Monitor your patient’s journey through health systems in real-time
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Overview
Metriport’s Real-time Patient Notifications are your way to receive real-time updates on a patient’s journey through a health system. You can trigger a workflow once a patient is admitted to a health system, check their diagnosis within moments of them being discharged, and so much more.
Each real-time notification we send via webhook has a payload that includes key information about
the event and a url field to a patient notification bundle containing the FHIR data relevant to
that notification. The exact payload shape and bundle contents vary by event type. For ADT events,
the url points to a Patient Encounter Bundle.
For discharge summaries, the url points to a FHIR
collection Bundle of resources from the matching HIE
discharge summary document.
If you want to access the clinical data, download the bundle from the url. For ADT events, we
recommend understanding The ADT Encounter Model below before working
with the Patient Encounter Bundle. For
discharge summaries, download the FHIR collection from the url on
patient.discharge-summary.
The URL remains valid and available for download for 600
seconds (10 minutes).
The ADT Encounter Model
For ADT notifications, Metriport maintains the real-time state of a patient’s journey through the
health system. Each of these patient journeys is represented via FHIR data through an
Encounter.
But FHIR data relies on references to function. An Encounter might reference a subject, a practitioner, or a location - as the example above does (see the reference field in location.). Each root unit of data in FHIR is called a ‘Resource’ and each of type of resource has its own corresponding schema. It’s common for resources to include references to one another.To provide comprehensive data about the Encounter for ADT events, we serve a
Patient Encounter Bundle (a FHIR
Bundle) via the url in the patient notification.
{ "resourceType": "Bundle", "type": "message", "timestamp": "2020-05-08T13:10:15Z", "id": "message-uuid", "entry": [ { /* the FHIR Patient */ }, { /* a FHIR Encounter */ }, // Other resources that are directly or transitively referenced via the FHIR encounter { /* Another resource */ }, { /* Another resource */ }, { /* Another resource */ }, ... ]}
For ADT notifications, the first two items in the bundle are the applicable patient and root
Encounter. Every item thereafter is a resource referenced by the Encounter.If you’re unfamiliar with FHIR, read our FHIR Overview.
Handling Patient Notifications
We may extend the patient notification types, so we recommend that you do a strict match when checking the handler type. If using a typed language like typescript, this also allows you to typecast the payload based on the appropriate event type.See below.
import { PatientAdmitPayload, PatientDischargePayload, PatientPreAdmitPayload, PatientRegisterPayload, PatientTransferPayload, PatientVisitUpdatePayload,} from "@metriport/api-sdk";if (event.meta.type === "patient.pre-admit") { const payload = event.payload as PatientPreAdmitPayload; // process pre-admit message}if (event.meta.type === "patient.register") { const payload = event.payload as PatientRegisterPayload; // process registration message}if (event.meta.type === "patient.admit") { const payload = event.payload as PatientAdmitPayload; // process admit message}if (event.meta.type === "patient.visit-update") { const payload = event.payload as PatientVisitUpdatePayload; // process visit update message}if (event.meta.type === "patient.transfer") { const payload = event.payload as PatientTransferPayload; // process transfer message}if (event.meta.type === "patient.discharge") { const payload = event.payload as PatientDischargePayload; // process discharge message}
How to enable real-time notifications
You can enable real-time notifications for the following sources:
ADTs: admission, discharge, and transfer notifications (and more) as patients move through healthcare facilities.
New updates to subscribe or remove patients from ADTs are only processed once a week, on Saturdays.
Pharmacies: notifications when patients get new prescriptions, pickup medications, and more.
Laboratories: notifications for new patient lab results.
Set up one or more Cohorts and associate the patients you want to have notifications enabled to the Cohorts.
Event Reference
patient.laboratory
A Patient Laboratory event indicates that a new laboratory notification is available for a patient.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For a laboratory notification, it will be
patient.laboratory.
required
Show payload properties
string
required
The URL to download the patient notification bundle containing the FHIR data representing the
comprehensive notification. It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
string[]
Healthix MRN for this patient.
string
When the lab specimen was collected for this notification.
A Patient Pharmacy event indicates that a new pharmacy notification is available for a patient.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For a pharmacy notification, it will be
patient.pharmacy.
required
Show payload properties
string
required
The URL to download the patient notification bundle containing the FHIR data representing the
comprehensive notification. It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
string[]
Healthix MRN for this patient.
string
When the medication in this notification was dispensed.
A Patient Pre-admit event is emitted when a facility records a planned or pending admission, before the patient arrives.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For a pre-admit, it will be patient.pre-admit.
PatientPreAdmitPayload
required
Show payload properties
string
required
The URL to download the Patient Encounter Bundle containing the FHIR data representing the comprehensive encounter. It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
string
required
Specifies when this data was initially shared with Metriport.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
string[]
Healthix MRN for this patient.
string
When the facility recorded the pre-admission.
string
When the facility expects to admit the patient.
string
The encounter class the facility expects for the admission, such as emergency or inpatient encounter.
A Patient Register event is emitted when a patient checks in at a facility, often before they are assigned a bed. Registration is not itself an inpatient admission.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For a registration, it will be patient.register.
PatientRegisterPayload
required
Show payload properties
string
required
The URL to download the Patient Encounter Bundle containing the FHIR data representing the comprehensive encounter. It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
string
required
Specifies when this data was initially shared with Metriport.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
string[]
Healthix MRN for this patient.
string
When the patient was registered for this visit.
string
The class of the visit at registration, such as emergency or inpatient encounter.
A Patient Admit event is emitted when a patient undergoes the admission process, assigning them a bed. It signals the official start of a patient’s stay in a healthcare facility. It includes short stay and “John Doe” (patient name unknown) admissions.The same event type is sent when a visit changes class, for example from emergency to inpatient. In that case the payload includes previousClass and, when the visit was registered earlier, registerTimestamp. An admission that is not a class change omits those two fields.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For an admit, it will be patient.admit.
