GET api/HedisServices/GetPatientHedisData?ipa={ipa}&npi={npi}&patientNo={patientNo}

Get patient HEDIS data from database.

Request Information

URI Parameters

NameDescriptionTypeAdditional information
ipa

IPA code where the provider is associated.

string

Required

npi

The NPI number of provider.

string

Required

patientNo

The patient number of patient.

integer

Required

Body Parameters

None.

Response Information

Resource Description

HedisBindingModel
NameDescriptionTypeAdditional information
ipa

string

None.

npi

string

None.

patientNo

integer

None.

patientId

integer

None.

memberId

string

None.

name

string

None.

gender

character

None.

dob

string

None.

generalExamModel

GeneralExamModel

None.

tobaccoModel

TobaccoModel

None.

medicalHistoryModel

MedicalHistoryModel

None.

pastHospitalSurgeryModel

PastHospitalSurgeryModel

None.

medicationReviewModel

MedicationReviewModel

None.

depressionModel

DepressionModel

None.

abilitySaftyModel

AbilitySaftyModel

None.

fallRiskModel

FallRiskModel

None.

urinaryModel

UrinaryModel

None.

painScaleModel

PainScaleModel

None.

diabetesMellitusModel

DiabetesMellitusModel

None.

rentinalModel

RentinalModel

None.

vaccinesModel

VaccinesModel

None.

mammogramModel

MammogramModel

None.

colorectalModel

ColorectalModel

None.

rheumatoidArthritisModel

RheumatoidArthritisModel

None.

boneMassModel

BoneMassModel

None.

Response Formats

application/json, text/json

Sample:
{
  "ipa": "sample string 1",
  "npi": "sample string 2",
  "patientNo": 3,
  "patientId": 4,
  "memberId": "sample string 5",
  "name": "sample string 6",
  "gender": "A",
  "dob": "sample string 8",
  "generalExamModel": {
    "height": 1,
    "weight": 2,
    "bpSystolic": 3,
    "bpDiastolic": 4
  },
  "tobaccoModel": {
    "tobaccoUse": true,
    "receiveAdvice": true,
    "medicationRecommanded": true,
    "methodRecommanded": true
  },
  "medicalHistoryModel": {
    "histories": [
      {
        "claimDiagnosisNo": 1,
        "icd10": "sample string 2",
        "desc": "sample string 3",
        "diagnosed": true,
        "addlIcd10s": "sample string 5"
      },
      {
        "claimDiagnosisNo": 1,
        "icd10": "sample string 2",
        "desc": "sample string 3",
        "diagnosed": true,
        "addlIcd10s": "sample string 5"
      }
    ]
  },
  "pastHospitalSurgeryModel": {
    "historyExist": true,
    "dischargeDate": "sample string 2",
    "discharge1111F": true,
    "histories": [
      {
        "claimProcedureNo": 1,
        "date": "sample string 2",
        "diagnosis": "sample string 3"
      },
      {
        "claimProcedureNo": 1,
        "date": "sample string 2",
        "diagnosis": "sample string 3"
      }
    ]
  },
  "medicationReviewModel": {
    "rxReview": true,
    "drugAllergy": true,
    "reviews": [
      {
        "medicationNo": 1,
        "medication": "sample string 2",
        "dos": "sample string 3",
        "taking": true,
        "addlMedication": "sample string 5"
      },
      {
        "medicationNo": 1,
        "medication": "sample string 2",
        "dos": "sample string 3",
        "taking": true,
        "addlMedication": "sample string 5"
      }
    ]
  },
  "depressionModel": {
    "littleInterest": 64,
    "feelingDown": 64,
    "recurrentInsomnia": 64,
    "feelingTired": 64,
    "poorAppetite": 64,
    "feelingBad": 64,
    "troubleConcentrate": 64,
    "movingSlowly": 64,
    "betterDead": 64
  },
  "abilitySaftyModel": {
    "helpBathing": true,
    "helpTranspotation": true,
    "unsafeRug": true,
    "problemJudgement": true,
    "repeatSame": true,
    "forgetDate": true,
    "problemVisionSpeech": true,
    "referral": true
  },
  "fallRiskModel": {
    "fallenLast12Month": true,
    "unsteady": true,
    "weaker": true,
    "intervention": true
  },
  "urinaryModel": {
    "leak": true,
    "dribble": true,
    "frequency": true,
    "referral": true
  },
  "painScaleModel": {
    "havePain": true,
    "scale": 64,
    "locHead": true,
    "locNeck": true,
    "locBack": true,
    "locChest": true,
    "locAbdomen": true,
    "locExtremities": true
  },
  "diabetesMellitusModel": {
    "ace4010F": true,
    "ace4010FDos": "sample string 2",
    "hba83036": true,
    "hba83036Dos": "sample string 4",
    "hba3044F": true,
    "hba3044F83036": true,
    "hba3044F83036Dos": "sample string 7",
    "hba3045F": true,
    "hba3045F83036": true,
    "hba3045F83036Dos": "sample string 10",
    "ms82042": true,
    "ms82042Dos": "sample string 12"
  },
  "rentinalModel": {
    "re2022F": true,
    "re99213": true,
    "reProvider": "sample string 3",
    "reDos": "sample string 4",
    "result": true
  },
  "vaccinesModel": {
    "pneumococcal90732": true,
    "pneumococcalZ23": true,
    "pneumococcalDos": "sample string 3",
    "influenza90658": true,
    "influenzaZ23": true,
    "influenzaDos": "sample string 6"
  },
  "mammogramModel": {
    "mammogramG0202": true,
    "mammogramZ1231": true,
    "mammogramProvider": "sample string 3",
    "mammogramDos": "sample string 4",
    "mammogramResult": true
  },
  "colorectalModel": {
    "colorectalFobt82270": true,
    "colorectalFobtZ1211": true,
    "colorectalFobtDos": "sample string 3",
    "colonoscopyZ1211": true,
    "colonoscopyProvider": "sample string 5",
    "colonoscopyDos": "sample string 6",
    "sigmoidoscopy45330": true,
    "sigmoidoscopyZ1211": true,
    "sigmoidoscopyProvider": "sample string 9",
    "sigmoidoscopyDos": "sample string 10",
    "colorectalResult": true
  },
  "rheumatoidArthritisModel": {
    "ra4187F": true,
    "raM069": true,
    "raDos": "sample string 3"
  },
  "boneMassModel": {
    "dxaScan77080": true,
    "dxaScanM8440XA": true,
    "dxaScanDos": "sample string 3",
    "antiOsteoporosis4005F": true,
    "antiOsteoporosisDos": "sample string 5"
  }
}

