Glossary

Network query

A request sent across an exchange network for the documents every connected organization holds on one patient, under a stated purpose of use. One query reaches every connected source at once; what comes back is documents, each carrying the organization that released it and the date.

Also document query, exchange query, Carequality query

A network query is two steps that look like one. The first asks every connected organization whether it knows the patient, matching on name, date of birth, sex and address. The second asks each organization that answered yes for the documents it holds, and retrieves them. The IHE profiles the networks run on name these patient discovery and document query and retrieve; the agency experiences them as one request and a list of what came back.

What distinguishes it from every other route to outside records:

  • It asks everyone at once. A fax goes to the organization the agency thought to ask. A portal like EpicCare Link shows one health system. A query reaches every organization on Carequality, CommonWell and the TEFCA QHINs, including the specialist in another city the patient forgot to mention.
  • It returns documents, with provenance. Each result is a C-CDA document or an attached file, carrying the releasing organization’s name and the date, so the receiving clinician knows whose record they are reading and how old it is.
  • It runs under a purpose of use. A treatment query is made by a treating provider and answered on that basis; see treatment purpose of use. A query for another purpose is not guaranteed an answer.

What it does not do is also worth knowing. It returns what connected organizations hold, so a practice that is not on any network is not reached and still needs a fax or a call. It returns documents, not images, so a scanned paper chart at a small practice comes back only if that practice attached it. And it returns a great deal: a patient with a long history can return dozens of documents from a dozen organizations, which is why the organization of what comes back is as much of the work as the retrieval.

Where it is defined

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  1. Send your detailsTwo minutes. Your organization, name, email and phone, and the time records cost you; the rest is optional and helps us reply with something specific.
  2. Pick a timeThirty minutes, live, over synthetic records in the shape your team works in. No slides, and no discovery call before the demo.

Who this is for, and who it is not

  • Coverage comes firstVivlio retrieves from providers, hospitals and health systems it can reach through national exchange networks and direct connections. Name the facilities your patients come from on the form and we check coverage before anyone spends thirty minutes on a demo.
  • You can say what the chasing costsThe form asks how many hours a week your team loses to chasing records. If nobody can put a number near it, the case for Vivlio is not there yet, and we would rather say so than sell you a demo.
  • Patients and files at volumeThis is built for intake that runs every day. For one record, once, your patient can request it from the provider directly, and that will be faster than going through us.
  • Treatment, with the paperwork doneProduction access needs an NPI, a declared purpose of use and a signed BAA. Nobody swipes a card onto live PHI.

If none of those describe you, say so in the last field and we will come back in writing instead of booking a call.

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