "5",
            "display": "Commercial Insurance"
          }
        ],
        "text": "Commercial Insurance"
      },
      "lineOfBusiness": "Medicare Advantage",
      "planEffectiveDate": "2020"
    }
  ],
  "vitalSignsSummary": {
    "bmi": {
      "value": "37"
    },
    "height": {
      "value": "37"
    },
    "weight": {
      "value": "37"
    }
  },
  "visitSummary": {
    "acuteAdmissions": 12,
    "emergencyRoomVisits": 2,
    "nonSpecialistVisits": 1
  },
  "pcpSummary": {
    "organization": {
      "name": "XYZ Advantage (HMO) Medical"
    },
    "primaryCareProvider": {
      "prefix": "Dr.",
      "given": [
        "Jane",
        "Susannah"
      ],
      "family": [
        "Smith"
      ],
      "suffix": "MD.",
      "formatted": "Dr. Jane Susannah Smith MD."
    }
  },
  "scoringSummary": {
    "partCRafScore": "79"
  },
  "riskAdjustmentConditionSummary": {
    "esrd": "false",
    "hospiceCare": "false",
    "longTermCare": "false"
  },
  "estimatedCostsSummary": {
    "prescriptionCost": 5677.12,
    "medicalCost": 425.98
  }
}

GET /populations/{populationId}/patients/{patientId}/patient-care-summary

Retrieves a patient care summary for a given patient.

Parameters

Parameter In Type Required Default Description Accepted Values
populationId path string true N/A The ID of the population. -
patientId path string true N/A The unique ID of a patient in a population. -

Response Statuses

Status Meaning Description Schema
200 OK Single patient care summary for a given patient. PatientCareSummary
400 Bad Request Bad Request Error
401 Unauthorized Unauthorized Error
403 Forbidden Forbidden Error
404 Not Found Not Found Error

Schema Definitions

postWorkbooks

Name Type Required Description Accepted Values
name string true The unique name of the workbook. -
defaultPopulation object true The unique ID of the default population used for patient longitudinal record context in the scope of this workbook. -
» id string true The unique ID of the default population used for patient longitudinal record context in the scope of this workbook. -
» subpopulationId string false The unique ID of the subpopulation used for patient longitudinal record context in the scope of this workbook. -
personSearchIdentifierType string false The type of identifier used to filter person search results. -
personSummaryReportKey string true The key or unique path value used to reference the person summary report that is displayed in the Summary tab in Patient Care Profile (for example, the {TableauWorkbook}/{TableauWorksheet} values for the report built to provide this display). -

Workbook

Name Type Required Description Accepted Values
id string true The unique ID of the workbook. -
name string true The unique name of the workbook. -
defaultPopulation Population true The unique ID of the default population used for patient longitudinal record context in the scope of this workbook. -
personSearchIdentifierType string false The type of identifier used to filter person search results. MRN, NATIONAL_HEALTH_PLAN_ID, MEMBER_ID, SUBSCRIBER_NUMBER
personSummaryReportKey string true The key or unique path value used to reference the person summary report that is displayed in the Summary tab of Patient Care Profile (for example, the {TableauWorkbook}/{TableauWorksheet} values for the report built to provide this display). -
createdAt string(date-time) false The date and time when this resource was created, in International Organization for Standardization (ISO) 8601 YYYY-MM-DDThh:mm:ssZ format. -
updatedAt string(date-time) false The date and time of the most recent update to this location, in ISO 8601 YYYY-MM-DDThh:mm:ssZ format. -

Population

Name Type Required Description Accepted Values
id string true The unique ID of the default population used for patient longitudinal record context in the scope of this workbook. -
subpopulationId string false The unique ID of the subpopulation used for patient longitudinal record context in the scope of this workbook. -

Error

Name Type Required Description Accepted Values
code integer(int32) true The HTTP response status code that represents the error. -
message string true A human-readable description of the error. -
errorDetails [ErrorDetail] false A list of additional error details. -

ErrorDetail

Name Type Required Description Accepted Values
domain string false A subsystem or context where an error occurred. -
reason string false A codified value that represents the specific error that caused the current error status. -
message string false A human-readable description of an error. -
locationType string false The location or type of the field that caused an error. query, header, path, formData, body
location string false The name of the field that caused an error. -

Workbooks

Name Type Required Description Accepted Values
items [Workbook] true An array containing the current page of results. -
totalResults integer(int32) false The total number of results for the specified parameters. -
firstLink string true The first page of results. -
lastLink string false The last page of results. -
prevLink string false The previous page of results. -
nextLink string false The next page of results. -

putWorkbooks

Name Type Required Description Accepted Values
name string true The unique name of the workbook. -
defaultPopulation object true The unique ID of the default population used for patient longitudinal record context in the scope of this workbook. -
» id string true The unique ID of the default population used for patient longitudinal record context in the scope of this workbook. -
» subpopulationId string false The unique ID of the subpopulation used for patient longitudinal record context in the scope of this workbook. -
personSearchIdentifierType string false The type of identifier used to filter person search results. -
personSummaryReportKey string true The key or unique path value used to reference the person summary report that is displayed in the Summary tab in Patient Care Profile (for example, the {TableauWorkbook}/{TableauWorksheet} values for the report built to provide this display). -

