API end point: https://patient360mass.unicare.com/P360Member/api/fhir. It implements the DSTU2 FHIR version
and its Argonaut implementation guide
Try it here.
| Description | System URI | OID | CareEvolution identifier type |
|---|---|---|---|
| CaregiverIdentifier | http://anthem.com/identifiers/CareEvolution/CaregiverIdentifier | CareEvolution.IdentifierType.CaregiverIdentifier | |
| Original FHIR Patient ID (FhirPatientID) | http://anthem.com/identifiers/CareEvolution/FhirPatientID | CareEvolution.IdentifierType.FhirPatientID | |
| HCID | http://anthem.com/identifiers/CareEvolution/HCID | CareEvolution.IdentifierType.HCID | |
| Last Four SSN Digits (LastFourSSN) | http://anthem.com/identifiers/CareEvolution/LastFourSSN | CareEvolution.IdentifierType.LastFourSSN | |
| MCID | http://anthem.com/identifiers/CareEvolution/MCID | CareEvolution.IdentifierType.MCID | |
| MedicaidID | http://anthem.com/identifiers/CareEvolution/MedicaidID | CareEvolution.IdentifierType.MedicaidID | |
| MemberID | http://anthem.com/identifiers/CareEvolution/MemberID | CareEvolution.IdentifierType.MemberID | |
| Medical Records Number (MRN) | http://anthem.com/identifiers/CareEvolution/MRN | CareEvolution.IdentifierType.MRN | |
| An identifier assigned to licensed and authorized insurance companies by the National Association of Insurance Commissioners (NAIC) (NaicCode) | http://anthem.com/identifiers/CareEvolution/NaicCode | CareEvolution.IdentifierType.NaicCode | |
| National Provider Identifier (NPI) | http://hl7.org/fhir/sid/us-npi | 2.16.840.1.113883.4.6 | CareEvolution.IdentifierType.NPI |
| ProviderID | http://anthem.com/identifiers/CareEvolution/ProviderID | CareEvolution.IdentifierType.ProviderID | |
| Social Security Number (SSN) | http://hl7.org/fhir/sid/us-ssn | 2.16.840.1.113883.4.1 | CareEvolution.IdentifierType.SSN |
| Tax Identification Number (TIN) | urn:oid:2.16.840.1.113883.4.4 | 2.16.840.1.113883.4.4 | CareEvolution.IdentifierType.TIN |
| UserName | http://anthem.com/identifiers/CareEvolution/UserName | CareEvolution.IdentifierType.UserName |
When mapping from FHIR the (optional) OID is considered equivalent to the corresponding system URI.
| Code system | System URI | OID | Writable | Domains |
|---|---|---|---|---|
| C4 | http://www.ama-assn.org/go/cpt | 2.16.840.1.113883.6.12 | - | |
| CdcRaceAndEthnicity | urn:oid:2.16.840.1.113883.6.238 | - | Race, Ethnicity | |
| CDT | http://www.ada.org/cdt | 2.16.840.1.113883.6.13 | - | |
| CMSRemittanceAdviceRemarkCodes | https://x12.org/codes/remittance-advice-remark-codes | - | NonPaymentReason | |
| CVX | http://hl7.org/fhir/sid/cvx | 2.16.840.1.113883.12.292 | - | |
| DRG-FY2018 | https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software | - | ClaimDrg, Drg | |
| DRG-FY2019 | https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software | - | ClaimDrg, Drg | |
| DRG-FY2020 | https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software | - | ClaimDrg, Drg | |
| DRG-FY2021 | https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software | - | ClaimDrg, Drg | |
| DRG-FY2022 | https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software | - | ClaimDrg, Drg | |
| DRG-FY2023 | https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software | - | ClaimDrg, Drg | |
| HCPCS | https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets | 2.16.840.1.113883.6.14 | - | |
| HL7ActCode | http://hl7.org/fhir/v3/ActCode | - | FacilityType, LocationType, ServiceLocation, AdmissionType, PatientType, InsurancePlanType | |
| HL7AdmitSource | http://hl7.org/fhir/admit-source | 2.16.840.1.113883.4.642.1.253 | - | AdmitSource |
| HL7ConditionClinical | http://hl7.org/fhir/condition-clinical | 2.16.840.1.113883.4.642.1.74 | - | DiagnosisStatus |
