The ADT Notification module of PhysBeeMD (PAN) application supports the State-wide ADT Notification Service, as well as any entity which has access to one or more hospital ADT feeds. The PAN converts ADT events and data into useful, readable clinical information so health care professionals can make decisions with a more complete view of their patients.

The Lab Reporting module of PhysBeeMD (LRS) application supports the State-wide Lab Reporting Service, as well as any entity which has access to one or more Lab feeds. The LRS converts HL7 Lab events and data into useful, readable clinical information so health care professionals can make decisions with a more complete view of their patients.

The CCD is another evolution of healthcare messaging, released by the HL7 organization. It is an XML based document that was designed to contain large amounts of data about a patient (see example below), whereas the original HL7 standard focused on individual transactions (i.e. Admit a Patient, Order some Lab work, Prescribe a Medication). The default usage of a CCD is a “Summary of Care”, in which a healthcare provider describes everything known about the patient for a given visit all in a single document (i.e. Known Allergies, Performed Procedures, Medications Prescribed).

We first encountered the CCD standard with our Electronic Health Record application, EXR, being able to generate a CCD document as described above. Soon after, we partnered with SEMHIE to work on the Social Security Administration’s E-Disability CCD Exchange. We then decided to turn it around, and added the ability to ingest a CCD and its contents into our Patient Health Record software, PhysBee, which in turn, spawned the creation of our Alchemy service, and our work with MiHIN and the Medication Reconciliation service.

<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA/infrastructure/cda/CDA_SDTC.xsd" xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
  <realmCode code="US" />
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040" />
  <templateId root="2.16.840.1.113883.10.20.1" />
  <templateId root="2.16.840.1.113883.3.88.11.32.1" />
  <templateId root="2.16.840.1.113883.10.20.3" />
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1" />
  <id root="6858a017-39c1-4153-bbd4-eaedac72a0e7" />
  <code code="34133-9" displayName="Summarization of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOIVA" />
  <title>Continuity of Care Document</title>
  <effectiveTime value="20091206130000+1400" />
  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" />
  <languageCode code="en-US" />
  <recordTarget>
    <patientRole>
      <!--1.02 - Person ID (SSN)-->
      <id root="2.16.840.1.113883.4.1" extension="999-99-9999" />
      <!--1.03 - Person Address (Home Address)-->
      <addr use="HP">

HL7 is the defacto standard for health care inter-system messaging. It is a multi-delimited format, starting with pipe-delimited lines of data, which are then subdivided by other delimiter characters (see example below). It is used by hospitals to allow different systems to communicate with each other, including the Admission/Discharge/Transfer (ADT), Laboratory systems, Medication/Prescription systems and the like. Multiple HL7 interfaces such as those just mentioned were the primary sources of data for our application, CDR-Web, and are the messages shared in our ADT Notification System and our Lab Reporting System.

MSH|^~\&|CORNER|FRY^FRYES|RAVE|FRY^FRYES|20250915150917-0400||ADT^A17|Q11213|P|2.3||||||8859/9
EVN|A17|20250915150917-0400|||CERBUS^CORNOR^IBUS^CORONORY^^^^^xt_Id^E^^^XTID
PID|1||878711^^^LIFEMAN^MRN||VARAG^SHALMAN^MATIN^^^^C||19701110000000|M||2106-3|3877 S dallas st^^HIll tower^CO^80012^USA^HOME^^CAVA~VARAG.SHALMAN@GMAIL.COM^^^^^^EMAIL||7382902011^PRN^PH||ENG|S|NRL|3897291^^^FORTWAYNE^FIN|75471797|||N|||0
PV1|1|I|FRY 6N^7811^A^FRY North^^Bed^FRYE north|L||FRY 6N^711^A^FRYE north^^^FRYE north|967370^Hu^Jenny^T^^^MD^^prov_id^E^^^NPI|104725^Hardik^pandey^A^^^OK^^Nat_Prov_ID^E^^^NPI|118369^EDWARD^BILLER^^^^^^Nat_Prov_ID^E^^^NPI|SUR||||SELF|A5|CO|10967370^Hu^JennY^T^^^MD^^Nat_Prov_ID^E^^^NPI|IP||middle class||||||||||||||||65|||FRY north||A|||20250307184200-0400||||||||NO NPI AVAIL^Rickshaw^liz
PV2||BHAAS_Private|^55G|||||||0|||||||||||N|R
OBX|1|CE|76689-9^Sex assigned at birth^LN||M^Male^HL70001||||||F