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Maintain your Redox repository

Maintain your Redox repository

Last updated: Mar 14, 2024

All Carequality participants—including those who join via Redox—must respond to requests they receive from other Carequality participants. In some cases, you may receive up to 200K requests per day.

With Redox as your Carequality responder, we can respond to incoming patient requests on your behalf. But you must push patient records and documents to your Redox repository so that we can maintain an accurate representation of each of your patients.

Maintain your patient database

As you create and update patient records in your system, you must make sure that they stay current in your data on demand repository.

  1. For new patients, send a PatientAdmin.NewPatient request with the new patient's details to your data on demand repository. You must use at least one patient identifier with the ID Type of the patient OID assigned to you in the wizard.
    Example: Create a new patient
    bash
    1
    curl \
    2
    -X POST https://api.redoxengine.com/endpoint \
    3
    -H "Content-Type: application/json" \
    4
    -H "Authorization: Bearer {{access token from auth process}}" \
    5
    -d '{
    6
        "Meta": {
    7
            "DataModel": "PatientAdmin",
    8
            "EventType": "NewPatient",
    9
            # Remove in production
    10
            "Test": true,
    11
            "Destinations": [
    12
                {
    13
                    # This is your repository destination ID (and will change for production)
    14
                    "ID": "{{repository_destination_id}}"
    15
                }
    16
            ]
    17
        },
    18
        "Patient": {
    19
            "Identifiers": [
    20
                {
    21
                    # This ID should be the MRN or primary ID of the patient in your system
    22
                    # Then the "IDType" you should map from your ID type to the value Redox provides
    23
                    # Typically this is mapping some value like "MR" to this OID.
    24
                    # This OID is linked to the repository and required to associate the patient
    25
                    "ID": "1234",
    26
                    "IDType": "{{patient_oid}}"
    27
                }
    28
            ],
    29
            # All the below should be set as appropriate for your organization
    30
            # including as much information as you can provide. See the API documentation
    31
            # for more information
    32
            "Demographics": {
    33
                "FirstName": "Timothy",
    34
                "MiddleName": "Paul",
    35
                "LastName": "Bixby",
    36
                "DOB": "2008-01-06",
    37
                "SSN": "101-01-0001",
    38
                "Sex": "Male",
    39
                "Race": "White",
    40
                "IsHispanic": null,
    41
                "MaritalStatus": "Married",
    42
                "IsDeceased": null,
    43
                "DeathDateTime": null,
    44
                "PhoneNumber": {
    45
                    "Home": "+18088675301",
    46
                    "Office": null,
    47
                    "Mobile": null
    48
                },
    49
                "EmailAddresses": [],
    50
                "Language": "en",
    51
                "Citizenship": [],
    52
                "Address": {
    53
                    "StreetAddress": "4762 Hickory Street",
    54
                    "City": "Monroe",
    55
                    "State": "WI",
    56
                    "ZIP": "53566",
    57
                    "County": "Green",
    58
                    "Country": "US"
    59
                }
    60
            },
    61
            "Notes": [],
    62
            "Contacts": [
    63
                {
    64
                    "FirstName": "Barbara",
    65
                    "MiddleName": null,
    66
                    "LastName": "Bixby",
    67
                    "Address": {
    68
                        "StreetAddress": "4762 Hickory Street",
    69
                        "City": "Monroe",
    70
                        "State": "WI",
    71
                        "ZIP": "53566",
    72
                        "County": "Green",
    73
                        "Country": "US"
    74
                    },
    75
                    "PhoneNumber": {
    76
                        "Home": "+18088675303",
    77
                        "Office": "+17077543758",
    78
                        "Mobile": "+19189368865"
    79
                    },
    80
                    "RelationToPatient": "Mother",
    81
                    "EmailAddresses": [
    82
                        "barb.bixby@test.net"
    83
                    ],
    84
                    "Roles": [
    85
                        "Emergency Contact"
    86
                    ]
    87
                }
    88
            ],
    89
            "Allergies": [
    90
                {
    91
                    "Code": "7982",
    92
                    "Codeset": "RxNorm",
    93
                    "Name": "Penicillin",
    94
                    "Type": {
    95
                        "Code": null,
    96
                        "Codeset": null,
    97
                        "Name": null
    98
                    },
    99
                    "OnsetDateTime": null,
    100
                    "Reaction": [
    101
                        {
    102
                            "Code": "28926001",
    103
                            "Codeset": "SNOMED CT",
    104
                            "Name": "Rash"
    105
                        },
    106
                        {
    107
                            "Code": "247472004",
    108
                            "Codeset": "SNOMED CT",
    109
                            "Name": "Hives"
    110
                        }
    111
                    ],
    112
                    "Severity": {
    113
                        "Code": null,
    114
                        "Codeset": null,
    115
                        "Name": null
    116
                    },
    117
                    "Status": null
    118
                }
    119
            ],
    120
            "PCP": {
    121
                "NPI": "4356789876",
    122
                "ID": "4356789876",
    123
                "IDType": "NPI",