| HL7DischargeDisposition | http://hl7.org/fhir/discharge-disposition | 2.16.840.1.113883.4.642.1.145 | - | DischargeType |
| HL7EncounterSpecialCourtesy | http://hl7.org/fhir/v3/EncounterSpecialCourtesy | 2.16.840.1.113883.5.40 | - | VipIndicator |
| HL7EncounterType | http://hl7.org/fhir/encounter-type | 2.16.840.1.113883.4.642.1.137 | - | PatientType |
| HL7GoalCategory | http://hl7.org/fhir/goal-category | 2.16.840.1.113883.4.642.1.411 | - | CareTaskCategory |
| HL7GoalPriority | http://hl7.org/fhir/goal-priority | 2.16.840.1.113883.4.642.1.151 | - | CareTaskPriority |
| HL7MaritalStatus | http://hl7.org/fhir/v3/MaritalStatus | 2.16.840.1.113883.5.2 | - | MaritalStatus |
| HL7MedicationStatementCategory | http://hl7.org/fhir/medication-statement-category | - | OrderDepartment | |
| HL7NullFlavor | http://hl7.org/fhir/v3/NullFlavor | 2.16.840.1.113883.5.1008 | - | |
| HL7ObservationInterpretation | http://hl7.org/fhir/v2/0078 | 2.16.840.1.133883.18.31 | - | Acuity |
| HL7OrganizationType | http://hl7.org/fhir/organization-type | 2.16.840.1.113883.4.642.1.415 | - | CaregiverType |
| HL7ParticipantType | http://hl7.org/fhir/participant-type | 2.16.840.1.113883.4.642.1.139 | - | CaregiverRelationshipType |
| HL7ReasonMedicationGiven | http://hl7.org/fhir/reason-medication-given | 2.16.840.1.113883.4.642.1.188 | - | MedicationAdministrationReasonGiven |
| HL7ReasonMedicationNotGiven | http://hl7.org/fhir/reason-medication-not-given | 2.16.840.1.113883.4.642.1.187 | - | MedicationAdministrationReasonNotGiven |
| HL7RoleCode | http://hl7.org/fhir/v3/RoleCode | 2.16.840.1.113883.5.111 | - | LocationType |
| HL7SeverityObservationVocabulary | http://terminology.hl7.org/CodeSystem/v3-ObservationValue | - | ||
| HL7SpecimenType | http://hl7.org/fhir/v2/0487 | 2.16.840.1.133883.18.311 | - | SpecimenType |
| HL7SubscriberRelationship | http://hl7.org/fhir/policyholder-relationship | - | InsurancePlanType | |
| HL7v3Religion | http://hl7.org/fhir/v3/ReligiousAffiliation | 2.16.840.1.113883.5.1076 | - | |
| HL7v3RequestPriority | http://hl7.org/fhir/request-priority | 2.16.840.1.113883.4.642.4.116 | - | |
| ICD-10-CM | http://hl7.org/fhir/sid/icd-10-cm | 2.16.840.1.113883.6.90 | - | DiagnosisCode |
| ICD-10-PCS | http://www.icd10data.com/icd10pcs | 2.16.840.1.113883.6.4 | - | ProcedureCode, ServiceCode |
| ICD-10-PCS | http://www.cms.gov/Medicare/Coding/ICD10 | 2.16.840.1.113883.6.90 | - | ProcedureCode, ServiceCode |
| ICD-9-CM-Diagnosis | http://hl7.org/fhir/sid/icd-9-cm/diagnosis | 2.16.840.1.113883.6.103 | - | DiagnosisCode |
| ICD-9-CM-Diagnosis | http://hl7.org/fhir/sid/icd-9-cm | 2.16.840.1.113883.6.42 | - | DiagnosisCode |
| ICD-9-CM-Procedure | http://hl7.org/fhir/sid/icd-9-cm/procedure | 2.16.840.1.113883.6.104 | - | ProcedureCode, ServiceCode |
| ICD-9-CM-Procedure | http://hl7.org/fhir/sid/icd-9-cm | 2.16.840.1.113883.6.42 | - | ProcedureCode, ServiceCode |
| ImmunizationSite | http://hl7.org/fhir/v3/ActSite | 2.16.840.1.113883.5.1052 | - | MedicationAdministrationSite |
| InternetSocietyLanguage | urn:ietf:bcp:47 | - | PreferredLanguage | |
| LOINC | http://loinc.org | 2.16.840.1.113883.6.1 | - | |
| NDC | http://hl7.org/fhir/sid/ndc | 2.16.840.1.113883.6.69 | - | |
| NoImmunizationReason | http://hl7.org/fhir/v3/ActReason | 2.16.840.1.113883.5.8 | - | MedicationAdministrationReasonNotGiven |
| POS | https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set | 2.16.840.1.113883.6.50 | - | ServiceLocation |
| RouteOfAdministration | http://hl7.org/fhir/v3/RouteOfAdministration | 2.16.840.1.113883.5.112 | - | MedicationAdministrationRoute |
| RxNorm | http://www.nlm.nih.gov/research/umls/rxnorm | 2.16.840.1.113883.6.88 | - | |
