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Clinical Notes

How clinical notes power patient timelines and updates.

Clinical notes serve as a core data stream that powers comprehensive patient engagement across the care journey. Our AI processes these notes in real-time to:

  • Provide real-time updates and visit progression

  • Generate patient-friendly timelines and daily schedules

  • Display current dietary restrictions and recommendations

  • Track and communicate patient goals and progress

  • Create personalized discharge checklists from complex instructions

  • Surface important follow-up care requirements and prescriptions

  • Deliver targeted education based on documented conditions

Our goal is to transform detailed clinical narratives into clear, actionable information for patients that is easy to read and understand. We want patients to be informed and part of their care journey towards better health.

Required Notes

  • Provider Notes

  • Nursing Notes

  • Discharge Notes/Instructions

Required Statuses

  • In Progress/Preliminary

  • Final/Authenticated

  • Amended/Corrected

Required Formats

  • Plain Text (preferred)

  • RTF

We support all event types and we support all segments (ORU or TXA) and fields. Below is our minimum required segment and field specification.

Segment

Field

Field / Expected Value

Comments

MSH

1

Field Separator

MSH

2

^~&

MSH

3

Sending Application

MSH

4

Facility Identifier

Unique identifier per facility, e.g. ACME

MSH

5

Receiving Application

MSH

6

Interface Identifier

NOTES

MSH

7

Date/Time of Message

MSH

9

Message Type

MSH

10

Message Control ID

MSH

11

Processing ID

T for Test, P for Prod

MSH

12

Version ID

Segment

Field

Field / Expected Value

Comments

EVN

1

Event Type Code

EVN

2

Recorded Date/Time

EVN

4

Event Reason Code

Segment

Field

Field / Expected Value

Comments

PID

1

Set ID

PID

2

Patient ID

Enterprise MRN

PID

3

Patient Identifier List

Facility MRN

PID

18

Patient Account Number

Segment

Field

Field / Expected Value

Comments

PV1

1

Set ID

PV1

2

Patient Class

Values table required

PV1

10

Hospital Service

Values table required

PV1

18

Patient Type

PV1

19

Visit Number

Segment

Field

Field / Expected Value

Comments

ORC

1

Order Control

Values table required

ORC

9

Date/Time of Transaction

ORC

10

Entered By

Segment

Field

Field / Expected Value

Comments

OBR

1

Set ID

OBR

3

Filler Order Number

OBR

4

Universal Service Identifier

OBR

7

Observation Date/Time

OBR

22

Result Date/Time

OBR

24

Diagnostic Service ID

OBR

25

Result Status

Segment

Field

Field / Expected Value

Comments

OBX

1

Set ID

OBX

2

Value Type

OBX

3

Observation Identifier

OBX

5

Observation Value

Concatenated if possible

OBX

7

Reference Range

OBX

11

Observation Result Status

OBX

14

Date/Time of Observation

Segment

Field

Field / Expected Value

Comments

NTE

1

Set ID

NTE

2

Source of Comment

NTE

3

Comment

Segment

Field

Field / Expected Value

Comments

TXA

1

Set ID

TXA

2

Document Type

TXA

3

Document Content Presentation

TXA

4

Activity Date/Time

TXA

5

Primary Activity Provider Code/Name

TXA

6

Origination Date/Time

TXA

8

Edit Date/Time

TXA

9

Originator Code/Name

TXA

12

Unique Document Number

TXA

17

Document Completion Status

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