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The Fasten Sources is a library that defines medical provider metadata (definitions - OpenID Metadata documents) and http clients (OAuth2/Smart-on-FHIR clients) which can be used to retrieve data from various Medical Providers (clients).

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emr healthcare personal-health-record fhir-client smart-on-fhir

fasten-sources's Issues

NHS configuration

Status:

  • working Oauth redirect
  • using Sandpit credentials, OTP

TODO:

  • requires JWT Authz
{
  "custom_definition": true,
  "platform_type": "nhs",
  "authorization_endpoint": "https://auth.sandpit.signin.nhs.uk/authorize",
  "token_endpoint": "https://auth.sandpit.signin.nhs.uk/token",
  "url": "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4",
  "client_id": "fastenhealth",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/nhs",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4",
  "scopes_supported": [
    "openid",
    "profile"
  ],
  "confidential": true,
  "code_challenge_methods_supported": [],
  "issuer": "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4",
  "confidential_endpoint": "982b218a-ce90-4869-a33a-aa4231547fe8",
  "should_override_redirect": true,
  "override_redirect": "nhs"
}

Status - OLD - Using incorrect Authentication method

{
  "custom_definition": true,
  "platform_type": "nhs",
  "authorization_endpoint": "https://int.api.service.nhs.uk/oauth2-mock/authorize",
  "token_endpoint": "https://int.api.service.nhs.uk/oauth2-mock/token",
  "url": "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4",
  "client_id": "XXXX",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/nhs",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4",
  "scopes_supported": [
    "nhs-login"
  ],
  "confidential": false,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://int.api.service.nhs.uk/personal-demographics/FHIR/R4"
}

Flatiron

{
  "custom_definition": true,
  "platform_type": "flatiron",
  "should_override_redirect": false,
  "cors_relay_required": false,
  "override_redirect": "",
  "authorization_endpoint": "https://accounts.flatiron.com/connect/authorize",
  "token_endpoint": "https://accounts.flatiron.com/connect/token",
  "url": "https://fhir.prod.flatiron.io/fhir",
  "client_id": "xxx",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/flatiron",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "fragment"
  ],
  "aud": "",
  "scopes_supported": [
    "fhirUser",
    "openid",
    "offline_access",
    "launch/patient",
    "patient/Patient.read"
  ],
  "confidential": false,
  "confidential_endpoint": "",
  "pkce": true,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://fhir.prod.flatiron.io/fhir"
}

Status:

  • No sandbox available, testing must be done manually with Engineering team via Zoom

Qualifacts Configuration

  • Qualifacts InSync - Cannot Login to Sandbox env to retrieve Client ID/Secret
  • Qualifacts CareLogic - Waiting
    • Does not support PKCE
  • Qualifacts Credible - Working
    • weird base64Binary contentType

CareLogic Config

{
  "custom_definition": true,
  "platform_type": "qualifacts-carelogic",
  "authorization_endpoint": "https://integration-cert.qualifacts.org/fhir/smart/authorize",
  "token_endpoint": "https://integration-cert.qualifacts.org/fhir/smart/token",
  "url": "https://api-cert.qualifacts.org/api/fhir/r4",
  "client_id": "aca2e695-ab7b-40c0-b17f-60aaf38d1765",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/qualifacts",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://api-cert.qualifacts.org/api/fhir/r4",
  "scopes_supported": [
    "fhirUser",
    "openid",
    "profile",
    "offline_access",
    "patient/AllergyIntolerance.read",
    "patient/CarePlan.read",
    "patient/CareTeam.read",
    "patient/Condition.read",
    "patient/Device.read",
    "patient/DiagnosticReport.read",
    "patient/DocumentReference.read",
    "patient/Encounter.read",
    "patient/Goal.read",
    "patient/Immunization.read",
    "patient/Medication.read",
    "patient/MedicationRequest.read",
    "patient/Observation.read",
    "patient/Patient.read",
    "patient/Practitioner.read",
    "patient/Procedure.read",
    "patient/Provenance.read"
  ],
  "confidential": true,
  "code_challenge_methods_supported": [],
  "issuer": "https://api-cert.qualifacts.org/api/fhir/r4",
  "confidential_endpoint": "1c6f73df-6583-43a1-a64e-d4b37b01dae9",
  "should_override_redirect": true,
  "override_redirect": "qualifacts"
}

CHBase Unify

CHBase Unify's documentation specifies that they follow the [Oauth 2.0 Dynamic Client Registration](https://datatracker.ietf.org/doc/html/rfc7591#section-3.1) standard, however when I try to register a new client, I get an error {"error":"application_type not supported"}

Docs: https://unify-developer.chbase.com/?page=FHIRAPI

Request:

 curl -X POST  https://unify-auth.sbx.chbase.com/application/register -H 'Content-Type: application/json' -d '{ "redirect_uris": [ "https://www.example.com/sandbox/callback/chbase", "https://www.example.com/v1/callback/chbase"], "application_name": "Testing Client Name", "application_type": "implicit", "scope": "patient/*.read openid fhirUser", "grant_types": ["authorization_code"] }'

I've tried various application_type values, including: public, private, implicit, blank.

