Save diagnostic results to a patient's chart

Last updated: Mar 21, 2024

You can use this API action to save a provider's findings or interpretations of a patient procedure or test to an EHR system.

With this API action, you’re writing data to your connection’s system, not receiving data. Think of this like reporting an update that your organization recorded about a patient.

Patient identifier required

To use this API action, you must know the patient identifier. If you don’t, you must locate the appropriate identifier first. Learn how to search for a patient with demographics.

Use cases

This API action may be a good fit for your organization if you perform any of these use cases:

Save discrete results from an ordered lab to a patient’s chart.
Save a positive/negative result from a test.
Save a provider’s interpretation of a lab or imaging test to a patient’s chart.
Give context to a lab value that's saved to a patient’s chart.
Give context to an RPM result that's saved to a patient’s chart.
Provide input on risks associated with a patient's health.

Supported systems

You can use this API action with the Redox FHIR® API.

Talk to a Redoxer

It’s also possible to use the Redox Data Model API for this API action. Talk to a Redoxer to learn about your options.

Your connection's system can receive and process writeback messages with their own FHIR® or proprietary API or an HL7v2 feed.

Things you need to know

Save results with DiagnosticReport or Observation

Related order or encounter

Clinical observations

What to include with writeback messages

What's next?

Does this API action seem like a good fit for your unique workflow? If so, let your Redox technical account manager know! You can start development by downloading the relevant resource schema (noted in the related action step below) and deciding which data elements you need. Then, use our Redox Nexus Quickstart guide to dive right in.

If you're not engaged with our sales team yet, talk to a Redoxer to get started.

Action steps

1
Save diagnostic results to a patient's chart
optional
2
Save individual results to a patient's chart
optional

Save diagnostic results to a patient's chart

This table has notes about how to use parameters for this API action specifically, but it's not exhaustive. Refer to the DiagnosticReport schema for more details.

Parameter	Required	Notes
Patient	Y	A reference to the related Patient resource for the patient that had a diagnostic test or procedure.
Encounter	N	A reference to the related Encounter resource, if applicable to how any vital values were collected.

Responses to writeback messages

The response you receive back is the relevant HTTP status code. Your connection decides what to do with the data you’ve sent to them.

