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  • Eric Chao

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


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