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Redox Data Models
Referral
QueryResponse

Referral

This data model communicates patient demographic and clinical information from a referring provider to send the patient's case to another provider.

This typically differs from a consultation, where a provider may review a patient without assuming authority over the patient’s care. Referrals can be internal to an organization (e.g., from one department to another) or external between organizations.

A referral is useful to maintain the administrative aspects of a referral order. You can receive notifications when:

  • A new referral order is placed.
  • An existing referral order is modified or canceled.
  • An authorization review is requested or responded to.

Or, you can search for referral orders based on a patient's demographic and insurance information.

QueryResponse

Receive any matching referral order(s) based on the query parameters defined in Referral.Query. Any matches are listed in the Referrals array.

Beta

Request Body Schema

  • Meta
    required, object
    • DataModel
      required, string
      Reliable

      Referral

    • EventType
      required, string
      Reliable

      QueryResponse

    • EventDateTime
      string, null
      Reliable

      Displays the UTC date and time that an outgoing request is delivered or an incoming request is received.
      ISO 8601 Format

    • Test
      boolean, null
      Reliable

      Indicates whether the request is a test or not.

    • Source
      object

      Contains the information for the system initiating the message, including the source ID and name.
      Included in messages from Redox

      • ID
        string, null
        Reliable

        Identifies the system initiating the message. If you have multiple OAuth API keys per environment type, this value is required. If you have only one OAuth API key per environment type, or you're using legacy API keys, this value is optional.
        UUID

      • Name
        string, null
        Reliable

        Displays the name of the system initiating the message.

    • Destinations
      Array of object

      Contains the information for the endpoint(s) receiving the request. A request must contain at least one destination, but asynchronous requests can have more than one destination. Synchronous requests like queries can only support one destination.
      Required when sending data to Redox.

      • ID
        string, null
        Reliable

        Identifies the endpoint that the request is directed to.
        UUID

      • Name
        string, null
        Reliable

        Displays the name of the endpoint that the request is directed to.

    • Logs
      Array of object

      Contains the log identifier(s) for the request.

      • ID
        string, null
        Reliable

        Identifies the request log(s) that correspond to this request. You can use this value to locate the relevant log in the Redox dashboard for support and reference.
        UUID

      • AttemptID
        string, null
        Reliable

        Identifies the request log attempt value, which is useful when retries are possible.
        UUID

    • FacilityCode
      string, null
      Possible

      Code for the facility related to the message.
      Only use this field if a health system indicates you should. The code is specific to the health system's EHR and might not be unique across health systems. In general, the facility fields within the data models (e.g. OrderingFacility) are more reliable and informative.

  • Referrals
    Array of object

    The list of referrals

    • ID
      string, null
      Reliable

      The Health System ID of the referral

    • IDType
      string, null
      Reliable

      The ID type

    • AlternateID
      string, null
      Reliable

      The alternate ID of the referral, often used by external/3rd party systems

    • Type
      string, null
      Reliable
      Value Set

      The type of the referral

    • Category
      string, null
      Reliable
      Value Set

      The category of the referral

    • Priority
      string, null
      Reliable
      Value Set

      The priority of the referral

    • Status
      string, null
      Reliable
      Value Set

      The status of the referral

    • DateTime
      string, null
      Reliable

      The date and time the referral is considered active.
      ISO 8601 Format

    • ExpirationDateTime
      string, null
      Reliable

      The date and time the referral expires.
      ISO 8601 Format

    • ProcessDateTime
      string, null
      Reliable

      The date and time the referral was processed.
      ISO 8601 Format

    • Reason
      string, null
      Probable
      Value Set

      The reason for the referral

    • ProviderSpecialty
      string, null
      Possible

      The provider specialty of the referral

    • DepartmentSpecialty
      string, null
      Possible

      The department specialty of the referral

    • Notes
      Array of string

      Referral Notes

    • Authorization
      object
      • Plan
        object
        • ID
          string, null
          Possible

