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Resources and Endpoints

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The Account resource acts as a central record against which charges, payments, and adjustments are applied. It contains information about which parties are responsible for payment of the account. The account resource supports multiple account types and relationships to other accounts.

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The AllergyIntolerance resource provides the clinical assessment of a patient’s allergy or intolerance when exposed to a specific substance or class of substance including information about the adverse reaction. Substances include, but are not limited to, medications, foods, environment (such as plants and animals), and insect bites.

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The Appointment resource provides the ability to retrieve information about appointments, write new appointments, and update the status of existing appointments.

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The Binary resource can contain any clinical content such as text, images, and PDFs. This resource is currently limited to Continuity of Care Documents (CCD), clinical documents, diagnostic reports, and communication message content. The supported diagnostic reports are Anatomic Pathology, Cardiology, Microbiology, and Radiology.

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The R4 CarePlan resource can be used to represent care plans. The CarePlan resource describes the intentions of how one or more practitioners plan to deliver care to a specific patient. Care plans are used in a variety of areas and scopes ranging from encounter or visit specific to cross-visits. Care plans are used to group activities, goals and/or practitioners to create context. Care plans are intended to be specific to the patient. It is possible for a planned activity to stand alone without a care plan such as a scheduled appointment.

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The R4 CareTeam resource represents a patient’s care team members. Care team members or participants include practitioners (physicians, nurses, technicians, etc.), family members, friends, guardians, and the patient. The care team can be specific to an encounter or to the patient across all encounters (longitudinal).

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The ChargeItem resource describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. The main usage of the ChargeItem is to enable the billing process and internal cost allocation.

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The Communication resource is a conveyance of information from one entity, a sender, to another entity, a receiver. The information includes encoded data and optionally a related Patient and a related Encounter.

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The Coverage resource provides high-level information about an insurance plan for a specific person or patient or an encounter. Identifying coverage information would appear on an insurance card, and can be used to pay for health care services. The resource can also be used for “selfpay” where an individual takes responsibility for the cost of health care services, rather than a company or organization.

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The Condition resource is used to record problems, diagnoses, or other health matters that are concerning to a patient. Depending on the site, problems and diagnoses are used in different ways. Diagnoses are recorded on an encounter to document conditions addressed or treated during a specific patient visit. For U.S. clients, diagnoses support financial or reimbursement workflows. Problems are on-going or chronic conditions that are managed over every visit and not associated to a specific encounter. A condition may be both a diagnosis and a problem. Conditions, specifically diagnoses, are often associated to orders to document the medical necessity of a specific medication or procedure order and may be referenced by other resources as a “reason” for an action or order. Health concerns are also returned as part of the Condition resource and represent other concerns a patient may have such as financial or social risks.

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The Device resource implementation is currently limited to devices implanted in a patient such as a pacemaker or insulin pump. As such, this resource currently exposes the known implant history for a patient at this site.

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The DiagnosticReport resource typically provides a textual set of information and interpretation after performing a diagnostic service or procedure such as a Radiology or Pathology or Cardiology report. A diagnostic report is the set of information that is typically provided by a diagnostic service when investigations are complete.

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The DocumentReference resource is used to reference a clinical document for a patient within the health system. This resource supports reading Continuity of Care Documents (CCD), returning a list of clinical documents, and a reference to retrieve a document as a PDF.

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The Encounter resource provides admissions or visits during which health care services were provided to a patient. An encounter has a class to distinguish between different health care settings such as inpatient, outpatient, emergency, etc. A patient may have one medical record number with multiple encounter numbers per facility or organization. There is substantial variance between organizations in the definition of an encounter and what events are aggregated together to constitute an encounter.

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The FamilyMemberHistory resource represents family history for a given patient. It may provide a list of conditions associated to a patient’s family member or the absence of a condition on a given individual. In other cases, the resource may indicate that there is no relevant family history, no significant history for a given relative, or that the patient’s family history is unknown or unable to obtain.


The FinancialTransaction resource provides the ability to record and exchange financial payment and adjustment information related to patient healthcare services. This is a custom resource implemented via extensions on the Basic resource.

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The Goal resource describes intended objectives for a patient. A Goal is typically expressed as a desired outcome or health state to be achieved by a patient over a period or at a specific point in time. A Goal may address preventative health or mitigation of a diagnosis or problem. Goals can be non-health care related (e.g. dance at a wedding).

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The Immunization resource includes the view of current and historical administration of vaccinations to a patient in all healthcare settings. This resource contains the functionality to query a patient’s immunization history.

