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Carequality

Health Gorilla connects to Carequality to enable the query-based exchange of patient records with thousands of U.S. hospitals, health systems, and EHR vendors. By integrating through Health Gorilla, your organization gains nationwide access to participating providers without negotiating individual trust agreements or managing endpoint credentials.

Data Coverage

Carequality participants share a wide range of clinical records, including encounter summaries, discharge notes, laboratory and imaging results, medication and immunization histories, and other C-CDA-based documents. Health Gorilla normalizes all retrieved content into FHIR resources with provenance metadata for consistent, reusable structure.

Carequality offers the widest hospital and EHR connectivity among national exchange frameworks, making it a core component of Health Gorilla’s network coverage.

Delegation of Authority

Health Gorilla operates as an implementer under Carequality’s governance, managing all framework-level trust, endpoint discovery, and technical compliance on your behalf. Your organization delegates these responsibilities to Health Gorilla, reducing the burden of legal and technical onboarding.

Participation

Organizations connected through Health Gorilla are automatically enabled for Carequality exchange when permitted use cases apply. Health Gorilla enforces these use-case policies during request processing to ensure compliance and appropriate data exchange. No separate Carequality agreements are required; participation is inherited through Health Gorilla’s implementer status.

Reciprocity

As with other nationwide frameworks, Carequality requires reciprocal participation. Access to external records depends on your organization’s willingness to contribute encounter summaries, laboratory results, and other data back to the network through Health Gorilla’s FHIR server.

Technical Notes

Health Gorilla supports multiple interoperability standards when working with Carequality, including:

  • Protocols: IHE XCPD/XCA, HL7 C-CDA, and FHIR
  • Identity matching: Health Gorilla’s Master Patient Index (MPI) combined with Carequality Record Locator Service (RLS) data
  • Delivery options: Results can be returned through synchronous API responses or as push notifications using FHIR Subscriptions