After careful consideration, we have decided to deprecate direct export to BigQuery for Zus data marts.
❄️ Builders can still access their data marts through Zus-provisioned Snowflake reader accounts or through secure data sharing if the Builder has their own Snowflake account.
The following patient history endpoints have been deprecated and are no longer actively maintained with updates, bug fixes, or support for issues.
After this End of Life date, all requests to those endpoints will result in errors. Please ensure that you have migrated to the /patient-history/jobs API before this date to avoid disruptions to your service.
We are deprecating Version 1 of the Patient History API to make way for significant improvements and enhancements with enrolling patients in a Zus subscription, as well as introduce new features like the ability to schedule a job for a future date.
To ensure a smooth transition, we recommend the following steps:
If you have any questions or encounter any issues during the migration process, please do not hesitate to reach out to our support team at [email protected]. We are here to assist you and ensure a seamless transition.
We appreciate your continued support and cooperation as we work to provide you with the best possible service. Thank you for being a valued part of our API user community.
Zus has updated our Product Guide documentation to be more intuitively organized and reflect our latest product offering.
New Data Source Available: Quest Diagnostics Lab Results We're excited to announce that patients in our ZAP Pro data subscription package can now receive lab result data through our integration with Quest Diagnostics. Derived from the world's largest database of clinical lab results, Quest annually serves one in three adult Americans and half the physicians and hospitals in the United States. This addition brings a comprehensive two-year lab history report upon enrollment, along with ongoing monitoring for new lab results.
Please note that activating Quest lab result data requires an initial configuration process. To get started, please reach out to your Zus representative or contact [email protected].
Zus now proactively labels all resources that may contain data relating to an HIV test, diagnosis, or medication, including data ingested from our data partners. Going forward, HIV-labeled resources that are written by Builders will automatically be withheld from responses to CommonWell and Carequality. For more information, see our documentation on specially regulated data.
📰 Clinical notes are now available in Data Marts. Data mart users can now analyze the narratives from sections of CDA documents (the standard format for clinical document exchange) through the text element of the DocumentReference resource type.
For example, suppose you want to identify which patients in your population have had clinical notes that contain mentions of an A1C test. The query below will retrieve an ordered result set.
select
id,
created_at,
document_source,
type,
category,
description,
universal_patient_identifier,
document_date,
text_div,
text_status,
context_period_start,
context_period_end
from documentreference
where lower(text_div) like '%a1c%'
order by universal_patient_identifier, created_at
The clinical notes parsing has a few known issues:
text element often contains HTML, such as<div xmlns="http://www.w3.org/1999/xhtml"><ul><li><span>Formatting of this note might be different from the original.</span><br />The Timeline component has been replaced with a new Encounters & Notes component which surfaces encounters and associated clinical notes (where available). The component list view shows the titles of available clinical notes for each encounter. Diagnostic reports can still be viewed in the Diagnostics component.
We are excited to announce the addition of a new data source that will help provide a more comprehensive view of a patient's medical history. Upon initial enrollment in the ZAP Pro package, patients will now receive "Get Up To Speed" results that include a lookback report on previous inpatient and emergency encounters over a two-year period from health systems within the Collective Medical network. These results will contain essential information such as location, admit and discharge dates, and associated diagnoses for each recent hospital stay.
We are excited to introduce the "Intelligent Refresh" feature for patients in a ZAP Lite or ZAP Pro subscription package. Now, we will automatically search for and update clinical documents within a patient's ZAP after two key clinical events. (click for more!)
Appointment Preparation: Just before the start of any of your upcoming appointments written to Zus, we will initiate a refresh to ensure your clinical history is up-to-date, giving you a complete picture of your patient's health.
Post-Discharge Follow-up: After receiving an ADT discharge, we will refresh EHR documents to capture follow-up documentation from recent hospital stays.
We hope this update will enhance the accuracy and completeness of your patient records, empowering you with better insights for delivering quality care.
The Diagnostic component now indicates which diagnostic reports have historical lab trend data. Trending is now available for lipid panel results (HDL, LDL, total cholesterol, and triglycerides) and is also now available to all Builders.