API end point: https://patient360c.simplyhealthcareplans.com/P360Member/api/fhir-r4.

Resource Procedure (R4)

Combines the CareEvolution Procedure and ClaimProcedure concepts

• Supported interactions
• Search parameters
• Sorts
• Includes
• Operations
• To FHIR mappings
• From FHIR mappings

Supported interactions

• read
• search
• create
• update
• delete

Search parameters

Name	Type	Modifiers , prefixes	Multiple values	Can be chained	Description
_id	Token		Yes		Resource id
_lastUpdated	Date	eq ne lt le gt ge sa eb ap			When the resource last changed
_source	Uri	:missing	Yes		Where the resource comes from
claim	Reference (Claim)	:missing	Yes	Yes	Searches for procedures by their associated claim
code	Token	:not :in :not-in :missing	Yes		A code to identify a procedure
date	Date	:missing eq ne lt le gt ge sa eb ap			When the procedure was performed
encounter	Reference (Encounter)	:missing	Yes	Yes	Encounter created as part of
explanation-of-benefit	Reference (ExplanationOfBenefit)	:missing	Yes	Yes	Searches for procedures by their associated explanation of benefit
patient	Reference (Patient)	:missing	Yes	Yes	The patient the Procedure is about
performer	Reference (Practitioner)	:missing	Yes	Yes	The reference to the practitioner
provenance-agent	Reference (Organization)	:missing	Yes	Yes	Search by provenance, specified by its author (aka originator) Organization
status	Token	:missing	Yes		preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
subject	Reference (Patient)	:missing	Yes	Yes	The patient the Procedure is about. Functionally identical to the "patient" search parameter.

Sorts

• _id
• date

Supports multiple sorts

Includes

• claim
• encounter
• explanation-of-benefit
• patient
• performer
• provenance-agent
• subject
• Provenance:target

Operations

• validate - Validate a resource

To FHIR mappings

CareEvolution	FHIR
Claim.EncounterID	encounter
Claim.ID	extension('http://careevolution.com/fhirextensions#procedure-claimReference')
	extension('http://careevolution.com/fhirextensions#procedure-eobReference')
Claim.PatientID	subject
Claim.Status Domain: ClaimStatus	status Bindings:  valueset-event-status
ClaimProcedure.Date	performed
ClaimProcedure.Term Domain: ProcedureCode	code
ClaimProcedure.Type Domain: ProcedureType	category
Procedure.Comment	note
Procedure.DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
Procedure.Date	performed
Procedure.Description	code
Procedure.EncounterID	encounter
Procedure.Location Domain: ProcedureLocation	bodySite
Procedure.PatientID	subject
Procedure.PerformedByCaregiverID	performer
Procedure.Properties	extension('http://careevolution.com/fhirextensions#properties')
Procedure.Status Domain: ProcedureStatus	status Bindings:  valueset-event-status
Procedure.Term Domain: ProcedureCode	code
Procedure.TermAlternateTerms Domain: ProcedureCode	code
Procedure.Type Domain: ProcedureType	category
Procedure.VerifiedByCaregiverID	asserter

From FHIR mappings

CareEvolution	FHIR
Claim.EncounterID	encounter
Claim.ID	extension('http://careevolution.com/fhirextensions#procedure-claimReference')
	extension('http://careevolution.com/fhirextensions#procedure-eobReference')
Claim.PatientID	subject
ClaimProcedure.Date	performed
ClaimProcedure.Term Domain: ProcedureCode	code
ClaimProcedure.Type Domain: ProcedureType	category
Procedure.Comment	note
Procedure.DataSource	extension('http://careevolution.com/fhirextensions#dataSource')
Procedure.Date	performed
Procedure.Description	code
Procedure.EncounterID	encounter
Procedure.Location Domain: ProcedureLocation	bodySite
Procedure.PatientID	subject
Procedure.PerformedByCaregiverID	performer
Procedure.Properties	extension('http://careevolution.com/fhirextensions#properties')
Procedure.Status Domain: ProcedureStatus	status Bindings:  valueset-event-status
Procedure.Term Domain: ProcedureCode	code
Procedure.TermAlternateTerms Domain: ProcedureCode	code
Procedure.Type Domain: ProcedureType	category
Procedure.VerifiedByCaregiverID	asserter

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