All healthcare is not local. In today’s fragmented care environment, a patient’s records can be stored in various electronic health records (EHRs) across numerous care sites throughout the nation. The ability to locate and access clinical records is critical to unlocking safer, higher quality and lower cost healthcare. The good news is, Surescripts has you covered.

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(formerly National Record Locator Service)

Powered by our mature and trusted nationwide network, Surescripts Record Locator & Exchange allows clinicians to easily see where patients have received care in the past and retrieve clinical records from all 50 states, regardless of EHR or care setting. Record Locator & Exchange is the nation’s most robust record locator, covering 4 billion care interactions and 230 million patients, which is 20 times more than any other service.

An Unmatched Solution

Record Locator & Exchange delivers actionable intelligence
by facilitating the retrieval of patient documents through:

A list of records and contact information

Electronic coordinates to enable point-to-point retrieval

A hub-and-spoke structure for full document exchange

Record Locator & Exchange and Interoperability

Hear NextGen HealthCare's Bob Barker on Record Locator & Exchange and Interoperability

"By having a more complete care history, we can make faster decisions, avoid reordering expensive tests and help ensure that our patients receive the best care possible."

Richard Vaughn, MDChief Information Management Officer,
SSM Health


What information does Surescripts store?

Surescripts stores basic demographic information, provided by healthcare providers, for purposes of patient matching and identification. Patient demographics include:

  • Patient ID / Medical Record Number
  • Patient name: First, middle, last, prefix, suffix
  • Patient Address line 1 & 2
  • Patient city, state, zip
  • Patient date of birth
  • Patient gender

If a patient has chosen to opt-out of Record Locator & Exchange, this demographic information will still be stored in the Surescripts database in order to ensure information is not exchanged through Record Locator & Exchange.

Surescripts does not store clinical records. Clinical records are stored and maintained by healthcare providers. Surescripts simply provides secure electronic transmission of records between providers.

What kind of information can be accessed through Record Locator & Exchange?

Surescripts Record Locator & Exchange will provide requesting healthcare providers with certain demographic information to ensure proper identification and patient matching. This information is: first name, last name, date of birth, gender, zip code. Surescripts will also provide relevant information about the locations where care has previously been received so the requesting healthcare provider can request clinical records. This information may include: location name, physician’s name, location address, location phone number, visit date and technical connection information to contact the record location. The specific records or clinical documents provided will depend on the record location. A typical example of a clinical document shared between healthcare providers is a summary of care record that includes information about a patient's visit, including:

  • Allergies
  • Medications
  • Diagnoses
  • Immunizations
  • Family/Medical/Surgical/Social History
  • Test Results (Lab, X-ray, EKG)
  • Discharge Information
  • Vital Signs (blood pressure, heart rate, breathing rate, temperature)
  • Providers Progress Notes
Who has access to visit locations and records?

Healthcare providers who are currently providing treatment or managing ongoing care can request information through Record Locator & Exchange about previous treatment locations. Surescripts Record Locator & Exchange will provide the healthcare provider with that information and assist with retrieving records from those previous visits.

Why are you offering Record Locator & Exchange for free?

The true value of interoperability will only be realized when it is achieved at scale. By offering our Record Locator & Exchange capabilities for free during this start-up period, we will collectively achieve scale much sooner.

What types of organizations can take advantage of this opportunity?

The core Record Locator & Exchange functions of record locator and exchange capabilities will be free for EHR vendors and Health Systems that we directly contract with who subscribe to NRLS during the start-up period (until 2019).

Is it only free to the EHRs you’ve signed up?

Record Locator & Exchange will be free to all EHRs and Health Systems that Surescripts directly contract with who subscribe during the start-up period (until 2019). All EHRs are welcome to subscribe whether or not they were mentioned in the initial press release.

What about FHIR (Fast Healthcare Interoperability Resources)? I heard FHIR is going to be the solution for healthcare interoperability.

FHIR is a promising new healthcare technology standard that Surescripts is participating in developing. In fact, one of the future integration models for Record Locator & Exchange will use FHIR-based exchange for organizations that have not used IHE transactions. That said, healthcare data is incredibly vast and complicated and no single standard will be the complete solution. The emergence of new standards and new capabilities upon the foundations we’re building are all positive shifts in healthcare technology.


Request a Free Consultation on the Nation's Most Robust Record Locator

Note to patients: Please contact your healthcare providers directly to access your personal health information. This form is not intended for personal health record retrieval.

Request a Free Consultation on the Nation's Most Robust Record Locator

Note to patients: Please contact your healthcare providers directly to access your personal health information. This form is not intended for personal health record retrieval.