Clinical Documentation AutomationPurpose
1.2. Eliminate manual documentation errors, reduce administrative workload, and accelerate post-procedure billing and reporting activities.
1.3. Enable secure, HIPAA-compliant integration and cross-system interoperability between anesthesia recording tools and various EMR platforms.
Trigger Conditions
2.2. Real-time update or closure of a patient anesthetic case file.
2.3. Receipt of physiological data or event logs from anesthesia monitoring equipment.
2.4. Scheduled batch export at end of shift/procedure list (e.g., every 6 hours).
Platform Variants
3.1. Epic EMR
• API: FHIR Clinical Notes Create
• Sample: Configure FHIR endpoint for POST of anesthesia narrative and structured data.
3.2. Cerner Millennium
• API: Clinical Notes API
• Sample: Use RESTful call to insert anesthetic procedure notes using HL7 or FHIR.
3.3. Meditech Expanse
• API: Web Services for Documentation
• Sample: SOAP request embedding anesthesia XML document directly.
3.4. Allscripts
• API: Open API – Notes Management
• Sample: POST JSON anesthesia record using access token from OAuth2.
3.5. Athenahealth
• API: Clinical Documents API
• Sample: Upload structured PDF or HL7 CDA file with anesthesia charting.
3.6. NextGen Healthcare
• API: Documents/Chart Notes
• Sample: Direct integration via REST to append anesthesia documentation to patient chart.
3.7. Greenway Health
• Function: Document Import Automation
• Sample: Enable monitored SFTP dropbox for PDF uploads into patient record.
3.8. Practice Fusion
• API: Encounter Note Endpoint
• Sample: Automated POST to create anesthesia-related visit note on case closure.
3.9. eClinicalWorks
• API: eBO GraphQL API
• Sample: Mutation to add new anesthesia note entity to existing patient encounter.
3.10. McKesson Paragon
• Feature: Clinical Note HL7 Inbound
• Sample: Automated HL7 ORU^R01 message transmission with anesthetic details, scheduled per completed procedure.
3.11. Philips IntelliSpace
• API: IHE Document Submission
• Sample: XDS.b document push of anesthesia PDF to EMR from Philips Anesthesia machine logs.
3.12. GE Healthcare Centricity
• Feature: HL7 Messaging Interface
• Sample: Send or receive anesthetic report segment ORU/RDE from Centricity to EMR.
3.13. DrChrono
• API: Clinical Notes POST
• Sample: Automated push from system after anesthesia record finalization.
3.14. AdvancedMD
• API: Encounter Notes Insertion
• Sample: Use REST endpoint for real-time anesthesia note ingestion per patient visit.
3.15. Kareo Clinical
• API: Clinical Notes API
• Sample: Schedule OAuth2-authenticated bulk uploads after each surgery session.
3.16. PainDoc EMR
• Feature: Bulk Documentation Import
• Sample: Weekly import of batch-processed anesthesia records as CSV/XML.
3.17. OpenEMR
• API: Encounter Creation
• Sample: Direct automated creation of new encounter with anesthetic time logs/data.
3.18. Azalea Health
• API: Document Entry Endpoint
• Sample: Automatic transmission from anesthesia system to patient document repository.
3.19. Canvas Medical
• Function: Document Note Webhook
• Sample: Trigger webhook on anesthesia form closure for EMR ingestion.
3.20. Surescripts Clinical Direct Messaging
• Feature: Direct Secure Message
• Sample: Send structured anesthesia report via Direct Address to EMR inbox.
Benefits
4.2. Accelerates post-op billing by immediate EMR availability of anesthesia records.
4.3. Enhances compliance and audit-readiness with timely, consistent record-keeping.
4.4. Promotes interoperability, standardization, and seamless access for multidisciplinary teams.
4.5. Enables automated quality-assurance checks and clinical analytics downstream.