IAS

Individual Access Service (IAS) is a QHIN-enabled, person-authorized clinical record retrieval capability. It enables your organization to retrieve clinical documents through national interoperability exchange after verified identity and explicit authorization are satisfied.

IAS uses a signed identity token for identity assertions to provide verified identity assurance for the transaction, alongside standard demographic attributes required by applicable exchange profiles.

After identity verification and person authorization are satisfied, your system initiates retrieval. Retrieval is processed asynchronously, and results become available after processing completes.

IAS supports two implementation models:

• Document retrieval: IAS returns a Bundle of DocumentReference resources, with access to original documents such as C-CDA files.
• Document import and normalization: If enabled in your implementation model, retrieved documents are imported into your tenant, parsed, and processed. Structured clinical data derived from those documents is then accessible using standard FHIR R4 capabilities within your tenant.

IAS does not generate clinical data, does not modify source records, and does not guarantee retrieval of a complete longitudinal history. Record availability depends on what is available through the exchange at the time of processing.

Requests for deceased persons are not supported under IAS workflows.

Key Capabilities

IAS supports:

• Person-authorized clinical document retrieval through QHIN-enabled exchange
• Token-based identity exchange aligned to IAS governance requirements
• Asynchronous retrieval processing
• Access to original documents with provenance metadata
• Audit and correlation support for operational and compliance workflows

Use Cases

IAS is appropriate when a person authorizes access to their own records, including:

• Individual Right of Access workflows
• Consumer applications that support person-directed retrieval
• Patient portal experiences
• Administrative workflows requiring person authorization

Record availability depends on when and where participating organizations exchange clinical information through the network.

Relationship to the Platform

IAS operates within the Health Gorilla platform as a QHIN-enabled retrieval capability. The platform provides identity verification integration, authorization validation, interoperability infrastructure, and document normalization. IAS extends those capabilities with token-based identity workflows for person-authorized access.