You can use this API action to access general clinical data for a patient represented in a transition of care document (CCD).
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.
This API action may be a good fit for your organization if you perform any of these use cases:
- Review a current snapshot of a patient as clinical background for determining treatment.
- Learn details about a patient’s visit at another organization.
We recommend only using this API action for these two use cases. For example, if you often work with another organization—by receiving transfers or seeing patients from that organization—this is a great option to get a summary of care.
If you only need pieces of data from the transition of care document, we recommend querying for those specific pieces instead.
You can use this API action with the Redox FHIR® API.
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 return results with their own FHIR®, SOAP-based CCD exchange, or query-based API. Or, they can use a push-based method, such as CCD push or Direct Trust messaging.
Your connection's system may not support a query-based data exchange, but they may still be willing to provide results with a push-based method.
However, we understand that you may not want to store all that data. Maybe you don't need all the possible results and just want to query for what you want when you need it. If so, you can use this API action via our data on demand service, which stores the connection's data so that you can query from Redox "on demand." Learn about data on demand.
The transition of care document may be either a patient or visit summary. Patient summaries represent a current (or nearly current) snapshot of the patient’s chart. Visit summaries contain a patient’s chart for a specific visit and should be treated as accurate as of the visit date.
The data included in either context may overlap, so you could receive visit data in a patient summary or patient data in a visit summary. An example of this would be a new diagnosis or allergy. If a diagnosis or allergy is documented as part of a visit, it would still appear later in the patient summary.
The point is you should understand the data in its appropriate context, whether patient or visit.
CDA documents contain two types of information: human-readable text (AKA narrative data) and machine-processable discrete data.
The DocumentReference resource and ClinicalSummary data model mostly contain discrete data. We convert any narrative data for you into XHTML for FHIR® or HTML (or plain text) for data models.
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 the Quickstart for Redox guide to dive right in.
If you're not engaged with our sales team yet, talk to a Redoxer to get started.
The following actions must be completed before attempting the steps below.
This table has notes about how to use parameters for this API action specifically, but it's not exhaustive. Refer to the DocumentReference schema for more details.
Query parameter | Required | Notes |
---|---|---|
patient | Y | You must include at least one identifier for the patient that the EHR system uses. If you don't have a patient identifier, search for a patient with demographics to find one. |
Your search returns a list of related documents for one patient.
1curl 'https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/DocumentReference/_search' \2--request POST \3--header 'Authorization: Bearer $API_TOKEN' \4--header 'Content-Type: application/x-www-form-urlencoded' \5--data-urlencode 'patient=81c2f5eb-f99f-40c4-b504-59483e6148d7'
1{2"id": "0d878131-f6fd-4cdd-aefe-aaa07c3b11af",3"type": "searchset",4"entry": [5{6"search": {7"mode": "match",8"score": 19},10"resource": {11"id": "74d7f89e-d141-444b-a967-602525f34fc2",12"date": "2020-10-31T18:26:55.000Z",13"meta": {14"lastUpdated": "2020-10-29T20:06:13.446Z"15},16"type": {17"text": "Summarization of episode note",18"coding": [19{20"code": "34133-9",21"system": "http://loinc.org"22}23]24},25"status": "current",26"content": [27{28"attachment": {29"data": "<?xml version="1.0" encoding="UTF-8"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd">
  <realmCode code="US"/>
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
  <templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01"/>
  <templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2015-08-01"/>
  <id root="2.16.840.1.113883.19.5" extension="9e6f2239-7736-40aa-9023-91e10d05b014" assigningAuthorityName="https://github.com/synthetichealth/synthea"/>
  <code code="34133-9" displayName="Summarization of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
  <title>C-CDA R2.1 Patient Record: Keva Green</title>
  <effectiveTime value="20201031182655"/>
  <confidentialityCode code="N"/>
  <languageCode code="en-US"/>
  <recordTarget>
    <patientRole>
