API end point: https://clover.careevolution.com/WebClient/api/Clover-PostData
. It implements the STU3 FHIR version
Try it here.
See the terms of use
Description | System URI | OID | CareEvolution identifier type |
---|---|---|---|
CaregiverIdentifier | https://www.cloverhealth.com/identifiers/CareEvolution/CaregiverIdentifier | CareEvolution.IdentifierType.CaregiverIdentifier | |
Original FHIR Patient ID (FhirPatientID) | https://www.cloverhealth.com/identifiers/CareEvolution/FhirPatientID | CareEvolution.IdentifierType.FhirPatientID | |
HCID | https://www.cloverhealth.com/identifiers/CareEvolution/HCID | CareEvolution.IdentifierType.HCID | |
Last Four SSN Digits (LastFourSSN) | https://www.cloverhealth.com/identifiers/CareEvolution/LastFourSSN | CareEvolution.IdentifierType.LastFourSSN | |
MCID | https://www.cloverhealth.com/identifiers/CareEvolution/MCID | CareEvolution.IdentifierType.MCID | |
MedicaidID | https://www.cloverhealth.com/identifiers/CareEvolution/MedicaidID | CareEvolution.IdentifierType.MedicaidID | |
MemberID | https://www.cloverhealth.com/identifiers/CareEvolution/MemberID | CareEvolution.IdentifierType.MemberID | |
Medical Records Number (MRN) | https://www.cloverhealth.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) | https://www.cloverhealth.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 | https://www.cloverhealth.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 | https://www.cloverhealth.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.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 | 2.16.840.1.113883.6.42 | - | DiagnosisCode |
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.
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 | Task Goal CarePlan |
CareTaskGroup | CarePlan |
Claim | ExplanationOfBenefit Claim |
Encounter | Encounter |
Insurance | Coverage |
LabObservation | Observation |
LabReport | Specimen DiagnosticReport |
LabReportSpecimen | Specimen |
Location | Location |
Medication | Medication MedicationDispense ExplanationOfBenefit Claim |
MedicationAdministration | Immunization MedicationAdministration |
MedicationProfile | Immunization Medication MedicationAdministration |
Observation | Observation |
Order | ProcedureRequest Medication MedicationRequest 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 | FhirCodesAlternate1 | |
allergy-intolerance-clinical-status | AllergyClinicalStatus | FhirCodesAlternate1 | |
allergy-intolerance-criticality | AllergySeverity | FhirCodesAlternate1 | |
allergy-intolerance-severity | AllergyReactionSeverity | FhirCodes | |
allergy-intolerance-type | AllergySensitivity | FhirCodes | |
allergy-intolerance-verification-status | AllergyVerificationStatus | FhirCodesAlternate1 | unconfirmed |
birth-sex | Gender | FhirCodesAlternate1 | UNK |
care-plan-intent | CareTaskGroupIntent | FhirCodes | plan |
care-plan-status | CareTaskGroupStatus | FhirCodesAlternate1 | unknown |
claim-type | ClaimType | FhirCodes | professional |
composition-status | ReportStatus | FhirCodesAlternate4 | final |
condition-clinical-status-codes | DiagnosisStatus | FhirCodesAlternate1 | |
condition-clinical-status-codes | DiagnosisStatusOnAdmission | FhirCodesAlternate4 | |
condition-clinical-status-codes | ReferralStatus | FhirCodesAlternate6 | |
condition-verification-status | DiagnosisStatusOnAdmission | FhirCodesAlternate6 | unknown |
condition-verification-status | DiagnosisVerificationStatus | FhirCodes | unknown |
condition-verification-status | ReferralStatus | FhirCodesAlternate4 | unknown |
contact-point-system | ContactInfoType | FhirCodesAlternate1 | |
contact-point-use | ContactInfoUseCode | FhirCodes | |
diagnostic-report-status | ReportStatus | FhirCodesAlternate1 | partial |
document-reference-status | ReportStatus | FhirCodesAlternate2 | |
document-reference-status | DocumentReferenceStatus | FhirCodes | |
event-status | ProcedureStatus | FhirCodesAlternate1 | unknown |
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 | FhirCodesAlternate2 | in-progress |
immunization-status-codes | ClaimServiceStatus | FhirCodesAlternate1 | completed |
immunization-status-codes | MedicationAdministrationStatus | FhirCodesAlternate1 | completed |
immunization-status-codes | MedicationStatus | FhirCodesAlternate5 | completed |
medication-administration-status | MedicationAdministrationStatus | FhirCodesAlternate2 | in-progress |
medication-dispense-status | MedicationStatus | FhirCodesAlternate1 | |
medication-request-priority | OrderPriority | FhirCodesAlternate1 | |
