Secure document sharing between ambulance and hospital staff

Purpose

1.1. Enable real-time, compliant, and secure transfer of patient documents (vitals, medical history, incident reports, care instructions) from ambulance crews to emergency department personnel to accelerate critical care response, ensure complete handoff data, maintain continuity of care, and satisfy regulatory obligations.
1.2. Reduce manual paperwork, minimize information lag, centralize patient files, and foster closed-loop communication among paramedics, nurses, and doctors via system-driven document exchange in encrypted electronic formats.

Trigger Conditions

2.1. Paramedic submits patient form within ambulance EHR.
2.2. Dispatch center logs incident with data flag.
2.3. Wireless medical device generates a report.
2.4. Arrival ETA update triggers pre-transfer action.
2.5. Secure call for pre-notification is initiated.

Platform Variants

3.1. Microsoft SharePoint
• Feature/Setting: Document Library API—create/upload document endpoint; configure webhook for real-time folder sync.

3.2. Google Drive
• Feature/Setting: Files.create and Permissions.create APIs—upload PDF/XLS files, apply hospital staff-only access.

3.3. Dropbox Business
• Feature/Setting: File Requests and Sharing API—generate unique docs request links with expiry, log delivery.

3.4. Box
• Feature/Setting: Upload API, secure file sharing settings—restrict access to hospital whitelisted domains.

3.5. DocuSign
• Feature/Setting: Send Envelope API—push encrypted patient handover docs for hospital signature and access audit.

3.6. OneDrive for Business
• Feature/Setting: Graph API file upload; configure share link with expiry and view-only rights.

3.7. AWS S3
• Feature/Setting: Pre-signed URL creation via SDK/API with restricted access; enable S3 event notification.

3.8. Azure Blob Storage
• Feature/Setting: Shared Access Signatures for time-limited document transfer; trigger Function App on upload.

3.9. Google Cloud Storage
• Feature/Setting: Signed URLs; Pub/Sub trigger on new patient file.

3.10. Twilio SendGrid
• Feature/Setting: Email API (v3)—attach documents, restrict recipient domains; enable secure file transfer services.

3.11. Slack Enterprise
• Feature/Setting: Files.upload API with private hospital channels; trigger encryption bot before send.

3.12. Microsoft Teams
• Feature/Setting: Teams Graph API—share file to designated ER channel; configure access per incident.

3.13. Citrix ShareFile
• Feature/Setting: Secure File Upload API—auto-create job folder and notify ER role users only.

3.14. Egnyte
• Feature/Setting: Upload Link API for secure folder input; set patient file retention controls.

3.15. Salesforce Health Cloud
• Feature/Setting: Files.connectRecord API—attach documents directly to incident/patient record.

3.16. ServiceNow
• Feature/Setting: Attachment Table API—link file to emergency incident ticket; trigger workflow for review.

3.17. SFTP Servers (ExaVault, Globalscape, etc.)
• Feature/Setting: Automated SFTP client upload; set IP/credential restrictions to hospital network only.

3.18. Okta Workflows
• Feature/Setting: Document upload automation with access provisioning to verified roles.

3.19. Tresorit
• Feature/Setting: Secure file requests and send API with zero-knowledge encryption.

3.20. Virtru
• Feature/Setting: Secure Share API—apply policy for one-time access and read notifications.

3.21. M-Files
• Feature/Setting: REST API document check-in; route file by case assignment.

3.22. Zscaler
• Feature/Setting: Cloud security policy to enforce DLP during document transit via API calls.

Benefits

4.1. Instant, compliant document handoff reduces patient risk and delays.
4.2. Ensures only verified hospital personnel can open files, with full audit trail.
4.3. Automatic notifications speed up triage and care preparation.
4.4. Lowers risk of data breach or document misplacement.
4.5. Creates a closed, traceable, and encrypted communication loop tailored for healthcare emergency compliance.