      <id root="2.16.840.1.113883.19.5" extension="kyHGADnvX3xbkU4V9ayaqh" assigningAuthorityName="https://github.com/synthetichealth/synthea"/>
      <addr use="HP">
        <streetAddressLine>932 Stehr Vista</streetAddressLine>
        <city>Hillsboro</city>
        <state>Oregon</state>
        <postalCode>97123</postalCode>
      </addr>
      <telecom nullFlavor="NI"/>
      <patient>
        <name>
          <given>Keva</given>
          <family>Green</family>
        </name>
        <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender"/>
        <birthTime value="19950826182655"/>
        <raceCode code="2106-3" displayName="white" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
        <ethnicGroupCode code="2186-5" displayName="non-hispanic" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
        <languageCommunication>
          <languageCode code="en-US"/>
        </languageCommunication>
      </patient>
    </patientRole>
  </recordTarget>
  <author>
    <time value="20201031182655"/>
    <assignedAuthor>
      <id nullFlavor="NA"/>
      <addr nullFlavor="NA" />
      <telecom nullFlavor="NA" />
      <assignedAuthoringDevice>
        <manufacturerModelName>https://github.com/synthetichealth/synthea</manufacturerModelName>
        <softwareName>https://github.com/synthetichealth/synthea</softwareName>
      </assignedAuthoringDevice>
      <representedOrganization>
        <id nullFlavor="NA"/>
        <name>OREGON EYE SPECIALISTS, PC</name>
        <telecom nullFlavor="NA"/>
        <addr>
          <streetAddressLine>18345 SW ALEXANDER ST A</streetAddressLine>
          <city>ALOHA</city>
          <state>OR</state>
          <postalCode>97006-3960</postalCode>
        </addr>
      </representedOrganization>
    </assignedAuthor>
  </author>
  <custodian>
    <assignedCustodian>
      <representedCustodianOrganization>
        <id nullFlavor="NA"/>
        <name>OREGON EYE SPECIALISTS, PC</name>
        <telecom nullFlavor="NA"/>
        <addr>
          <streetAddressLine>18345 SW ALEXANDER ST A</streetAddressLine>
          <city>ALOHA</city>
          <state>OR</state>
          <postalCode>97006-3960</postalCode>
        </addr>
      </representedCustodianOrganization>
    </assignedCustodian>
  </custodian>
  <documentationOf>
    <serviceEvent classCode="PCPR">
      <effectiveTime>
        <low value="19950826182655"/>
        <high value="20201031182655"/>
      </effectiveTime>
    </serviceEvent>
  </documentationOf>
  <component>
    <structuredBody>
<component>
  <!-- Allergies: patient has no allergies -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.6.1" extension="2015-08-01"/>
    <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergy List"/>
    <title>Allergies</title>                
    <text>There are no current allergies at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Medications: patient has no medications -->
  <section nullFlavor="NI">
		<templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
    <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of medication use"/>
    <title>Medications</title>
    <text>There are no current medications at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Diagnostic Results: patient has no results -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/>
    <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Results"/>
    <title>Diagnostic Results</title>
    <text>There are no current results at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Conditions: patient has no conditions -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
    <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List"/>
    <title>Problems</title>
    <text>There are no current problem concern acts at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Procedures: patient has no procedures -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
    <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Procedures"/>
    <title>Procedures</title>
    <text>There are no current procedures at the time of this document's creation.</text>
  </section>
</component><component>
  <!--Vital Signs: Patient has no current vital signs -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/>
    <!--Vital Signs section template-->
    <code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/>
    <title>Vital Signs</title>
    <text>There are no current vital signs at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Imaging Studies: patient has no imaging studies -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.1.5"/>
    <code code="18748-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnostic Imaging Report"/>
    <title>Imaging Studies</title>
    <text>There are no current imaging studies at the time of this document's creation.</text>
