Record Locator & Exchange
Welcome to the Surescripts Record Locator & Exchange (RLE) home page! Your central resource for implementing RLE on the Surescripts Network. RLE lets requesting locations electronically discover where a patient has previously received care and query and retrieve those clinical documents from responding locations across the Surescripts network and the Carequality Interoperability Framework.
Documentation
RLE FHIR® Implementation GuideRLE FHIR® Implementation Guide
How to build and send the FHIR® query and retrieve message used to discover patient record locations and exchange clinical documents across the network.
RLE IHE Vendor Implementation GuideRLE IHE Vendor Implementation Guide
How to implement the IHE transactions used to discover patients and responding locations, then query and retrieve clinical documents through RLE or peer-to-peer connections.
Record Locator & Exchange ADTRLE ADT Implementation Guide
How responding locations load and maintain their patient rosters in the RLE MPI using ADT messages so their patients can be found by record locator searches.
What You Can Build
- Discover locations where a patient has previously received care.
- Retrieve the on-demand Surescripts Location Summary CDA of those locations.
- Query and retrieve clinical documents from RLE-enabled responding locations.
- Make your patients discoverable via FHIR MPI Load or an ADT data feed.
- Keep rosters current with ADT enrollment, activity, merge, and unlink events.
- Exchange securely over mTLS, with Carequality-issued certificates supported.
Standards & Frameworks
RLE transactions align with national interoperability standards and the Carequality Interoperability Framework so your integration works across connected networks.
- HL7® FHIR® Release 4
- IHE XCPD · PLQ · XCA (ITI-55 / ITI-56 / ITI-38 / ITI-39)
- HL7® v2.5.1 (ADT)
- HL7® CDA (Surescripts Location Summary)
- Carequality Interoperability Framework
- Mutual TLS (mTLS)
Tools & Resources
Use these tools during integration in the staging environment, then for ongoing support once you're live in production.
Get connected to your testing environment and key implementation tools
Manage organization and provider location records used for patient discovery and routing.
Look up and troubleshoot RLE transactions
The self-driving Certification built by Surescripts to support your integration
💬 Support (Prod)
Open a support ticket to troubleshoot the issue