Technical Integration Q&A

Establish network connectivity

Message-based protocols:

• Which network / transport protocols does your network use? (HL7 via TCP/IP, / HTTP, MLLP, FTP, etc.)

• What are your security guidelines? Do you support a site-to-site VPN or TLS with TCP/IP or support other security measures?

• If TLS, please provide a TLS certificate that can be added to our trust store.

• We allowlist IP addresses / ports for security. What is your IP address?

• What format are messages sent in? Please provide samples if available.

• Does the network support retry logic in case of network failure or packet loss? If so, what is the retry policy?

• Is there a connectivity policy regarding connection longevity/reset cadence?

• Are there required system specific message receipt acknowledgements?

• Who is the PoC in case of data failure or outage?

File-based protocols: (We support file-based batch system, allowing customers to upload HL7/RTF/PDF/XML messages and encounters via S3/SFTP)

• What format is data available in? Please provide samples if available.

Restful API based protocols:

• Please provide any relevant documentation

• Is there a staging or test environment available?

Data Transmission

Message-based system:

• Is it configurable to send only the final message for each encounter with the full chart upon provider signature? This approach is preferred to reduce the total number of messages.

• Are separate messages/message event types used for billing/demographic vs. patient encounter notes vs. lab/imaging orders and results?

• Are incoming provider messages supported (for missing documentation notifications)? Please provide specifications.

• What is the expected volume of messages, either in terms of average messages per minute, or messages per day? Are messages batched?

• How are malformed messages handled?

File based system:

• What is your cadence of file upload? Real-time? Batched daily?

Required Data Fields (Emergency Medicine)

• Demographics:

• ​Patient Name

• Patient ID / MRN

• Account Number / CSN

• Sex

• DOB / Age

• Arrival route

• Arrival time

• Facility ID

• Place of service

• Hospice status

• Encounter:

• Chief Complaint

• History of Present Illness

• PFSH (including medical, medication, allergy, immunization, family, social and surgical history)

• Review of Systems

• PE (including vitals, blood pressure screens)

• Medical Decision Making

• Diagnosis (including any pre-selected ICD-10 codes)

• Nursing / tech / other provider notes

• Orders:

• Labs & Studies (lab orders & results)

• Imaging (imaging orders & results - including EKGs if separate)

• Discharge prescriptions

• Dispensed medications

• Procedures

• Admit / transfer / discharge orders

• Stroke alerts

• Provider:

• Note author(s) & provider type(s)

• Attestation statements

• Scribe (if applicable)

• Signature(s)

• Payor:

• Primary Insurance (type, plan and subscriber)

• Secondary Insurance (type, plan and subscriber)

• Discharge:

• Discharge instructions

• Discharge type / route

• Discharge date/ time

• Metadata:

• Note status (Primary, amended / addendum)

• Chart in Error

• Encounter Date / Time