Clinical History

Not all healthcare is local. That’s why our solutions leverage the Carequality interoperability framework to deliver care history insights from across the U.S. to clinicians and care managers.


Record Locator & Exchange

Record Locator & Exchange leverages the Carequality framework to quickly show where patients have received care and locate medical records across all 50 states, regardless of care setting or EHR.

Bridges interoperability gaps

The nation’s most robust medical record locator provides record locations for virtually every American and identified 1.25 billion links to clinical document sources in 2022.1

Delivers critical information in seconds, not days

Patients whose outpatient care teams do not receive a timely hospital discharge summary are 10 times likelier to return to the hospital.2 Our Record Locator & Exchange reduces these dangerous delays.

Scalable clinical history document exchange reveals the full picture

A hub-and-spoke exchange structure lets care teams access clinical documents in full, including detailed summaries of care to build a full picture of patients' health history.

Improved data aids coordinated care

More complete patient information helps prevent potential duplications of care that cost an estimated $148 billion to $226 billion annually.3

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Care Event Notifications

Care Event Notifications gives clinicians and care managers timely intelligence on important healthcare interactions for their patients across settings.

Enables more proactive care management

By subscribing to updates for their patients, clinicians and care managers can more easily avoid duplicative therapies, prevent adverse drug events and provide informed care.

Ideal for admission, discharge and transfer notifications

Centers for Medicare & Medicaid Services (CMS) now requires that participating hospitals send electronic notifications of these important patient events.4 Care Event Notifications make this simple.

Supports Promoting Interoperability requirements

Care Event Notifications can help ambulatory care providers comply with CMS Quality Payment Program requirements for demonstrating interoperability.

Enhances population health programs

With the ability to track care activity for both individual patients and populations, Care Event Notifications can help health systems reach population health goals and ensure cost-effective care.

Where information gaps could create care gaps, we’re on it. See our Impact.Where information gaps could create care gaps, we’re on it. See our Impact.


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

Record Locator & Exchange provides demographic information to ensure proper identification and matching. A typical clinical document shared between healthcare providers includes: allergies, medications, diagnoses, immunizations, family/medical/surgical/social history, test results, discharge information, vital signs and providers progress notes.

Who has access to visit locations and records?

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

What types of organizations can take advantage of this opportunity?

EHR vendors and health systems alike would benefit from the core functions of Record Locator & Exchange.

What about FHIR (Fast Healthcare Interoperability Resources)?

FHIR’s inclusion in the Promoting Interoperability Programs Certification requirements will help push the standard forward in the EHR community and shows great promise. Surescripts has been supporting a FHIR-based integration for clinical document exchange for several years through Record Locator & Exchange. It provides a clear path to document exchange today for technology partners and other organizations needing to connect to the Carequality Interoperability Framework without having to implement IHE transactions.

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Let’s discuss how our Clinical History solutions can work for you

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.

  1. Surescripts, “2020 National Progress Report,” March 2023, p.7.
  2. Anja Braet et al., “The Quality of Transitions from Hospital to Home: A Hospital-based Cohort Study of Patient Groups with High and Low Readmission Rates,” International Journal of Care Coordination, June 1, 2016.
  3. Donald M. Berwick and Andrew D. Hackbarth, "Eliminating Waste in U.S. Health Care," Journal of the American Medical Association 307, no. 14 (April 11, 2012), 1513–1516.
  4. Centers for Medicare & Medicaid Services, “Interoperability and Patient Access Fact Sheet,” March 9, 2020.

Let’s Discuss How Our Clinical History Solutions Can Work for You

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.