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InsurancePlan describes a health insurance offering comprised of a list of covered benefits, costs associated with those benefits, and additional information about the offering, such as who it is owned and administered by, a coverage area contact information.

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The Location resource describes physical places where healthcare services are provided. In Millennium, facilities are the top level of the patient location hierarchy. A facility is also an Organization resource at which patient locations are associated. All facilities are organizations, but not all organizations are facilities. A location can also be an ambulatory patient care area like a clinic or an emergency room. The location hierarchy from highest to lowest is facility, building, nursing unit, room, and bed.

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The Medication Administration resource provides information about medications and vaccines administered to a patient or consumed by a patient including injections, intravenous solutions, and self administered oral medications.

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The MedicationRequest resource provides orders for all medications along with administration instructions for a patient in both the inpatient and outpatient setting (orders/prescriptions filled by a pharmacy and discharge medication orders). This resource also includes a patient’s historical or documented home medications reported by the patient, significant other or another provider.

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The NutritionOrder resource returns requests or orders to supply a diet or supplement to a patient.

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The Organization resource describes a grouping of people or business entities relevant to the healthcare process. Organizations include hospitals, employers, insurance companies, physicians’ offices, rehabilitation facilities, laboratories, etc.

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The Observation resource provides measurements or simple assertions about a patient that are useful for establishing baselines or trends, monitoring a patient’s progress, and establishing diagnoses. Most observations are simple name/value pair assertions but some observations, such as blood pressure, group other observations together logically. Examples of common observations are: Laboratory results (blood sugar, hemoglobin), Vital signs (temperature, blood pressure), Personal characteristics (height, weight), and Social history (tobacco/alcohol use, employment status). Pathology reports, radiology reports, and other textual reports should be represented by the DiagnosticReport resource.

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The Patient Resource provides general demographic information about a person receiving health care services from a specific organization.

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The Person resource identifies an individual outside of a specific health care context providing a mechanism to link person resources across different facilities or organizations.

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The Practitioner Resource provides information about a person formally involved in the care of a patient on behalf of a healthcare facility. Practitioners include but are not limited to physicians, nurses, pharmacists, therapists, technologists, and social workers.

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The Procedure resource returns medical and surgical procedures performed on or for a patient during their lifetime. Historical procedures, as well as procedures recorded during a specific visit, are returned. Surgical procedures from finalized surgical cases will be returned as free text procedures, if the solution has been configured to write procedures from finalized cases to Procedure History.

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The QuestionnaireResponse resource is a collection of answers to a given questionnaire typically used to request patient healthcare information. A given QuestionnaireResponse must belong to a corresponding Questionnaire. An example of a questionnaire is a form used to collect a patient’s social history. Currently, only social history is supported. The resource should be leveraged as a snapshot in time and new data should be consistently retrieved through the API rather than stored within an application.

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The Questionnaire resource defines and organizes questions and the allowed answers to the questions typically used to collect patient healthcare information. A questionnaire is a snapshot in time and should be retrieved before each use. Examples of questionnaires are forms used to collect a patient’s social history or family member history. Currently, only social history is supported. In order to find a questionnaire for a specific patient, first search QuestionnaireResponse by patient. Then use the ‘questionnaire’ field from the QuestionnaireResponse to retrieve the original questionnaire.

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The RelatedPerson resource provides information about a person who is involved in the care of a patient but has no formal responsibility. RelatedPersons typically have a personal relationship with the patient such as a spouse, relative, friend, guardian, or attorney. RelatedPersons are commonly a source of information about a patient.

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The Schedule resource provides a time period (planning horizon) where time slots are defined for booking an appointment. Consumers can query by schedule id(s). The schedule ids can be obtained by querying for slots, which contain the references to associated schedules. A schedule belongs to only one service or resource (actor) and does not contain any information about actual appointments.

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The ServiceRequest resource returns the requests or orders for procedures, diagnostic tests or other services to be performed on a patient. This resource includes a wide range of requests including diagnostic procedures, therapies, patient care activities, referrals, and consults. Medication, dietary and appointment requests are NOT returned with the ServiceRequest resource.

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The Slot resource returns time slots from a schedule which are available for booking an appointment. Slots contain no information about actual appointments, only availability and type.

Additional Protocols and Formats

HL7 v2

HL7 v2 is a clinical messaging format that provides data about healthcare related events – such as patient administrative activities, demographics, medical orders, results and financial information

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