Ascension Seton source notes

In the source list, Ascension Seton is identified as a user of Cerner. That only applies to hospital records, Records from visits to Ascension clinics and doctors' offices are in Athena. Additional notes below:

Ascension Seton - Hospital records are in Oracle/Cerner and records from doctor visits are in Athena (Note that some hospital records are also in Athena, especially if patient's provider has seen them both in the hospital and as an outpatient). Cannot segment mental/behavioral health from other records. Records downloaded via patient portal are only available in a zip file containing PDF and CDA XSL StyleSheet. No instructions are provided to patient to explain why the XSL stylesheet is provided or can be used. Patient can also send records via Direct Exchange email (which potentially provides structured data).

Ascension adds information from data brokers and other sources to patient records for Social Determinants of Health initiatives. The socioeconomic data collected is not available to patients, though they're the subject of the income and other PII data collected. Patients are also prevented from accessing their medical data that is added to their medical records by Google Health AI and Project Nightingale.

Ascension notes that full medical records are only available via Swellbox (Ciox/Datavant).

Hospital visit records: https://seton.consumeridp.us-1.healtheintent.com/saml2/sso/login?authenticationRequestId=84f65123-d979-404e-829f-3726371a33b0
Doctor visit records: https://8363-1.portal.athenahealth.com/
Full medical records: https://www.swellbox.com/ascension-texas-seton-wizard.html

netsmart configuration

  • Authorization Url
  • Sandbox Account Login
  • prod account
{
  "custom_definition": true,
  "platform_type": "netsmart",
  "authorization_endpoint": "https://oauthtest.netsmartcloud.com/authorize",
  "token_endpoint": "https://oauthtest.netsmartcloud.com/token",
  "url": "https://fhirtest.netsmartcloud.com/uscore/v1",
  "client_id": "5b10f7xxxxxea8cb",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/netsmart",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [],
  "aud": "https://fhirtest.netsmartcloud.com/uscore/v1",
  "scopes_supported": [
    "fhirUser",
    "openid",
    "profile",
    "offline_access",
    "launch/patient",
    "patient/*.read"
  ],
  "confidential": false,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://fhirtest.netsmartcloud.com/uscore/v1"
}

Tracking Updates

  • Netsmart does not provide any sandbox credentials in their documentation.
  • Emailed on Feb 12 requesting access. Follow up email on Feb 29th.
  • Emailed again on May 17th, CC'd contacts on CHPL.

Unable to add Athena Health source - Acess Control Allow Origin Header

When trying to setup athena health the following is logged in the console:

Access to fetch at 'https://api.platform.athenahealth.com/oauth2/v1/token' from origin 'http://xxxxxxxxx:9090/' has been blocked by CORS policy: No 'Access-Control-Allow-Origin' header is present on the requested resource. If an opaque response serves your needs, set the request's mode to 'no-cors' to fetch the resource with CORS disabled.

Different brands and logos - Duplicates okay?

I'm working on some updates in Toolbox, and am wondering whether it makes sense to have separate entries when it would be more clear to users.

As an example, Dell Children's Medical Group (Outpatient) in Austin, TX is owned by the Seton Outpatient division of Ascension and shares the same Athena portal, but brands itself differently from its Ascension parent. Ascension's ownership is certainly not a secret, but as Fasten grows over time and is used by a much wider audience than tech nerds like myself, it would be helpful for users to see the Dell Children's name and logo when selecting sources. Essentially, nobody is going to search for "Ascension" when looking for "Dell Children's". Just one example of many that likely exist.

My vote would be to keep two separate source entries for clarity and better UX, but with some boundaries, Checking to see if there's agreement before I spend much time updating a bunch of names, NPI's and logos in Toolbox.

