---
title: Kno2 Integration / Joining a QHIN
description: AngelTrack integrates with Kno2 to bring your agency into a QHIN, and exchange clinical documents with other providers, hospitals, and affiliates.
---

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# Kno2 Integration / Joining a QHIN

## AngelTrack integrates with Kno2 to provide two-way sharing of PCRs and clinical data with other facilities in a QHIN.

### Overview

Every Kno2 integration, including AngelTrack's, consists of the following verbs:

- SEND
- RECEIVE
- FIND / QUERY
- RESPOND

AngelTrack presently implements SEND and FIND. The details are discussed below. In the future AngelTrack will also implement RESPOND, allowing other medical providers to query documents from your AngelTrack server.

### Configuration

You must already have a Kno2 account.

To configure AngelTrack to make use of it, visit the Kno2 Configuration item under Settings. You must have Administrator or Captain privileges in AngelTrack to proceed. Follow all the instructions on the page. When you're done, and you click "Save", AngelTrack will briefly test the integration credential, and let you know if there are any problems.

If your organization already has its own Assigning Authority OID, and you would like AngelTrack to use that on your patient records instead of the Assigning Authority OID built in to your Kno2 account, you can do so; simply enter it into the configuration page in AngelTrack.

### SEND / Sending a PCR as a Direct Message

From the PCR's "Email" button, your crews can use Kno2 to send the PCR as a Kno2 Direct Message. They can send it to the origin facility, or to the destination facility, or to the billable affiliate, if any of the aforementioned have a Kno2 address on-file in AngelTrack.

A dispatcher or supervisor must input the Kno2 address into the [facility](https://support.angeltrack.com/help/facilitycreation.htm?hsLang=en)'s or [affiliate](https://support.angeltrack.com/help/affiliates.htm?hsLang=en)'s record ahead of time. Kno2 addresses look like email addresses, but in AngelTrack you must select "Kno2" as the messaging address type from the picklist next to the address field.

Every Kno2 direct message must have a FROM address. For this, you must have at least one active address in your Kno2 account's "Document Sources" list of addresses. If there is more than one active address in your account, then AngelTrack will preferentially use the one nicknamed "AngelTrack" if any, else it will preferentially use addresses that have no users assigned.

#### PDF versus CDA attachments

Some Kno2 recipients cannot receive the PDF attachments that AngelTrack would normally send. To solve this, AngelTrack automatically wraps all PDF attachments in CDA wrappers which most Kno2 recipients can accept.

If you have a certain recipient who doesn't want CDA, and instead prefers to receive ordinary PDFs, then edit that recipient's facility record and chose the "Kno2 PDF" address type as their messaging address, rather than the "Kno2" address type.

### SEND / Sending a PCR as a Fax

From the PCR's "Email" button, your crews can use Kno2 to fax the PCR to the origin facility, or to the destination facility, or to the billable affiliate, if any of the aforementioned have a fax number on-file in AngelTrack.

A dispatcher or supervisor must input the fax number into the [facility](https://support.angeltrack.com/help/facilitycreation.htm?hsLang=en)'s or [affiliate](https://support.angeltrack.com/help/affiliates.htm?hsLang=en)'s record ahead of time.

You must have at least one outgoing fax number configured and active in your Kno2 account's "Document Sources" list of fax numbers. If there is more than one active fax number, AngelTrack will preferentially use the one nicknamed "AngelTrack" if any, else it will use the first one in the list.

Kno2 will provision your first send/receive fax number when initially deploying your account. If you want additional fax numbers, or a special fax number just for AngelTrack's use, you must request it from Kno2.

### SEND / Automatic Send to Destination

Your crews always have the option to send their report to the origin, to the destination, to the billable affiliate, and/or to the patient, whenever they wish.

AngelTrack will *automatically* send the report to the destination when the crew first submits the completed PCR to QA, when all of the following are true:

- AngelTrack's Kno2 integration is active;
- The destination facility has an email address, Kno2 Direct Messaging Address, or fax number on file; and
- It's the first time the PCR is being submitted to QA.

This may result in the destination receiving multiple copies of the PCR. All copies sent *before* submission to QA will be marked "Tentative," while any copy sent upon or after submission to QA will be marked "Complete".

### SEND / Sending Invoices via Kno2

Because every Kno2 transmission must have one and only one associated patient record, Kno2 cannot be used to send invoices.

### FIND / Query for Patient Documents

The Kno2 FIND / QUERY feature allows you to pull clinical documents directly from your patient's medical providers, including their PCP, their residential facility, their specialists, and their hospital, insofar as those providers participate in a Q.H.I.N. \[Qualified Health Information Network\]. Kno2 supports two QHINs:

- Carequality
- TEFCA

AngelTrack presently supports Carequality.

To begin a patient document query, perform the following steps:

1. Visit the patient's record in AngelTrack. You can use the popover search box to find them by name or SSN.
2. Switch to the "Librarian" tab, and click the add-multiple icon ![Add.multiple-Sep-21-2022-01-01-10-36-AM](https://support.angeltrack.com/hs-fs/hubfs/Imported%20images/Add.multiple-Sep-21-2022-01-01-10-36-AM.png?width=24&height=24&name=Add.multiple-Sep-21-2022-01-01-10-36-AM.png) to open AngelTrack's Kno2 Document Browser.
3. The Kno2 Document Browser's first search must be for a facility/provider. You can search using various parts of a name and street address. AngelTrack offers some helper links at the left which can pre-load common street addresses into the filters, including your headquarters station and your default facilities. Use the search controls to find an interesting facility or provider, and click their Kno2 network identifier to continue.
4. Your next search must be for the patient, among the records at the facility/provider you selected before. As usual, AngelTrack pre-loads data from the patient's record into the Kno2 search controls. It may take some fiddling to locate the patient's record, because their name might be mistyped in AngelTrack's records or in the facility's/provider's records; likewise there could be an error in the DOB, or the home address in one system or the other system could be stale. Once you eventually locate the patient, click their Kno2 network identifier to continue.
5. Your final search will be a date range for the documents you seek. Use the date controls to query the patient's documents in the facility's/provider's system. If any document looks useful, click it to inspect its metadata. Then click "Preview" to retrieve it from the facility's/provider's system for viewing. If the document is relevant and useful, then click the "Keep" button to store it in the patient's file in AngelTrack.

### FIND / Sandbox Queries

If you own an AngelTrack sandbox, it already has an active integration with the Kno2 staging (sandbox) environment, so that you can experiment with the features.

To locate a person who definitely exists in a Kno2 sandbox provider and has documents to retrieve, select any patient record in AngelTrack and then follow the FIND steps (above) using these search criteria:

1. Facility: "Kno2 Care" in Idaho, CareQuality organization ID **ceq:urn:oid:2.16.840.1.113883.3.3126.2.4.40429.5**
2. Patient: Jones, Myra born 1947-05-01, living in Beaverton, OR 97006
3. Documents date range: Past year

You can then pull some patient documents and see how the integration works.

Any retrieved document whose format is "text/xml" is probably an HL7 document, which means you can then demonstrate AngelTrack's HL7 viewer.

### Kno2 Activity Logs / Kno2 Journalling

All Kno2 activity on your AngelTrack server is indelibly logged. You can review the logs by visiting the Patient Access Journal item under Settings, and selecting "Kno2" as the log source.

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