  </section>
</component>
<component>
  <!--Social History - CCDA-->
  <section>
    <templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
    <!-- Social history section template -->
    <code code="29762-2" codeSystem="2.16.840.1.113883.6.1"/>
    <title>Social History</title>
    <text>There is no current social history at the time of this document's creation.</text>
  </section>
</component>
    </structuredBody>
  </component>
</ClinicalDocument>",30"contentType": "text/xml"31}32}33],34"subject": {35"reference": "Patient/81c2f5eb-f99f-40c4-b504-59483e6148d7"36},37"category": [38{39"coding": [40{41"code": "CDA",42"system": "urn:redox:document_kind"43}44]45}46],47"description": "C-CDA R2.1 Patient Record: Keva Green",48"resourceType": "DocumentReference",49"masterIdentifier": {50"value": "9e6f2239-7736-40aa-9023-91e10d05b014",51"system": "urn:oid:2.16.840.1.113883.19.5"52}53}54},55{56"search": {57"mode": "match",58"score": 159},60"resource": {61"id": "ecd98067-a178-4576-869d-b5318b1b83b3",62"date": "2020-10-31T18:26:55.000Z",63"meta": {64"lastUpdated": "2020-10-29T20:06:13.452Z"65},66"type": {67"text": "Summarization of episode note",68"coding": [69{70"code": "34133-9",71"system": "http://loinc.org"72}73]74},75"status": "current",76"content": [77{78"attachment": {79"data": "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",80"contentType": "application/json"81}82}83],84"subject": {85"reference": "Patient/81c2f5eb-f99f-40c4-b504-59483e6148d7"86},87"category": [88{89"coding": [90{91"code": "Clinical Summary Patient JSON",92"system": "urn:redox:document_kind"93}94]95}96],97"description": "C-CDA R2.1 Patient Record: Keva Green",98"resourceType": "DocumentReference",99"masterIdentifier": {100"value": "9e6f2239-7736-40aa-9023-91e10d05b014",101"system": "urn:oid:2.16.840.1.113883.19.5"102}103}104}105],106"total": 2,107"resourceType": "Bundle"108}
This table has notes about how to use parameters for this API action specifically, but it's not exhaustive. Refer to the DocumentReference schema for more details.
Parameter | Required | Notes |
---|---|---|
_id | Y | The document ID for the document you want to retrieve. This is located in the response that you received to the document list request. |
When you search for a particular document, you receive the specified summary of care document for that patient.
If you're operating in Canada, you must tweak the Redox hostname slightly. All you need to do is add a ca in that URL like this: https://api.ca.redoxengine.com.
1curl 'https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/DocumentReference/_search' \2--request POST \3--header 'Authorization: Bearer $API_TOKEN' \4--header 'Content-Type: application/x-www-form-urlencoded' \5--data-urlencode '_id=74d7f89e-d141-444b-a967-602525f34fc2'
1{2"id": "e7b6aca2-bd0e-4027-9c26-3fc3d30095b7",3"type": "searchset",4"entry": [5{6"search": {7"mode": "match",8"score": 19},10"resource": {11"id": "74d7f89e-d141-444b-a967-602525f34fc2",12"date": "2020-10-31T18:26:55.000Z",13"meta": {14"lastUpdated": "2020-10-29T20:06:13.446Z"15},16"type": {17"text": "Summarization of episode note",18"coding": [19{20"code": "34133-9",21"system": "http://loinc.org"22}23]24},25"status": "current",26"content": [27{28"attachment": {29"data": "<?xml version="1.0" encoding="UTF-8"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd">
  <realmCode code="US"/>
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
  <templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01"/>
  <templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2015-08-01"/>
  <id root="2.16.840.1.113883.19.5" extension="9e6f2239-7736-40aa-9023-91e10d05b014" assigningAuthorityName="https://github.com/synthetichealth/synthea"/>
  <code code="34133-9" displayName="Summarization of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
  <title>C-CDA R2.1 Patient Record: Keva Green</title>
  <effectiveTime value="20201031182655"/>
  <confidentialityCode code="N"/>
  <languageCode code="en-US"/>
  <recordTarget>
    <patientRole>
      <id root="2.16.840.1.113883.19.5" extension="kyHGADnvX3xbkU4V9ayaqh" assigningAuthorityName="https://github.com/synthetichealth/synthea"/>
      <addr use="HP">
        <streetAddressLine>932 Stehr Vista</streetAddressLine>
        <city>Hillsboro</city>
        <state>Oregon</state>
        <postalCode>97123</postalCode>
      </addr>
      <telecom nullFlavor="NI"/>
      <patient>
        <name>
          <given>Keva</given>
          <family>Green</family>
        </name>
        <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender"/>
        <birthTime value="19950826182655"/>
        <raceCode code="2106-3" displayName="white" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
        <ethnicGroupCode code="2186-5" displayName="non-hispanic" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>