NextGen patient portal - Branding


/appointments/services/v1/appointments/practice/" + N + "/member/" + e
/appointments/services/v1/appointments/practice/" + N + "/member/" + e + "/next
/appointments/services/v1/appointments/practice/" + N + "/member/" + e + "/next
/appointments/services/v1/appointments/practice/" + N + "/member/" + e;
/assets/i18n/", x = ".json
/forms-rest/practices/" + ce.practiceId + "/patients/" + G + "/formHeaders?formType=PRE_REG
/messaging-rest/practices/" + j + "/patients/" + _e + "/directccdtransmissions
/messaging-rest/practices/" + j + "/patients/" + _e + "/emailccdtransmissions
/messaging-rest/practices/" + N + "/patients/" + e + "/emaillabresults
/messaging-rest/practices/" + N + "/patients/" + e + "/emaillabresultsdirect
/messaging-rest/practices/${_e.practiceId}/patients/${U}/messageheaders?folder=${P}&pageSize=${this.pageSize}&page=${pe}&sortColumn=${me}&asc=${j}
/messaging-rest/practices/${P.practiceId}/patients/${this.getActiveAccountId()}/messageheaders/messagecoun
/messaging-rest/practices/${pe}/patients/${this.getActiveAccountId()}/messageheaders/${U}
/messaging-rest/practices/${pe}/patients/${this.getActiveAccountId()}/messageheaders/${U}
/messaging-rest/practices/${P}/patients/${this.getActiveAccountId()}/messages
/messaging-rest/practices/${U}/patients/${P}/messages/${pe}
/patient/app/?wicket:bookmarkablePage=%3Anet.medfusion.encounter.patient.Logout
/phr-rest/services
/phr-rest/services/members/" + j + "/ccds/log" + `?eventStatus=${le}&eventType=${Ae}
/phr-rest/services/members/" + j + "/ccds?sendDownloadEvents=false
/phr-rest/services/members/" + N + "/labresults/log" + `?eventStatus=${U}&eventType=${P}
/phr-rest/services/practices/" + _e.practiceId + "/members/" + j + "/ccdheaders/ccdcounts?cdaTypes=CONSOL_CCD&cdaTypes=C32_CCD&cdaTypes=CCD&cdaTypes=CONSOL_DISCHARGE&cdaTypes=CONSOL_PROGRESS_NOTE
/phr-rest/services/practices/" + j + "/members/" + _e + "/ccd-requests
/phr-rest/services/practices/" + j + "/members/" + _e + "/ccdheaders/readstatuses?cdaTypes=CONSOL_CCD&cdaTypes=C32_CCD&cdaTypes=CCD&cdaTypes=CONSOL_DISCHARGE&cdaTypes=CONSOL_PROGRESS_NOTE
/phr-rest/services/practices/" + N + "/members/" + e + "/chart/lab/panels/" + U + "/results
/phr-rest/services/practices/" + N + "/members/" + e + "/chart/lab/panels/count
/phr-rest/services/practices/" + N + "/members/" + e + "/chart/lab/panels/criteria?per_page=" + b.V.PAGINATION_LIMIT + "&page=" + U
/phr-rest/services/practices/" + N + "/members/" + e + "/chart/lab/panels/onload?per_page=" + b.V.PAGINATION_LIMIT + "&page=" + U
/phr-rest/services/practices/" + N + "/members/" + e + "/panels/" + U + "/updatestatus
/phr-rest/services/practices/" + N + "/panel/" + e + "/download
/practice-svcs/practices/" + j + "/locations?isOnlyLocationsNames=true
/practice-svcs/practices/" + j + "/npp
/practice-svcs/practices/" + j + "/resources?language=" + this.getLanguage()
/practice-svcs/practices/" + j + "/solutions/configurations?solutionType=" + _e
/practice-svcs/practices/" + j + "/solutions?language=" + this.getLanguage()
/practice-svcs/practices/${e}/locations/${U}
/practice-svcs/practices/${j}/locations
/practice-svcs/textconfig/" + j + "/" + _e + "?language=" + F
/practice-svcs/v1/practices/" + j + "/terms-of-use/" + _e + "/versions/" + le
/practice-svcs/v1/practices/" + this.getPortalAbbreviation() + "?language=" + this.getLanguage() + "&fields=" + j
/practice-svcs/v1/practices/" + this.practice.practiceId + "/age-out-config
/practice-svcs/v1/practices/extended/" + _e + "?language=" + this.getLanguage() + "&fields=" + j
/practice/rest/internal/mixpanel/token
/practice/rest/sens/ejb/broker/broadcastBroker/method/findBroadcasts
/practice/rest/sens/ejb/broker/paymentBroker/method/getLastTransaction
/practice/rest/sens/ejb/broker/paymentBroker/method/getPatientPayBillTransactions
/secure/member/login/exit.cfm
/statements/services/v1/practices/" + e.practiceId + "/patients/" + U.currentPatient.accountId + "/accountsummary
/statements/services/v1/practices/" + e.practiceId + "/patients/" + U.currentPatient.accountId + /statementsummary/latest
/statements/services/v1/practices/" + U.practiceId + "/patients/" + P.currentPatient.accountId + "/statements/" + e
/user-rest/access-token
/user-rest/matcher
/user-rest/matcher?sendEmail=true
/user-rest/practices/" + Ae + "/accounts/" + He
/user-rest/practices/" + Ae + "/accounts/" + le.accountId
/user-rest/practices/" + e + "/accounts/" + U + "/preferences
/user-rest/practices/" + F.practiceId + "/patients/" + Ae.accountId + "/relations?dependentsOnly=false
/user-rest/practices/" + G + "/accounts/" + te
/user-rest/practices/" + G.practiceId + "/accounts?acknowledgeNpp=true
/user-rest/practices/" + G.practiceId + "/credentialMatcher
/user-rest/practices/" + G.practiceId + "/inactivepatients/" + M.uuid + "?dateOfBirth=" + te + "&zipCode=" + M.postalCode
/user-rest/practices/" + G.practiceId + "/relations
/user-rest/practices/" + Ie.practiceId + "/authUserInvitations/" + M.uuid + "?zipCode=" + M.postalCode + "&dateOfBirth=" + this.dateObjectToStringPipe.transform(M.dob
/user-rest/practices/" + le + "/accounts/" + Ae + "/preferences
/user-rest/practices/" + M + "/accounts/preferences
/user-rest/practices/" + M + "/patientMatcher
/user-rest/practices/" + M + "/patients/" + G + "/authUserPermissions?dependentMemberId=" + te
/user-rest/practices/" + M + "/patients/" + G + "/credentials
/user-rest/practices/" + M + "/patients/" + G + "/credentials
/user-rest/practices/" + M + "/patients/" + G + "/credentials
/user-rest/practices/" + te.practiceId + "/authUserInvitations/" + M;
/user-rest/practices/" + te.practiceId + "/inactivepatients/" + M
/user-rest/practices/" + te.practiceId + "/patients/" + M + "/credentials
/user-rest/practices/" + this.practiceService.practice.practiceId + "/patients/" + this.user.accountId + "/userSession
/user-rest/practices/" + U.practiceId + "/patients/" + P.accountId + "/relations?dependentsOnly=false
/user-rest/securityquestions
/user-rest/user-rest/v1/practices?show_dependents=" + G + "&isOldHost=" + window.location.hostname.includes("medfusion")
/user-rest/v1/practices/" + j + "/members/" + this.getCurrentPatient().accountId + "/green-light-health/sso
/user-rest/v1/practices/" + le + "/members/" + Ae.accountId + "/acknowledged-npps
/user-rest/v1/practices/" + le + "/members/" + Ae.accountId + "/acknowledged-tous
/user-rest/v1/practices/" + M + "/health-key
/user-rest/v1/practices/" + M + "/user-session
/user-rest/v1/practices/" + M + "/user-session
/user-rest/v1/practices/${M.practiceId}/user-session
practice/rest/sens/ejb/broker/paymentBroker/method/getPatientPayBillTransactions
practice/rest/sens/ejb/broker/paymentBroker/method/payBillOnline
statements/services/v1/practices/" + R + "/patients/" + ie.currentPatient.accountId + "/balance/latest