    124
                "FirstName": "Pat",
    125
                "LastName": "Granite",
    126
                "Credentials": [
    127
                    "MD"
    128
                ],
    129
                "Address": {
    130
                    "StreetAddress": "123 Main St.",
    131
                    "City": "Madison",
    132
                    "State": "WI",
    133
                    "ZIP": "53703",
    134
                    "County": "Dane",
    135
                    "Country": "USA"
    136
                },
    137
                "EmailAddresses": [],
    138
                "PhoneNumber": {
    139
                    "Office": "+16085551234"
    140
                },
    141
                "Location": {
    142
                    "Type": null,
    143
                    "Facility": null,
    144
                    "Department": null,
    145
                    "Room": null
    146
                }
    147
            },
    148
            "Guarantor": {
    149
                "Number": "10001910",
    150
                "FirstName": "Kent",
    151
                "MiddleName": null,
    152
                "LastName": "Bixby",
    153
                "SSN": null,
    154
                "DOB": null,
    155
                "Sex": null,
    156
                "Spouse": {
    157
                    "FirstName": "Barbara",
    158
                    "LastName": "Bixby"
    159
                },
    160
                "Address": {
    161
                    "StreetAddress": "4762 Hickory Street",
    162
                    "City": "Monroe",
    163
                    "State": "WI",
    164
                    "ZIP": "53566",
    165
                    "County": "Green",
    166
                    "Country": "USA"
    167
                },
    168
                "PhoneNumber": {
    169
                    "Home": null,
    170
                    "Business": null,
    171
                    "Mobile": null
    172
                },
    173
                "EmailAddresses": [],
    174
                "Type": null,
    175
                "RelationToPatient": "Father",
    176
                "Employer": {
    177
                    "Name": "Accelerator Labs",
    178
                    "Address": {
    179
                        "StreetAddress": "1456 Old Sauk Road",
    180
                        "City": "Madison",
    181
                        "State": "WI",
    182
                        "ZIP": "53719",
    183
                        "County": "Dane",
    184
                        "Country": "USA"
    185
                    },
    186
                    "PhoneNumber": "+18083451121"
    187
                }
    188
            },
    189
            "Insurances": [
    190
                {
    191
                    "Plan": {
    192
                        "ID": "31572",
    193
                        "IDType": "Payor ID",
    194
                        "Name": "HMO Deductable Plan",
    195
                        "Type": null
    196
                    },
    197
                    "MemberNumber": null,
    198
                    "Company": {
    199
                        "ID": "60054",
    200
                        "IDType": null,
    201
                        "Name": "aetna (60054 0131)",
    202
                        "Address": {
    203
                            "StreetAddress": "PO Box 14080",
    204
                            "City": "Lexington",
    205
                            "State": "KY",
    206
                            "ZIP": "40512-4079",
    207
                            "County": "Fayette",
    208
                            "Country": "US"
    209
                        },
    210
                        "PhoneNumber": "+18089541123"
    211
                    },
    212
                    "GroupNumber": "847025-024-0009",
    213
                    "GroupName": "Accelerator Labs",
    214
                    "EffectiveDate": "2015-01-01",
    215
                    "ExpirationDate": "2020-12-31",
    216
                    "PolicyNumber": "9140860055",
    217
                    "AgreementType": null,
    218
                    "CoverageType": null,
    219
                    "Insured": {
    220
                        "Identifiers": [],
    221
                        "LastName": null,
    222
                        "MiddleName": null,
    223
                        "FirstName": null,
    224
                        "SSN": null,
    225
                        "Relationship": null,
    226
                        "DOB": null,
    227
                        "Sex": null,
    228
                        "Address": {
    229
                            "StreetAddress": null,
    230
                            "City": null,
    231
                            "State": null,
    232
                            "ZIP": null,
    233
                            "County": null,
    234
                            "Country": null
    235
                        }
    236
                    }
    237
                }
    238
            ]
    239
        }
    240
    }
  2. If demographics or contact information changes for existing patients, send a PatientAdmin.PatientUpdate request with the updated details to your data on demand repository.
    Example: Update an existing patient
    bash
    1
    curl \
    2
    -X POST https://api.redoxengine.com/endpoint \
    3
    -H "Content-Type: application/json" \
    4
    -H "Authorization: Bearer {{access token from auth process}}" \
    5
    -d '{
    6
        "Meta": {
    7
            "DataModel": "PatientAdmin",
    8
            "EventType": "PatientUpdate",
    9
            # Remove in production
    10
            "Test": true,
    11
            "Destinations": [
    12
                {
    13
                    # This is your repository destination ID (and will change for production)
    14
                    "ID": "{{repository_destination_id}}"
    15
                }
    16
            ]
    17
        },
    18
        "Patient": {
    19
            "Identifiers": [
    20
                {
    21
                    # This ID should be the MRN or primary ID of the patient in your system
    22
                    # Then the "IDType" you should map from your ID type to the value Redox provides
    23
                    # Typically this is mapping some value like "MR" to this OID.
