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The rail
Why the rail
eTIMS branch
Reference

The rail

Why the rail exists
The stops, in order
Start at Authenticate

eTIMS branch

Invoice · eTIMS
Collect · Slade Advantage

Resources

llms.txt
Skills for agents

© 2026 Savannah Informatics. All rights reserved.

00 · Authenticate

Exchange client credentials for an access token.post

Register webhook endpoints. Required before a claim may be submitted.post

The document types a desk may choose from today. Cache by version; never embed.get

Resolve an identifier pair to one unique_patient_id, with masked details to confirm the human.post

Health worker registry — one practitioner, with a licence verdict you do not have to derive.get

02 · Verify cover

Every cover usable by this member at this facility.get

Freeze a cover onto this encounter.post

What the selected cover pays for. Call it with no parent_code for the top level, then pass the code you chose to descend one level, and repeat until nothing comes back.get

Ask for an authentication. The rail decides and executes the factor; you get a resource back, and a URL to embed when the factor is one the member has to be present for.post

Read the authentication. Poll this as the safety net; the callback is the primary path.get

Send the passcode for the launched authentication. Part of the hosted surface: a form post that answers with an HTML fragment, not JSON. Every field is required — the surface re-runs the consent decision on each swap, so the launch context travels with each post.post

Check the passcode the member read back. Answers with the receipt fragment on success, and with the executor's own message on a refusal.post

Open a visit — an encounter and its account, in one atomic write. No payer is called; a visit with no service_lines is purely clinical.post

Authorise a cover for a named intervention — the authorization unit. Payer-first: pending, then authorized or refused.post

Record a practitioner on the visit, validated against the Health Worker Registry under its regulator before it is stored.post

Search ICD-11 for a codable diagnosis. The picker is fetched, never typed.get

Record a diagnosis on the visit's clinical record — a Condition on the encounter. A clinical fact first; no cover appears here.post

Every diagnosis on this visit, and which intervention each one supports.get

Withdraw a diagnosis recorded in error. Refused once the claim is submitted.delete

Read back what this visit has written — the encounter and every resource under it.get

Contribute the encounter to the shared health record as a FHIR bundle.post

The episodes of care this patient has open — the thread visits hang from.get

Open an episode, or attach this visit to one that is already running.post

Order a lab, an image or a procedure. Routed to the performer, whether or not it is you.post

Orders routed to this facility from anywhere on the rail — your work queue.get

Return the result against the order. It reaches the requester without a second integration.post

Prescriptions routed to this pharmacy, written anywhere. Nothing is carried in on paper.get

Prescribe. Routed to the pharmacy the patient chooses, which may not be yours.post

Record what was actually handed over, including a substitution or a partial fill.post

Remove a doctor from a prescription recorded against the wrong prescriber.delete

Generate the documents this claim requires from the clinical data already recorded.post

Render a document on demand — HTML to show on screen, PDF to hand over or sign.get

Refer onward, carrying the clinical record and the authorisation taken here.post

Referrals sent to this facility, with the record and the authorisation already attached.get

Accept or decline a referral, and open the receiving visit against the same authorisation.post

Send a specimen to the hub, tracked against the order that asked for it.post

06 · Preauthorize

Poll for the decision. Identical body to the callback.get

Submit a preauthorisation for approval.post

Charge under an authorized service line — payer-first. The payer answers with the covered amount and the patient's copay; a line with no service_line_ref is self pay.post

Attach a required document against the visit.post

Retire a per-diem line and start a new one at a different level.post

Run every gate and return all failures at once.post

Close the visit and submit. Idempotent on external_id.post

09 · Reconcile

Paginated remittances since a timestamp.get

The Rail

The Rail

Every call on the rail, grouped by the stop that makes it — the same order the teaching pages follow.

These contracts are under review. Paths and field names will change. Use this reference to see the shape of each call and to try it against the sandbox; take final field names from the signed-off spec.

Set a token with Set API Token in the header to run any call below.

Tags

00 · Authenticate

Calls made at Authenticate. Taught at /rail/stops/Authenticate.

Calls made at Identify. Taught at /rail/stops/Identify.

02 · Verify cover

Calls made at Verify cover. Taught at /rail/stops/Entitle.

Calls made at Consent. Taught at /rail/stops/Consent.

Calls made at Visit. Taught at /rail/stops/Visit.

Calls made at Treat. Taught at /rail/stops/Treat.

06 · Preauthorize

Calls made at Preauthorize. Taught at /rail/stops/Preauth.

Calls made at Bill. Taught at /rail/stops/Bill.

Calls made at Submit. Taught at /rail/stops/Submit.

09 · Reconcile

Calls made at Reconcile. Taught at /rail/stops/Reconcile.

Servers

https://api-dev.slade360edi.com/orchestrator

Development

https://api.slade360edi.com/orchestrator

Production