Delivery Monitoring

Use these practices to verify that alerts are reaching your system and are processed without delay.

• Log webhook activity: Capture payloads, HTTP status codes, and timestamps to measure latency between document retrieval and alert receipt.
• Review retry patterns: Monitor exponential backoff retries for undelivered alerts until they are marked as failed.
• Audit HL7 message processing: Confirm message integrity, routing, and delivery in your HL7 integration engine.
• Track FHIR Subscription Bundles: Record received Bundle resources and verify associated Encounter and DocumentReference details.

Reduce Unnecessary Alerts

Apply these methods to limit alerts to clinically relevant and actionable events.

• Review patient enrollment: Limit monitoring to targeted populations or programs.
• Apply advanced subscription filters: Use parameters to narrow alerts by event type or source.
• Use source filtering: Exclude low-value or repetitive document sources from triggering alerts.
• Account for suppression rules: Avoid alerts from incomplete or invalid documents.

Improve Downstream Handling

Follow these steps to ensure alerts are processed consistently and routed correctly.

• Implement deduplication: Match on patient ID, encounter ID, and timestamp to prevent duplicate processing.
• Retrieve linked resources: Access full Encounter and DocumentReference resources to provide context.
• Route by workflow: Send alerts to the correct recipients based on specialty, care setting, or program.
• Log failures separately: Track retries and failures for diagnostic review and resolution.

Maintain Alert Accuracy

Use these checks to confirm alerting accuracy and system readiness.

• Audit patient rosters: Confirm that rosters reflect current care programs and populations.
• Verify subscription health: Check that subscription channels are active and delivering as expected.
• Monitor licensing: Ensure Clinical Alerts licensing and feature access remain active.
• Review document conversion: Confirm accuracy of synthetic HL7 message generation and report issues promptly.