    24
                    # This OID is linked to the repository and required to associate the patient
    25
                    "ID": "1234",
    26
                    "IDType": "{{patient_oid}}"
    27
                }
    28
            ],
    29
            # All the below should be set as appropriate for your organization
    30
            # including as much information as you can provide. See the API documentation
    31
            # for more information
    32
            "Demographics": {
    33
                "FirstName": "Timothy",
    34
                "MiddleName": "Paul",
    35
                "LastName": "Bixby",
    36
                "DOB": "2008-01-06",
    37
                "SSN": "101-01-0001",
    38
                "Sex": "Male",
    39
                "Race": "White",
    40
                "IsHispanic": null,
    41
                "MaritalStatus": "Married",
    42
                "IsDeceased": null,
    43
                "DeathDateTime": null,
    44
                "PhoneNumber": {
    45
                    "Home": "+18088675301",
    46
                    "Office": null,
    47
                    "Mobile": null
    48
                },
    49
                "EmailAddresses": [],
    50
                "Language": "en",
    51
                "Citizenship": [],
    52
                "Address": {
    53
                    "StreetAddress": "4435 Victoria Ln",
    54
                    "City": "Madison",
    55
                    "State": "WI",
    56
                    "ZIP": "53719",
    57
                    "County": "Dane",
    58
                    "Country": "US"
    59
                }
    60
            },
    61
            "Notes": [],
    62
            "Contacts": [
    63
                {
    64
                    "FirstName": "Barbara",
    65
                    "MiddleName": null,
    66
                    "LastName": "Bixby",
    67
                    "Address": {
    68
                        "StreetAddress": "4762 Hickory Street",
    69
                        "City": "Monroe",
    70
                        "State": "WI",
    71
                        "ZIP": "53566",
    72
                        "County": "Green",
    73
                        "Country": "US"
    74
                    },
    75
                    "PhoneNumber": {
    76
                        "Home": "+18088675303",
    77
                        "Office": "+17077543758",
    78
                        "Mobile": "+19189368865"
    79
                    },
    80
                    "RelationToPatient": "Mother",
    81
                    "EmailAddresses": [
    82
                        "barb.bixby@test.net"
    83
                    ],
    84
                    "Roles": [
    85
                        "Emergency Contact"
    86
                    ]
    87
                }
    88
            ],
    89
            "Diagnoses": [
    90
                {
    91
                    "Code": "R07.0",
    92
                    "Codeset": "ICD-10",
    93
                    "Name": "Pain in throat",
    94
                    "Type": null,
    95
                    "DocumentedDateTime": null
    96
                }
    97
            ],
    98
            "Allergies": [
    99
                {
    100
                    "Code": "7982",
    101
                    "Codeset": "RxNorm",
    102
                    "Name": "Penicillin",
    103
                    "Type": {
    104
                        "Code": null,
    105
                        "Codeset": null,
    106
                        "Name": null
    107
                    },
    108
                    "OnsetDateTime": null,
    109
                    "Reaction": [
    110
                        {
    111
                            "Code": "28926001",
    112
                            "Codeset": "SNOMED CT",
    113
                            "Name": "Rash"
    114
                        },
    115
                        {
    116
                            "Code": "247472004",
    117
                            "Codeset": "SNOMED CT",
    118
                            "Name": "Hives"
    119
                        }
    120
                    ],
    121
                    "Severity": {
    122
                        "Code": null,
    123
                        "Codeset": null,
    124
                        "Name": null
    125
                    },
    126
                    "Status": null
    127
                }
    128
            ],
    129
            "PCP": {
    130
                "NPI": "4356789876",
    131
                "ID": "4356789876",
    132
                "IDType": "NPI",
    133
                "FirstName": "Pat",
    134
                "LastName": "Granite",
    135
                "Credentials": [
    136
                    "MD"
    137
                ],
    138
                "Address": {
    139
                    "StreetAddress": "123 Main St.",
    140
                    "City": "Madison",
    141
                    "State": "WI",
    142
                    "ZIP": "53703",
    143
                    "County": "Dane",
    144
                    "Country": "USA"
    145
                },
    146
                "EmailAddresses": [],
    147
                "PhoneNumber": {
    148
                    "Office": "+16085551234"
    149
                },
    150
                "Location": {
    151
                    "Type": null,
    152
                    "Facility": null,
    153
                    "Department": null,
    154
                    "Room": null
    155
                }
    156
            },
    157
            "Insurances": [
    158
                {
    159
                    "Plan": {
    160
                        "ID": "31572",
    161
                        "IDType": "Payor ID",
    162
                        "Name": "HMO Deductable Plan",
    163
                        "Type": null
    164
                    },
    165
                    "MemberNumber": null,
    166
                    "Company": {
    167
                        "ID": "60054",
    168
                        "IDType": null,
    169
                        "Name": "aetna (60054 0131)",
    170
                        "Address": {
    171
                            "StreetAddress": "PO Box 14080",
    172
                            "City": "Lexington",
    173
