openapi: 3.0.3 info: title: CMS Beneficiary FHIR Data Server (BFD) description: | The Beneficiary FHIR Data (BFD) Server is the upstream HL7 FHIR R4 service that powers Blue Button 2.0, BCDA, AB2D, and DPC. BFD ingests claims from the CMS Chronic Conditions Warehouse (CCW). Access is limited to internal CMS systems and the four downstream peering applications. version: '2.0' contact: name: BFD Team url: https://github.com/CMSgov/beneficiary-fhir-data license: name: Public Domain (U.S. Government Work) url: https://www.usa.gov/government-works servers: - url: https://prod.bfd.cms.gov/v2/fhir description: Production (peering only) - url: https://sandbox.bfd.cms.gov/v2/fhir description: Sandbox (peering only) security: - MutualTLS: [] paths: /metadata: get: summary: Get FHIR Capability Statement operationId: getCapabilityStatement tags: [Metadata] responses: { '200': { description: CapabilityStatement } } /Patient: get: summary: Search Patient Resources operationId: searchPatient tags: [Patient] parameters: - { name: identifier, in: query, schema: { type: string, description: 'HICN, MBI, or BENE_ID identifier' } } - { name: _has:Coverage.extension, in: query, schema: { type: string } } - { name: _lastUpdated, in: query, schema: { type: string } } responses: { '200': { description: Bundle of Patients } } /Patient/{id}: get: summary: Read Patient operationId: readPatient tags: [Patient] parameters: - { name: id, in: path, required: true, schema: { type: string } } responses: { '200': { description: Patient resource } } /Coverage: get: summary: Search Coverage Resources operationId: searchCoverage tags: [Coverage] parameters: - { name: beneficiary, in: query, schema: { type: string } } responses: { '200': { description: Bundle of Coverage } } /ExplanationOfBenefit: get: summary: Search Explanation Of Benefit Resources operationId: searchExplanationOfBenefit tags: [ExplanationOfBenefit] parameters: - { name: patient, in: query, schema: { type: string } } - { name: type, in: query, schema: { type: string } } - { name: service-date, in: query, schema: { type: string } } - { name: _lastUpdated, in: query, schema: { type: string } } - { name: excludeSAMHSA, in: query, schema: { type: boolean } } - { name: includeTaxNumbers, in: query, schema: { type: boolean } } responses: { '200': { description: Bundle of ExplanationOfBenefit } } /Group/{id}/$export: get: summary: Group Bulk Export operationId: exportGroup tags: [Bulk Export] parameters: - { name: id, in: path, required: true, schema: { type: string } } - { name: _type, in: query, schema: { type: string } } - { name: _since, in: query, schema: { type: string, format: date-time } } - { name: Prefer, in: header, required: true, schema: { type: string, enum: ['respond-async'] } } responses: { '202': { description: Accepted } } components: securitySchemes: MutualTLS: type: mutualTLS description: BFD requires X.509 client certificates issued by the CMS PKI; access is restricted to peering applications.