PatientAdmitPayload
required
Show payload properties
string
required
The URL to download the Patient Encounter Bundle containing the FHIR data representing the comprehensive encounter. It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
string
required
Specifies when this data was initially shared with Metriport.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
string[]
Healthix MRN for this patient.
string
When the patient for this encounter was officially admitted for care. On a class change, this is the time the class changed.
string
The encounter class before this event, such as emergency. Present only when this admit is a class change.
string
When the patient was registered for this visit. Present only when this admit is a class change and the visit was registered earlier.
A Patient Visit Update event is emitted when an existing visit receives new diagnosis information.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For a visit update, it will be patient.visit-update.
PatientVisitUpdatePayload
required
Show payload properties
string
required
The URL to download the Patient Encounter Bundle containing the FHIR data representing the comprehensive encounter. It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
string
required
Specifies when this data was initially shared with Metriport.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
string[]
Healthix MRN for this patient.
string
When the patient for this encounter was officially admitted for care.
A Patient Transfer event indicates that a patient has been moved from one location to another within a healthcare system. This could represent a transfer between departments, units, or facilities.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For a transfer, it will be patient.transfer.
PatientTransferPayload
required
Show payload properties
string
required
The URL to download the Patient Encounter Bundle containing the FHIR data representing the comprehensive encounter. It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
string
required
Specifies when this data was initially shared with Metriport.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
string[]
Healthix MRN for this patient.
string
When the patient for this encounter was officially admitted for care.
array
required
An array of transfer records, each representing a single transfer of the patient from one location to another.
Show array item properties
string
When this specific transfer occurred.
object
Information about the location the patient was transferred from.
Show object properties
string
The name of the source location.
string
The type of the source location (e.g., department, unit, facility).
object
Information about the location the patient was transferred to.
Show object properties
string
The name of the destination location.
string
The type of the destination location (e.g., department, unit, facility).
A Patient Discharge event indicates the end of a patient’s stay in a healthcare facility. The patient now has the status “discharged” and an officially recorded discharge date.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For a discharge, it will be patient.discharge.
PatientDischargePayload
required
Show payload properties
string
required
The URL to download the Patient Encounter Bundle containing the FHIR data representing the comprehensive encounter. It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
string
required
Specifies when this data was initially shared with Metriport.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
string[]
Healthix MRN for this patient.
string
When the patient for this encounter was officially admitted for care.
string
When the patient for this encounter was officially discharged by the provider.
A Patient Discharge Summary event is sent after a patient.discharge
notification when Metriport locates a matching discharge summary from the HIE. At most one
successful patient.discharge-summary is sent per encounter.The url is a FHIR collection Bundle of resources from
the matching source document, not the ADT
Patient Encounter Bundle.
Schema
required
Metadata about the message.
Show meta properties
string
required
A unique identifier for this webhook message. Use this only for debugging purposes.
string
The ID of your request. This can be referenced for support.
string
required
An ISO-8601 datetime of when this webhook was sent.
object
Arbitrary metadata that you originally attached to the request that initiated the async flow for
this webhook.
string
required
The type of the patient webhook data message. For a discharge summary, it will be
patient.discharge-summary.
DischargeSummaryWebhookPayload
required
Show payload properties
string
required
The URL to download a FHIR collection Bundle containing resources from the matching HIE
discharge summary document (for example Composition, Encounter, DocumentReference, and related
clinical data for that patient). It’s valid for 10 minutes.
string
required
The metriport patient id for this patient.
string
Your first party identifier assigned to this patient, if any. You can call GET Patient to check whether a patient has an external id.
string
required
The Metriport encounter/stay id this summary is tied to. The same value is sent as
meta.requestId.
object
A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,
Healthix). Only present when the patient has been matched to one or more external systems.
Show object properties
string[]
Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they
will all be included.
string[]
Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they
will all be included.
string[]
Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they
will all be included.
string[]
Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they
will all be included.
For ADT notifications, the Encounter is the core resource in a
Patient Encounter Bundle. Below is an
example of a FHIR Encounter resource, which is one piece of the data you’ll receive when
downloading the bundle from the notification url.
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}`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` ],`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"location\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: [`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` {`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"location\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"reference\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"Location/3ca5e8d2-7c84-45ab-91e7-834f8becde12\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"type\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"Location\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"display\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"Memorial Hospital\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` ]`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:` // And much more`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`]})})}),`\n`,_jsxs(_components.p,{children:[`But FHIR data relies on references to function. An Encounter might reference a subject, a practitioner, or a location - as the example above does (see the `,_jsx(_components.code,{children:`reference`}),` field in location.). Each root unit of data in FHIR is called a ‘Resource’ and each of type of resource has its own corresponding schema. It’s common for resources to include references to one another.`]}),`\n`,_jsxs(_components.p,{children:[`To provide comprehensive data about the Encounter for ADT events, we serve a\n`,_jsx(_components.a,{href:`/medical-api/handling-data/patient-encounter-bundle`,children:`Patient Encounter Bundle`}),` (a FHIR\n`,_jsx(_components.a,{href:`https://hl7.org/fhir/R4/bundle.html`,children:`Bundle`}),`) via the `,_jsx(_components.code,{children:`url`}),` in the patient notification.