NEXUSNOVA|v1.0|ONLINE
IST--:--
Discharge 6.2h → 2.1h · leakage -35%
e-summary auto · pharmacy/lab SLAs · WhatsApp family updates
Discharge TAT 6–8h is an orchestration problem: pharmacy, lab, and TPA checklists are manual. HospitalOS drives a shared digital checklist, auto-generates e-summary, and tracks inter-hospital referrals with SLAs.
> _cost: 20–30 beds idle/day · TPA callbacks 4–6 per case · referral leakage 35%
> _hospital_invariants
Digital checklist shared by all roles. FHIR tasks trigger downstream — TPA, lab, pharmacy — and family gets WhatsApp updates.
01 · Digital discharge checklist
Nursing starts checklist; pharmacy/lab/TPA/billing get FHIR Tasks with SLA. Progress live on bed board.
> FHIR Task + Checklist
02 · e-summary generation
Auto-drafted from HIS/EMR + ADT timeline. Clinician approves — not types. Packet validator checks Ayushman/TPA completeness.
> FHIR DocumentReference
03 · Pharmacy/lab triggers
Clearances fire automatically; abnormal labs recall via LIS → WhatsApp (46%→91%). No chase calls.
> FHIR Task → LIS/Pharmacy
04 · Referral tracker + WhatsApp
Inter-hospital referral with SLA, packet, and family WhatsApp updates. Leakage -35% (chain case).
> FHIR ServiceRequest / Communication
Lab & pharmacy are the discharge bottlenecks — automated as part of this module.
Lab → FHIR alert → WhatsApp recall to patient/family. Compliance 94% (ED/ICU case).
Discharge meds verified → clearance task closes → bed flips to cleaning. +34% med adherence.
Validator ensures summary, bills, lab, and authorization packet 71%→96% complete before submission.
> FHIR Task + DocumentReference · ABDM discharge summary write-back
Tech: FHIR Task, DocumentReference, ServiceRequest, Communication · FHIR R4 · HL7 ADT · WhatsApp Business API · OCR + packet validator · NABH discharge trails · ABDM M1-M3 · India residency + audit trails · 99.9% SLA
Hospital — 150 beds
Multi-specialty hospital with 6-8h discharge TAT and bed allocation by phone. Needed ADT automation + HIS sync.
Discharge 6.2h→2.1h, bed turnover +22%, occupancy +11%.
Hospital — Lab & Pharmacy
Abnormal lab recall and pharmacy discharge handshakes missed; readmission follow-up ad-hoc.
Abnormal recall 46%→91%, discharge med adherence +34%.
Yes — referral tracker with SLA + packet (service request) and status timeline. Chain -35% leakage from standardized flow.
Yes — WhatsApp Business updates at checklist milestones + e-summary ready alert. Opt-in, audit-trailed, no PHI broadcast.
Parallel run with no downtime. Discovery 1–2w, phased 3–6w, SOP handover and 99.9% SLA.