          The ID of the plan

        • IDType
          string, null
          Possible

          The ID type

        • Name
          string, null
          Possible

          The name of the plan

      • Company
        object
        • ID
          string, null
          Possible

          The ID of the payor

        • IDType
          string, null
          Possible

          The ID type

        • Name
          string, null
          Possible

          The name of the payor

      • DateTime
        string, null
        Possible

        The date and time the authorization is effective.
        ISO 8601 Format

      • ExpirationDateTime
        string, null
        Possible

        The date and time the authorization expires.
        ISO 8601 Format

      • Number
        string, null
        Possible

        The identifier for the authorization assigned by the payor

      • ReimbursementLimit
        string, null
        Possible

        The reimbursement limit for this referral

      • RequestedTreatmentCount
        string, null
        Possible

        The number of treatments requested

      • RequestedTreatmentUnits
        string, null
        Possible

        The units associated to the treatment count.
        e.g. 'instances' or 'days'

      • AuthorizedTreatmentCount
        string, null
        Possible

        The number of treatments authorized

      • Notes
        Array of string

        Notes about the authorizations

    • Diagnoses
      Array of object

      List of diagnoses

      • Code
        string, null
        Probable

        Code for the diagnoses

      • Codeset
        string, null
        Probable
        Value Set

        Code set used to identify the diagnoses.
        One of the following: ICD-9, ICD-10, HCPCS, CPT

      • Name
        string, null
        Probable

        Name of the diagnoses

      • Type
        string, null
        Possible
        Value Set

        Type of the diagnosis

      • DocumentedDateTime
        string, null
        Possible

        DateTime the diagnoses was documented.
        ISO 8601 Format

      • Notes
        Array of string

        Notes about the diagnosis

    • Procedures
      Array of object

      Ordered procedure

      • Code
        string, null
        Reliable

        Code for the procedure

      • Codeset
        string, null
        Reliable

        Code set used to identify the procedure.
        CPT, HCPCS, SNOMED, or LOINC. If no code set is specified, a health system specific identifier is being used.

      • Description
        string, null
        Reliable

        Description of the procedure

      • Notes
        Array of string

        Notes about the procedure

      • Quantity
        string, null
        Possible

        Number of instances for the procedure

      • Units
        string, null
        Possible

        Related units associated to the procedure quantity

      • Modifiers
        Array of string

        Associated procedure modifiers

    • Providers
      Array of object
      • ID
        string, null
        Possible

        ID of the provider.
        This ID is often required for Inpatient Visits.

      • IDType
        string, null
        Possible

        ID type of the ID for the provider

      • FirstName
        string, null
        Possible

        First name of the undefined

      • LastName
        string, null
        Possible

        Last name of the undefined

      • Credentials
        Array of string

        List of credentials for the undefined.
        e.g. MD, PhD

      • Address
        object

        Provider's address

        • StreetAddress
          string, null
          Possible

          Street address

        • City
          string, null
          Possible

          City

        • State
          string, null
          Possible

          State

        • ZIP
          string, null
          Possible

          ZIP

        • County
          string, null
          Possible

          County

        • Country
          string, null
          Possible
          Value Set

          Country

      • EmailAddresses
        Array of string

        Provider's email address(es)

      • PhoneNumber
        object
        • Office
          string, null
          Possible

          Provider's office phone number.
          In E. 164 Format. (e.g. +16085551234)

      • Type
        string, null
        Possible
        Value Set

        The type of provider

      • ContactInfo
        string, null
        Possible

        Additional contact information for this provider

      • Location
        object

        Provider's location

        • Type
          string, null
          Possible

          Type of location.
          Examples: Clinic, Department, Home, Nursing Unit, Provider's Office, Phone

        • Facility
          string, null
          Possible

          Facility.
          Example: Community Hospital

        • FacilityIdentifiers
          Array of object

          List of IDs specific to this facility

          • ID
            string, null
            Possible

            An ID specific to this facility

          • IDType
            string, null
            Possible

            The source or system to which this ID pertains.
            Could be an OID or a human-readable name

