2026-05-19

Patient Document

Medication

The is_doc_med field on the Medication object now has documented behavior: setting is_doc_med: true automatically signs the order on creation (populating signed_date and signed_by), while is_doc_med: false saves it as an unsigned draft.

Discontinued Medication

Changed: Medication threads that contain only unsigned draft orders can no longer be discontinued. Attempting to discontinue such a thread now returns a 400 error: {"med_order": "No signed medication order found to discontinue."}. Only threads with at least one signed medication order can be discontinued.

2026-05-06

Webhooks

Added event_uuid field to the webhook event payload. This UUID7 identifier is being introduced as part of a future migration and will eventually replace event_id.
Added resource_url field to the webhook event payload. This optional field will be provided in the future for resources with very large payloads, offering an alternative URL to retrieve the full resource instead of embedding it in data.

2026-04-22

Pagination

Changed the default pagination method from offset-based to cursor-based. Requests that do not specify cursor or offset now return cursor-based responses. Clients that still require offset-based pagination should include an offset parameter in their initial list requests.

2026-03-26

Patient Profile

Immunization

Removed Publicly funded vaccine stock - VFC and Publicly funded vaccine stock - Non-VFC enum values from the funding_source field on the Immunization object. These values are no longer valid or supported when creating immunizations via POST. Existing immunizations retrieved via GET may still return these values.

2026-03-14

Patient Profile

Immunization

Removed HI Adult Insured, HI Adult Not Insured, and HI Birthing Hospital Hepatitis B enum values from the vfc_eligibility field on the Immunization object. These values are no longer valid or supported when creating immunizations via POST. Existing immunizations retrieved via GET may still return these values.

2025-11-17

Ancillary Order Tests

Added DELETE endpoints for Cardiac Order Tests, Imaging Order Tests, Pulmonary Order Tests, and Sleep Order Tests. These endpoints allow soft deletion of practice-created order tests and return validation errors when attempting to delete global/system-created tests.

2025-10-27

Patient Document

Report

Added routed_document_delegates field to the Report object. This read-only field returns delegation information for users and groups assigned to review the report.

2025-10-20

Patient Document

Report

Added is_urgent field to the Report object.

2025-09-12

Pagination

Added cursor-based pagination to all Find endpoints. Requests can opt in by including a cursor query parameter; responses include next and previous URLs for traversing the result set. Offset-based pagination remains supported.

2025-08-29

Message Thread

Added sign_date and signed_by fields to the message thread resource to track when and by whom it was signed.
Added the ability sign message threads using the added fields and by PATCH or PUT
Added the ability to update othe fields on the message thread by PATCH and PUT

Patient

Added the verified boolean to know if a patient was auto-created and has not yet been verified by a user or to verify via the API

2025-05-30

Report

Added reports/<report_id>/files to list files in a report
Added reports/<report_id>/files/<file_id> to download file in a report by file_id

2025-04-15

Referral Orders

Added sign_date and signed_by fields to the referral order object to track when and by whom a referral order was signed.

2025-04-04

Letter Attachments

Added the ability to add attachments to letters when creating them via POST.

2025-03-18

Pharmacy

The Pharmacy Object

Added id field to the pharmacy object.

2025-03-05

Patient Profile

Patient

Added optional preferred_contact field to patient. Accepted values are "sms", "email", "phone", and "passport".

2025-02-16

JSON Serialization

Removed escaping of non-ASCII characters in JSON/UTF-8 serialized responses. This change aligns with the JSON specification and improves compatibility with other systems.
- The character å will be returned as å instead of \u00e5.
- The character 👍 will be returned as 👍 instead of \ud83d\udc4d.
- {"text":"Norwegian Bokm\u00e5l \ud83d\udc4d"} -> {"text":"Norwegian Bokmål 👍"}
Removed unnecessary whitespace characters from JSON responses after the colon (:) and the comma (,) in key-value pairs.
- {"key1": "value2", "key2": "value2"} -> {"key1":"value1","key2":"value2"}
Some changes may be observed in JSON responses with very small or very large floating point numbers. They may be returned in the scientific notation at different thresholds.
- {"tiny":1e-11,"small": 1e-05,"large":1e+16} -> {"tiny":1e-11,"small":0.00001,"large":1e16} (note the change in the small value)

2024-10-09

Discontinued Medications

Removed non-functional PATCH for discontinued medications (use
DELETE and POST instead)
Fixed issue that prevented discontinuing medication threads with
prescribers outside the practice
Added webhook for medication discontinues

Medications

Fixed issue where only providers were able to be used as
documenting_personnel; can use staff as well now

2024-09-13

Patient Profile

Patient

Added email field to patient insurance guarantor.

2024-09-13

User Management

User

Documented maximum length constraints for first_name (50 characters) and last_name (60 characters) fields.

Practice

Physician

Documented maximum length constraints for first_name (50 characters) and last_name (60 characters) fields.

Office Staff

Documented maximum length constraints for first_name (50 characters), middle_name (50 characters), and last_name (60 characters) fields.

Contacts

Documented maximum length constraints for first_name (50 characters), middle_name (50 characters), and last_name (60 characters) fields.

These constraints were previously enforced but not explicitly documented.

2024-07-22

Medication Order Templates

Added specific_ndc to support having the template indicate an NDC
when the user selects it.
Fixed bug where qty_units were using the surescripts quantity code
instead of the plain language equivalent.

Medication

Added active_ndcs field to indicate which ndcs Elation believes to
be non-obsolete for a given medication

2024-07-11

Patient Document

Patient Form

Moved Patient Form documentation from Patient Profile to Patient Document
Added documentation for get and find patient forms

Patient Form Request

Added documentation for Patient Form Request

Patient Form Submission

Added documentation for get and find patient form submissions

2024-06-25

Patient Profile

Patient

Added a new sms_opt_in_status read-only attribute to the patient object. Attribute will return true if the patient is opted in to SMS messaging and false otherwise.

2024-06-11

Scheduling

Appointment

telehealth_details is deprecated. Use instructions instead
Updating mode to VIDEO will update instructions with a physician's default virtual visit instructions

2024-05-26

Patient Profile

Patient Form

Added documentation for the patient form object and the patient form request

2024-04-10

Patient Profile

AllergyDocumentation

Added the AllergyDocumentation resource which allows integrators to specify NKDA as a structured concept in patient charts

2024-03-05

Scheduling

Appointment

Added a new status_detail field to status. This field is specifically used for appointments in Not Seen status.

2024-01-30

Patient Document

Document Tag

The Find Document Tags endpoint now supports searching for tags by code, value and practice.

Medication

Fixed: the Create Medication endpoint creates a draft prescription rather than a documented medication when is_doc_med is true and documenting_personnel is a physician.

Report

The Create Report endpoint now allows lab reports to be posted without specifying a reference range (reference_min and reference_max can be missing or empty).

Patient Profile

Drug Intolerance

Fixed: the Find Drug Intolerances endpoint returns data for all patients rather than just for the patients requested.

Problem

Fixed: the Create/Update Problem endpoints require a synopsis to be specified.

Webhooks

Fixed: updating a patient photo triggers a patients webhook request that contains only patient photo properties.
Added a new patient_photos subscription type. Updating a patient photo now triggers a patient_photos webhook request.

2023-12-05

OAuth API

The Get Token endpoint no longer supports Resource Owner Password Credentials Flow. It now supports only Client Credentials Flow, where you exchange your client id and client secret for a bearer token.