application/xml, text/xml

Sample:
<HedisBindingModel xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://schemas.datacontract.org/2004/07/">
  <abilitySaftyModel>
    <forgetDate>true</forgetDate>
    <helpBathing>true</helpBathing>
    <helpTranspotation>true</helpTranspotation>
    <problemJudgement>true</problemJudgement>
    <problemVisionSpeech>true</problemVisionSpeech>
    <referral>true</referral>
    <repeatSame>true</repeatSame>
    <unsafeRug>true</unsafeRug>
  </abilitySaftyModel>
  <boneMassModel>
    <antiOsteoporosis4005F>true</antiOsteoporosis4005F>
    <antiOsteoporosisDos>sample string 5</antiOsteoporosisDos>
    <dxaScan77080>true</dxaScan77080>
    <dxaScanDos>sample string 3</dxaScanDos>
    <dxaScanM8440XA>true</dxaScanM8440XA>
  </boneMassModel>
  <colorectalModel>
    <colonoscopyDos>sample string 6</colonoscopyDos>
    <colonoscopyProvider>sample string 5</colonoscopyProvider>
    <colonoscopyZ1211>true</colonoscopyZ1211>
    <colorectalFobt82270>true</colorectalFobt82270>
    <colorectalFobtDos>sample string 3</colorectalFobtDos>
    <colorectalFobtZ1211>true</colorectalFobtZ1211>
    <colorectalResult>true</colorectalResult>
    <sigmoidoscopy45330>true</sigmoidoscopy45330>
    <sigmoidoscopyDos>sample string 10</sigmoidoscopyDos>
    <sigmoidoscopyProvider>sample string 9</sigmoidoscopyProvider>
    <sigmoidoscopyZ1211>true</sigmoidoscopyZ1211>
  </colorectalModel>
  <depressionModel>
    <betterDead>64</betterDead>
    <feelingBad>64</feelingBad>
    <feelingDown>64</feelingDown>
    <feelingTired>64</feelingTired>
    <littleInterest>64</littleInterest>
    <movingSlowly>64</movingSlowly>
    <poorAppetite>64</poorAppetite>
    <recurrentInsomnia>64</recurrentInsomnia>
    <troubleConcentrate>64</troubleConcentrate>
  </depressionModel>
  <diabetesMellitusModel>
    <ace4010F>true</ace4010F>
    <ace4010FDos>sample string 2</ace4010FDos>
    <hba3044F>true</hba3044F>
    <hba3044F83036>true</hba3044F83036>
    <hba3044F83036Dos>sample string 7</hba3044F83036Dos>
    <hba3045F>true</hba3045F>
    <hba3045F83036>true</hba3045F83036>
    <hba3045F83036Dos>sample string 10</hba3045F83036Dos>
    <hba83036>true</hba83036>
    <hba83036Dos>sample string 4</hba83036Dos>
    <ms82042>true</ms82042>
    <ms82042Dos>sample string 12</ms82042Dos>
  </diabetesMellitusModel>
  <dob>sample string 8</dob>
  <fallRiskModel>
    <fallenLast12Month>true</fallenLast12Month>
    <intervention>true</intervention>
    <unsteady>true</unsteady>
    <weaker>true</weaker>
  </fallRiskModel>
  <gender>65</gender>
  <generalExamModel>
    <bpDiastolic>4</bpDiastolic>
    <bpSystolic>3</bpSystolic>
    <height>1</height>
    <weight>2</weight>
  </generalExamModel>
  <ipa>sample string 1</ipa>
  <mammogramModel>
    <mammogramDos>sample string 4</mammogramDos>
    <mammogramG0202>true</mammogramG0202>
    <mammogramProvider>sample string 3</mammogramProvider>
    <mammogramResult>true</mammogramResult>
    <mammogramZ1231>true</mammogramZ1231>
  </mammogramModel>
  <medicalHistoryModel>
    <histories>
      <MedicalHistoryModel.MedicalHistory>
        <addlIcd10s>sample string 5</addlIcd10s>
        <claimDiagnosisNo>1</claimDiagnosisNo>
        <desc>sample string 3</desc>
        <diagnosed>true</diagnosed>