                            "State": "KY",
    174
                            "ZIP": "40512-4079",
    175
                            "County": "Fayette",
    176
                            "Country": "US"
    177
                        },
    178
                        "PhoneNumber": "+18089541123"
    179
                    },
    180
                    "GroupNumber": "847025-024-0009",
    181
                    "GroupName": "Accelerator Labs",
    182
                    "EffectiveDate": "2015-01-01",
    183
                    "ExpirationDate": "2020-12-31",
    184
                    "PolicyNumber": "9140860055",
    185
                    "AgreementType": null,
    186
                    "CoverageType": null,
    187
                    "Insured": {
    188
                        "Identifiers": [],
    189
                        "LastName": null,
    190
                        "MiddleName": null,
    191
                        "FirstName": null,
    192
                        "SSN": null,
    193
                        "Relationship": null,
    194
                        "DOB": null,
    195
                        "Sex": null,
    196
                        "Address": {
    197
                            "StreetAddress": null,
    198
                            "City": null,
    199
                            "State": null,
    200
                            "ZIP": null,
    201
                            "County": null,
    202
                            "Country": null
    203
                        }
    204
                    }
    205
                }
    206
            ],
    207
            "Guarantor": {
    208
                "Number": "10001910",
    209
                "FirstName": "Kent",
    210
                "MiddleName": null,
    211
                "LastName": "Bixby",
    212
                "SSN": null,
    213
                "DOB": null,
    214
                "Sex": null,
    215
                "Spouse": {
    216
                    "FirstName": "Barbara",
    217
                    "LastName": "Bixby"
    218
                },
    219
                "Address": {
    220
                    "StreetAddress": "4762 Hickory Street",
    221
                    "City": "Monroe",
    222
                    "State": "WI",
    223
                    "ZIP": "53566",
    224
                    "County": "Green",
    225
                    "Country": "USA"
    226
                },
    227
                "PhoneNumber": {
    228
                    "Home": null,
    229
                    "Business": null,
    230
                    "Mobile": null
    231
                },
    232
                "EmailAddresses": [],
    233
                "Type": null,
    234
                "RelationToPatient": "Father",
    235
                "Employer": {
    236
                    "Name": "Accelerator Labs",
    237
                    "Address": {
    238
                        "StreetAddress": "1456 Old Sauk Road",
    239
                        "City": "Madison",
    240
                        "State": "WI",
    241
                        "ZIP": "53719",
    242
                        "County": "Dane",
    243
                        "Country": "USA"
    244
                    },
    245
                    "PhoneNumber": "+18083451121"
    246
                }
    247
            }
    248
        }
    249
    }
  3. To combine duplicate records for one patient, send a PatientAdmin.PatientMerge request to merge the patient records in your data on demand repository and replace the previous identifiers with the new one.
    Example: Merge patient records
    bash
    1
    curl \
    2
    -X POST https://api.redoxengine.com/endpoint \
    3
    -H "Content-Type: application/json" \
    4
    -H "Authorization: Bearer {{access token from auth process}}" \
    5
    -d '{
    6
        "Meta": {
    7
            "DataModel": "PatientAdmin",
    8
            "EventType": "PatientMerge",
    9
            # Remove in production
    10
            "Test": true,
    11
            "Destinations": [
    12
                {
    13
                    # This is your repository destination ID (and will change for production)
    14
                    "ID": "{{repository_destination_id}}"
    15
                }
    16
            ]
    17
        },
    18
        "Patient": {
    19
            "Identifiers": [
    20
                {
    21
                    # This is the new ID for the patient
    22
                    "ID": "1235",
    23
                    "IDType": "{{patient_oid}}"
    24
                }
    25
            ],
    26
            # This will be the old ID that this patient had
    27
            "PreviousIdentifiers": [
    28
                {
    29
                    "ID": "1234",
    30
                    "IDType": "{{patient_oid}}"
    31
                }
    32
            ],
    33
            # All the below should be set as appropriate for your organization
    34
            # including as much information as you can provide. See the API documentation
    35
            # for more information
    36
            "Demographics": {
    37
                "FirstName": "Timothy",
    38
                "MiddleName": "Paul",
    39
                "LastName": "Bixby",
    40
                "DOB": "2008-01-06",
    41
                "SSN": "101-01-0001",
    42
                "Sex": "Male",
    43
                "Race": "White",
    44
                "IsHispanic": null,
    45
                "MaritalStatus": "Married",
    46
                "IsDeceased": null,
    47
                "DeathDateTime": null,
    48
                "PhoneNumber": {
    49
                    "Home": "+18088675301",
    50
                    "Office": null,
    51
                    "Mobile": null
    52
                },
    53
                "EmailAddresses": [],
    54
                "Language": "en",
    55
                "Citizenship": [],
    56
                "Address": {
    57
                    "StreetAddress": "4762 Hickory Street",
    58
                    "City": "Monroe",
    59
                    "State": "WI",
    60
                    "ZIP": "53566",
    61
                    "County": "Green",
    62
                    "Country": "US"
    63
                }
    64
            },
    65
            "Notes": []
    66
        }
    67
    }