`]}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`15`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default dark-plus`,style:{backgroundColor:`#ffffff`,\"--shiki-dark-bg\":`#0B0C0E`,color:`#1f2328`,\"--shiki-dark\":`#D4D4D4`},language:`json`,children:_jsxs(_components.code,{language:`json`,numberOfLines:`15`,children:[_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`{`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"resourceType\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"Bundle\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"type\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"message\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"timestamp\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2020-05-08T13:10:15Z\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"id\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"message-uuid\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"entry\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: [`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` { `}),_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:`/* the FHIR Patient */`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` { `}),_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:`/* a FHIR Encounter */`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:` // Other resources that are directly or transitively referenced via the FHIR encounter`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` { `}),_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:`/* Another resource */`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` { `}),_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:`/* Another resource */`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` { `}),_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:`/* Another resource */`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#82071E`,\"--shiki-light-font-style\":`italic`,\"--shiki-dark\":`#F44747`,\"--shiki-dark-font-style\":`inherit`},children:` ...`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` ]`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`]})})}),`\n`,_jsx(_components.p,{children:`For ADT notifications, the first two items in the bundle are the applicable patient and root\nEncounter. Every item thereafter is a resource referenced by the Encounter.`}),`\n`,_jsxs(_components.p,{children:[`If you’re unfamiliar with FHIR, read our `,_jsx(_components.a,{href:`medical-api/fhir/overview`,children:`FHIR Overview`}),`.`]}),`\n`,_jsx(Heading,{level:`3`,id:`handling-patient-notifications`,children:`Handling Patient Notifications`}),`\n`,_jsxs(_components.p,{children:[`We may extend the patient notification types, so we recommend that you do a `,_jsx(_components.strong,{children:`strict`}),` match when checking the handler type. If using a typed language like typescript, this also allows you to typecast the payload based on the appropriate event type.`]}),`\n`,_jsx(_components.p,{children:`See below.`}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`33`,language:`typescript`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default dark-plus`,style:{backgroundColor:`#ffffff`,\"--shiki-dark-bg\":`#0B0C0E`,color:`#1f2328`,\"--shiki-dark\":`#D4D4D4`},language:`typescript`,children:_jsxs(_components.code,{language:`typescript`,numberOfLines:`33`,children:[_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:`import`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` PatientAdmitPayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` PatientDischargePayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` PatientPreAdmitPayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` PatientRegisterPayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` PatientTransferPayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` PatientVisitUpdatePayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`} `}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:`from`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:` \"@metriport/api-sdk\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`;`})]}),`\n`,_jsx(_components.span,{className:`line`}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:`if`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` (`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`meta`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`type`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` ===`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:` \"patient.pre-admit\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`) {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#569CD6`},children:` const`}),_jsx(_components.span,{style:{color:`#0550AE`,\"--shiki-dark\":`#4FC1FF`},children:` payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` =`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:` as`}),_jsx(_components.span,{style:{color:`#953800`,\"--shiki-dark\":`#4EC9B0`},children:` PatientPreAdmitPayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`;`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:` // process pre-admit message`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:`if`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` (`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`meta`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`type`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` ===`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:` \"patient.register\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`) {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#569CD6`},children:` const`}),_jsx(_components.span,{style:{color:`#0550AE`,\"--shiki-dark\":`#4FC1FF`},children:` payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` =`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:` as`}),_jsx(_components.span,{style:{color:`#953800`,\"--shiki-dark\":`#4EC9B0`},children:` PatientRegisterPayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`;`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:` // process registration message`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:`if`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` (`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`meta`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`type`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` ===`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:` \"patient.admit\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`) {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#569CD6`},children:` const`}),_jsx(_components.span,{style:{color:`#0550AE`,\"--shiki-dark\":`#4FC1FF`},children:` payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` =`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:` as`}),_jsx(_components.span,{style:{color:`#953800`,\"--shiki-dark\":`#4EC9B0`},children:` PatientAdmitPayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`;`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:` // process admit message`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:`if`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` (`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`meta`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`type`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` ===`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:` \"patient.visit-update\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`) {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#569CD6`},children:` const`}),_jsx(_components.span,{style:{color:`#0550AE`,\"--shiki-dark\":`#4FC1FF`},children:` payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` =`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:` as`}),_jsx(_components.span,{style:{color:`#953800`,\"--shiki-dark\":`#4EC9B0`},children:` PatientVisitUpdatePayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`;`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:` // process