Document Type - Clinical Document
Document Type - Clinical Document. It provides details of a patient's condition or care documents. This feature allows the user to retrieve, add or modify information of a specific patient or a specific clinical document of a patient. It also provides a facility to retrieve clinical document in HTML. The document content could be images, XML.etc.
Clinical Document
Miscellaneous documents providing details of a patient’s condition or care. These should only be used when no other classification is appropriate, and the care in question was not provided by a provider or entity within the practice (e.g., in-house lab). By default, clinical documents are created in an open status.
Clinical Document – Admission/Discharge Summary: Patient Admission or Discharge documentation typically provided as informational-only to the ambulatory athenahealth provider, e.g., inpatient, behavioral/mental health admissions, discharges from an neonatal facility.
Clinical Document – Consult Note: Consult and supporting documentation incoming from other providers. Consult notes are medical documents from an outside provider that report on a patient’s visit or procedure performed by that provider, e.g., physician correspondence, medical record photocopies, checklists of patient plans. Standalone Lab, Imaging and Diagnostic Results/Reports have their own classes.
Clinical Document – Emergency/Urgent Care Note: Emergency Department notes and notifications, e.g., ER daily lists. Notes from walk-in clinics, urgent care, and retail clinic facilities, e.g., Minute Clinic, Express Care.
Clinical Document – Mental Health Consult: Mental health notes, e.g., behavioral assessments, completed by psychologists, social workers, licensed mental health counselors. Neurologist notes should be classified as a Consult Note. This class should only include questionnaires if they are attached to more detailed mental health notes.
Clinical Document – Operative Note: Letters or forms from outside physicians, medical groups, or internal providers describing surgical procedures. The words “Operative Note” or “Operative Report” typically appear at the top of these forms. Describes surgical procedures performed in hospital or surgical center settings, typically requiring both an incision and anesthesia/analgesia, as well as booking in a surgical center or dental/ophtho office. Endoscopic procedures with biopsy should be classified under Imaging/Diagnostic Result.
Note: Subclassification is not necessary for this document class.
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Endpoints
-
Primary
Add clinical document action note
POST
/v1/{practiceid}/documents/clinicaldocument/{clinicaldocumentid}/actions
Creates an action note for a specific clinical document
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
clinicaldocumentid
integer
clinicaldocumentid
Content-Type
string
Content type of the payload
❙ Request Body
Expand allOutput Parameters
Expand all
errormessage
string
If there was an error with this call and SUCCESS is set to false, this field may provide additional information.
newdocumentid
string
The document ID of newly created document as a result of action of Deny-New Prescription To Follow (DNTF).
success
string
Returns true if the update was a success.
versiontoken
string
A token representing the current state of this document. Will only be set if VERSIONTOKEN was originally sent to the endpoint.
Example Code
Get clinical document's action note
GET
/v1/{practiceid}/documents/clinicaldocument/{clinicaldocumentid}/actions
Retrieves action note information of a specific clinical document
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
clinicaldocumentid
integer
clinicaldocumentid
limit
integer
Number of entries to return (default 1500, max 5000)
offset
integer
Starting point of entries; 0-indexed
Output Parameters
Expand all
actionnote
string
The action notes that are attached to the document.
assignedto
string
This field will describe who was assigned this document during this document action.
createdby
string
The username of the person that created this document action.
createddatetime
string
The datetime this action note was created.
patientid
integer
The patient ID this document is tied to.
priority
integer
Priority given for this document action.
status
string
Status given for this document action.
Example Code
Add clinical document to patient's chart
POST
/v1/{practiceid}/patients/{patientid}/documents/clinicaldocument
Creates a clinical document record of a specific patient
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
patientid
integer
patientid
Content-Type
string
Content type of the payload
❙ Request Body
Expand allOutput Parameters
Expand all
clinicaldocumentid
integer
The document ID of the new or modified document.
errormessage
string
If the operation failed, this will contain an error message.
success
string
Returns true/false if the operation was successful.
Example Code
Get list of patient's clinical documents
GET
/v1/{practiceid}/patients/{patientid}/documents/clinicaldocument
Retrieves a list of clinical document information of a specific patient
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
patientid
integer
patientid
showdeleted
boolean
By default, deleted documents are not listed. Set to list these.
status
string
The status of the task to filter document results.
departmentid
integer
The athenaNet department id.
getentityinfo
boolean
If true, entityid and entitytype will be returned. entityid will be populated in createduser attribute.
showmetadata
boolean
When "true" is passed we will return filetype, filesize and originalfilename if applicable
encounterid
integer
Show only documents attached to this encounter.
documentsubclass
string
The document subclass to filter document results.
limit
integer
Number of entries to return (default 1500, max 5000)
offset
integer
Starting point of entries; 0-indexed
Output Parameters
Expand all
assignedto
string
Person the document is assigned to
clinicaldocumentid
integer
The primary key for the clinical document.
clinicalproviderid
integer
The ID of the clinical provider associated with this clinical document. Clinical providers are a master list of providers throughout the country. These include providers as well as radiology centers, labs and pharmacies.
createddate
string
Date the document was created. Please use createddatetime instead.
createddatetime
string
Date/Time (ISO 8601) the document was created
createduser
string
The user who created this document.
departmentid
string
Department for the document
documentclass
string
Class of document
documentdescription
string
Description of the document type
documentroute
string
Explains method by which the document was entered into the AthenaNet (INTERFACE (digital), FAX, etc.)
documentsource
string
Explains where this document originated.