One Medical With Providence

There's a portal with id dd04fec0-2dd4-4018-8e45-e6da6589c3f1 and name One Medical Group. Based on the logo, I assume it's for One Medical With Providence, a DBA of Providence Health & Services Oregon. The name should probably be changed to "One Medical With Providence", so as not to confuse users looking for One Medical's main patient portal.

(Separately, #39 is about adding One Medical.)

DrChrono

{
  "custom_definition": true,
  "platform_type": "drchrono",
  "should_override_redirect": false,
  "cors_relay_required": false,
  "override_redirect": "",
  "authorization_endpoint": "https://stg.drchrono-fhir.everhealthsoftware.com/core/connect/authorize",
  "token_endpoint": "https://stg.drchrono-fhir.everhealthsoftware.com/core/connect/token",
  "url": "https://stg.drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchronodev/drchronodev/r4",
  "client_id": "xxxx",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/drchrono",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://stg.drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchronodev/drchronodev/r4",
  "scopes_supported": [
    "fhirUser",
    "openid",
    "offline_access",
    "launch/patient",
    "patient/AllergyIntolerance.read",
    "patient/CarePlan.read",
    "patient/CareTeam.read",
    "patient/Condition.read",
    "patient/Device.read",
    "patient/DiagnosticReport.read",
    "patient/DocumentReference.read",
    "patient/Encounter.read",
    "patient/Goal.read",
    "patient/Immunization.read",
    "patient/Medication.read",
    "patient/MedicationRequest.read",
    "patient/Observation.read",
    "patient/Patient.read",
    "patient/Practitioner.read",
    "patient/PractitionerRole.read",
    "patient/Procedure.read",
    "patient/Provenance.read"
  ],
  "confidential": true,
  "confidential_endpoint": "6a01ffff-d73e-4728-a315-9b23bd77a4cc",
  "pkce": true,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://stg.drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchronodev/drchronodev/r4"
}

Status:

  • Failing redirect (missing redirect urls)
  • Requires Client Secret
  • Waiting for demo and production access conversation

UPMC

{
  "custom_definition": true,
  "platform_type": "upmc",
  "should_override_redirect": false,
  "cors_relay_required": false,
  "override_redirect": "",
  "authorization_endpoint": "https://api.upmchp.com/stg.fhir/oauth2/v2.0/authorize",
  "token_endpoint": "https://api.upmchp.com/stg.fhir/oauth2/v2.0/token",
  "url": "https://api.upmchp.com/stg.fhir/R4",
  "client_id": "xxx",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/upmc",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://api.upmchp.com/stg.fhir/R4",
  "scopes_supported": [
    "fhirUser",
    "openid",
    "launch/patient",
    "patient/*.read"
  ],
  "confidential": false,
  "confidential_endpoint": "",
  "pkce": true,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://api.upmchp.com/stg.fhir/R4"
}

Status:

  • requires Client Secret Storage (Confidential Client)