visit update message`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:`if`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` (`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`meta`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`type`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` ===`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:` \"patient.transfer\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`) {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#569CD6`},children:` const`}),_jsx(_components.span,{style:{color:`#0550AE`,\"--shiki-dark\":`#4FC1FF`},children:` payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` =`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:` as`}),_jsx(_components.span,{style:{color:`#953800`,\"--shiki-dark\":`#4EC9B0`},children:` PatientTransferPayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`;`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:` // process transfer message`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:`if`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` (`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`meta`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`type`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` ===`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:` \"patient.discharge\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`) {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#569CD6`},children:` const`}),_jsx(_components.span,{style:{color:`#0550AE`,\"--shiki-dark\":`#4FC1FF`},children:` payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#D4D4D4`},children:` =`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:` event`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`.`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#9CDCFE`},children:`payload`}),_jsx(_components.span,{style:{color:`#CF222E`,\"--shiki-dark\":`#C586C0`},children:` as`}),_jsx(_components.span,{style:{color:`#953800`,\"--shiki-dark\":`#4EC9B0`},children:` PatientDischargePayload`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`;`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#6E7781`,\"--shiki-dark\":`#6A9955`},children:` // process discharge message`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`]})})}),`\n`,_jsx(Heading,{level:`2`,id:`how-to-enable-real-time-notifications`,children:`How to enable real-time notifications`}),`\n`,_jsx(_components.p,{children:`You can enable real-time notifications for the following sources:`}),`\n`,_jsxs(_components.ul,{children:[`\n`,_jsxs(_components.li,{children:[_jsx(_components.strong,{children:`ADTs`}),`: admission, discharge, and transfer notifications (and more) as patients move through healthcare facilities.`]}),`\n`]}),`\n`,_jsx(Info,{children:_jsx(_components.p,{children:`New updates to subscribe or remove patients from ADTs are only processed once a week, on Saturdays.`})}),`\n`,_jsxs(_components.ul,{children:[`\n`,_jsxs(_components.li,{children:[_jsx(_components.strong,{children:`Pharmacies`}),`: notifications when patients get new prescriptions, pickup medications, and more.`]}),`\n`,_jsxs(_components.li,{children:[_jsx(_components.strong,{children:`Laboratories`}),`: notifications for new patient lab results.`]}),`\n`]}),`\n`,_jsxs(_components.p,{children:[`Set up `,_jsx(_components.a,{href:`/medical-api/handling-data/cohorts`,children:`one or more Cohorts`}),` and associate the patients you want to have notifications enabled to the Cohorts.`]}),`\n`,_jsx(Heading,{level:`2`,id:`event-reference`,children:`Event Reference`}),`\n`,_jsx(Heading,{level:`3`,id:`patient-laboratory`,children:_jsx(_components.code,{children:`patient.laboratory`})}),`\n`,_jsx(_components.p,{children:`A Patient Laboratory event indicates that a new laboratory notification is available for a patient.`}),`\n`,_jsx(Heading,{level:`4`,id:`schema`,children:`Schema`}),`\n`,_jsxs(ResponseField,{name:`meta`,required:true,id:`param-meta`,children:[_jsx(_components.p,{children:`Metadata about the message.`}),_jsxs(Expandable,{title:`meta properties`,children:[_jsx(ResponseField,{name:`messageId`,type:`string`,required:true,id:`param-message-id`,children:_jsx(_components.p,{children:`A unique identifier for this webhook message. Use this only for debugging purposes.`})}),_jsx(ResponseField,{name:`requestId`,type:`string`,optional:true,id:`param-request-id`,children:_jsx(_components.p,{children:`The ID of your request. This can be referenced for support.`})}),_jsx(ResponseField,{name:`when`,type:`string`,required:true,id:`param-when`,children:_jsx(_components.p,{children:`An ISO-8601 datetime of when this webhook was sent.`})}),_jsx(ResponseField,{name:`data`,type:`object`,optional:true,id:`param-data`,children:_jsx(_components.p,{children:`Arbitrary metadata that you originally attached to the request that initiated the async flow for\nthis webhook.`})}),_jsx(ResponseField,{name:`type`,type:`string`,required:true,id:`param-type`,children:_jsxs(_components.p,{children:[`The type of the patient webhook data message. For a laboratory notification, it will be\n`,_jsx(_components.code,{children:`patient.laboratory`}),`.`]})})]})]}),`\n`,_jsx(ResponseField,{name:`payload`,required:true,id:`param-payload`,children:_jsxs(Expandable,{title:`payload properties`,children:[_jsx(ResponseField,{name:`url`,type:`string`,required:true,id:`param-url`,children:_jsx(_components.p,{children:`The URL to download the patient notification bundle containing the FHIR data representing the\ncomprehensive notification. It’s valid for 10 minutes.`})}),_jsx(ResponseField,{name:`patientId`,type:`string`,required:true,id:`param-patient-id`,children:_jsx(_components.p,{children:`The metriport patient id for this patient.`})}),_jsx(ResponseField,{name:`externalId`,type:`string`,optional:true,id:`param-external-id`,children:_jsxs(_components.p,{children:[`Your first party identifier assigned to this patient, if any. You can call `,_jsx(_components.a,{href:`medical-api/api-reference/patient/get-patient`,children:`GET Patient`}),` to check whether a patient has an external id.`]})}),_jsxs(ResponseField,{name:`additionalIds`,type:`object`,optional:true,id:`param-additional-ids`,children:[_jsx(_components.p,{children:`A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,\nHealthix). Only present when the patient has been matched to one or more external systems.`}),_jsxs(Expandable,{title:`object properties`,children:[_jsx(ResponseField,{name:`athenahealth`,type:`string[]`,id:`param-athenahealth`,children:_jsx(_components.p,{children:`Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`canvas`,type:`string[]`,id:`param-canvas`,children:_jsx(_components.p,{children:`Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`elation`,type:`string[]`,id:`param-elation`,children:_jsx(_components.p,{children:`Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthie`,type:`string[]`,id:`param-healthie`,children:_jsx(_components.p,{children:`Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthix`,type:`string[]`,id:`param-healthix`,children:_jsx(_components.p,{children:`Healthix MRN for this patient.`})})]})]}),_jsx(ResponseField,{name:`specimenCollectedDate`,type:`string`,id:`param-specimen-collected-date`,children:_jsx(_components.p,{children:`When the lab specimen was collected for this notification.