| SNOMED | http://snomed.info/sct | 2.16.840.1.113883.6.96 | - | |
| Ub04PointOfOrigin | https://www.nubc.org/CodeSystem/PointOfOrigin | - | ||
| Ub04PointOfOriginNewBorn | https://www.nubc.org/CodeSystem/PointOfOriginNewBorn | - | ||
| Ub04PriorityOfAdmission | https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit | - | AdmissionType | |
| UBFacilityType | https://rosetta.careevolution.com/UBFacilityType | - | ||
| UBPatientDischargeStatus | https://www.nubc.org/CodeSystem/PatDischargeStatus | 2.16.840.1.113883.6.301.5 | - | PatientStatus |
| UBREV | https://www.nubc.org/CodeSystem/RevenueCodes | 2.16.840.1.113883.6.301.3 | - | RevenueCode |
| UBTOB | https://www.nubc.org/CodeSystem/TypeOfBill | 2.16.840.1.113883.6.301.1 | - | BillClass |
| UCUM | http://unitsofmeasure.org | 2.16.840.1.113883.6.8 | - | |
| UNII | http://fdasis.nlm.nih.gov | 2.16.840.1.113883.4.9 | - | |
| X12ClaimAdjustmentReasonCodes | https://x12.org/codes/claim-adjustment-reason-codes | - | NonPaymentReason |
When mapping from FHIR only the writable ones are mapped as-is, the other ones will be prefixed.
Also, when mapping from FHIR the (optional) OID is considered equivalent to the corresponding system URI.
| CareEvolution | FHIR |
|---|---|
| Allergy | AllergyIntolerance |
| AuditLogEntry | AuditEvent |
| Caregiver | Practitioner |
| CareTask | CarePlan Goal |
| CareTaskGroup | CarePlan |
| Claim | Claim |
| ClaimProblem | Condition |
| ClaimProcedure | Procedure |
| ClaimService | Immunization |
| DemographicPicture | Binary |
| DeviceDataSource | Device |
| Encounter | Encounter |
| Insurance | Coverage |
| LabObservation | Observation |
| LabReport | Binary DiagnosticReport Specimen |
| LabReportSpecimen | Specimen |
| Location | Location |
| Medication | MedicationDispense |
| MedicationAdministration | Immunization MedicationAdministration |
| MedicationProfile | Immunization MedicationAdministration |
| Observation | Observation |
| Order | DiagnosticOrder MedicationOrder MedicationStatement ProcedureRequest |
| Patient | Patient |
| PatientAssociatedParty | RelatedPerson |
| PatientGroup | Group |
| PatientGroupMember | Group |
| Problem | Condition Encounter |
| Procedure | Procedure |
| RecordAuthority | Organization |
| RecordAuthoritySubset | Organization |
| RecordGroup | Patient |
| Referral | ReferralRequest |
| ReferralProblem | Condition |
| Report | Binary DiagnosticReport |
| TermSubset | ValueSet |
| UserInfo | Person |
Mappings between FHIR resources and CareEvolution concepts used when importing FHIR data from other systems (i.e. via bulk import, provider connections and operations like $subit-data).
| CareEvolution | FHIR |
|---|---|
| Allergy | AllergyIntolerance |
| Caregiver | Practitioner Organization |
| CareTask | CarePlan Goal |
| CareTaskGroup | CarePlan |
| Claim | Claim |
| DeviceDataSource | Device |
| Encounter | Encounter Appointment |
| LabObservation | Observation |
| LabReport | Specimen Observation DiagnosticReport |
| LabReportSpecimen | Specimen |
| Location | Location |
| Medication | Medication MedicationDispense |
| MedicationAdministration | MedicationAdministration Immunization |
| MedicationProfile | Medication MedicationAdministration Immunization |
| Observation | Observation |
| Order | ProcedureRequest DiagnosticOrder Medication MedicationOrder MedicationStatement |
| Patient | Patient |
| PatientAssociatedParty | RelatedPerson |
| Problem | Encounter Condition |
| Procedure | Procedure |
| RecordGroup | Patient |
| Referral | ReferralRequest |
| Report | DiagnosticReport DocumentReference |
Domains and coding systems used to map FHIR codes value sets. List and manage them here.
