DIRECT secure messaging as a common transport layer for reporting structured and unstructured lab results to outpatient providers

Journal of Biomedical Informatics
Walter Sujansky, Tom Wilson

Abstract

This report describes a grant-funded project to explore the use of DIRECT secure messaging for the electronic delivery of laboratory test results to outpatient physicians and electronic health record systems. The project seeks to leverage the inherent attributes of DIRECT secure messaging and electronic provider directories to overcome certain barriers to the delivery of lab test results in the outpatient setting. The described system enables laboratories that generate test results as HL7 messages to deliver these results as structured or unstructured documents attached to DIRECT secure messages. The system automatically analyzes generated HL7 messages and consults an electronic provider directory to determine the appropriate DIRECT address and delivery format for each indicated recipient. The system also enables lab results delivered to providers as structured attachments to be consumed by HL7 interface engines and incorporated into electronic health record systems. Lab results delivered as unstructured attachments may be printed or incorporated into patient records as PDF files. The system receives and logs acknowledgement messages to document the status of each transmitted lab result, and a graphical interface allows searchi...Continue Reading

References

Mar 29, 2005·Joint Commission Journal on Quality and Patient Safety·John M HicknerJames W Mold
Mar 14, 2007·Archives of Internal Medicine·Steven R SimonDavid W Bates

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Citations

Jun 29, 2021·Journal of the American Medical Informatics Association : JAMIA·Yuriy PylypchukTalisha Searcy

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