`})})]})}),`\n`,_jsx(Heading,{level:`4`,id:`example-payload`,children:`Example payload`}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`21`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default dark-plus`,style:{backgroundColor:`#ffffff`,\"--shiki-dark-bg\":`#0B0C0E`,color:`#1f2328`,\"--shiki-dark\":`#D4D4D4`},language:`json`,children:_jsxs(_components.code,{language:`json`,numberOfLines:`21`,children:[_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`{`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"meta\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"messageId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"00000000-0000-0000-0000-000000000000\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"requestId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"11111111-1111-1111-1111-111111111111\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"when\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2026-03-26T18:00:00.000Z\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"type\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"patient.laboratory\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"data\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"cxCan\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"putAny\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"stringKeyValue\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"pairsHere\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"payload\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"url\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"\u003cpresigned-download-url>\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"patientId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"metriport-patient-uuid\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"externalId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"your-first-party-id\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"additionalIds\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"athenahealth\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: [`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"00000\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`]`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"specimenCollectedDate\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2026-03-26T18:00:00.000Z\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`]})})}),`\n`,_jsx(Heading,{level:`3`,id:`patient-pharmacy`,children:_jsx(_components.code,{children:`patient.pharmacy`})}),`\n`,_jsx(_components.p,{children:`A Patient Pharmacy event indicates that a new pharmacy notification is available for a patient.`}),`\n`,_jsx(Heading,{level:`4`,id:`schema-2`,children:`Schema`}),`\n`,_jsxs(ResponseField,{name:`meta`,required:true,id:`param-meta-1`,children:[_jsx(_components.p,{children:`Metadata about the message.`}),_jsxs(Expandable,{title:`meta properties`,children:[_jsx(ResponseField,{name:`messageId`,type:`string`,required:true,id:`param-message-id-1`,children:_jsx(_components.p,{children:`A unique identifier for this webhook message. Use this only for debugging purposes.`})}),_jsx(ResponseField,{name:`requestId`,type:`string`,optional:true,id:`param-request-id-1`,children:_jsx(_components.p,{children:`The ID of your request. This can be referenced for support.`})}),_jsx(ResponseField,{name:`when`,type:`string`,required:true,id:`param-when-1`,children:_jsx(_components.p,{children:`An ISO-8601 datetime of when this webhook was sent.`})}),_jsx(ResponseField,{name:`data`,type:`object`,optional:true,id:`param-data-1`,children:_jsx(_components.p,{children:`Arbitrary metadata that you originally attached to the request that initiated the async flow for\nthis webhook.`})}),_jsx(ResponseField,{name:`type`,type:`string`,required:true,id:`param-type-1`,children:_jsxs(_components.p,{children:[`The type of the patient webhook data message. For a pharmacy notification, it will be\n`,_jsx(_components.code,{children:`patient.pharmacy`}),`.`]})})]})]}),`\n`,_jsx(ResponseField,{name:`payload`,required:true,id:`param-payload-1`,children:_jsxs(Expandable,{title:`payload properties`,children:[_jsx(ResponseField,{name:`url`,type:`string`,required:true,id:`param-url-1`,children:_jsx(_components.p,{children:`The URL to download the patient notification bundle containing the FHIR data representing the\ncomprehensive notification. It’s valid for 10 minutes.`})}),_jsx(ResponseField,{name:`patientId`,type:`string`,required:true,id:`param-patient-id-1`,children:_jsx(_components.p,{children:`The metriport patient id for this patient.`})}),_jsx(ResponseField,{name:`externalId`,type:`string`,optional:true,id:`param-external-id-1`,children:_jsxs(_components.p,{children:[`Your first party identifier assigned to this patient, if any. You can call `,_jsx(_components.a,{href:`medical-api/api-reference/patient/get-patient`,children:`GET Patient`}),` to check whether a patient has an external id.`]})}),_jsxs(ResponseField,{name:`additionalIds`,type:`object`,optional:true,id:`param-additional-ids-1`,children:[_jsx(_components.p,{children:`A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,\nHealthix). Only present when the patient has been matched to one or more external systems.`}),_jsxs(Expandable,{title:`object properties`,children:[_jsx(ResponseField,{name:`athenahealth`,type:`string[]`,id:`param-athenahealth-1`,children:_jsx(_components.p,{children:`Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`canvas`,type:`string[]`,id:`param-canvas-1`,children:_jsx(_components.p,{children:`Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`elation`,type:`string[]`,id:`param-elation-1`,children:_jsx(_components.p,{children:`Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthie`,type:`string[]`,id:`param-healthie-1`,children:_jsx(_components.p,{children:`Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthix`,type:`string[]`,id:`param-healthix-1`,children:_jsx(_components.p,{children:`Healthix MRN for this patient.`})})]})]}),_jsx(ResponseField,{name:`medicationDispensedDate`,type:`string`,id:`param-medication-dispensed-date`,children:_jsx(_components.p,{children:`When the medication in this notification was dispensed.`})})]})}),`\n`,_jsx(Heading,{level:`4`,id:`example-payload-2`,children:`Example payload`}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`21`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default dark-plus`,style:{backgroundColor:`#ffffff`,\"--shiki-dark-bg\":`#0B0C0E`,color:`#1f2328`,\"--shiki-dark\":`#D4D4D4`},language:`json`,children:_jsxs(_components.code,{language:`json`,numberOfLines:`21`,children:[_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`{`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"meta\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"messageId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"00000000-0000-0000-0000-000000000000\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"requestId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"11111111-1111-1111-1111-111111111111\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"when\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2026-03-26T18:00:00.000Z\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"type\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"patient.pharmacy\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"data\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"cxCan\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"putAny\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"stringKeyValue\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"pairsHere\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"payload\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"url\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"\u003cpresigned-download-url>\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"patientId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"metriport-patient-uuid\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"externalId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"your-first-party-id\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"additionalIds\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"athenahealth\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: [`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"00000\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`]`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"medicationDispensedDate\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2026-03-26T18:00:00.000Z\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`]})})}),`\n`,_jsx(Heading,{level:`3`,id:`patient-pre-admit`,children:_jsx(_components.code,{children:`patient.pre-admit`})}),`\n`,_jsx(_components.p,{children:`A Patient Pre-admit event is emitted when a facility records a planned or pending admission, before the patient arrives.