Notable changes to Elation API 2.0, organized by release date. Covering both changes to individual resources and changes impacting the behavior of the API in general.
2026-06-23
Practice API
Office Staff
- Added
user_idfield to the Office Staff object. This read-only field returns the Django auth user ID, which can be passed directly to theuserfield of aThreadMemberobject when creating message threads.
2026-05-19
Patient Document
Medication
- The
is_doc_medfield on the Medication object now has documented behavior: settingis_doc_med: trueautomatically signs the order on creation (populatingsigned_dateandsigned_by), whileis_doc_med: falsesaves 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
400error:{"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_uuidfield to the webhook event payload. This UUID7 identifier is being introduced as part of a future migration and will eventually replaceevent_id. - Added
resource_urlfield 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 indata.
2026-04-22
Pagination
- Changed the default pagination method from offset-based to cursor-based. Requests that do not specify
cursororoffsetnow return cursor-based responses. Clients that still require offset-based pagination should include anoffsetparameter in their initial list requests.
2026-03-26
Patient Profile
Immunization
- Removed
Publicly funded vaccine stock - VFCandPublicly funded vaccine stock - Non-VFCenum values from thefunding_sourcefield 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 These values are no longer valid or supported when creating immunizations via POST.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, andHI Birthing Hospital Hepatitis Benum values from thevfc_eligibilityfield 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 These values are no longer valid or supported when creating immunizations via POST.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_delegatesfield 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_urgentfield to the Report object.
2025-09-12
Pagination
- Added cursor-based pagination to all
Findendpoints. Requests can opt in by including acursorquery parameter; responses includenextandpreviousURLs for traversing the result set. Offset-based pagination remains supported.
2025-08-29
Message Thread
- Added
sign_dateandsigned_byfields 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
verifiedboolean 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>/filesto 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_dateandsigned_byfields 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
idfield to the pharmacy object.
2025-03-05
Patient Profile
Patient
- Added optional
preferred_contactfield 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
åwill be returned asåinstead of\u00e5. - The character
👍will be returned as👍instead of\ud83d\udc4d. {"text":"Norwegian Bokm\u00e5l \ud83d\udc4d"}->{"text":"Norwegian Bokmål 👍"}
- The character
- 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 thesmallvalue)
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
emailfield to patient insurance guarantor.
2024-09-13
User Management
User
- Documented maximum length constraints for
first_name(50 characters) andlast_name(60 characters) fields.
Practice
Physician
- Documented maximum length constraints for
first_name(50 characters) andlast_name(60 characters) fields.
Office Staff
- Documented maximum length constraints for
first_name(50 characters),middle_name(50 characters), andlast_name(60 characters) fields.
Contacts
- Documented maximum length constraints for
first_name(50 characters),middle_name(50 characters), andlast_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_statusread-only attribute to the patient object. Attribute will returntrueif the patient is opted in to SMS messaging andfalseotherwise.
2024-06-11
Scheduling
Appointment
telehealth_detailsis deprecated. Useinstructionsinstead- Updating
modetoVIDEOwill updateinstructionswith 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_detailfield tostatus. This field is specifically used for appointments inNot Seenstatus.
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_medistrueanddocumenting_personnelis a physician.
Report
- The Create Report endpoint now allows lab reports to be posted without specifying a reference range (
reference_minandreference_maxcan 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
synopsisto be specified.
Webhooks
-
Fixed: updating a patient photo triggers a
patientswebhook request that contains only patient photo properties. -
Added a new
patient_photossubscription type. Updating a patient photo now triggers apatient_photoswebhook 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.