Broken images in sources lookup page

image

When I view source I noticed there's a missing / at the front. Not sure if it's meant to be a relative path or not:

image

When I try to go to /assets/sources/precision-healthcare-specialists.png a white page loads and this shows up in the inspector:

image

Maximeyes Configuration

{
  "custom_definition": true,
  "platform_type": "maximeyes",
  "should_override_redirect": false,
  "cors_relay_required": false,
  "override_redirect": "",
  "authorization_endpoint": "https://connectsandbox.maximeyes.com/connect/authorize",
  "token_endpoint": "https://connectsandbox.maximeyes.com/connect/token",
  "url": "https://fhirqa.maximeyes.com/api/ipcert/R4",
  "client_id": "xxxx",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/maximeyes",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://fhirqa.maximeyes.com/api/ipcert/R4",
  "scopes_supported": [
    "fhirUser",
    "patient/Patient.read"
  ],
  "confidential": false,
  "confidential_endpoint": "",
  "pkce": true,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://fhirqa.maximeyes.com/api/ipcert/R4"
}

OLD

{
  "custom_definition": true,
  "platform_type": "maximeyes",
  "authorization_endpoint": "https://connectsandbox.first-insight.com/connect/authorize",
  "token_endpoint": "https://connectsandbox.first-insight.com/connect/token",
  "url": "https://fhirdehr.maximeyes.com/api/FhirTest/R4",
  "client_id": "XXXXX",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/maximeyes",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://fhirdehr.maximeyes.com/api/FhirTest/R4",
  "scopes_supported": [
    "fhirUser",
    "openid",
    "offline_access",
    "patient/Encounter.read",
    "patient/Patient.read"
  ],
  "confidential": false,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://fhirdehr.maximeyes.com/api/FhirTest/R4"
}

Support form is broken - https://customer.first-insight.com/contact_form.asp

Hi, 

I'm building a Patient-Access Application using your provided documentation: https://customer.first-insight.com/downloads/forms/MaximEyes-FHIR-API-Documentation.pdf

I'm able to correctly generate and visit an Authorization Url for the following sandbox FHIR endpoint - https://fhirdehr.maximeyes.com/api/FhirTest/R4

However I was unable to find any sandbox credentials to login and complete the SMART-on-FHIR flow to verify the integration is working successfully. 

Can you provide me with those credentials, or a link to the page where they can be found?

Status:

  • Waiting for response containing Sandbox credentials:
    • "will get this checked with our Engineering Team & will update you by Monday."
  • WOrking with Sandbox Credentials
  • Missing scopes.

Duplicate UCSF entries

There are two entries for UCSF in brands.json with keys 37d8 and 5a8b. Additionally, the 37d8 brand has an additional brand id of 4eba. As a result, UCSF shows up three times in search results, which is a little confusing for the user. Perhaps these can be merged under a single brand id.

EOB Contained Resources need to be processed and stored in the DB.

