Clever Care Health Plan

Clever Care Health Plan Provider Directory API

Public (rate limited) provider directory resources

GitHub OpenAPI

Operations 17

GET /Organization Search Organization #
GET /Organization/{id} Read Organization by id #
GET /OrganizationAffiliation Search OrganizationAffiliation #
GET /OrganizationAffiliation/{id} Read OrganizationAffiliation by id #
GET /Practitioner Search Practitioner #
GET /Practitioner/{id} Read Practitioner by id #
GET /PractitionerRole Search PractitionerRole #
GET /PractitionerRole/{id} Read PractitionerRole by id #
GET /HealthcareService Search HealthcareService #
GET /HealthcareService/{id} Read HealthcareService by id #
GET /Location Search Location #
GET /Location/{id} Read Location by id #
GET /Endpoint Search Endpoint #
GET /Endpoint/{id} Read Endpoint by id #
GET /InsurancePlan Search InsurancePlan #
GET /InsurancePlan/{id} Read InsurancePlan by id #
GET /metadata FHIR CapabilityStatement (server metadata) #

Documentation

📖
Documentation
https://fhir-portal.clevercarehealthplan.com/api-docs/
📖
APIReference
https://fhir-portal.clevercarehealthplan.com/api-docs/

Specifications

⚙
OpenAPI
https://raw.githubusercontent.com/api-evangelist/clevercarehealthplan/refs/heads/main/openapi/clevercarehealthplan-provider-directory-api-openapi.yml

