Onramps for clinical networks

Need data for a patient from multiple healthcare organizations? One option is setting up business agreements with several individual organizations and querying them one at a time. Or you can use Redox Network Onramps, which allow you to make one connection to gain access to clinical networks.

Benefits of Network Onramps

  • Lightning-fast onboarding. Use our extensive experience to get to production and value within days. As your implementer, we complete your certification process for you and help you through setup.
  • Modern technology. Managing multiple standards is complex. Let Redox handle the technical complexity for you with our proven, modern data models.
  • Management and maintenance. We provide tools to a) build out your organization while staying in sync with clinical networks; b) protect you from sending invalid data; and c) answer your questions.

Supported clinical networks

Currently, we support onramps to these clinical networks.

Carequality

The Carequality Interoperability Framework is a nationwide network of healthcare organizations with over 600K providers, 50K clinics, over 4,200 hospitals, and millions of patient records. Carequality participants exchange over 150M clinical summary documents every month. Learn about using an onramp to Carequality.

TEFCA-CommonWell

Trusted Exchange Framework and Common Agreement (TEFCA) is a nationwide trusted network built upon a decade of best practices. By setting common policies, technical standards, and governance structures, TEFCA streamlines health information exchange while ensuring privacy, security, and patient consent protections.

To access TEFCA, you must use a certified Qualified Health Information Network (QHIN). Currently, we support accessing TEFCA via CommonWell. Learn about using an onramp to TEFCA.

CommonWell

CommonWell Health Alliance is a nonprofit member-driven alliance and Qualified Health Information Network (QHIN). The organization is dedicated to the secure and seamless flow of healthcare data to improve patient care and the vision that all healthcare data should be available to clinicians, care teams, and patients, regardless of where care occurs. CommonWell connects 36,000 provider organizations that support 240 million lives. Learn more about CommonWell.

You can onramp to CommonWell or use CommonWell as a QHIN to access TEFCA.

What data is exchanged

Clinical networks support the exchange of C-CDA documents, which is an industry-standard for exchanging patient and visit information.

The two primary types of supported documents are:

  • Patient summary: Represents a nearly current snapshot of a patient’s chart.
  • Visit summary: Contains a patient’s chart for a specific visit. A visit summary is considered accurate as of the visit date.

Rules for returned data

Each network participant returning patient data in response to queries must follow the rules outlined in the table below. Also, learn more details about HL7 standards.

C-CDA section
Must include in response
Required format
Advance directives
Optional, but recommended
Discrete data
Allergies
Yes
Discrete data
Encounters
Optional, but recommended
Discrete data
Family history
Optional, but recommended
Narrative or discrete data
Functional status
Optional, but recommended
Narrative or discrete data
Immunizations
Optional, but recommended
Discrete data
Intolerances
Yes
Discrete data
Medical equipment
Optional, but recommended
Narrative or discrete data
Medications
Yes
Discrete data
Mental status
Optional, but recommended
Narrative or discrete data
Nutrition
Optional, but recommended
Narrative or discrete data
Payers
Optional, but recommended
Narrative or discrete data
Plan of treatment
Optional, but recommended
Narrative or discrete data
Problems
Yes
Discrete data
Procedures
Optional, but recommended
Discrete data
Results
Yes
Discrete data
Social history
Yes
Narrative or discrete data
Vital signs
Yes
Discrete data

Set up onramps

Set up your onramp to a supported clinical network.

Carequality test patients

Use our test patient data to test interacting with the Carequality Interoperability Framework.

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