Overview#
When a paramedic crew confirms a patient is in active cardiac arrest with a suspected STEMI, every minute before balloon inflation matters. The Medical Integration and Trauma Routing module connects pre-hospital Emergency Medical Services directly with receiving facilities in real time, replacing radio call-ins with structured digital hospital pre-alerts so that the emergency department is assembled and prepared before the ambulance pulls into the bay.
By analysing live hospital bed capacity, specialist centre availability such as PCI labs and stroke units, and current transport ETAs, the system provides intelligent routing recommendations to dispatchers and paramedics. The result is coordinated, data-driven patient distribution across a regional healthcare network that measurably improves clinical outcomes.
Key Features#
- Digital Pre-Alerts: Transmits structured patient demographics, presenting condition, vital signs, and ETA directly to the destination hospital's Emergency Department dashboard, eliminating voice radio ambiguity.
- Specialist Pathway Routing: Recommends the most clinically appropriate facility based on the patient's condition, routing a severe head injury past a general hospital to the nearest Level 1 Trauma Centre when indicated.
- ECG Telemetry Forwarding: Sends 12-lead ECG data ahead of arrival for STEMI and arrhythmia cases, enabling cardiology teams to prepare before the patient reaches the door.
- Live Bed Capacity Monitoring: Integrates with hospital registries to display current ED wait times, available resuscitation bays, and ward-level bed counts in real time.
- Mass Casualty Distribution: During multi-casualty incidents, the system distributes patients intelligently across regional facilities to prevent any single hospital from being overwhelmed.
- Clinical Hub Handoff: Supports seamless referral to secondary triage nurses or telehealth clinicians for hear-and-treat and see-and-treat outcomes, reducing unnecessary conveyances.
- Witnessed Handover Signatures: Captures secure digital signatures at the point of care transfer from paramedic to hospital staff, creating a legally defensible and auditable record.
- Offline Resilience: Pre-alert and routing functions degrade gracefully in low-connectivity environments, queuing updates for synchronisation once connectivity is restored.
Use Cases#
- Ambulance dispatch centres use real-time routing recommendations to divert STEMI patients directly to PCI-capable hospitals, with ECG telemetry transmitted automatically so the catheterisation lab is activated en route.
- Regional trauma networks use the specialist centre registry to route major trauma patients to the appropriate Level 1 or Level 2 facility, bypassing closer hospitals that lack the required surgical capability.
- Mass casualty incident commanders use the live hospital capacity view to distribute casualties across multiple receiving facilities, balancing load and preserving surge capacity at each site.
- Community first responder programmes use the clinical hub handoff feature to connect low-acuity patients with a telehealth clinician, avoiding unnecessary ambulance conveyance to an already pressured ED.
- Hospital coordinators use the ED dashboard to see incoming pre-alerts, prepare specialist teams, and confirm readiness back to the dispatcher, closing the communication loop digitally.
Integration#
The module connects to regional and national hospital bed management systems, electronic patient care record platforms, and national patient identification registries via standard healthcare interoperability interfaces. Outbound pre-alerts and routing recommendations are available to computer-aided dispatch systems, unified command mapping consoles, and hospital emergency department workflow tools, allowing the module to operate as a coordination layer across an existing ecosystem without requiring replacement of incumbent clinical systems.
Open Standards#
- HL7 FHIR R4 (ISO 27931): Patient demographics, clinical observations, and care records are exchanged using Fast Healthcare Interoperability Resources, enabling plug-in compatibility with hospital information systems and national health records.
- NENA i3 (NENA-STA-010): Pre-alert messaging and EMS data sharing align with Next Generation 911 and Next Generation Emergency Services architecture for structured emergency data exchange.
- ETSI TS 103 479: Cross-border and inter-agency emergency service communication follows the European Telecommunications Standards Institute framework for emergency caller location and data interoperability.
- IHE Patient Care Coordination (PCC): Patient handover and transfer-of-care workflows conform to Integrating the Healthcare Enterprise profiles for pre-hospital to in-hospital care transitions.
- OGC WMS and GeoJSON: Hospital locations, ambulance positions, and routing overlays are exposed as standard geospatial services, compatible with any OGC-compliant mapping platform.
- CAP (Common Alerting Protocol, ITU-T X.1303): Mass casualty and surge alerts are formatted using the Common Alerting Protocol to ensure interoperability with regional emergency management systems.
- OpenID Connect (OIDC) and OAuth 2.0: Access to clinical data feeds and hospital registries is governed by federated identity and delegated authorisation standards, supporting NHS, HSE, and EU national identity schemes.
- ISO 27001: Information security management for the handling of sensitive patient health information follows the ISO 27001 framework, supporting GDPR Article 9 compliance for special-category health data.
Availability#
- Enterprise Plan: Included
- Professional Plan: Available as an add-on; hospital registry integrations and ECG telemetry forwarding require the Healthcare Connectivity extension.
Last Reviewed: 2026-05-26