Overview

The Results Reporting Service is responsible for delivering diagnostic test results to providers with appropriate urgency, ensuring critical values are acted upon immediately.

Key Features

Result Aggregation

• Lab results (chemistry, hematology, microbiology)
• Imaging reports
• Pathology reports
• Cardiac studies (EKG, echo)
• Procedure reports

Provider Notification

• In-basket (EHR inbox)
• Email alerts
• SMS for critical values
• Page for STAT results
• Push notifications (mobile)

Critical Value Management

• Automated detection
• Immediate notification (page, call, SMS)
• Read-receipt tracking
• Escalation protocols
• Documentation requirements

Patient Notifications

• Patient portal access after provider review
• SMS/email when results available
• Secure messaging for questions

Critical Value Detection

Laboratory

• Automated flagging based on ranges
• Life-threatening values identified
• Historical comparison
• Delta checks (significant changes)

Imaging

• Radiologist flags critical findings
• Structured reporting templates
• Critical finding macros

Notification Workflows

Routine Results

1. Result available in EHR
2. Provider notification (in-basket)
3. Provider reviews and signs
4. Patient access via portal

Critical Results

1. Critical value detected
2. Immediate notification: Page + SMS + Call
3. Provider acknowledges (15 min)
4. Escalation if not acknowledged
5. Clinical action documented
6. Close-the-loop verification

Technology Stack

• Node.js, NestJS
• Apache Kafka (event streaming)
• PostgreSQL
• Twilio (SMS/voice notifications)
• Integration with paging systems