DiagnosticReport/$diagnosticreport-create

Select format

Query

bash

1
curl 'https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/DiagnosticReport/$diagnosticreport-create' \
2
--request POST \
3
--header 'Authorization: Bearer ${API_TOKEN}' \
4
--header 'Content-Type: application/json' \
5
--data '{
6
  "id": "KevaGreenLipidPanel",
7
  "meta": {
8
    "profile": [
9
      "https://fhir.redoxengine.com/StructureDefinition/redox-result-observation-message-bundle"
10
    ]
11
  },
12
  "type": "message",
13
  "entry": [
14
    {
15
      "resource": {
16
        "id": "RedoxMessageHeaderExample",
17
        "meta": {
18
          "profile": [
19
            "https://fhir.redoxengine.com/StructureDefinition/redox-message-header"
20
          ]
21
        },
22
        "source": {
23
          "name": "Good Health Clinics",
24
          "endpoint": "05107c08-fe2f-4740-8c1d-c7107d18ebe5"
25
        },
26
        "eventCoding": {
27
          "code": "Observation-New",
28
          "system": "urn:redox:event-type"
29
        },
30
        "resourceType": "MessageHeader"
31
      }
32
    },
33
    {
34
      "resource": {
35
        "id": "81c2f5eb-f99f-40c4-b504-59483e6148d7",
36
        "link": [
37
          {
38
            "type": "replaces",
39
            "other": {
40
              "reference": "Patient/69efd2ea-1256-4ae7-b4ec-5d0160427185"
41
            }
42
          }
43
        ],
44
        "meta": {
45
          "profile": [
46
            "https://fhir.redoxengine.com/StructureDefinition/redox-patient"
47
          ],
48
          "lastUpdated": "2022-12-01T21:57:23.879Z"
49
        },
50
        "name": [
51
          {
52
            "use": "official",
53
            "given": [
54
              "Keva"
55
            ],
56
            "family": "Green"
57
          }
58
        ],
59
        "active": true,
60
        "gender": "female",
61
        "address": [
62
          {
63
            "use": "home",
64
            "city": "Hillsboro",
65
            "line": [
66
              "932 Stehr Vista"
67
            ],
68
            "state": "OR",
69
            "country": "US",
70
            "postalCode": "97123"
71
          }
72
        ],
73
        "telecom": [
74
          {
75
            "use": "home",
76
            "value": "+18088675302",
77
            "system": "phone"
78
          },
79
          {
80
            "value": "Keva.Green-95@test.net",
81
            "system": "email"
82
          }
83
        ],
84
        "birthDate": "1995-08-26",
85
        "extension": [
86
          {
87
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
88
            "extension": [
89
              {
90
                "url": "text",
91
                "valueString": "White"
92
              },
93
              {
94
                "url": "ombCategory",
95
                "valueCoding": {
96
                  "code": "2106-3",
97
                  "system": "urn:oid:2.16.840.1.113883.6.238",
98
                  "display": "White"
99
                }
100
              }
101
            ]
102
          }
103
        ],
104
        "identifier": [
105
          {
106
            "value": "kyHGADnvX3xbkU4V9ayaqh",
107
            "system": "urn:redox:redox-fhir-sandbox:MR"
108
          },
109
          {
110
            "use": "secondary",
111
            "value": "483749",
112
            "system": "urn:redox:redox-fhir-sandbox:MR"
113
          }
114
        ],
115
        "resourceType": "Patient"
116
      }
117
    },
118
    {
119
      "resource": {
120
        "id": "c75c29a4-e3cb-ec06-9ce1-be23a80c5f30",
121
        "code": {
122
          "text": "Cholesterol [Mass/volume] in Serum or Plasma",
123
          "coding": [
124
            {
125
              "code": "2093-3",
126
              "system": "http://loinc.org",
127
              "display": "Cholesterol [Mass/volume] in Serum or Plasma"
128
            }
129
          ]
130
        },
131
        "meta": {
132
          "profile": [
133
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
134
          ]
135
        },
136
        "issued": "2023-02-12T23:50:50.483-05:00",
137
        "status": "final",
138
        "subject": {
139
          "type": "Patient",
140
          "reference": "Patient/81c2f5eb-f99f-40c4-b504-59483e6148d7"
141
        },
142
        "category": [
143
          {
144
            "coding": [
145
              {
146
                "code": "laboratory",
147
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
148
                "display": "Laboratory"
149
              }
150
            ]
151
          }
152
        ],
153
        "encounter": {
154
          "reference": "Encounter/004c4cd2-63b0-d216-edf2-079f74d924d6"
155
        },
156
        "resourceType": "Observation",
157
        "valueQuantity": {
158
          "code": "mg/dL",
