The Patient Segmentation data model helps the Patient Segmentation dashboard generate insights into patient demographics and risk scores based on risk adjustment factors.
Stores the risk adjustment factor for patients and members based on the age band that they’re a part of and the status of their benefits eligibility. This object is available in API version 61.0 and later.
Stores the risk adjustment factor for patients and members based on the set of interacting conditions they are diagnosed with and the status of their benefits eligibility. This object is available in API version 61.0 and later.
Represents how Hierarchical Condition Category (HCC) codes map to condition codes for a specific year. This object is available in API version 61.0 and later.
Stores the risk adjustment factor for patients and members based on the set of Hierarchical Condition Category (HCC) codes that apply to them and the status of their benefits eligibility. This object is available in API version 61.0 and later.
Represents additional details related to a patient. This object is available in Health Cloud in API version 61.0 and later.
Stores the risk adjustment factor for patients and members based on their eligibility for certain benefits programs. For instance, Medicaid in the US. This object is available in API version 61.0 and later.
j