Save patient documents

  1. After providing care for a patient, save the patient summary documents to your data on demand repository so that we can respond to requests for documents. We recommend using the ClinicalSummary.VisitPush request with all the available unique clinical information that you produce. Be mindful of these requirements:
    • The Header.Document.ID must be globally unique across Carequality as either a GUID or an internally unique ID prefixed with your organizational OID. Our examples use the OID prefix.
    • The values for Header.Document.Type and Header.Document.TypeCode should be a LOINC code. Typically, you should use the code for a Continuity of Care Document (i.e., 34133-9). When sending a document related to a single patient visit, you should use the code for Progress Notes (i.e., 11506-3) for outpatient/ambulatory visits, or discharge summary (i.e., 18842-5) for inpatient/hospital visits.
    • At least one of the patient’s identifiers should include an ID Type of the patient identification OID matching the same value used in the PatientAdmin messages.
    • You should populate the Header.Document.Custodian.Name field since it tells other Carequality participants where the data came from. If this field isn't populated, the value defaults to the Meta.Source.Name, which is set based on the source you're sending the request from.

Since ClinicalSummary.VisitPush is lengthy, we include an abbreviated example below. Check out an unabbreviated example or view the Postman package.

Example: Save a patient document (abbreviated)
bash
1
curl \
2
-X POST https://api.redoxengine.com/endpoint \
3
-H "Content-Type: application/json" \
4
-H "Authorization: Bearer {{access token from auth process}}" \
5
-d '{
6
    "Meta": {
7
        "DataModel": "Clinical Summary",
8
        "EventType": "VisitPush",
9
        # Remove in production
10
        "Test": true,
11
        "Destinations": [
12
            {
13
                # This is your repository destination ID (and will change for production)
14
                "ID": "{{repository_destination_id}}"
15
            }
16
        ]
17
    },
18
    # All the below should be set as appropriate for your organization.
19
    # See the API documentation for more information.
20
    "Header": {
21
        "DirectAddressFrom": null,
22
        "DirectAddressTo": null,
23
        "Document": {
24
            "Author": {
25
                "ID": "4356789876",
26
                "IDType": "NPI",
27
                "Type": null,
28
                "FirstName": "Pat",
29
                "LastName": "Granite",
30
                "Credentials": [
31
                    "MD"
32
                ],
33
                "Address": {
34
                    "StreetAddress": "123 Main St.",
35
                    "City": "Madison",
36
                    "State": "WI",
37
                    "ZIP": "53703",
38
                    "County": "Dane",
39
                    "Country": "USA"
40
                },
41
                "EmailAddresses": [],
42
                "PhoneNumber": {
43
                    "Office": "+16085551234"
44
                },
45
                "Location": { ...
46
                }
47
            },
48
            "ID": "{{redoxDevDocumentOid}}^67890",
49
            "Locale": "US",
50
            "Title": "Community Health and Hospitals: Annual Physical",
51
            "DateTime": "2012-09-12T00:00:00.000Z",
52
            "Type": "Progress Note",
53
            "TypeCode": {
54
                "Code": "18842-5",
55
                "CodeSystem": "2.16.840.1.113883.6.1",
56
                "CodeSystemName": "LOINC",
57
                "Name": "Progress Note"
58
            },
59
            "Visit": {
60
                "Location": {
61
                    "Type": "Outpatient Clinic",
62
                    "Facility": "RHS Vista Oaks Clinic",
63
                    "Department": "Vista Oaks Clinic",
64
                    "Room": null
65
                },
66
                "StartDateTime": "2020-11-12T00:18:30.592Z",
67
                "EndDateTime": "2020-11-12T00:18:30.592Z",
68
                "Reason": "Annual Physical",
69
                "VisitNumber": "30311442"
70
            }
71
        },
72
        "Patient": {
73
            "Identifiers": [
74
                {
75
                    "ID": "1234",
76
                    "IDType": "{{redoxDevPatientOid}}"
77
                }
78
            ],
79
            "FirstName": "Timothy",
80
            "MiddleName": "Paul",
81
            "LastName": "Bixby",
82
            "DOB": "2008-01-06",
83
            "SSN": "101-01-0001",
84
            "Sex": "Male",
85
            "Race": "White",
86
            "IsHispanic": null,
87
            "MaritalStatus": "Married",
88
            "IsDeceased": null,
89
            "DeathDateTime": null,
90
            "PhoneNumber": {
91
                "Home": "+18088675301",
92
            },
93
            "EmailAddresses": [],
94
            "Language": "en",
95
            "Citizenship": [],
96
            "Address": {
97
                "StreetAddress": "4762 Hickory Street",
98
                "City": "Monroe",
99
                "State": "WI",
100
                "ZIP": "53566",
101
                "County": "Green",
102
                "Country": "US"
103
            }
104
        },
105
        "PCP": { ...
106
        }