documentsubclass
string
Specific type of document
documenttypeid
integer
The ID of the description for this document
entitytype
string
Type of entity creating the document. Possible values are PROVIDER, PATIENT and OTHERS.
externalnote
string
External note for the patient.
fileextension
string
The file extension of this document.
filesize
number
The file size of this document.
internalnote
string
The 'Internal Note' attached to this document
lastmodifieddate
string
lastmodifieddatetime
string
Date/time (ISO 8601) the document was last modified
lastmodifieduser
string
The user who last modified this document.
observationdate
string
Date of the encounter associated with this document
ordertype
string
Order type group name
originalfilename
string
The original file name of this document.
priority
string
Document priority, when available. 1 is high, 2 is normal. Some labs use other numbers or characters that are lab-specific.
providerid
integer
Provider ID for this document
providerusername
string
The username of the provider associated with this lab result document.
status
string
Status of the document
tietoorderid
integer
Order ID of the order this document is tied to, if any
Example Code
Get patient's clinical document
GET
/v1/{practiceid}/patients/{patientid}/documents/clinicaldocument/{clinicaldocumentid}
Retrieves a specific clinical document information
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
patientid
integer
patientid
clinicaldocumentid
integer
clinicaldocumentid
getentityinfo
boolean
If true, entityid and entitytype will be returned. entityid will be populated in createduser attribute.
showccdaxml
boolean
Default false. If set to true, will include CCDAXML string.
Output Parameters
Expand all
actionnote
string
The most recent action note for a document
assignedto
string
Person the document is assigned to
clinicaldocumentid
integer
The primary key for the clinical document.
clinicalproviderid
integer
The ID of the clinical provider associated with this clinical document. Clinical providers are a master list of providers throughout the country. These include providers as well as radiology centers, labs and pharmacies.
createddate
string
Date the document was created. Please use createddatetime instead.
createddatetime
string
Date/Time (ISO 8601) the document was created
createduser
string
The user who created this document.
departmentid
string
Department for the document
documentclass
string
Class of document
documentdata
string
Text data associated with this document.
documentdescription
string
Description of the document type
documentroute
string
Explains method by which the document was entered into the AthenaNet (INTERFACE (digital), FAX, etc.)
documentsource
string
Explains where this document originated.
documentsubclass
string
Specific type of document
documenttypeid
integer
The ID of the description for this document
entitytype
string
Type of entity creating the document. Possible values are PROVIDER, PATIENT and OTHERS.
externalnote
string
External note for the patient.
internalnote
string
The 'Internal Note' attached to this document
lastmodifieddate
string
lastmodifieddatetime
string
Date/time (ISO 8601) the document was last modified
lastmodifieduser
string
The user who last modified this document.
observationdate
string
Date of the encounter associated with this document
ordertype
string
Order type group name
originaldocument
object
URL and content-type to download the original document. "originaldocument" is returned when document source is FAX or UPLOAD and originally faxed or uploaded file is not split into multiple documents. Please use "pages" to download document pages when "originaldocument" is not available.
pages
array
An array of image pages associated with this document.
priority
string
Document priority, when available. 1 is high, 2 is normal. Some labs use other numbers or characters that are lab-specific.
providerid
integer
Provider ID for this document
providerusername
string
The username of the provider associated with this lab result document.
status
string
Status of the document
tietoorderid
integer
Order ID of the order this document is tied to, if any
Example Code
Update patient's clinical document
PUT
/v1/{practiceid}/patients/{patientid}/documents/clinicaldocument/{clinicaldocumentid}
Modifies a specific clinical document information
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
patientid
integer
patientid
clinicaldocumentid
integer
clinicaldocumentid
Content-Type
string
Content type of the payload
❙ Request Body
Expand allOutput Parameters
Expand all
clinicaldocumentid
integer
The document ID of the new or modified document.
errormessage
string
If the operation failed, this will contain an error message.
success
string
Returns true/false if the operation was successful.
Example Code
Mark patient's clinical document as deleted
DELETE
/v1/{practiceid}/patients/{patientid}/documents/clinicaldocument/{clinicaldocumentid}
Deletes the record of a specified clinical document
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
patientid
integer
patientid
clinicaldocumentid
integer
clinicaldocumentid
Output Parameters
Expand all
clinicaldocumentid
integer
ID for the clinical document.
errormessage
string
A message to help identify an error.
success
string
Indicates a successful delete operation.
Example Code
Get page from patient's clinical document
GET
/v1/{practiceid}/patients/{patientid}/documents/clinicaldocument/{clinicaldocumentid}/pages/{pageid}
Retrieves a specific page from the specific clinical document of the patient
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
pageid
integer
pageid
patientid
integer
patientid
clinicaldocumentid
integer
clinicaldocumentid
filesize
string
The file size of the document being requested.
Output Parameters
Expand all
attachment
string
The image of the page in jpeg format.
Example Code
Get patient's original clinical document
GET
/v1/{practiceid}/patients/{patientid}/documents/clinicaldocument/{clinicaldocumentid}/originaldocument
Retrieves original clinical document of the patient. This is applicable when document source is FAX or UPLOAD and originally faxed or uploaded file is not split into multiple documents. Please use "Get page from patient's clinical document" endpoint to download documentpages when original document is not available.
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Input Parameters
Expand all❙ required
practiceid
integer
practiceid
patientid
integer
patientid
clinicaldocumentid
integer
clinicaldocumentid
Output Parameters
Expand all
attachment
string
The original document in uploaded format.
Example Code