        • Department
          string, null
          Possible

          Department

        • DepartmentIdentifiers
          Array of object

          List of IDs specific to this department

          • ID
            string, null
            Possible

            An ID specific to this department

          • IDType
            string, null
            Possible

            The source or system to which this ID pertains.
            Could be an OID or a human-readable name

        • Room
          string, null
          Possible

          Room.
          Example: 136

    • Visit
      object
      • VisitNumber
        string, null
        Possible

        Visit Number.
        Unique ID of the visit associated to the referral

Example
json
1
{
2
  "Meta": {
3
    "DataModel": "Referral",
4
    "EventType": "QueryResponse",
5
    "EventDateTime": "2024-11-20T14:08:29.777Z",
6
    "Test": true,
7
    "Source": {
8
      "ID": "7ce6f387-c33c-417d-8682-81e83628cbd9",
9
      "Name": "Redox Dev Tools"
10
    },
11
    "Destinations": [
12
      {
13
        "ID": "af394f14-b34a-464f-8d24-895f370af4c9",
14
        "Name": "Redox EMR"
15
      }
16
    ],
17
    "Logs": [
18
      {
19
        "ID": "d9f5d293-7110-461e-a875-3beb089e79f3",
20
        "AttemptID": "925d1617-2fe0-468c-a14c-f8c04b572c54"
21
      }
22
    ],
23
    "FacilityCode": null
24
  },
25
  "Referrals": [
26
    {
27
      "ID": "4356789876",
28
      "IDType": null,
29
      "AlternateID": "2133311",
30
      "Type": "Medical",
31
      "Category": "Outpatient",
32
      "Priority": "Routine",
33
      "Status": "Pending",
34
      "DateTime": "2015-05-05T00:00:00.000Z",
35
      "ExpirationDateTime": "2015-06-05T00:00:00.000Z",
36
      "ProcessDateTime": null,
37
      "Reason": "Provider Ordered",
38
      "ProviderSpecialty": null,
39
      "DepartmentSpecialty": null,
40
      "Notes": [],
41
      "Authorization": {
42
        "Plan": {
43
          "ID": "31572",
44
          "IDType": null,
45
          "Name": "HMO Deductible Plan"
46
        },
47
        "Company": {
48
          "ID": "60054",
49
          "IDType": null,
50
          "Name": "aetna (60054 0131)"
51
        },
52
        "DateTime": "2015-05-05T00:00:00.000Z",
53
        "ExpirationDateTime": "2015-06-05T00:00:00.000Z",
54
        "Number": "9140860055",
55
        "ReimbursementLimit": null,
56
        "RequestedTreatmentCount": null,
57
        "RequestedTreatmentUnits": null,
58
        "AuthorizedTreatmentCount": null,
59
        "Notes": []
60
      },
61
      "Diagnoses": [],
62
      "Procedures": [
63
        {
64
          "Code": "400500400",
65
          "Codeset": "CPT4",
66
          "Description": "Anticoag Therapy Referral",
67
          "Notes": [],
68
          "Quantity": null,
69
          "Units": null,
70
          "Modifiers": []
71
        }
72
      ],
73
      "Providers": [
74
        {
75
          "ID": "4236464757",
76
          "IDType": "NPI",
77
          "FirstName": "John",
78
          "LastName": "Slate",
79
          "Credentials": [
80
            "DO"
81
          ],
82
          "Address": {
83
            "StreetAddress": "500 First St.",
84
            "City": "Clayton",
85
            "State": "MO",
86
            "ZIP": "63105",
87
            "County": "Saint Louis",
88
            "Country": "USA"
89
          },
90
          "EmailAddresses": [],
91
          "PhoneNumber": {
92
            "Office": null
93
          },
94
          "Type": "Referring Provider",
95
          "ContactInfo": null,
96
          "Location": {
97
            "Type": null,
98
            "Facility": null,
99
            "FacilityIdentifiers": [],
100
            "Department": null,
101
            "DepartmentIdentifiers": [],
102
            "Room": null
103
          }
104
        }
105
      ],
106
      "Visit": {
107
        "VisitNumber": null
108
      }
109
    }
110
  ]
111
}