107
    },
108
    "AdvanceDirectivesText": "
109
Directive	Description	Verification	Supporting Document(s)
110
Resuscitation status	Do not resuscitate	Dr. Robert Dolin, Nov 07, 1999	Advance directive
111
",
112
    "AdvanceDirectives": [
113
        {
114
            "Type": {
115
                "Code": "304251008",
116
                "CodeSystem": "2.16.840.1.113883.6.96",
117
                "CodeSystemName": "SNOMED CT",
118
                "Name": "Resuscitation",
119
                "AltCodes": []
120
            },
121
            "Code": "304253006",
122
            "CodeSystem": "2.16.840.1.113883.6.96",
123
            "CodeSystemName": "SNOMED CT",
124
            "Name": "Do not resuscitate",
125
            "AltCodes": [],
126
            "StartDate": "2011-02-13T05:00:00.000Z",
127
            "EndDate": null,
128
            "ExternalReference": "AdvanceDirective.b50b7910-7ffb-4f4c-bbe4-177ed68cbbf3.pdf",
129
            "VerifiedBy": [
130
                {
131
                    "FirstName": "Robert",
132
                    "LastName": "Dolin",
133
                    "Credentials": "Dr.",
134
                    "DateTime": null
135
                }
136
            ],
137
            "Custodians": [
138
                {
139
                    "FirstName": "Robert",
140
                    "LastName": "Dolin",
141
                    "Credentials": "Dr.",
142
                    "Address": { ...
143
                    }
144
                }
145
            ]
146
        }
147
    ],
148
    "AllergyText": "
149
Substance	Reaction	Severity	Status
150
Penicillin G benzathine	Hives	Moderate to severe	Inactive
151
Codeine	Shortness of Breath	Moderate	Active
152
Aspirin	Hives	Mild to moderate	Active
153
",
154
    "Allergies": [ ...
155
            ] ...
156
        }
157
    ],
158
    "AssessmentText": "Recurrent GI bleed of unknown etiology; hypotension perhaps secondary to this but as likely secondary to polypharmacy.Acute on chronic anemia secondary to #1.Azotemia, acute renal failure with volume loss secondary to #1.Hyperkalemia secondary to #3 and on ACE and K+ supplement.Other chronic diagnoses as noted above, currently stable.Also, this person has back problems.",
159
    "Assessment": {
160
        "Diagnoses": [
161
            {
162
                "Value": "Displacement of lumbar intervertebral disc without myelopathy",
163
                "DateTime": "2009-11-01T05:00:00.000Z",
164
                "IsNegativeIndicator": false,
165
                "Codes": [
166
                    {
167
                        "Code": "202708005",
168
                        "CodeSystem": "2.16.840.1.113883.6.96",
169
                        "CodeSystemName": "SNOMED-CT",
170
                        "Name": "Herniated lumbar intervertebral disc"
171
                    }, 
172
                    { ...
173
                    }
174
                ]
175
            },
176
            {
177
                "Value": "Thoracic or lumbosacral neuritis or radiculitis, unspecified",
178
                "DateTime": "2009-11-01T05:00:00.000Z",
179
                "IsNegativeIndicator": false,
180
                "Codes": [
181
                    {
182
                        "Code": "M54.16",
183
                        "CodeSystem": "2.16.840.1.113883.6.90",
184
                        "CodeSystemName": "ICD-10",
185
                        "Name": "Right lumbar radiculopathy"
186
                    }
187
                ]
188
            }
189
        ]
190
    },
191
    "ChiefComplaintText": "Dark stools.",
192
    "EncountersText": "
193
Encounter	Performer	Location	Date
194
Pnuemonia	Dr Henry Seven	Community Health and Hospitals	20120806
195
",
196
    "Encounters": [
197
        {
198
            "Identifiers": [
199
                {
200
                    "ID": "2376492",
201
                    "IDType": "URMC Epic CSN"
202
                }, ...
203
            ],
204
            "Type": {
205
                "Code": "99222",
206
                "CodeSystem": "2.16.840.1.113883.6.12",
207
                "CodeSystemName": "CPT",
208
                "Name": "InPatient Admission",
209
                "AltCodes": []
210
            },
211
            "DateTime": "2012-08-06T04:00:00.000Z",
212
            "EndDateTime": null,
213
            "Providers": [ ...
214
            ],
215
            "Diagnosis": [
216
                {
217
                    "Code": "233604007",
218
                    "CodeSystem": "2.16.840.1.113883.6.96",
219
                    "CodeSystemName": "SNOMED CT",
220
                    "Name": "Pneumonia",
221
                    "AltCodes": []
222
                }
223
            ],
224
            "ReasonForVisit": [
225
                {
226
                    "Code": "233604007",
227
                    "CodeSystem": "2.16.840.1.113883.6.96",
228
                    "CodeSystemName": "SNOMED CT",
229
                    "Name": "Pneumonia",
230
                    "AltCodes": []
231
                }
232
            ]
233
        }
234
    ], 
235
    "FamilyHistoryText": "Father (deceased)
236
Diagnosis	Age At Onset
237
Myocardial Infarction (cause of death)	57
238
Diabetes	40
239
",
240
    "FamilyHistory": [ ...
241
     ],
242
    "HistoryOfPresentIllnessText": "Kelp, Lonnie Ray Sr., MD PHD - 10/21/2014 8:07 PM PSTDate: 10/21/2014
243


