Patient Access Claims and Encounter Data API (CARIN Blue Button 2.0)

Overview

This asset is a component of MuleSoft Accelerator for Healthcare.

The solution provides a library of FHIR R4 resources to help healthcare developers adhere to interoperability needs and jumpstart the development of healthcare digital transformation initiatives. It also includes pre-built APIs, connectors, integration templates, and a prescriptive end-to-end reference architecture.

This asset provides the API specification for the Patient Access Claims and Encounter Data API that is needed to meet CMS interoperability requirements and is built according to the CARIN for Blue Button implementation guide.

See the implementation template for more information.

Use case

See the use case page for more information on how to use these assets.

What is the CARIN for Blue Button Framework?

The Creating Access to Real-time Information Now (CARIN) through Consumer-Directed Exchange Alliance is an HL7 FHIR Accelerator program that brings implementers together to advance the use of HL7 FHIR standards in health care. The CARIN Alliance Health Plan Workgroup was organized to develop a FHIR-based API that could be implemented by a consumer-facing application.

The CARIN for Blue Button Framework was designed to answer the challenge for health plans to 'meet or exceed' the CMS Blue Button 2.0 capabilities. The CMS Blue Button® 2.0 project provides over 53 million Medicare fee-for-service beneficiaries access to their electronic claims information. The goal of the CARIN Alliance Health Plan Workgroup is to develop an agreed-upon set of data fields to exchange with consumers and a FHIR-based implementation guide for health plans to use to implement the API.