`}),`\n`,_jsx(Heading,{level:`4`,id:`schema-3`,children:`Schema`}),`\n`,_jsxs(ResponseField,{name:`meta`,required:true,id:`param-meta-2`,children:[_jsx(_components.p,{children:`Metadata about the message.`}),_jsxs(Expandable,{title:`meta properties`,children:[_jsx(ResponseField,{name:`messageId`,type:`string`,required:true,id:`param-message-id-2`,children:_jsx(_components.p,{children:`A unique identifier for this webhook message. Use this only for debugging purposes.`})}),_jsx(ResponseField,{name:`requestId`,type:`string`,optional:true,id:`param-request-id-2`,children:_jsx(_components.p,{children:`The ID of your request. This can be referenced for support.`})}),_jsx(ResponseField,{name:`when`,type:`string`,required:true,id:`param-when-2`,children:_jsx(_components.p,{children:`An ISO-8601 datetime of when this webhook was sent.`})}),_jsx(ResponseField,{name:`data`,type:`object`,optional:true,id:`param-data-2`,children:_jsx(_components.p,{children:`Arbitrary metadata that you originally attached to the request that initiated the async flow for\nthis webhook.`})}),_jsx(ResponseField,{name:`type`,type:`string`,required:true,id:`param-type-2`,children:_jsxs(_components.p,{children:[`The type of the patient webhook data message. For a pre-admit, it will be `,_jsx(_components.code,{children:`patient.pre-admit`}),`.`]})})]})]}),`\n`,_jsx(ResponseField,{name:`payload`,type:`PatientPreAdmitPayload`,required:true,id:`param-payload-2`,children:_jsxs(Expandable,{title:`payload properties`,children:[_jsx(ResponseField,{name:`url`,type:`string`,required:true,id:`param-url-2`,children:_jsxs(_components.p,{children:[`The URL to download the `,_jsx(_components.a,{href:`/medical-api/handling-data/patient-encounter-bundle`,children:`Patient Encounter Bundle`}),` containing the FHIR data representing the comprehensive encounter. It’s valid for 10 minutes.`]})}),_jsx(ResponseField,{name:`patientId`,type:`string`,required:true,id:`param-patient-id-2`,children:_jsx(_components.p,{children:`The metriport patient id for this patient.`})}),_jsx(ResponseField,{name:`externalId`,type:`string`,optional:true,id:`param-external-id-2`,children:_jsxs(_components.p,{children:[`Your first party identifier assigned to this patient, if any. You can call `,_jsx(_components.a,{href:`medical-api/api-reference/patient/get-patient`,children:`GET Patient`}),` to check whether a patient has an external id.`]})}),_jsx(ResponseField,{name:`whenSourceSent`,type:`string`,required:true,id:`param-when-source-sent`,children:_jsx(_components.p,{children:`Specifies when this data was initially shared with Metriport.`})}),_jsxs(ResponseField,{name:`additionalIds`,type:`object`,optional:true,id:`param-additional-ids-2`,children:[_jsx(_components.p,{children:`A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,\nHealthix). Only present when the patient has been matched to one or more external systems.`}),_jsxs(Expandable,{title:`object properties`,children:[_jsx(ResponseField,{name:`athenahealth`,type:`string[]`,id:`param-athenahealth-2`,children:_jsx(_components.p,{children:`Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`canvas`,type:`string[]`,id:`param-canvas-2`,children:_jsx(_components.p,{children:`Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`elation`,type:`string[]`,id:`param-elation-2`,children:_jsx(_components.p,{children:`Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthie`,type:`string[]`,id:`param-healthie-2`,children:_jsx(_components.p,{children:`Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthix`,type:`string[]`,id:`param-healthix-2`,children:_jsx(_components.p,{children:`Healthix MRN for this patient.`})})]})]}),_jsx(ResponseField,{name:`preAdmitTimestamp`,type:`string`,id:`param-pre-admit-timestamp`,children:_jsx(_components.p,{children:`When the facility recorded the pre-admission.`})}),_jsx(ResponseField,{name:`plannedAdmitTimestamp`,type:`string`,id:`param-planned-admit-timestamp`,children:_jsx(_components.p,{children:`When the facility expects to admit the patient.`})}),_jsx(ResponseField,{name:`plannedClass`,type:`string`,id:`param-planned-class`,children:_jsxs(_components.p,{children:[`The encounter class the facility expects for the admission, such as `,_jsx(_components.code,{children:`emergency`}),` or `,_jsx(_components.code,{children:`inpatient encounter`}),`.`]})}),_jsx(ResponseField,{name:`reason`,type:`string`,id:`param-reason`,children:_jsx(_components.p,{children:`The reason given for the planned admission.`})})]})}),`\n`,_jsx(Heading,{level:`4`,id:`example-payload-3`,children:`Example payload`}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`21`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default dark-plus`,style:{backgroundColor:`#ffffff`,\"--shiki-dark-bg\":`#0B0C0E`,color:`#1f2328`,\"--shiki-dark\":`#D4D4D4`},language:`json`,children:_jsxs(_components.code,{language:`json`,numberOfLines:`21`,children:[_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`{`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` 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It signals the official start of a patient’s stay in a healthcare facility. It includes short stay and “John Doe” (patient name unknown) admissions.`}),`\n`,_jsxs(_components.p,{children:[`The same event type is sent when a visit changes class, for example from emergency to inpatient. In that case the payload includes `,_jsx(_components.code,{children:`previousClass`}),` and, when the visit was registered earlier, `,_jsx(_components.code,{children:`registerTimestamp`}),`. An admission that is not a class change omits those two fields.`]}),`\n`,_jsx(Heading,{level:`4`,id:`schema-5`,children:`Schema`}),`\n`,_jsxs(ResponseField,{name:`meta`,required:true,id:`param-meta-4`,children:[_jsx(_components.p,{children:`Metadata about the message.`}),_jsxs(Expandable,{title:`meta properties`,children:[_jsx(ResponseField,{name:`messageId`,type:`string`,required:true,id:`param-message-id-4`,children:_jsx(_components.p,{children:`A unique identifier for this webhook message. 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`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2025-01-28T23:00:00.000Z\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`]})})}),`\n`,_jsx(_components.p,{children:`Class change from emergency to inpatient:`}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`20`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default 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Use this only for debugging purposes.`})}),_jsx(ResponseField,{name:`requestId`,type:`string`,optional:true,id:`param-request-id-5`,children:_jsx(_components.p,{children:`The ID of your request. This can be referenced for support.