medication-request-status | OrderStatus | FhirCodesAlternate3 | |
medication-statement-status | OrderStatus | FhirCodesAlternate8 | active |
name-use | NameType | FhirCodes | |
observation-status | ObservationResultStatus | FhirCodesAlternate1 | unknown |
old-diagnosis-role | DiagnosisType | FhirCodesAlternate5 | |
old-encounter-participant-type | CaregiverRelationshipType | FhirCodesAlternate3 | |
request-intent | RequestIntent | FhirCodes | proposal |
request-intent | TaskIntent | FhirCodes | plan |
request-priority | CareTaskPriority | FhirCodes | routine |
request-priority | OrderPriority | FhirCodesAlternate2 | |
request-priority | ReferralAcuity | FhirCodes | |
request-status | OrderStatus | FhirCodesAlternate4 | |
request-status | ReferralStatus | FhirCodesAlternate1 | unknown |
specimen-status | SpecimenStatus | FhirCodes | |
stu3-claim-care-team-role | CaregiverRelationshipType | FhirCodesAlternate2 | |
stu3-claim-information-category | SupportingInformationType | FhirCodesAlternate1 | other |
stu3-condition-category | DiagnosisType | FhirCodesAlternate2 | problem-list-item |
stu3-encounter-class | PatientClass | FhirCodesAlternate1 | |
task-status | CareTaskStatus | FhirCodesAlternate3 | in-progress |
Code | Card. | Type | Context | Definition |
---|---|---|---|---|
allergyIntolerance-encounterID | 0..1 | Reference | AllergyIntolerance resources | The encounter associated to this allergy |
auditEvent-durationMilliseconds | 0..1 | integer | AuditEvent resources | Duration of the event - e.g. page load |
auditEvent-screenName | 0..1 | string | AuditEvent resources | The name of the screen during a page load |
auditEvent-sessionID | 0..1 | string | AuditEvent resources | Unique Identifier for user session |
careTaskGroup-type | 0..1 | CodeableConcept | CarePlan resources | Type of CareTaskGroup. For example: CareGap, General, etc.. |
careTeamParticipant-assignedGroup | 0..1 | string | CareTeam resources | Group for the CareTeam Participant |
careTeamParticipant-assignedPerson | 0..1 | string | CareTeam resources | Name of CareTeam Participant |
careTeamParticipant-note | 0..1 | string | CareTeam resources | Note about CareTeam Paticipant |
careTeamParticipant-observationChildren | 0..1 | (complex) | CareTeam resources | Additional details for CareTeam participant |
careTeamParticipant-status | 0..1 | CodeableConcept | CareTeam resources | Status of CareTeam Participant |
claim-adjudicationDate | 0..1 | dateTime | Claim resources | The date/time the claim was adjudicated |
claim-admitSource | 0..1 | CodeableConcept | Claim resources | Point of origin for admission |
claim-amountPaid | 0..1 | decimal | Claim resources | Amount paid for service |
claim-billClass | 0..1 | CodeableConcept | Claim resources | Billing class for claim |
claim-controlNumber | 0..1 | string | Claim resources | Control number of the claim |
claim-disposition | 0..1 | CodeableConcept | Claim resources | Disposition of the claim |
claim-drg | 0..1 | CodeableConcept | Claim resources | Diagnosis Related Group (DRG) code |
claim-encounterID | 0..1 | Reference | Claim resources | The encounter associated to this claim |
claim-endDate | 0..1 | dateTime | Claim resources | The date/time the claim or claim service ended |
claim-facilityType | 0..1 | CodeableConcept | Claim resources | Facility type where claim service or product was supplied |
claim-innetwork | 0..1 | CodeableConcept | Claim resources | Indicator if Claim is in/out of network |
claim-locationType | 0..1 | CodeableConcept | Claim resources | Type of service on the claim |
claim-mrn | 0..1 | string | Claim resources | Medical record number of patient |
claim-nonPaymentReason | 0..1 | CodeableConcept | Claim resources | Reason for non-payment |
claim-paidDate | 0..1 | dateTime | Claim resources | The date/time the claim was paid |
claim-patientPaid | 0..1 | decimal | Claim resources | $ paid by patient |
claim-patientStatus | 0..1 | CodeableConcept | Claim resources | Discharge status |
claim-problemDate | 0..1 | dateTime | FhirLibrary.MultipleResourceExtensionContext | Date of condition on the claim |
claim-procedureType | 0..1 | CodeableConcept | ExplanationOfBenefit resources | Type of procedure on the claim |
claimService-allowedamount | 0..1 | decimal | Claim resources | Claim line compensation amount |
claimService-coinsuranceamount | 0..1 | decimal | Claim resources | Claim line coinsurance amount |
claimService-copayamount | 0..1 | decimal | Claim resources | Claim line copay amount |