244
Pre-procedure diagnosis: L5 S1 Acute Lumbar Radiculopathy (Right)
245


246
Post-procedure diagnosis: Same
247


248
Procedure: 1) L5S1 Transforaminal Epidural Steroid injection(Right)
249
2) Fluoroscopic Guidance for needle placement
250


251
Complications: None
252


253
CONSENT: Today's procedure, its potential benefits as well as its risks and potential side effects were reviewed. Discussed risks of the procedure include bleeding, infection, nerve irritation or damage, reactions to the medications, headache, failure of the pain to improve, and exacerbation of the pain were explained to the patient, who verbalized understanding and who wished to proceed. Informed consent was signed.
254


255
DESCRIPTION OF PROCEDURES: After written informed consent was obtained, the patient was taken to the fluoroscopy suite. Anatomical landmarks were identified by way of fluoroscopy in multiple views. Strict aseptic technique was utilized.
256


257
A 22-gauge 3-1/2-inch needle was then incrementally advanced using multiple fluoroscopic views from an oblique approach into the Right L5S1 lumbar intervertebral space. Both AP and lateral views were used to confirm final needle placement. After negative aspiration, Omniopaque 240 contrast was injected which delineated epidural without vascular flow and a normal epidurogram under fluoroscopy in the lateral and AP view. After negative aspiration was reconfirmed, a 1.0 mL of 0.25% Bupivicaine and 1mL of 40 mg/mL of Kenalog was slowly injected into the epidural space.
258


259
All needles were removed intact. Hemostasis was maintained. There were no complications. The area was cleaned and a Band-Aid placed as necessary. The patient tolerated the procedure well and all needles were removed intact. After a period of observation, the patient was noted to be hemodynamically stable and neurovascularly intact following the procedure as prior to the procedure, and was ultimately discharged to home with supervision in good condition. The patient was instructed to schedule an appointment in the office within 2 weeks.
260
Lonnie Ray Kelp Sr., MD PHD
261


262
",
263
    "ImmunizationText": "
264
Vaccine	Date	Status
265
Influenza virus vaccine, IM	May 2012	Completed
266
Tetanus and diphtheria toxoids, IM	Apr 2012	Completed
267
",
268
    "Immunizations": [ ...
269
    ],
270
    "InstructionsText": "Please carefully follow the subsequent instructions and patient education:
271


272
FlossBrush teeth twice daily
273


274
Scarf tying instructions may be found online.",
275
    "InsurancesText": null,
276
    "Insurances": [
277
        {
278
            "Plan": { ...
279
            }
280
        }
281
    ],
282
    "InterventionsText": "Patient practiced use of novel prosthesis including movements formerly neglected including distal extension and retroflexive hyperextension.",
283
    "MedicalEquipmentText": "
284
Supply/Device	Date Supplied
285
Automatic implantable cardioverter/defibrillator	Nov 1999
286
Total hip replacement prosthesis	1998
287
Wheelchair	1999
288
",
289
    "MedicalEquipment": [ ...
290
     ],
291
    "MedicationsText": "
292
Medication	Directions	Start Date	Status	Indications	Fill Instructions
293
Albuterol 0.09 MG/ACTUAT inhalant solution	0.09 MG/ACTUAT inhalant solution, 2 puffs once	20120806	Active	Pneumonia (233604007 SNOMED CT)	Generic Substitition Allowed
294
",
295
    "Medications": [ ...
296
     ],
297
    "MedicationsAdministeredText": "
298
Medication	Start Date	Status
299
Albuterol 0.09 MG/ACTUAT inhalant solution	0.09 MG/ACTUAT inhalant solution, 2 puffs once	20120806	Active
300
",
301
    "MedicationsAdministered": [ ...
302
    ],
303
    "ObjectiveText": "Chest: clear to ausc. No rales, normal breath soundsHeart: RR, PMI in normal location and no heave or evidence ofcardiomegaly,normal heart sounds, no murm or gallop",
304
    "PhysicalExamText": "All examinations performed within normal limits.
305