{
    "resourceType": "ExplanationOfBenefit",
    "id": "carrier--10000930037917",
    "meta": {
        "lastUpdated": "2023-06-14T12:31:42.354-04:00",
        "profile": [
            "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Professional-NonClinician"
        ]
    },
    "contained": [
        {
            "resourceType": "Observation",
            "id": "line-observation-1",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-2",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-3",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-4",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-5",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-6",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-7",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-8",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-9",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-10",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-11",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-12",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-13",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        },
        {
            "resourceType": "Observation",
            "id": "line-observation-14",
            "status": "unknown",
            "code": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_type_cd",
                        "code": "R1",
                        "display": "Hemoglobin Test"
                    }
                ]
            },
            "valueQuantity": {
                "value": 0
            }
        }
    ],
    "extension": [
        {
            "url": "https://bluebutton.cms.gov/resources/variables/nch_near_line_rec_ident_cd",
            "valueCoding": {
                "system": "https://bluebutton.cms.gov/resources/variables/nch_near_line_rec_ident_cd",
                "code": "O",
                "display": "Part B physician/supplier claim record (processed by local carriers; can include DMEPOS services)"
            }
        },
        {
            "url": "https://bluebutton.cms.gov/resources/variables/carr_num",
            "valueIdentifier": {
                "system": "https://bluebutton.cms.gov/resources/variables/carr_num",
                "value": "00510"
            }
        },
        {
            "url": "https://bluebutton.cms.gov/resources/variables/carr_clm_cntl_num",
            "valueIdentifier": {
                "system": "https://bluebutton.cms.gov/resources/variables/carr_clm_cntl_num",
                "value": "-700301157"
            }
        },
        {
            "url": "https://bluebutton.cms.gov/resources/variables/carr_clm_pmt_dnl_cd",
            "valueCoding": {
                "system": "https://bluebutton.cms.gov/resources/variables/carr_clm_pmt_dnl_cd",
                "code": "1",
                "display": "Physician/supplier"
            }
        },
        {
            "url": "https://bluebutton.cms.gov/resources/variables/asgmntcd",
            "valueCoding": {
                "system": "https://bluebutton.cms.gov/resources/variables/asgmntcd",
                "code": "A",
                "display": "Assigned claim"
            }
        },
        {
            "url": "https://bluebutton.cms.gov/resources/variables/carr_clm_entry_cd",
            "valueCoding": {
                "system": "https://bluebutton.cms.gov/resources/variables/carr_clm_entry_cd",
                "code": "1",
                "display": "Original debit; void of original debit (If CLM_DISP_CD = 3, code 1 means voided original debit)"
            }
        }
    ],
    "identifier": [
        {
            "type": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
                        "code": "uc",
                        "display": "Unique Claim ID"
                    }
                ]
            },
            "system": "https://bluebutton.cms.gov/resources/variables/clm_id",
            "value": "-10000930037917"
        },
        {
            "type": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
                        "code": "uc",
                        "display": "Unique Claim ID"
                    }
                ]
            },
            "system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
            "value": "-1632178264"
        }
    ],
    "status": "active",
    "type": {
        "coding": [
            {
                "system": "https://bluebutton.cms.gov/resources/variables/nch_clm_type_cd",
                "code": "71",
                "display": "Local carrier non-durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) claim"
            },
            {
                "system": "https://bluebutton.cms.gov/resources/codesystem/eob-type",
                "code": "CARRIER"
            },
            {
                "system": "http://terminology.hl7.org/CodeSystem/claim-type",
                "code": "professional",
                "display": "Professional"
            }
        ]
    },
    "use": "claim",
    "patient": {
        "reference": "Patient/-10000010254618"
    },
    "billablePeriod": {
        "start": "2017-10-09",
        "end": "2017-10-09"
    },
    "created": "2023-10-04T16:40:16-04:00",
    "insurer": {
        "identifier": {
            "value": "CMS"
        }
    },
    "provider": {
        "identifier": {
            "system": "https://bluebutton.cms.gov/resources/variables/carr_clm_blg_npi_num",
            "value": "1063654341"
        }
    },
    "referral": {
        "identifier": {
            "type": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
                        "code": "npi",
                        "display": "National Provider Identifier"
                    }
                ]
            },
            "value": "9999971093"
        }
    },
    "outcome": "complete",
    "disposition": "1",
    "careTeam": [
        {
            "sequence": 1,
            "provider": {
                "identifier": {
                    "type": {
                        "coding": [
                            {
                                "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
                                "code": "npi",
                                "display": "National Provider Identifier"
                            }
                        ]
                    },
                    "value": "9999971093"
                }
            },
            "role": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole",
                        "code": "referring",
                        "display": "Referring"
                    }
                ]
            }
        },
        {
            "sequence": 2,
            "provider": {
                "identifier": {
                    "type": {
                        "coding": [
                            {
                                "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
                                "code": "npi",
                                "display": "National Provider Identifier"
                            }
                        ]
                    }
                }
            },
            "role": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole",
                        "code": "referring",
                        "display": "Referring"
                    }
                ]
            }
        },
        {
            "extension": [
                {
                    "url": "https://bluebutton.cms.gov/resources/variables/carr_line_prvdr_type_cd",
                    "valueCoding": {
                        "system": "https://bluebutton.cms.gov/resources/variables/carr_line_prvdr_type_cd",
                        "code": "0"
                    }
                },
                {
                    "url": "https://bluebutton.cms.gov/resources/variables/prtcptng_ind_cd",
                    "valueCoding": {
                        "system": "https://bluebutton.cms.gov/resources/variables/prtcptng_ind_cd",
                        "code": "3",
                        "display": "Assignment accepted/non-participating"
                    }
                }
            ],
            "sequence": 3,
            "provider": {
                "identifier": {
                    "type": {
                        "coding": [
                            {
                                "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
                                "code": "npi",
                                "display": "National Provider Identifier"
                            }
                        ]
                    },
                    "value": "9999971093"
                }
