Provision of Communications with External Telecommunications Systems and EMR Scenario Details: Labor and Delivery utilizes a specialized paging service to call for a neonatal resuscitation team when a crash C-Section is underway. The system takes a basic text description of the clinical scenario, the operating room number, etc., and broadcasts the information by priority alphanumeric page to all response team members simultaneously. |  |
| A CDS system sends a priority alert to a provider’s EMR account, informing them of a potentially dangerous drug-drug interaction. The alert is sent with read receipt enabled. When the original recipient doesn’t respond within a pre-determined 15-minute time window, the system escalates the reminder to a dedicated surrogate and modifies the payload to explain the reason for the escalation. | .jpg?version=1&modificationDate=1444330567646&cacheVersion=1&api=v2&width=578&height=400) |
An automated VoIP “robocall” notification system calls a patient when their annual PPD4 converter health questionnaire is due. The patient follows the automated attendant’s instructions and completes a brief symptom survey using the telephone keypad. Upon completion of the survey, the system thanks the patient, hangs up, and records the survey results in the appropriate Preventive Health database. | .jpg?version=1&modificationDate=1444325871698&cacheVersion=1&api=v2&width=610&height=400) |
| Over the course of several days, an oncologist consults with several of her colleagues regarding a difficult case. Many of her communications are by email, but she also has several lengthy discussions regarding treatment considerations over the phone and even during a videoconference with an expert overseas. For documentation purposes, and for justifying her ultimate treatment plan, the oncologist identifies these communication events as a “monitored conversation” to which she then refers to in her electronic documentation. | .jpg?version=2&modificationDate=1444325921461&cacheVersion=1&api=v2&width=594&height=400) |
Actors: Labor and Delivery Department, Response Team Members, Institutional Clinical Domain Expert (Provider), Surrogate Alert Recipient, Patient
Requirements:
Requirement # | Description |
| X.X.1 | The System shall interact with paging service to accept text description of scenario and broadcast information simultaneously to team members via alphanumeric page. |
X.X.2 | The System shall send alerts with read receipts to EMR user accounts. |
X.X.3 | The System shall enable escalation of unacknowledged alerts to surrogate recipients and modification of payload. |
| X.X.4 | The System shall enable VoIP robocalls triggered by EMR data. |
| X.X.5 | The System shall enable collection of numeric survey data via phone and transmission of results to a database. |
| X.X.6 | The System shall facilitate recording of external communications. |
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