159
          "unit": "mg/dL",
160
          "value": 167.64,
161
          "system": "http://unitsofmeasure.org"
162
        },
163
        "effectiveDateTime": "2023-02-12T23:50:50-05:00"
164
      }
165
    },
166
    {
167
      "resource": {
168
        "id": "fe77c0bd-aa55-68f9-85e5-83debe534e79",
169
        "code": {
170
          "text": "Triglycerides",
171
          "coding": [
172
            {
173
              "code": "2571-8",
174
              "system": "http://loinc.org",
175
              "display": "Triglycerides"
176
            }
177
          ]
178
        },
179
        "meta": {
180
          "profile": [
181
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
182
          ]
183
        },
184
        "issued": "2023-02-12T23:50:50.483-05:00",
185
        "status": "final",
186
        "subject": {
187
          "type": "Patient",
188
          "reference": "Patient/81c2f5eb-f99f-40c4-b504-59483e6148d7"
189
        },
190
        "category": [
191
          {
192
            "coding": [
193
              {
194
                "code": "laboratory",
195
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
196
                "display": "Laboratory"
197
              }
198
            ]
199
          }
200
        ],
201
        "encounter": {
202
          "reference": "Encounter/004c4cd2-63b0-d216-edf2-079f74d924d6"
203
        },
204
        "resourceType": "Observation",
205
        "valueQuantity": {
206
          "code": "mg/dL",
207
          "unit": "mg/dL",
208
          "value": 144.38,
209
          "system": "http://unitsofmeasure.org"
210
        },
211
        "effectiveDateTime": "2023-02-12T23:50:50-05:00"
212
      }
213
    },
214
    {
215
      "resource": {
216
        "id": "5a851601-e047-87db-d8f9-8f15f907b5c7",
217
        "code": {
218
          "text": "Low Density Lipoprotein Cholesterol",
219
          "coding": [
220
            {
221
              "code": "18262-6",
222
              "system": "http://loinc.org",
223
              "display": "Low Density Lipoprotein Cholesterol"
224
            }
225
          ]
226
        },
227
        "meta": {
228
          "profile": [
229
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
230
          ]
231
        },
232
        "issued": "2023-02-12T23:50:50.483-05:00",
233
        "status": "final",
234
        "subject": {
235
          "type": "Patient",
236
          "reference": "Patient/81c2f5eb-f99f-40c4-b504-59483e6148d7"
237
        },
238
        "category": [
239
          {
240
            "coding": [
241
              {
242
                "code": "laboratory",
243
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
244
                "display": "Laboratory"
245
              }
246
            ]
247
          }
248
        ],
249
        "encounter": {
250
          "reference": "Encounter/004c4cd2-63b0-d216-edf2-079f74d924d6"
251
        },
252
        "resourceType": "Observation",
253
        "valueQuantity": {
254
          "code": "mg/dL",
255
          "unit": "mg/dL",
256
          "value": 72.38,
257
          "system": "http://unitsofmeasure.org"
258
        },
259
        "effectiveDateTime": "2023-02-12T23:50:50-05:00"
260
      }
261
    },
262
    {
263
      "resource": {
264
        "id": "99971abb-fa92-8e6a-5e71-4ae9c9b32890",
265
        "code": {
266
          "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma",
267
          "coding": [
268
            {
269
              "code": "2085-9",
270
              "system": "http://loinc.org",
271
              "display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
272
            }
273
          ]
274
        },
275
        "meta": {
276
          "profile": [
277
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
278
          ]
279
        },
280
        "issued": "2023-02-12T23:50:50.483-05:00",
281
        "status": "final",
282
        "subject": {
283
          "type": "Patient",
284
          "reference": "Patient/81c2f5eb-f99f-40c4-b504-59483e6148d7"
285
        },
286
        "category": [
287
          {
288
            "coding": [
289
              {
290
                "code": "laboratory",
291
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
292
                "display": "Laboratory"
293
              }
294
            ]
295
          }
296
        ],
297
        "encounter": {
298
          "reference": "Encounter/004c4cd2-63b0-d216-edf2-079f74d924d6"
299
        },
300
        "resourceType": "Observation",
301
        "valueQuantity": {
302
          "code": "mg/dL",
303
          "unit": "mg/dL",
304
          "value": 66.38,
305
          "system": "http://unitsofmeasure.org"
306
        },
307
        "effectiveDateTime": "2023-02-12T23:50:50-05:00"
308
      }
309
    }
310
  ],
311
  "resourceType": "Bundle"
312
}'