306
WNL
307


308
Nothing to report here.",
309
    "PlanOfCareText": "
310
Planned Activity	Planned Date
311
Consultation with Dr George Potomac for Asthma	20120820
312
Chest X-ray	20120826
313
Sputum Culture	20120820
314
",
315
    "PlanOfCare": { ...
316
    }
317
    "ProblemsText": "Pneumonia : Status - ResolvedAsthma : Status - Active",
318
    "Problems": [ ...
319
    ],
320
    "ProceduresText": "
321
Procedure	Date
322
Chest X-Ray	8/7/2012
323
",
324
    "Procedures": { ...
325
    },
326
    "ReasonForReferralText": "
327
Incoming Referral	Reason	Specialty	Diagnoses / Procedures	Referred By Contact	Referred To Contact
328
Consult, Test & Treat (Routine)		BA-Physical Medicine / Physical Medicine and Rehab	DiagnosesRadiculopathy, lumbar regionL5S1 TTRANSFORMINAL ESIL5S1 TTRANSFORMINAL ESIProceduresPR INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVELINJECTION	Kelp, Lonnie Ray Sr., MD PHD	Kelp, Lonnie Ray Sr., MD PHD
329
",
330
    "ReasonForVisitText": "Light stools.",
331
    "ResultText": "
332
LABORATORY INFORMATION
333
Chemistries and drug levels
334
HGB (M 13-18 g/dl; F 12-16 g/dl)	13.2
335
WBC (4.3-10.8 10+3/ul)	6.7
336
PLT (135-145 meq/l)	123 (L)
337
",
338
    "Results": [ ...
339
    ],
340
    "ReviewOfSystemsText": "Patient denies recent history of fever or malaise. Positive for weakness and shortness of breath. One episode of melena. No recent headaches. Positive for osteoarthritis in hips, knees and hands.",
341
    "SocialHistoryText": "
342
Social History Element	Description	Effective Dates
343
smoking	Former Smoker (1 pack per day	20050501 to 20110227
344
smoking	Current Everyday Smoker 2 packs per day	20110227 - today
345
",
346
    "SocialHistory": { ...
347
    },
348
    "SubjectiveText": " Complaints of rectal bleeding, fatigue and a change in bowel patterns. Has several days of constipation alternating with diarrhea. ",
349
    "VitalSignsText": "
350
Date / Time: 	Nov 1, 2011	August 6, 2012
351
Height	69 inches	69 inches
352
Weight	189 lbs	194 lbs
353
Blood Pressure	132/86 mmHg	145/88 mmHg
354
",
355
    "VitalSigns": [ ...
356
    ]
357
}

Manage patient consent

By default, we treat each patient as "consented" if their data is saved into a Redox repository. If a patient declines consent, however, you can send a PatientAdmin.PatientUpdate with the Consent extension (learn about extensions or review Redox extensions). You can toggle the patient's consent status to declined by sending an empty codeableConcept with the Consent extension.

Example: Declined patient consent in Consent extension
json
1
{
2
   "url": "https://api.redoxengine.com/extensions/consent-type",
3
   "codeableConcept": []
4
}

When a patient's consent status changes, any of their existing data in the repository will no longer be returned in query responses.

To update a patient's consent, you must send a PatientAdmin.PatientUpdate with codeableConcept populated as it is in the example below. This text toggles a patient's consent status again so that data can be returned in query responses.

Example: Toggle a patient's consent with the Consent extension
json
1
{
2
   "url": "https://api.redoxengine.com/extensions/consent-type",
3
   "codeableConcept": [
4
       {
5
            "text": "Treatment",
6
            "coding": [
7
                {
8
                    "system": "2.16.840.1.113883.3.18.7.1",
9
                    "code": "TREATMENT",
10
                    "display": "Treatment"
11
                }
12
            ]
13
        },
14
        {
15
            "text": "Request of the Individual",
16
            "coding": [
17
                {
18
                    "system": "2.16.840.1.113883.3.18.7.1",
19
                    "code": "REQUEST",
20
                    "display": "Request of the Individual"
21
                }
22
            ]
23
        },
24
    ]
25
}