        <icd10>sample string 2</icd10>
      </MedicalHistoryModel.MedicalHistory>
      <MedicalHistoryModel.MedicalHistory>
        <addlIcd10s>sample string 5</addlIcd10s>
        <claimDiagnosisNo>1</claimDiagnosisNo>
        <desc>sample string 3</desc>
        <diagnosed>true</diagnosed>
        <icd10>sample string 2</icd10>
      </MedicalHistoryModel.MedicalHistory>
    </histories>
  </medicalHistoryModel>
  <medicationReviewModel>
    <drugAllergy>true</drugAllergy>
    <reviews>
      <MedicationReviewModel.MedicationReview>
        <addlMedication>sample string 5</addlMedication>
        <dos>sample string 3</dos>
        <medication>sample string 2</medication>
        <medicationNo>1</medicationNo>
        <taking>true</taking>
      </MedicationReviewModel.MedicationReview>
      <MedicationReviewModel.MedicationReview>
        <addlMedication>sample string 5</addlMedication>
        <dos>sample string 3</dos>
        <medication>sample string 2</medication>
        <medicationNo>1</medicationNo>
        <taking>true</taking>
      </MedicationReviewModel.MedicationReview>
    </reviews>
    <rxReview>true</rxReview>
  </medicationReviewModel>
  <memberId>sample string 5</memberId>
  <name>sample string 6</name>
  <npi>sample string 2</npi>
  <painScaleModel>
    <havePain>true</havePain>
    <locAbdomen>true</locAbdomen>
    <locBack>true</locBack>
    <locChest>true</locChest>
    <locExtremities>true</locExtremities>
    <locHead>true</locHead>
    <locNeck>true</locNeck>
    <scale>64</scale>
  </painScaleModel>
  <pastHospitalSurgeryModel>
    <discharge1111F>true</discharge1111F>
    <dischargeDate>sample string 2</dischargeDate>
    <histories>
      <PastHospitalSurgeryModel.Diagnosis>
        <claimProcedureNo>1</claimProcedureNo>
        <date>sample string 2</date>
        <diagnosis>sample string 3</diagnosis>
      </PastHospitalSurgeryModel.Diagnosis>
      <PastHospitalSurgeryModel.Diagnosis>
        <claimProcedureNo>1</claimProcedureNo>
        <date>sample string 2</date>
        <diagnosis>sample string 3</diagnosis>
      </PastHospitalSurgeryModel.Diagnosis>
    </histories>
    <historyExist>true</historyExist>
  </pastHospitalSurgeryModel>
  <patientId>4</patientId>
  <patientNo>3</patientNo>
  <rentinalModel>
    <re2022F>true</re2022F>
    <re99213>true</re99213>
    <reDos>sample string 4</reDos>
    <reProvider>sample string 3</reProvider>
    <result>true</result>
  </rentinalModel>
  <rheumatoidArthritisModel>
    <ra4187F>true</ra4187F>
    <raDos>sample string 3</raDos>
    <raM069>true</raM069>
  </rheumatoidArthritisModel>
  <tobaccoModel>
    <medicationRecommanded>true</medicationRecommanded>
    <methodRecommanded>true</methodRecommanded>
    <receiveAdvice>true</receiveAdvice>
    <tobaccoUse>true</tobaccoUse>
  </tobaccoModel>
  <urinaryModel>
    <dribble>true</dribble>
    <frequency>true</frequency>
    <leak>true</leak>
    <referral>true</referral>
  </urinaryModel>
  <vaccinesModel>
    <influenza90658>true</influenza90658>
    <influenzaDos>sample string 6</influenzaDos>
    <influenzaZ23>true</influenzaZ23>
    <pneumococcal90732>true</pneumococcal90732>
    <pneumococcalDos>sample string 3</pneumococcalDos>
    <pneumococcalZ23>true</pneumococcalZ23>
  </vaccinesModel>
</HedisBindingModel>