Worklists

Name Type Required Description Accepted Values
items [Worklist] true An array containing the current page of results. -
totalResults integer(int32) false The total number of results for the specified parameters. -
firstLink string true The first page of results. -
lastLink string false The last page of results. -
prevLink string false The previous page of results. -
nextLink string false The next page of results. -

Worklist

Name Type Required Description Accepted Values
id string true The unique ID of the worklist. -
worklistCategory WorklistCategoryResponse true The category used to classify a set of related worklists. -
name string true The name of the worklist. -
description string false An explanation of the worklist’s intended use or purpose. -
worklistKey string true The key or unique path value used to reference the worklist report (for example, the {TableauWorkbook}/{TableauWorksheet} values for the report built to provide this display). -
createdAt string(date-time) true The date and time when this resource was created, in ISO 8601 YYYY-MM-DDThh:mm:ssZ format. -
updatedAt string(date-time) true The date and time of the most recent update to this location, in ISO 8601 YYYY-MM-DDThh:mm:ssZ format. -

WorklistCategoryResponse

Name Type Required Description Accepted Values
id string true The unique ID of the worklist category. -
name string true The unique name of the worklist category. -

postWorklistCategories

Name Type Required Description Accepted Values
name string true The name of the worklist category. -

WorklistCategory

Name Type Required Description Accepted Values
id string true The unique ID of the worklist category. -
name string true The unique name of the worklist category. -
createdAt string(date-time) false The date and time when this resource was created, in ISO 8601 YYYY-MM-DDThh:mm:ssZ format. -
updatedAt string(date-time) false The date and time of the most recent update to this location, in ISO 8601 YYYY-MM-DDThh:mm:ssZ format. -

WorklistCategories

Name Type Required Description Accepted Values
items [WorklistCategory] true An array containing the current page of results. -
totalResults integer(int32) false The total number of results for the specified parameters. -
firstLink string true The first page of results. -
lastLink string false The last page of results. -
prevLink string false The previous page of results. -
nextLink string false The next page of results. -

putWorklistCategories

Name Type Required Description Accepted Values
name string true The name of the worklist category. -

postWorklists

Name Type Required Description Accepted Values
worklistCategory object true The category of the related worklists. -
» id string true The unique ID of the worklist category. -
name string true The name of the worklist. -
description string false An explanation of the worklist’s intended use or purpose. -
worklistKey string true The key or unique path value used to reference the worklist report (for example, the {TableauWorkbook}/{TableauWorksheet} values for the report built to provide this display). -

putWorklists

Name Type Required Description Accepted Values
worklistCategory object true The category of the related worklists. -
» id string true The unique ID of the worklist category. -
name string true The name of the worklist. -
description string false An explanation of the worklist’s intended use or purpose. -
worklistKey string true The key or unique path value used to reference the worklist report (for example, the {TableauWorkbook}/{TableauWorksheet} values for the report built to provide this display). -

PatientCareSummary

Name Type Required Description Accepted Values
id string true An ID that uniquely identifies the patient care summary in the context of the patient. -
demographicSummary PatientDemographic false The demographic summary for a patient. When applicable, preferred demographic data is used. -
benefitCoverageSummaries [BenefitCoverageSummary] false The benefit coverage summary for a patient. -
vitalSignsSummary VitalSignsSummary false The result of the observation or measurement. The data type of the result value is either numeric, codified, text, or a date. -
visitSummary VisitSummary false The visit summary for a patient. -
pcpSummary PcpSummary false The primary care provider summary for a patient. -
scoringSummary ScoringSummary false The scoring summary for a patient. -
riskAdjustmentConditionSummary RiskAdjustmentConditionSummary false The risk adjustment condition summary for a patient. -
estimatedCostsSummary EstimatedCostsSummary false The estimated cost summary for a patient. -

PatientDemographic

Name Type Required Description Accepted Values
name Name true The name of the patient. -
birthDate string false The date of birth of the patient. In International Organization for Standardization (ISO) 8601 formatting with precision ranging from YYYY to YYYY-MM-DD. The date of birth does not designate a time zone. -
deceased boolean false Indicates whether a patient is deceased. -
administrativeGender CodeableConcept false The administrative gender code of the patient. The administrative gender can differ from the patient’s clinical sex, preferred gender identity, legal sex, and birth sex. -
address Address false A current addresses for the patient. -
ethnicities [CodeableConcept] false A list of ethnicities pertaining to the patient. In the U.S., the constructs of race and ethnicity are largely based on sociopolitical established practice and self-identification as opposed to anthropological or scientific classification. -
languages [CodeableConcept] false A list of languages that a patient can use to communicate. -
telecoms [Telecom] false A list of contact details for a patient. These contact details may include current or previous email addresses and contact numbers. -

Name

Name Type Required Description Accepted Values
fullName string false The fully formatted representation of the person’s name. -
givenNames [string] true An ordered list of given names (first and middle names). -
familyNames [string] true An ordered list of family names. -
suffix string false The parts that come after the name such as MD, III, or Jr. -