`})}),_jsx(ResponseField,{name:`when`,type:`string`,required:true,id:`param-when-5`,children:_jsx(_components.p,{children:`An ISO-8601 datetime of when this webhook was sent.`})}),_jsx(ResponseField,{name:`data`,type:`object`,optional:true,id:`param-data-5`,children:_jsx(_components.p,{children:`Arbitrary metadata that you originally attached to the request that initiated the async flow for\nthis webhook.`})}),_jsx(ResponseField,{name:`type`,type:`string`,required:true,id:`param-type-5`,children:_jsxs(_components.p,{children:[`The type of the patient webhook data message. 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If more than one patient in Healthie maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthix`,type:`string[]`,id:`param-healthix-5`,children:_jsx(_components.p,{children:`Healthix MRN for this patient.`})})]})]}),_jsx(ResponseField,{name:`admitTimestamp`,type:`string`,id:`param-admit-timestamp-1`,children:_jsx(_components.p,{children:`When the patient for this encounter was officially admitted for care.`})})]})}),`\n`,_jsx(Heading,{level:`4`,id:`example-payload-6`,children:`Example payload`}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`18`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default 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[`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"00000\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`]`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"admitTimestamp\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2025-01-28T23:00:00.000Z\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`]})})}),`\n`,_jsx(Heading,{level:`3`,id:`patient-transfer`,children:_jsx(_components.code,{children:`patient.transfer`})}),`\n`,_jsx(_components.p,{children:`A Patient Transfer event indicates that a patient has been moved from one location to another within a healthcare system. 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This can be referenced for support.`})}),_jsx(ResponseField,{name:`when`,type:`string`,required:true,id:`param-when-6`,children:_jsx(_components.p,{children:`An ISO-8601 datetime of when this webhook was sent.`})}),_jsx(ResponseField,{name:`data`,type:`object`,optional:true,id:`param-data-6`,children:_jsx(_components.p,{children:`Arbitrary metadata that you originally attached to the request that initiated the async flow for\nthis webhook.`})}),_jsx(ResponseField,{name:`type`,type:`string`,required:true,id:`param-type-6`,children:_jsxs(_components.p,{children:[`The type of the patient webhook data message. 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The patient now has the status “discharged” and an officially recorded discharge date.`}),`\n`,_jsx(Heading,{level:`4`,id:`schema-8`,children:`Schema`}),`\n`,_jsxs(ResponseField,{name:`meta`,required:true,id:`param-meta-7`,children:[_jsx(_components.p,{children:`Metadata about the message.`}),_jsxs(Expandable,{title:`meta properties`,children:[_jsx(ResponseField,{name:`messageId`,type:`string`,required:true,id:`param-message-id-7`,children:_jsx(_components.p,{children:`A unique identifier for this webhook message. Use this only for debugging purposes.`})}),_jsx(ResponseField,{name:`requestId`,type:`string`,optional:true,id:`param-request-id-7`,children:_jsx(_components.p,{children:`The ID of your request. This can be referenced for support.`})}),_jsx(ResponseField,{name:`when`,type:`string`,required:true,id:`param-when-7`,children:_jsx(_components.p,{children:`An ISO-8601 datetime of when this webhook was sent.`})}),_jsx(ResponseField,{name:`data`,type:`object`,optional:true,id:`param-data-7`,children:_jsx(_components.p,{children:`Arbitrary metadata that you originally attached to the request that initiated the async flow for\nthis webhook.`})}),_jsx(ResponseField,{name:`type`,type:`string`,required:true,id:`param-type-9`,children:_jsxs(_components.p,{children:[`The type of the patient webhook data message. For a discharge, it will be `,_jsx(_components.code,{children:`patient.discharge`}),`.`]})})]})]}),`\n`,_jsx(ResponseField,{name:`payload`,type:`PatientDischargePayload`,required:true,id:`param-payload-7`,children:_jsxs(Expandable,{title:`payload properties`,children:[_jsx(ResponseField,{name:`url`,type:`string`,required:true,id:`param-url-7`,children:_jsxs(_components.p,{children:[`The URL to download the `,_jsx(_components.a,{href:`/medical-api/handling-data/patient-encounter-bundle`,children:`Patient Encounter Bundle`}),` containing the FHIR data representing the comprehensive encounter. It’s valid for 10 minutes.`]})}),_jsx(ResponseField,{name:`patientId`,type:`string`,required:true,id:`param-patient-id-7`,children:_jsx(_components.p,{children:`The metriport patient id for this patient.`})}),_jsx(ResponseField,{name:`externalId`,type:`string`,optional:true,id:`param-external-id-7`,children:_jsxs(_components.p,{children:[`Your first party identifier assigned to this patient, if any. 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If more than one patient in Healthie maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthix`,type:`string[]`,id:`param-healthix-7`,children:_jsx(_components.p,{children:`Healthix MRN for this patient.`})})]})]}),_jsx(ResponseField,{name:`admitTimestamp`,type:`string`,id:`param-admit-timestamp-3`,children:_jsx(_components.p,{children:`When the patient for this encounter was officially admitted for care.`})}),_jsx(ResponseField,{name:`dischargeTimestamp`,type:`string`,id:`param-discharge-timestamp`,children:_jsx(_components.p,{children:`When the patient for this encounter was officially discharged by the provider.`})})]})}),`\n`,_jsx(Heading,{level:`4`,id:`example-payload-8`,children:`Example payload`}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`23`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default 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`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"00000000-0000-0000-0000-000000000000\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"requestId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"11111111-1111-1111-1111-111111111111\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"when\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: 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[`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"00000\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`]`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"admitTimestamp\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2025-01-28T23:00:00.000Z\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` 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At most one\nsuccessful `,_jsx(_components.code,{children:`patient.discharge-summary`}),` is sent per encounter.`]}),`\n`,_jsxs(_components.p,{children:[`The `,_jsx(_components.code,{children:`url`}),` is a FHIR `,_jsx(_components.a,{href:`https://hl7.org/fhir/R4/bundle.html`,children:_jsx(_components.code,{children:`collection`})}),` Bundle of resources from\nthe matching source document, not the ADT\n`,_jsx(_components.a,{href:`/medical-api/handling-data/patient-encounter-bundle`,children:`Patient Encounter Bundle`}),`.`]}),`\n`,_jsx(Heading,{level:`4`,id:`schema-9`,children:`Schema`}),`\n`,_jsxs(ResponseField,{name:`meta`,required:true,id:`param-meta-8`,children:[_jsx(_components.p,{children:`Metadata about the message.`}),_jsxs(Expandable,{title:`meta properties`,children:[_jsx(ResponseField,{name:`messageId`,type:`string`,required:true,id:`param-message-id-8`,children:_jsx(_components.p,{children:`A unique identifier for this webhook message. Use this only for debugging purposes.`})}),_jsx(ResponseField,{name:`requestId`,type:`string`,optional:true,id:`param-request-id-8`,children:_jsx(_components.p,{children:`The ID of your request. This can be referenced for support.