Integration with the County of San Diego Provider Directory API

The County of San Diego Health and Human Services Agency has made available a Provider Directory API, designed in accordance with the DaVinci PDEX Plan Net 1.1.0 - STU1 implementation guide. This API, based on HL7®️ FHIR©️ R4 standards, enables access to comprehensive provider data. The initiative aligns with CMS Final Rule requirements for provider directory access, offering a modern, RESTful solution for healthcare service information dissemination.


Project Description:

The project aims to facilitate seamless integration with the Provider Directory API to enhance healthcare software solutions. This involves connecting to various endpoints to access data on Healthcare Services, Insurance Plans, Locations, Networks, Organizations, and more, enabling enriched healthcare provider data accessibility.

  • Phase 1 (Initiation): Understand API specifications, including the Da Vinci PlanNet Implementation Guide and FHIR R4 standards.

  • Phase 2 (Planning): Design an integration plan that defines how to query the API endpoints effectively.

  • Phase 3 (Execution): Implement the integration, focusing on connecting to the /metadata for capabilities and utilizing specified endpoints for data retrieval.

  • Phase 4 (Monitoring and Controlling): Test the integration thoroughly, monitor for issues, and ensure compliance with the API's expectations.

  • Phase 5 (Closing): Finalize integration, document the process, and prepare for deployment within healthcare software environments.

Project Updates:

  • The integration framework is in the planning phase, with a focus on understanding the comprehensive capabilities as outlined by the API’s Capability Statement.

  • Preliminary tests on sandbox environments show promising compatibility and data access potential.

  • Next steps involve detailed implementation planning and execution within development sprints.

Key Components:

  • Capability Statement Retrieval: Essential for understanding available API functionalities. Use GET [Base URL]/metadata.

  • Healthcare Service Access: Query services using parameters like location, organization, and service category.

  • Insurance Plan Details: Retrieve information on insurance plans, including covered benefits and associated costs.

  • Location and Organization Data: Access detailed location data and organizational affiliations crucial for healthcare navigation.

Conclusion:

This integration project represents a critical step towards enhancing healthcare software solutions with comprehensive, up-to-date provider data. Through strategic planning and execution, we aim to leverage the Provider Directory API to improve healthcare service discoverability and information accuracy, ultimately benefiting both providers and patients.

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