claimService-deductibleamount | 0..1 | decimal | Claim resources | Claim line deductible amount |
claimService-hsapaidamount | 0..1 | decimal | Claim resources | Claim line paid by patient HSA |
claimService-nonPaymentReason | 0..1 | CodeableConcept | Claim resources | Reason for non-payment |
claimService-notcoveredamount | 0..1 | decimal | Claim resources | Claim line not covered amount |
claimService-patientresponsibleamount | 0..1 | decimal | Claim resources | Claim line for which the patient is responsible/liable |
claim-status | 0..1 | CodeableConcept | Claim resources | Status of the claim or claim line status |
claim-totalAllowed | 0..1 | decimal | Claim resources | Total $ allowed by payer |
claim-totalcoinsuranceamount | 0..1 | decimal | Claim resources | Patient Coinsurance $ |
claim-totalcopayamount | 0..1 | decimal | Claim resources | Patient co-payment $ |
claim-totaldeductibleamount | 0..1 | decimal | Claim resources | Patient deductible $ |
claim-totalhsapaidamount | 0..1 | decimal | Claim resources | Claim $ paid by patient HSA |
claim-totalnotcoveredamount | 0..1 | decimal | Claim resources | Claim $ not covered |
claim-totalPaid | 0..1 | decimal | Claim resources | Total $ paid for claim |
claim-totalPatientPaid | 0..1 | decimal | Claim resources | Total $ patient paid for claim |
claim-totalpatientresponsibleamount | 0..1 | decimal | Claim resources | Claim $ for which the patient is responsible/liable |
condition-claimReference | 0..1 | Reference | Condition resources | The claim associated with this condition |
condition-eobReference | 0..1 | Reference | Condition resources | The explanation of benefit associated with this condition |
condition-referralReference | 0..1 | Reference | Condition resources | The referral associated with this condition |
coverage-authorizationDate | 0..1 | dateTime | Coverage resources | Authorization Date |
coverage-authorizationNumber | 0..1 | string | Coverage resources | Authorization Number |
coverage-authorizationSource | 0..1 | string | Coverage resources | Authorization Source |
coverage-details | 0..1 | (complex) | Coverage resources | Details about the insurance |
coverage-encounterID | 0..1 | Reference | Coverage resources | The encounter associated to this Insurance |
coverage-groupEmpName | 0..1 | string | Coverage resources | Insurance Group Employee Name |
coverage-insuredAltPhone | 0..1 | string | Coverage resources | Insured alternate phone |
coverage-insuredDob | 0..1 | dateTime | Coverage resources | Insured Date of Birth |
coverage-insuredGender | 0..1 | string | Coverage resources | Insured gender |
coverage-insuredName | 0..1 | string | Coverage resources | Insured Name |
coverage-insuredPhone | 0..1 | string | Coverage resources | Insured phone |
coverage-insuredSsn | 0..1 | string | Coverage resources | Insured Social Security Number |
coverage-medicaidCaseName | 0..1 | string | Coverage resources | Medicaid Case Name |
coverage-medicaidCaseNumber | 0..1 | string | Coverage resources | Medicaid Case Number |
coverage-medicareCardNumber | 0..1 | string | Coverage resources | Medicare Card Number |
coverage-pharmacyCoverage | 0..1 | string | Coverage resources | Pharmacy Coverage in the insurance |
coverage-policyNumber | 0..1 | string | Coverage resources | Insurance Policy Number |
coverage-primaryCaregiver | 0..1 | Reference | Coverage resources | The primary caregiver associated to this Insurance |
coverage-product | 0..1 | CodeableConcept | Coverage resources | Code or name for a package of coverage benefit |
coverage-productgroup | 0..1 | CodeableConcept | Coverage resources | Category/groups of similar products |
coverage-rateCode | 0..1 | CodeableConcept | Coverage resources | Insurance Rate Code |
coverage-segment | 0..1 | CodeableConcept | Coverage resources | Insured Segment |
coverage-sponsor | 0..1 | string | Coverage resources | Sponser for the insurance |
coverage-type | 0..1 | CodeableConcept | Coverage resources | Insurance Type |
dataSource | 0..1 | (complex) | FhirLibrary.MultipleResourceExtensionContext | Data source |
derived | 0..* | Reference | BackboneElement elements | Reference to a possible resource derived from this element |
domain | 0..1 | string | Uri elements | Coding system domain |
encounter-drg | 0..1 | CodeableConcept | Encounter resources | Diagnosis Related Group (DRG) code |
explanationOfBenefit-priority | 0..1 | CodeableConcept | ExplanationOfBenefit resources | Disposition of the claim |