CodeableConcept

Name Type Required Description Accepted Values
codings [Code] true A list of codified values from standard code systems recognized by HealtheIntent. -
sourceCodings [Code] true The list of codified values provided in the source data. Not all of these codes are available in the codings list. For example, local or proprietary codes are not included on the codings list because they are not recognized by HealtheIntent. -
concepts [Concept] false The list of ontological concepts derived from the codified values from standard code systems recognized by HealtheIntent. -
text string false This may be a localized or annotated description of the element provided by a source system or display text associated with one of the codes on the codings or sourceCodings list. -

Code

Name Type Required Description Accepted Values
code string true The unique ID of the code. -
display string false A human-readable representation of the code. -
system string true The ID of the coding system that gives meaning to the code. -

Concept

Name Type Required Description Accepted Values
alias string true The unique ID of the concept in a context. -
contextId string true The unique ID of the context. IDs are in all caps and do not include dashes. -

Address

Name Type Required Description Accepted Values
lines [string] true An ordered list of address lines indicating the house number, apartment number, street name, street direction, P.O. Box number, and similar address information. -
city string false The name of the city, town, or village. -
state CodeableConcept false The state or other subunit of a country. -
postalCode string false The region defined by the postal service for this address. -
country CodeableConcept false The nation specified for this address. -

Telecom

Name Type Required Description Accepted Values
systemCategory string false The type of communication medium. EMAIL, Note: For telecom values that are email addresses, the corresponding system category is EMAIL. For other communication mediums, the system category is not provided due to ambiguity among representations of phone, fax, and other mediums.
value string true The contact information such as email address or phone number. The formatting of the value is determined by the data source. -
extension string false A number that is dialed after successfully connecting to a private phone network to further route the connection to an internal destination. -
countryCode string false The country code of the telecom. -

BenefitCoverageSummary

Name Type Required Description Accepted Values
memberId string false The patient’s benefit provider ID. -
planName string false The name of the plan. -
payerName string false The name of the payer organization or entity that administers the plan. -
policyOrGroupNumber string false The policy or group number assigned to the subscribed plan member. The group number is the number found on a health insurance ID card that is unique to a company or employer through which the subscriber obtains coverage. Otherwise, a unique policy number may be assigned to an individual subscriber. -
policyOrGroupName string false The policy or group name if a policy or group number is not available. -
benefitType CodeableConcept false The code that represents the insurance line or benefit type associated with the benefit plan. -
lineOfBusiness string false Distinguishes the subplan or population in a health plan. -
planEffectiveDate string false The effective date of the patient’s benefit plan. In ISO 8601 formatting with precision ranging from YYYY to YYYY-MM-DDThh:mm:ss.SSSZ. -

VitalSignsSummary

Name Type Required Description Accepted Values
bmi NumericValue false The BMI value of the patient. -
height NumericValue false The height of the patient in centimeters. -
weight NumericValue false The weight of the patient in kilograms. -

NumericValue

Name Type Required Description Accepted Values
modifier string false A comparator that indicates how to interpret the numeric value, for example, >, <, >=, or <=. Often present due to limitations in measurement precision. -
value string true The low or high reference range value, expressed as a numeric value that can be a positive or negative whole number or decimal value. -

VisitSummary

Name Type Required Description Accepted Values
acuteAdmissions integer(int64) false The number of acute care facility admissions in the previous 12 months. -
emergencyRoomVisits integer(int64) false The number of emergency room visits in the previous 12 months. -
nonSpecialistVisits integer(int64) false The number of nonspecialist provider visits in the previous 12 months. -

PcpSummary

Name Type Required Description Accepted Values
organization Organization false The organization that the provider belongs to. -
primaryCareProvider ProviderName false The name of the provider. -

Organization

Name Type Required Description Accepted Values
name string false The name of the organization that the provider belongs to. -

ProviderName

Name Type Required Description Accepted Values
prefix string false The parts that come before the name such as Dr., Mr., or Mrs. -
given [string] true A list of given name portions of the person’s name. For example, if a person has a first name and a middle name, the first name should be the first item on the list and the middle name should be the second item on the list. -
family [string] true A list of family (last) name portions of the person’s name. Some people have multiple family names. -
suffix string false The parts that come after the name such as MD, III, or Jr. -
formatted string false The person’s fully-formatted name. -

ScoringSummary

Name Type Required Description Accepted Values
partCRafScore string false The Medicare Advantage (Part C) benefit calculated risk adjustment factor (RAF) score. -

RiskAdjustmentConditionSummary

Name Type Required Description Accepted Values
esrd boolean false CMS Medicare Advantage identification of End Stage Renal Disease (ESRD). -
hospiceCare boolean false CMS Medicare Advantage identification of hospice care. -
longTermCare boolean false CMS Medicare Advantage identification of Long Term Care. -

EstimatedCostsSummary

Name Type Required Description Accepted Values
prescriptionCost number(float) false The estimated cost of all prescriptions over the preceding 12 months -
medicalCost number(float) false The estimated cost of all medical care over the preceding 12 months -
Ruby Shell