MedicAlert Data Sources

Patient summary data sources

MedicAlert sources it's data from its members and a range of providers. The data is reviewed for accuracy and duplication, coded against Snomed CT, and then rated for severity and criticality.

A member can review their record on the MedicAlert Member Portal and their health provider can review and update it on the MedicAlert Provider portal.

All information is tagged with the system and person it's provided by. If the system provides a unique id for the resource, it's stored and used for data integrity. If a system doesn't provide unique ids or there is multiple sources, the record is managed by their SnomedCT code, last updated time, and through manual review.

MedicAlert data is assembled from the following providers, systems, and data sources:

- Via Phone, Email, and Post
- Via the MedicAlert Member Portal 

Health Professionals (Primary, Secondary, Tertiary, Specialists)

- via Email, Paper, and via integrations with systems listed below
- MedicAlert Provider Portal 

PMS (Patient Management systems)

- E-referral initiated by primary care (Hl7v2?)
- API into PMS - as requested
- FHIR API into PMS
    - When accessed 
    - Webhook/ Subscription/ notification of change (in the future when supported)
- MedicAlert FHIR API 

Patient Portals

- via API on change
- MedicAlert FHIR API 

International Transfer

- via Internationl FHIR IPS File Upload

Registries

- Difficult Airways Registry  
    - MedicAlert Provider portal 
    - MedicAlert FHIR API 
- Breast Implant Device Registry 
    - MedicAlert Provider portal 
    - MedicAlert FHIR API

MWS (Medical Warning System)

- Manually checked and brought in when required 

NZ-EPS (NZ e-Prescription Service)

- API (in future when supported)

NHI (National Health Identifier)

- SOAP API
- FHIR API 
    - when file is accessed
    - annual review
    - webhook/ notification of change (in future when supported) 

NES (National Enrolment Service)

- SOAP API
    - when file is accessed
    - annual review
    - webhook/notification of change (in future when supported) 

HPI (Health Provider Index)

- FHIR API
    - When file is accessed
    - Webhook/notification of change (in future when supported) 
- Data Upload monthly

NZ-ULM (New Zealand Universal List of Medicines)

- Data Upload Monthly
- FHIR API (in future when supported)