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Patients
Create a patient
Creates a patient chart in the EHR. With checkForDuplicates: true, a dedupe hit WITHHOLDS the write and returns 409 duplicate_candidates with the candidate ids — review them and either book against an existing chart or retry without the flag. Send an Idempotency-Key header to protect retries for 24 hours. An uncertain vendor outcome returns 409 ehr_write_uncertain with requiresReconciliation: true; verify the chart in the EHR before attempting another create. The same key remains protected during that retention period.
Client-generated UUID, honoured for 24 hours. Fails closed: if the idempotency store is unreachable the write is refused with 503 idempotency_unavailable and nothing reaches the EHR, rather than proceeding with the guarantee silently withdrawn. Omit the header to accept at-least-once instead.
Facility UUID from GET /facilities (fac_… also accepted on v3+). Send the same value to GET /payers?newChart=true to pick this chart's payers before creating it.
Ask the EHR to dedupe-check before committing. When candidates are found the write is WITHHELD and the response is 409 duplicate_candidates — surfacing that is what stops a booking flow creating duplicate charts.
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