            },
            "responsible": true,
            "role": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimCareTeamRole",
                        "code": "performing",
                        "display": "Performing provider"
                    }
                ]
            },
            "qualification": {
                "coding": [
                    {
                        "system": "https://bluebutton.cms.gov/resources/variables/prvdr_spclty",
                        "code": "01",
                        "display": "General practice"
                    }
                ]
            }
        },
        {
            "sequence": 4,
            "provider": {
                "identifier": {
                    "type": {
                        "coding": [
                            {
                                "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBIdentifierType",
                                "code": "npi",
                                "display": "National Provider Identifier"
                            }
                        ]
                    },
                    "value": "1063654341"
                },
                "display": "HEALTH SERVICES INC"
            },
            "role": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
                        "code": "primary",
                        "display": "Primary provider"
                    }
                ]
            }
        }
    ],
    "supportingInfo": [
        {
            "sequence": 1,
            "category": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType",
                        "code": "clmrecvddate",
                        "display": "Claim Received Date"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/nch_wkly_proc_dt",
                        "display": "NCH Weekly Claim Processing Date"
                    }
                ]
            },
            "timingDate": "2017-10-13"
        },
        {
            "sequence": 2,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-1"
            }
        },
        {
            "sequence": 3,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-2"
            }
        },
        {
            "sequence": 4,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-3"
            }
        },
        {
            "sequence": 5,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-4"
            }
        },
        {
            "sequence": 6,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-5"
            }
        },
        {
            "sequence": 7,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-6"
            }
        },
        {
            "sequence": 8,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-7"
            }
        },
        {
            "sequence": 9,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-8"
            }
        },
        {
            "sequence": 10,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-9"
            }
        },
        {
            "sequence": 11,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-10"
            }
        },
        {
            "sequence": 12,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-11"
            }
        },
        {
            "sequence": 13,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-12"
            }
        },
        {
            "sequence": 14,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-13"
            }
        },
        {
            "sequence": 15,
            "category": {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/claiminformationcategory",
                        "code": "info",
                        "display": "Information"
                    },
                    {
                        "system": "https://bluebutton.cms.gov/resources/codesystem/information",
                        "code": "https://bluebutton.cms.gov/resources/variables/line_hct_hgb_rslt_num",
                        "display": "Hematocrit / Hemoglobin Test Results"
                    }
                ]
            },
            "valueReference": {
                "reference": "#line-observation-14"
            }
        }
    ],
    "diagnosis": [
        {
            "sequence": 1,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "Z591",
                        "display": "INADEQUATE HOUSING"
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "Z591",
                        "display": "INADEQUATE HOUSING"
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
                            "code": "principal",
                            "display": "principal"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 2,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "R4689",
                        "display": "OTHER SYMPTOMS AND SIGNS INVOLVING APPEARANCE AND BEHAVIOR"
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "R4689",
                        "display": "OTHER SYMPTOMS AND SIGNS INVOLVING APPEARANCE AND BEHAVIOR"
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/ex-diagnosistype",
                            "code": "principal",
                            "display": "principal"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 3,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "T7432X"
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "T7432X"
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 4,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "M7918"
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "M7918"
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 5,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "E781",
                        "display": "PURE HYPERGLYCERIDEMIA"
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "E781",
                        "display": "PURE HYPERGLYCERIDEMIA"
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 6,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "J329",
                        "display": "\"CHRONIC SINUSITIS, UNSPECIFIED\""
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "J329",
                        "display": "\"CHRONIC SINUSITIS, UNSPECIFIED\""
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 7,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "E119",
                        "display": "TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS"
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "E119",
                        "display": "TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS"
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 8,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "D649",
                        "display": "\"ANEMIA, UNSPECIFIED\""
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "D649",
                        "display": "\"ANEMIA, UNSPECIFIED\""
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 9,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "E849",
                        "display": "\"CYSTIC FIBROSIS, UNSPECIFIED\""
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "E849",
                        "display": "\"CYSTIC FIBROSIS, UNSPECIFIED\""
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 10,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "B965",
                        "display": "PSEUDOMONAS (MALLEI) CAUSING DISEASES CLASSD ELSWHR"
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "B965",
                        "display": "PSEUDOMONAS (MALLEI) CAUSING DISEASES CLASSD ELSWHR"
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        },
        {
            "sequence": 11,
            "diagnosisCodeableConcept": {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10-cm",
                        "code": "E848",
                        "display": "CYSTIC FIBROSIS WITH OTHER MANIFESTATIONS"
                    },
                    {
                        "system": "http://hl7.org/fhir/sid/icd-10",
                        "code": "E848",
                        "display": "CYSTIC FIBROSIS WITH OTHER MANIFESTATIONS"
                    }
                ]
            },
            "type": [
                {
                    "coding": [
                        {
                            "system": "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBClaimDiagnosisType",
                            "code": "secondary",
                            "display": "Secondary"
                        }
                    ]
                }
            ]
        }
    ],
    "insurance": [
        {
            "focal": true,
            "coverage": {
                "reference": "Coverage/part-b--10000010254618"
            }
        }
    ],
   ...
}

