Real-time synchronization of anesthesia records with hospital systems

Purpose

1.1. Ensure anesthesia records are accurately, instantly, and securely synchronized between anesthesia documentation tools and hospital information systems (HIS) for continuous patient care and regulatory compliance.
1.2. Decrease transcription errors, automate integration with EHR/EMR, support real-time reporting, and enable rapid access for clinical teams and audits.
1.3. Satisfy compliance for record retention and metadata integrity, and ensure seamless updates to patient files across multiple clinical endpoints.

Trigger Conditions

2.1. Anesthesia record finalization and electronic signature by provider.
2.2. Real-time change in anesthesia monitoring system event logs (e.g., vitals entered, medication administered).
2.3. New patient admission, discharge, or transfer within HIS.
2.4. API webhook notification from connected anesthesia EMR or device.

Platform Variants

1. Epic Systems

• Feature/Setting: Implement Epic Bridges interface; configure “ADT HL7” for patient movement and “ORU HL7” for anesthesia observation message integration.
  

2. Cerner Millennium

• Feature/Setting: Configure FHIR REST API endpoint (POST /Observation, PUT /Patient) for anesthesia data upload.
  

3. Allscripts

• Feature/Setting: Use Allscripts Open API, POST to “/ClinicalSummary/Save” on case documentation completion.
  

4. Meditech Expanse

• Feature/Setting: HL7 feed (ORM, ORU); enable “Real-Time Data Replication” option in app configuration.
  

5. Athenahealth

• Feature/Setting: Set up clinical document upload using “/chart/clinicalDocuments” endpoint with structured record format.
  

6. GE Centricity

• Feature/Setting: Enable “Integration Broker” and configure “Clinical Data Import” for automated sync of anesthesia records.
  

7. Philips IntelliSpace

• Feature/Setting: Activate the HL7 “ADT/ORU” module in the Data Management Suite to receive anesthesia record updates.
  

8. Dräger Infinity Acute Care

• Feature/Setting: Configure “HL7 Gateway”; sync anesthesia events via “Observation Segment Mapping.”
  

9. McKesson Paragon

• Feature/Setting: Utilize “Open Integration API,” specify “clinical_event” for anesthesia-related changes.
  

10. Medhost

• Feature/Setting: Activate “Event Notification API,” subscribe to “anesthesia_record.finalized” event type.
  

11. SAP Health Engagement

• Feature/Setting: Connect to “Clinical Integration Function” API, POST updated anesthesia PDFs or FHIR JSON bundles.
  

12. InterSystems HealthShare

• Feature/Setting: Use “Ensemble Integration Engine” for HL7 ORU message receipt and processing.
  

13. HL7 Integration Engine (e.g., Rhapsody, Mirth Connect)

• Feature/Setting: Set up channel for “ORU^R01” message routing; map to EMR target structure.
  

14. Microsoft Azure Health Data Services

• Feature/Setting: Deploy FHIR API endpoint (POST /Observation); configure event grid for data ingestion.
  

15. Google Healthcare API

• Feature/Setting: Enable Cloud Healthcare API; configure “FHIR Data Store” sync on anesthesia record update.
  

16. IBM Watson Health

• Feature/Setting: Use Watson Health Integrator, receive “new clinical document” event via REST interface.
  

17. Oracle Cerner (legacy Soarian)

• Feature/Setting: SOAP API “ClinicalDocumentService”; call ImportAnesthesiaDocument operation.
  

18. Medtronic VitalSync

• Feature/Setting: Activate “Clinical Event Export”; push HL7 or JSON record updates on anesthesia event.
  

19. Salesforce Health Cloud

• Feature/Setting: Enable “External Data Source” via OData 2.0 to consume updated anesthesia documents.
  

20. Redox

• Feature/Setting: Subscribe to “ClinicalSummary.New” event type; POST anesthesia files to downstream systems.
  

Benefits

4.1. Eliminates manual data entry, boosting clinical efficiency.
4.2. Ensures compliance with healthcare data standards and mandates.
4.3. Minimizes clinical errors from delayed or incomplete records.
4.4. Supports rapid access to patient anesthesia data for clinical decisions and audits.
4.5. Enhances interoperability between anesthesia devices and HIS/EMR platforms.