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OpenAPI Specification

clevercarehealthplan-provider-directory-api-openapi.yml Raw ↑ 
openapi: 3.2.0
info:
  title: Clever Care Health Plan FHIR R4 Provider Directory API
  version: 4.0.1
  description: HL7 FHIR R4 (4.0.1) API for Clever Care Health Plan, implementing the CMS Interoperability and Patient Access final rule (CMS-9115-F).
  x-generated-by: api-evangelist-enrichment-pipeline
  x-source: https://fhir.clevercarehealthplan.com/r4/metadata
  x-fhir-version: 4.0.1
  contact:
    name: Clever Care Health Plan
    url: https://clevercarehealthplan.com/fhir-api-developer-resources/
servers:
- url: https://fhir.clevercarehealthplan.com/r4
  description: FHIR R4 production base URL
tags:
- name: Provider Directory
  description: Public (rate limited) provider directory resources
paths:
  /Organization:
    get:
      operationId: searchOrganization
      summary: Search Organization
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/id'
      - $ref: '#/components/parameters/lastUpdated'
      - $ref: '#/components/parameters/profile'
      responses:
        '200':
          $ref: '#/components/responses/Bundle'
  /Organization/{id}:
    get:
      operationId: readOrganization
      summary: Read Organization by id
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          $ref: '#/components/responses/Resource'
        '404':
          $ref: '#/components/responses/OperationOutcome'
  /OrganizationAffiliation:
    get:
      operationId: searchOrganizationAffiliation
      summary: Search OrganizationAffiliation
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/id'
      - $ref: '#/components/parameters/lastUpdated'
      - $ref: '#/components/parameters/profile'
      responses:
        '200':
          $ref: '#/components/responses/Bundle'
  /OrganizationAffiliation/{id}:
    get:
      operationId: readOrganizationAffiliation
      summary: Read OrganizationAffiliation by id
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          $ref: '#/components/responses/Resource'
        '404':
          $ref: '#/components/responses/OperationOutcome'
  /Practitioner:
    get:
      operationId: searchPractitioner
      summary: Search Practitioner
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/id'
      - $ref: '#/components/parameters/lastUpdated'
      - $ref: '#/components/parameters/profile'
      responses:
        '200':
          $ref: '#/components/responses/Bundle'
  /Practitioner/{id}:
    get:
      operationId: readPractitioner
      summary: Read Practitioner by id
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          $ref: '#/components/responses/Resource'
        '404':
          $ref: '#/components/responses/OperationOutcome'
  /PractitionerRole:
    get:
      operationId: searchPractitionerRole
      summary: Search PractitionerRole
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/id'
      - $ref: '#/components/parameters/lastUpdated'
      - $ref: '#/components/parameters/profile'
      responses:
        '200':
          $ref: '#/components/responses/Bundle'
  /PractitionerRole/{id}:
    get:
      operationId: readPractitionerRole
      summary: Read PractitionerRole by id
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          $ref: '#/components/responses/Resource'
        '404':
          $ref: '#/components/responses/OperationOutcome'
  /HealthcareService:
    get:
      operationId: searchHealthcareService
      summary: Search HealthcareService
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/id'
      - $ref: '#/components/parameters/lastUpdated'
      - $ref: '#/components/parameters/profile'
      responses:
        '200':
          $ref: '#/components/responses/Bundle'
  /HealthcareService/{id}:
    get:
      operationId: readHealthcareService
      summary: Read HealthcareService by id
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          $ref: '#/components/responses/Resource'
        '404':
          $ref: '#/components/responses/OperationOutcome'
  /Location:
    get:
      operationId: searchLocation
      summary: Search Location
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/id'
      - $ref: '#/components/parameters/lastUpdated'
      - $ref: '#/components/parameters/profile'
      responses:
        '200':
          $ref: '#/components/responses/Bundle'
  /Location/{id}:
    get:
      operationId: readLocation
      summary: Read Location by id
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          $ref: '#/components/responses/Resource'
        '404':
          $ref: '#/components/responses/OperationOutcome'
  /Endpoint:
    get:
      operationId: searchEndpoint
      summary: Search Endpoint
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/id'
      - $ref: '#/components/parameters/lastUpdated'
      - $ref: '#/components/parameters/profile'
      responses:
        '200':
          $ref: '#/components/responses/Bundle'
  /Endpoint/{id}:
    get:
      operationId: readEndpoint
      summary: Read Endpoint by id
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          $ref: '#/components/responses/Resource'
        '404':
          $ref: '#/components/responses/OperationOutcome'
  /InsurancePlan:
    get:
      operationId: searchInsurancePlan
      summary: Search InsurancePlan
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/id'
      - $ref: '#/components/parameters/lastUpdated'
      - $ref: '#/components/parameters/profile'
      responses:
        '200':
          $ref: '#/components/responses/Bundle'
  /InsurancePlan/{id}:
    get:
      operationId: readInsurancePlan
      summary: Read InsurancePlan by id
      tags:
      - Provider Directory
      parameters:
      - $ref: '#/components/parameters/resourceId'
      responses:
        '200':
          $ref: '#/components/responses/Resource'
        '404':
          $ref: '#/components/responses/OperationOutcome'
  /metadata:
    get:
      operationId: getCapabilityStatement
      summary: FHIR CapabilityStatement (server metadata)
      tags:
      - Provider Directory
      responses:
        '200':
          $ref: '#/components/responses/Resource'
components:
  schemas:
    OperationOutcome:
      type: object
      description: FHIR R4 OperationOutcome error envelope.
      properties:
        resourceType:
          type: string
          enum:
          - OperationOutcome
        issue:
          type: array
          items:
            type: object
            properties:
              severity:
                type: string
                enum:
                - fatal
                - error
                - warning
                - information
              code:
                type: string
              diagnostics:
                type: string
    Bundle:
      type: object
      description: FHIR R4 Bundle (type searchset).
      properties:
        resourceType:
          type: string
          enum:
          - Bundle
        type:
          type: string
        total:
          type: integer
        link:
          type: array
          items:
            type: object
            properties:
              relation:
                type: string
              url:
                type: string
        entry:
          type: array
          items:
            type: object
            properties:
              fullUrl:
                type: string
              resource:
                type: object
  parameters:
    lastUpdated:
      name: _lastUpdated
      in: query
      description: Filter by last modification date (prefixes eq,ne,gt,lt,ge,le).
      required: false
      schema:
        type: string
    id:
      name: _id
      in: query
      description: Filter by logical id of the resource.
      required: false
      schema:
        type: string
    resourceId:
      name: id
      in: path
      description: Logical id of the resource.
      required: true
      schema:
        type: string
    profile:
      name: _profile
      in: query
      description: Filter by conformance to a named HL7 profile.
      required: false
      schema:
        type: string
  responses:
    OperationOutcome:
      description: A FHIR OperationOutcome describing an error.
      content:
        application/fhir+json:
          schema:
            $ref: '#/components/schemas/OperationOutcome'
    Bundle:
      description: A FHIR searchset Bundle of matching resources.
      content:
        application/fhir+json:
          schema:
            $ref: '#/components/schemas/Bundle'
    Resource:
      description: A single FHIR resource.
      content:
        application/fhir+json:
          schema:
            type: object
  securitySchemes:
    smartOnFhir:
      type: oauth2
      description: SMART-on-FHIR OAuth 2.0 (PKCE S256), OpenID Connect enabled.
      flows:
        authorizationCode:
          authorizationUrl: https://fhir-portal.clevercarehealthplan.com/oauth2/authorize
          tokenUrl: https://fhir-portal.clevercarehealthplan.com/oauth2/token
          refreshUrl: https://fhir-portal.clevercarehealthplan.com/oauth2/token
          scopes:
            openid: OpenID Connect authentication
            launch/patient: Launch in patient context
            patient/*.cruds: Patient-scoped access to permitted resources
            user/*.cruds: User-scoped access to permitted resources
        clientCredentials:
          tokenUrl: https://fhir-portal.clevercarehealthplan.com/oauth2/token
          scopes:
            openid: OpenID Connect authentication
            user/*.cruds: User-scoped access to permitted resources