        <languageCommunication>
          <languageCode code="en-US"/>
        </languageCommunication>
      </patient>
    </patientRole>
  </recordTarget>
  <author>
    <time value="20201031182655"/>
    <assignedAuthor>
      <id nullFlavor="NA"/>
      <addr nullFlavor="NA" />
      <telecom nullFlavor="NA" />
      <assignedAuthoringDevice>
        <manufacturerModelName>https://github.com/synthetichealth/synthea</manufacturerModelName>
        <softwareName>https://github.com/synthetichealth/synthea</softwareName>
      </assignedAuthoringDevice>
      <representedOrganization>
        <id nullFlavor="NA"/>
        <name>OREGON EYE SPECIALISTS, PC</name>
        <telecom nullFlavor="NA"/>
        <addr>
          <streetAddressLine>18345 SW ALEXANDER ST A</streetAddressLine>
          <city>ALOHA</city>
          <state>OR</state>
          <postalCode>97006-3960</postalCode>
        </addr>
      </representedOrganization>
    </assignedAuthor>
  </author>
  <custodian>
    <assignedCustodian>
      <representedCustodianOrganization>
        <id nullFlavor="NA"/>
        <name>OREGON EYE SPECIALISTS, PC</name>
        <telecom nullFlavor="NA"/>
        <addr>
          <streetAddressLine>18345 SW ALEXANDER ST A</streetAddressLine>
          <city>ALOHA</city>
          <state>OR</state>
          <postalCode>97006-3960</postalCode>
        </addr>
      </representedCustodianOrganization>
    </assignedCustodian>
  </custodian>
  <documentationOf>
    <serviceEvent classCode="PCPR">
      <effectiveTime>
        <low value="19950826182655"/>
        <high value="20201031182655"/>
      </effectiveTime>
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  </documentationOf>
  <component>
    <structuredBody>
<component>
  <!-- Allergies: patient has no allergies -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.6.1" extension="2015-08-01"/>
    <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Allergy List"/>
    <title>Allergies</title>                
    <text>There are no current allergies at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Medications: patient has no medications -->
  <section nullFlavor="NI">
		<templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
    <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of medication use"/>
    <title>Medications</title>
    <text>There are no current medications at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Diagnostic Results: patient has no results -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/>
    <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Results"/>
    <title>Diagnostic Results</title>
    <text>There are no current results at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Conditions: patient has no conditions -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
    <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem List"/>
    <title>Problems</title>
    <text>There are no current problem concern acts at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Procedures: patient has no procedures -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
    <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Procedures"/>
    <title>Procedures</title>
    <text>There are no current procedures at the time of this document's creation.</text>
  </section>
</component><component>
  <!--Vital Signs: Patient has no current vital signs -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/>
    <!--Vital Signs section template-->
    <code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/>
    <title>Vital Signs</title>
    <text>There are no current vital signs at the time of this document's creation.</text>
  </section>
</component><component>
  <!-- Imaging Studies: patient has no imaging studies -->
  <section nullFlavor="NI">
    <templateId root="2.16.840.1.113883.10.20.22.1.5"/>
    <code code="18748-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnostic Imaging Report"/>
    <title>Imaging Studies</title>
    <text>There are no current imaging studies at the time of this document's creation.</text>
  </section>
</component>
<component>
  <!--Social History - CCDA-->
  <section>
    <templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
    <!-- Social history section template -->
    <code code="29762-2" codeSystem="2.16.840.1.113883.6.1"/>
    <title>Social History</title>
    <text>There is no current social history at the time of this document's creation.</text>
  </section>
</component>
    </structuredBody>
  </component>
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FHIR® is a registered trademark of Health Level Seven International (HL7) and is used with the permission of HL7. Use of this trademark does not constitute an endorsement of products/services by HL7®.