Digital transfer of vital signs and medical history to hospital EMR

Purpose

 1.1 Ensure real-time and error-free digital transfer of patient’s vital signs and medical history from air ambulance EMS systems to hospital EMR, improving data accuracy, care continuity, legal compliance, and accelerating treatment initiation.
 1.2 Replace manual, paper-based handover or verbal relay with automated data capture, formatting, and secure transfer directly into hospital records systems.
 1.3 Support triaging, pre-arrival medical team preparation, cross-team communication, audit logging, and reduce liability during EMS to hospital transitions.

Trigger Conditions

 2.1 Completion of in-flight patient assessment by paramedic or nurse.
 2.2 Submission or update of digital medical history or vital signs via EMS device or app.
 2.3 Geofencing: Air ambulance within preset distance of hospital, triggering pre-arrival alert and data push.
 2.4 Manual override: On-demand urgent push by medical crew via mobile interface.

Platform Variants

 3.1 Epic EMR
  • Feature: FHIR API — Patient, Encounter, Observation resources.
  • Sample: Configure POST to /Observation for vitals, PATCH /Patient for history.
 3.2 Cerner Millennium
  • Feature: Soarian Clinicals REST endpoints.
  • Sample: Use POST /vitalsigns for vitals, POST /history/intake for history.
 3.3 Allscripts
  • Feature: Unity API — Clinical Data.
  • Sample: POST /PatientVitals and /PatientHistory with bearer authentication.
 3.4 Meditech
  • Feature: MEDITECH Expanse API.
  • Sample: Use /api/patient/vitals/upload endpoint with JSON payload.
 3.5 InterSystems HealthShare
  • Feature: FHIR Server integration, RESTful POST to Observation.
  • Sample: Configure HL7 v2/FHIR bridge, send vitals as Observation.
 3.6 Salesforce Health Cloud
  • Feature: Health Data Model API; External Data Updates.
  • Sample: PATCH to /PatientEncounter, push JSON medical history to custom object.
 3.7 Redox
  • Feature: Data Model API for Patient, Vitals, ClinicalSummary.
  • Sample: POST /vital_signs, POST /clinical_summaries for structured intake.
 3.8 Athenahealth
  • Feature: Patient Encounter/vital API.
  • Sample: POST to /patient/{patientid}/vitals; attach documentation.
 3.9 NextGen
  • Feature: OpenAPI Endpoints for Patient Data and Historical Records.
  • Sample: POST /v1/patients/{id}/vitals and /history endpoint.
 3.10 HL7 Integration Engine (Mirth Connect)
  • Feature: HL7 v2.x channel for ORU/RDE messages.
  • Sample: Send ORU^R01 segment with vitals; parse into EMR.
 3.11 Philips IntelliSpace
  • Feature: IntelliSpace Connect Platform API.
  • Sample: Use Patient Data Ingestion POST with XML payload.
 3.12 GE Centricity EMR
  • Feature: Web Services API.
  • Sample: POST to /patientdata/vitalsUpdate, send SOAP message with records.
 3.13 Siemens Soarian
  • Feature: HL7 Messaging for Vitals/Intake.
  • Sample: Push HL7 ADT and ORU messages with device-generated data.
 3.14 Microsoft Cloud for Healthcare
  • Feature: Azure API for FHIR.
  • Sample: Use POST Observation and PATCH Patient for live sync.
 3.15 Amazon HealthLake
  • Feature: FHIR Import API.
  • Sample: Push NDJSON Observation and Patient bundles.
 3.16 Google Cloud Healthcare API
  • Feature: DICOM, HL7, and FHIR APIs.
  • Sample: Send FHIR Observation to /projects/{project}/datasets/{dataset}/fhirStores.
 3.17 SAP Health Data Services
  • Feature: HL7 FHIR REST API.
  • Sample: POST to /fhir/Observation endpoint for real-time input.
 3.18 eClinicalWorks
  • Feature: API for Patient Vitals & History Data.
  • Sample: POST /api/patient/vitals, send medical history in request body.
 3.19 Medisolv Quality Management
  • Feature: Quality Data Intake API for EMS transfer.
  • Sample: Use POST Vitals and Patient History object.
 3.20 CareCloud
  • Feature: RESTful Medical Data API.
  • Sample: POST /patients/{id}/vitalsign and /medicalhistory.
 3.21 DocuSign eSignature
  • Feature: Envelope Status Hook, DocGen to EMR.
  • Sample: On completion of pre-transfer e-form, trigger webhook to EMR API.
 3.22 Cisco Webex for Healthcare
  • Feature: Webhook Event and Data Connector.
  • Sample: On EMS communication session end, fire webhook with session summary and vital data.

Benefits

 4.1 Speed: Sub-second transmission of critical care data, instantly actionable by receiving team.
 4.2 Accuracy: Eliminates human error, misinterpretation, and data loss associated with verbal or written transfer.
 4.3 Compliance: Enables audit trails and standardized documentation for regulated EMS workflows.
 4.4 Integration: Supports multi-vendor environments, bridging air ambulance and hospital IT seamlessly.
 4.5 Patient Outcomes: Enables pre-arrival triage, tailored resource deployment, and expedited clinical interventions.