Medhost Configuration

Working, kind of.

  • authentication flow works, redirect back to fasten works.
  • Unable to determine Patient ID to do sync.
  • Messaged Support, waiting for response.
{
  "custom_definition": true,
  "platform_type": "medhost",
  "authorization_endpoint": "https://api.mhdi10xasayd.com/smart/oauth2/auth",
  "token_endpoint": "https://api.mhdi10xasayd.com/smart/oauth2/token",
  "url": "https://fhir.yourcareuniverse.net/tenant/5b05fcf1-78b5-4245-afe5-72b608e328c3",
  "client_id": "",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/medhost",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://fhir.yourcareuniverse.net/tenant/5b05fcf1-78b5-4245-afe5-72b608e328c3",
  "scopes_supported": [
    "patient/Encounter.read",
    "patient/Patient.read"
  ],
  "confidential": false,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "custom_source": true,
  "issuer": "https://fhir.yourcareuniverse.net/tenant/5b05fcf1-78b5-4245-afe5-72b608e328c3"
}

Uses non-standard user key in extended data attribute in JWT to return Patient information:


    "aud": [
        "https://fhir.yourcareuniverse.net/tenant/5b05fcf1-78b5-4245-afe5-72b608e328c3"
    ],
    "client_id": "XXXXX",
    "exp": 1707341939,
    "ext": {
        "authorities": [
            "ROLE_PATIENT"
        ],
        "fhirUser": "https://fhir.yourcareuniverse.net/tenant/5b05fcf1-78b5-4245-afe5-72b608e328c3/Patient/8e74d3ae-c376-4910-9b6d-50f6356098f6",
        "user": "Patient/8e74d3ae-c376-4910-9b6d-50f6356098f6",
        "user_name": "XXXXX"
    },
    "iss": "https://idp.yourcareuniverse.net/",
    "scp": [
        "fhirUser",
        "openid",
        "offline_access",
        "patient/Encounter.read",
        "patient/Patient.read"
    ],
    "sub": "XXXXX"
}

#WARNING: smart-configuration scopes list is incorrect:

The OAuth 2.0 Client is not allowed to request scope 'patient/Flag.read'."}'

Status:

  • Sandbox is broken. Discussion via Email.
  • Production access requires indivividual approval from providers.

https://developer.yourcareinteract.com/documentation
Production Apps

When working with patient-facing apps, developers can access and regenerate a new client secret from the developer portal at any time.

For provider-facing apps, developers must work with individual facilities to obtain client secrets after the facility approves the production app.

This has now been addressed for the test patients in the v2 version of the API sandbox. Please re-run your tests and let us know if you still face any issues.

Please note, while the v2 version (that has the fix for this issue) is available in the sandbox, our production instances will begin migrating to this version over the course of the summer. Hence, the availability of the fix in production may vary depending on the version the facility is on. Please let me know if you have any further questions.

PointClickCare

{
  "custom_definition": true,
  "platform_type": "pointclickcare",
  "should_override_redirect": false,
  "cors_relay_required": false,
  "override_redirect": "",
  "authorization_endpoint": "https://connect.pointclickcare.com/fhir/oauth/authorize",
  "token_endpoint": "https://auth-usa.sbx.unify.chbase.com/api/token ",
  "url": "https://connect.pointclickcare.com/fhir/R4/3f41607b-38a3-40af-b291-bc5012f82026",
  "client_id": "xxxx",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/pointclickcare",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://connect.pointclickcare.com/fhir/R4/3f41607b-38a3-40af-b291-bc5012f82026",
  "scopes_supported": [
    "fhirUser",
    "openid",
    "launch/patient",
    "patient/Patient.read"
  ],
  "confidential": false,
  "confidential_endpoint": "",
  "pkce": true,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://connect.pointclickcare.com/fhir/R4/3f41607b-38a3-40af-b291-bc5012f82026"
}

Status:

  • No sandbox user credentials available. Messaged support for advice. May 16, 2024

Add EHRS

  • Anita Systems
  • Cosmic - Cambio
  • Opus Dental - Opus Systemer
  • Prorenata
  • Take Care - CGM
  • WebDoc - Carasent

practicefusion/patientfusion Configuration - 4k Endpoints

No Sandbox for testing.

Does Practice Fusion have a Sandbox environment where our organization can test our API?
No, Practice Fusion does not have a sandbox at this time.

Unsure if my integration is sandbox or production mode

{
  "custom_definition": true,
  "platform_type": "practicefusion",
  "authorization_endpoint": "https://api.patientfusion.com/fhir/r4/v1/118b460b-8390-4754-8e4a-1dd5ee20f599/authorize",
  "token_endpoint": "https://api.patientfusion.com/fhir/r4/v1/118b460b-8390-4754-8e4a-1dd5ee20f599/token",
  "url": "https://api.patientfusion.com/fhir/r4/v1/118b460b-8390-4754-8e4a-1dd5ee20f599",
  "client_id": "XXXX",
  "redirect_uri": "https://lighthouse.fastenhealth.com/sandbox/callback/practicefusion",
  "grant_types_supported": [
    "authorization_code"
  ],
  "response_types_supported": [
    "code"
  ],
  "response_modes_supported": [
    "query"
  ],
  "aud": "https://api.patientfusion.com/fhir/r4/v1/118b460b-8390-4754-8e4a-1dd5ee20f599",
  "scopes_supported": [
    "fhirUser",
    "openid",
    "profile",
    "offline_access",
    "patient/Patient.read"
  ],
  "confidential": false,
  "code_challenge_methods_supported": [
    "S256"
  ],
  "issuer": "https://api.patientfusion.com/fhir/r4/v1/118b460b-8390-4754-8e4a-1dd5ee20f599"
}

Status

  • Email sent Feb 12 requesting Sandbox Credentials, no response. Followup email sent Feb 29th
  • Find list of Production Endpoints & Organizations
  • Request Production Access

One Medical Support

Hey there,

I tried adding One Medical as a source and it tried to authenticate with a NextGen Healthcare portal that I've never seen before.

One is pretty popular where I am, especially with techy folk - definitely want to see if it would be possible to import my data!

Thanks!

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