| FHIR value set | Domain | Coding system | Default |
|---|---|---|---|
| address-use | AddressType | FhirCodes | |
| administrative-gender | Gender | FhirCodes | unknown |
| allergy-intolerance-category | AllergyType | FhirCodes | |
| allergy-intolerance-criticality | AllergySeverity | FhirCodes | |
| allergy-intolerance-severity | AllergyReactionSeverity | FhirCodes | |
| allergy-intolerance-status | AllergyClinicalStatus | FhirCodes | |
| allergy-intolerance-type | AllergySensitivity | FhirCodes | |
| birth-sex | Gender | FhirCodesAlternate1 | UNK |
| care-plan-activity-status | CareTaskStatus | FhirCodes | in-progress |
| claim-type | ClaimType | FhirCodes | professional |
| composition-status | ReportStatus | FhirCodesAlternate4 | final |
| condition-verification-status | DiagnosisStatusOnAdmission | FhirCodesAlternate6 | unknown |
| condition-verification-status | DiagnosisVerificationStatus | FhirCodes | unknown |
| condition-verification-status | ReferralStatus | FhirCodesAlternate4 | unknown |
| contact-point-system | ContactInfoType | FhirCodes | |
| contact-point-use | ContactInfoUseCode | FhirCodes | |
| device-status | DeviceDataSourceStatus | FhirCodes | |
| diagnostic-order-priority | OrderPriority | FhirCodes | |
| diagnostic-order-status | OrderStatus | FhirCodes | |
| diagnostic-report-status | ReportStatus | FhirCodes | partial |
| document-reference-status | ReportStatus | FhirCodesAlternate2 | |
| document-reference-status | DocumentReferenceStatus | FhirCodes | |
| dstu2-condition-category | DiagnosisType | FhirCodesAlternate1 | problem |
| dstu2-condition-clinical-status | DiagnosisStatus | FhirCodes | |
| dstu2-condition-clinical-status | DiagnosisStatusOnAdmission | FhirCodesAlternate3 | |
| dstu2-condition-clinical-status | ReferralStatus | FhirCodesAlternate5 | |
| encounter-class | PatientClass | FhirCodes | |
| explanation-of-benefit-status | ClaimStatus | FhirCodes | active |
| f-h-i-r-device-status | DeviceDataSourceStatus | FhirCodesAlternate1 | unknown |
| financial-resource-status-codes | InsuranceStatus | FhirCodes | active |
| financial-resource-status-codes | ClaimStatus | FhirCodesAlternate1 | active |
| goal-status | CareTaskStatus | FhirCodesAlternate1 | in-progress |
| medication-administration-status | ClaimServiceStatus | FhirCodes | in-progress |
| medication-administration-status | MedicationAdministrationStatus | FhirCodes | in-progress |
| medication-administration-status | MedicationStatus | FhirCodesAlternate4 | in-progress |
| medication-dispense-status | MedicationStatus | FhirCodes | |
| medication-order-status | OrderStatus | FhirCodesAlternate2 | |
| medication-statement-status | OrderStatus | FhirCodesAlternate1 | active |
| name-use | NameType | FhirCodes | |
| observation-status | ObservationResultStatus | FhirCodes | unknown |
| old-encounter-participant-type | CaregiverRelationshipType | FhirCodesAlternate3 | |
| procedure-request-priority | OrderPriority | FhirCodesAlternate3 | |
| procedure-request-status | OrderStatus | FhirCodesAlternate5 | |
| procedure-status | ProcedureStatus | FhirCodes | completed |
| referral-status | ReferralStatus | FhirCodes | active |
| request-priority | CareTaskPriority | FhirCodes | routine |
| request-priority | OrderPriority | FhirCodesAlternate2 | |
| request-priority | ReferralAcuity | FhirCodes | |
| specimen-status | SpecimenStatus | FhirCodes | |
| task-status | CareTaskStatus | FhirCodesAlternate3 | in-progress |
| Code | Card. | Type | Context | Definition |
|---|---|---|---|---|
| domain | 0..1 | string | Uri elements | Coding system domain |
| encounter-drg | 0..1 | CodeableConcept | Encounter resources | Diagnosis Related Group (DRG) code |
