Onramp to 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. Find out more about Carequality.

You can use Redox Network Onramps to connect with Carequality. You can onramp to Carequality with the Redox Data Model API or Redox FHIR® API.

1. Set up your onramp to Carequality.
2. Create a Carequality organization record.
3. Search for patient records.
4. Request patient records.
5. Maintain your Carequality organization.

Keep in mind that if you choose to use FHIR®, you'll still have to use data models in a couple places:

1. Set up your onramp to Carequality.
2. Create a Carequality organization record with FHIR®.
3. Search for patient records with FHIR®.
4. Request patient records with FHIR®.
5. Maintain your Carequality organization with data models.

The beauty of being a Carequality participant is accessing details about a patient’s medical history without requiring individual integrations with every other participant. From one network, you can get information like allergies, diagnoses, medications, and more.

You’re required to share your data in return with other Carequality participants. Carequality has two foundational requirements to make sure that a patient’s entire clinical history is available nationwide to retrieve:

1. Mutual exchange: Carequality participants must respond to all incoming requests with a purpose of use of Treatment. An organization is only exempt from mutual exchange if they’re a:
   • government agency
   • on-paper organization
   • emergency medical service
   • specialty pharmacy
2. Open exchange: Carequality participants must respond in a non-discriminatory fashion with no terms, fees, or conditions.

If your organization doesn’t meet the exceptions mentioned above, you’re required to respond to incoming requests with your unique clinical data.

We’re a certified Carequality implementer. Implementers are approved to help organizations like yours connect to Carequality. This is how we serve as your onramp to Carequality. With us as your implementer, you can start exchanging data in a matter of days rather than months.

As your implementer, we complete the following steps for you:

1. Sign the Carequality Connected Agreement and get accepted by Carequality.
2. Develop legacy exchange technologies to facilitate exchange.
3. Test successfully with Carequality participants.
4. Make sure you comply with Carequality’s rules for use.

Being a Carequality participant can entail a high volume of incoming queries. These volumes are influenced by factors like your geographic location or the number of facilities within your organization.

Many Carequality participants automatically trigger queries by running algorithms with radius-based searching around the patient’s address. Rural areas might receive 10K–25K of these requests daily, whereas geographic areas with high population density—like the San Francisco Bay Area or New York metropolitan area—might see daily query volumes of up to 200K per location.

As your responder, we can shield you from this traffic and simplify your workflow so that you only have to send new or updated information to us. We take care of the rest with the data you already have.

If you prefer to be your own responder (i.e., respond to queries yourself), you won’t qualify for Network Onramps pricing. Talk to a Redoxer to discuss options and pricing.