Data Coverage

eHealth Exchange participants share a broad range of clinical content, 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.

The eHealth Exchange extends connectivity beyond commercial EHRs and hospital systems to include government partners such as the Department of Veterans Affairs (VA), Department of Defense (DoD), and Social Security Administration (SSA).

Delegation of Authority

As a recognized participant in eHealth Exchange, Health Gorilla maintains the network connection, trust framework, and gateway services on your behalf. Your organization delegates these responsibilities to Health Gorilla, reducing onboarding complexity and ensuring ongoing compliance with network standards.

Participation

When your organization connects through Health Gorilla, participation in eHealth Exchange data exchange is automatically enabled for approved purposes of use. No separate eHealth Exchange agreement is required. Health Gorilla enforces framework policies during request processing to ensure compliance and appropriate data exchange.

Reciprocity

Like other national frameworks, eHealth Exchange enforces reciprocal participation. Access to external records depends on your organization’s willingness to contribute encounter summaries, laboratory results, and other clinical data back to the network through Health Gorilla’s FHIR API.

Technical Notes

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

• Protocols: IHE XCPD/XCA, HL7 C-CDA, and FHIR
• Identity matching: Health Gorilla’s Master Patient Index (MPI) combined with eHealth Exchange directory and partner services
• Delivery options: Results are typically returned through synchronous API responses or delivered as push notifications using FHIR Subscriptions