`})}),_jsx(ResponseField,{name:`when`,type:`string`,required:true,id:`param-when-8`,children:_jsx(_components.p,{children:`An ISO-8601 datetime of when this webhook was sent.`})}),_jsx(ResponseField,{name:`data`,type:`object`,optional:true,id:`param-data-8`,children:_jsx(_components.p,{children:`Arbitrary metadata that you originally attached to the request that initiated the async flow for\nthis webhook.`})}),_jsx(ResponseField,{name:`type`,type:`string`,required:true,id:`param-type-10`,children:_jsxs(_components.p,{children:[`The type of the patient webhook data message. For a discharge summary, it will be\n`,_jsx(_components.code,{children:`patient.discharge-summary`}),`.`]})})]})]}),`\n`,_jsx(ResponseField,{name:`payload`,type:`DischargeSummaryWebhookPayload`,required:true,id:`param-payload-8`,children:_jsxs(Expandable,{title:`payload properties`,children:[_jsx(ResponseField,{name:`url`,type:`string`,required:true,id:`param-url-8`,children:_jsx(_components.p,{children:`The URL to download a FHIR collection Bundle containing resources from the matching HIE\ndischarge summary document (for example Composition, Encounter, DocumentReference, and related\nclinical data for that patient). It’s valid for 10 minutes.`})}),_jsx(ResponseField,{name:`patientId`,type:`string`,required:true,id:`param-patient-id-8`,children:_jsx(_components.p,{children:`The metriport patient id for this patient.`})}),_jsx(ResponseField,{name:`externalId`,type:`string`,optional:true,id:`param-external-id-8`,children:_jsxs(_components.p,{children:[`Your first party identifier assigned to this patient, if any. You can call `,_jsx(_components.a,{href:`medical-api/api-reference/patient/get-patient`,children:`GET Patient`}),` to check whether a patient has an external id.`]})}),_jsx(ResponseField,{name:`encounterId`,type:`string`,required:true,id:`param-encounter-id`,children:_jsxs(_components.p,{children:[`The Metriport encounter/stay id this summary is tied to. The same value is sent as\n`,_jsx(_components.code,{children:`meta.requestId`}),`.`]})}),_jsxs(ResponseField,{name:`additionalIds`,type:`object`,optional:true,id:`param-additional-ids-8`,children:[_jsx(_components.p,{children:`A map of external system identifiers for this patient (e.g., Athena, Canvas, Elation, Healthie,\nHealthix). Only present when the patient has been matched to one or more external systems.`}),_jsxs(Expandable,{title:`object properties`,children:[_jsx(ResponseField,{name:`athenahealth`,type:`string[]`,id:`param-athenahealth-8`,children:_jsx(_components.p,{children:`Athena patient ID. If more than one patient in Athena maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`canvas`,type:`string[]`,id:`param-canvas-8`,children:_jsx(_components.p,{children:`Canvas patient ID. If more than one patient in Canvas maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`elation`,type:`string[]`,id:`param-elation-8`,children:_jsx(_components.p,{children:`Elation Patient ID. If more than one patient in Elation maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthie`,type:`string[]`,id:`param-healthie-8`,children:_jsx(_components.p,{children:`Healthie Patient ID. If more than one patient in Healthie maps to a Metriport patient, they\nwill all be included.`})}),_jsx(ResponseField,{name:`healthix`,type:`string[]`,id:`param-healthix-8`,children:_jsx(_components.p,{children:`Healthix MRN for this patient.`})})]})]})]})}),`\n`,_jsx(Heading,{level:`4`,id:`example-payload-9`,children:`Example payload`}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`17`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default dark-plus`,style:{backgroundColor:`#ffffff`,\"--shiki-dark-bg\":`#0B0C0E`,color:`#1f2328`,\"--shiki-dark\":`#D4D4D4`},language:`json`,children:_jsxs(_components.code,{language:`json`,numberOfLines:`17`,children:[_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`{`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` 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`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"11111111-1111-1111-1111-111111111111\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"when\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2025-01-30T23:15:01.000Z\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"type\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"patient.discharge-summary\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` },`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"payload\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"url\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"\u003cpresigned-download-url>\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"patientId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"metriport-patient-uuid\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"encounterId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"11111111-1111-1111-1111-111111111111\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"externalId\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"your-first-party-id\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"additionalIds\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"athenahealth\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: [`}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"00000\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`]`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`}`})}),`\n`]})})}),`\n`,_jsx(Heading,{level:`2`,id:`additional-resources`,children:`Additional Resources`}),`\n`,_jsx(Heading,{level:`3`,id:`fhir-encounter`,children:`FHIR Encounter`}),`\n`,_jsxs(_components.p,{children:[`For ADT notifications, the Encounter is the core resource in a\n`,_jsx(_components.a,{href:`/medical-api/handling-data/patient-encounter-bundle`,children:`Patient Encounter Bundle`}),`. Below is an\nexample of a FHIR Encounter resource, which is one piece of the data you’ll receive when\ndownloading the bundle from the notification `,_jsx(_components.code,{children:`url`}),`.`]}),`\n`,_jsx(CodeBlock,{filename:``,numberOfLines:`105`,language:`json`,children:_jsx(_components.pre,{className:`shiki shiki-themes github-light-default dark-plus`,style:{backgroundColor:`#ffffff`,\"--shiki-dark-bg\":`#0B0C0E`,color:`#1f2328`,\"--shiki-dark\":`#D4D4D4`},language:`json`,children:_jsxs(_components.code,{language:`json`,numberOfLines:`105`,children:[_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`{`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"resourceType\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"Encounter\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"id\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"uuid\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"meta\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: {`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"extension\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: [`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` {`})}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"url\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"https://api.metriport.com/created-at\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`,`})]}),`\n`,_jsxs(_components.span,{className:`line`,children:[_jsx(_components.span,{style:{color:`#116329`,\"--shiki-dark\":`#9CDCFE`},children:` \"valueInstant\"`}),_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:`: `}),_jsx(_components.span,{style:{color:`#0A3069`,\"--shiki-dark\":`#CE9178`},children:`\"2025-03-15T16:45:10.000+00:00\"`})]}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` }`})}),`\n`,_jsx(_components.span,{className:`line`,children:_jsx(_components.span,{style:{color:`#1F2328`,\"--shiki-dark\":`#D4D4D4`},children:` 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