Save individual results to a patient's chart

This table has notes about how to use parameters for this API action specifically, but it's not exhaustive. Refer to the Observation schema for more details.

Parameter	Required	Notes
Patient	Y	A reference to the related Patient resource for the patient that received the vaccine.
Encounter	N	A reference to the related Encounter resource, if applicable to how the vital value was collected.

Responses to writeback messages

The response you receive back is the relevant HTTP status code. Your connection decides what to do with the data you’ve sent to them.

Observation/$observation-create

Select format

Query

bash

1
curl 'https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Observation/$observation-create' \
2
--request POST \
3
--header 'Authorization: Bearer ${API_TOKEN}' \
4
--header 'Content-Type: application/json' \
5
--data '{
6
  "id": "KevaGreenAmbulatoryVisitVitals",
7
  "meta": {
8
    "profile": [
9
      "https://fhir.redoxengine.com/StructureDefinition/redox-vitalsigns-observation-message-bundle"
10
    ]
11
  },
12
  "type": "message",
13
  "entry": [
14
    {
15
      "resource": {
16
        "id": "RedoxMessageHeaderExample",
17
        "meta": {
18
          "profile": [
19
            "https://fhir.redoxengine.com/StructureDefinition/redox-message-header"
20
          ]
21
        },
22
        "source": {
23
          "name": "Good Health Clinics",
24
          "endpoint": "05107c08-fe2f-4740-8c1d-c7107d18ebe5"
25
        },
26
        "eventCoding": {
27
          "code": "Observation-New",
28
          "system": "urn:redox:event-type"
29
        },
30
        "resourceType": "MessageHeader"
31
      }
32
    },
33
    {
34
      "resource": {
35
        "id": "81c2f5eb-f99f-40c4-b504-59483e6148d7",
36
        "link": [
37
          {
38
            "type": "replaces",
39
            "other": {
40
              "reference": "Patient/69efd2ea-1256-4ae7-b4ec-5d0160427185"
41
            }
42
          }
43
        ],
44
        "meta": {
45
          "profile": [
46
            "https://fhir.redoxengine.com/StructureDefinition/redox-patient"
47
          ],
48
          "lastUpdated": "2022-12-01T21:57:23.879Z"
49
        },
50
        "name": [
51
          {
52
            "use": "official",
53
            "given": [
54
              "Keva"
55
            ],
56
            "family": "Green"
57
          }
58
        ],
59
        "active": true,
60
        "gender": "female",
61
        "address": [
62
          {
63
            "use": "home",
64
            "city": "Hillsboro",
65
            "line": [
66
              "932 Stehr Vista"
67
            ],
68
            "state": "OR",
69
            "country": "US",
70
            "postalCode": "97123"
71
          }
72
        ],
73
        "telecom": [
74
          {
75
            "use": "home",
76
            "value": "+18088675302",
77
            "system": "phone"
78
          },
79
          {
80
            "value": "Keva.Green-95@test.net",
81
            "system": "email"
82
          }
83
        ],
84
        "birthDate": "1995-08-26",
85
        "extension": [
86
          {
87
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
88
            "extension": [
89
              {
90
                "url": "text",
91
                "valueString": "White"
92
              },
93
              {
94
                "url": "ombCategory",
95
                "valueCoding": {
96
                  "code": "2106-3",
97
                  "system": "urn:oid:2.16.840.1.113883.6.238",
98
                  "display": "White"
99
                }
100
              }
101
            ]
102
          }
103
        ],
104
        "identifier": [
105
          {
106
            "value": "kyHGADnvX3xbkU4V9ayaqh",
107
            "system": "urn:redox:redox-fhir-sandbox:MR"
108
          },
109
          {
110
            "use": "secondary",
111
            "value": "483749",
112
            "system": "urn:redox:redox-fhir-sandbox:MR"
113
          }
114
        ],
115
        "resourceType": "Patient"
116
      }
117
    },
118
    {
119
      "resource": {
120
        "id": "004c4cd2-63b0-d216-edf2-079f74d924d6",
121
        "meta": {
122
          "profile": [
123
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
124
          ]
125
        },
126
        "type": [
127
          {
128
            "text": "General examination of patient (procedure)",
129
            "coding": [
130
              {
131
                "code": "162673000",
132
                "system": "http://snomed.info/sct",
133
                "display": "General examination of patient (procedure)"
134
              }
135
            ]
136
          }
137
        ],
138
        "class": {
139
          "code": "AMB",
140
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
141
        },
142
        "period": {
143
          "end": "2023-02-13T00:23:26-05:00",
144
          "start": "2023-02-12T23:50:50-05:00"
145
        },
146
        "status": "finished",
147
        "subject": {
148
          "display": "Keva Green",
149
          "reference": "Patient/81c2f5eb-f99f-40c4-b504-59483e6148d7"
150
        },
151
        "location": [
152
          {
153
            "location": {
154
              "display": "AGELESS WELLNESS CENTER, INC",
155
              "reference": "Location?identifier=https://github.com/synthetichealth/synthea|a5cc27d1-5c70-39f8-a9c4-2f3696988650"
156
            }
157
          }
158
        ],
159
        "identifier": [
160
          {
161
            "use": "official",
162
            "value": "004c4cd2-63b0-d216-edf2-079f74d924d6",
163
            "system": "https://github.com/synthetichealth/synthea"
164
          }
165
        ],
166
        "participant": [
167
          {
168
            "type": [
169
              {
170
                "text": "primary performer",
171
                "coding": [
172
                  {
173
                    "code": "PPRF",
174
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
175
                    "display": "primary performer"
176
                  }
177
                ]
178
              }
179
            ],
180
            "period": {
181
              "end": "2023-02-13T00:23:26-05:00",
182
              "start": "2023-02-12T23:50:50-05:00"
183
            },
184
            "individual": {
185
              "display": "Dr. Will Bernhard",
186
              "reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999945790"
187
            }
188
          }
189
        ],
190
        "resourceType": "Encounter",
191
        "serviceProvider": {
192
          "display": "AGELESS WELLNESS CENTER, INC",
193
          "reference": "Organization?identifier=https://github.com/synthetichealth/synthea|8b124b8e-ce6a-3b8a-bf2c-b8f539a4e3ce"
194
        }
195
      }
196
    },
197
    {
198
      "resource": {
199
        "id": "95465ba1-7bff-a298-2d72-e92a483f2f68",
200
        "code": {
201
          "text": "Body Height",
202
          "coding": [
203
            {
204
              "code": "8302-2",
205
              "system": "http://loinc.org",
206
              "display": "Body Height"
207
            }
208
          ]
209
        },
210
        "meta": {
211
          "profile": [
212
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height"
213
          ]
214
        },
215
        "issued": "2023-02-12T23:50:50.483-05:00",
216
        "status": "final",
217
        "subject": {
218
          "type": "Patient",
219
          "reference": "Patient/81c2f5eb-f99f-40c4-b504-59483e6148d7"
220
        },
221
        "category": [
222
          {
223
            "coding": [
224
              {
225
                "code": "vital-signs",
226
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
227
                "display": "Vital signs"
228
              }
229
            ]
230
          }
231
        ],
232
        "encounter": {
233
          "type": "Encounter",
234
          "reference": "Encounter/004c4cd2-63b0-d216-edf2-079f74d924d6"
235
        },
236
        "resourceType": "Observation",
237
        "valueQuantity": {
238
          "code": "cm",
239
          "unit": "cm",
240
          "value": 166.4,
241
          "system": "http://unitsofmeasure.org"
242
        },
243
        "effectiveDateTime": "2023-02-12T23:50:50-05:00"
244
      }
245
    },
246
    {
247
      "resource": {
248
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