Remove a Provider from the Active Care Team

This example shows you how to remove a provider who is currently on the active care team from that care team.

  1. User in identified by the Care Team Sync application with SER 344439: 344439^SHIVELY^MICHELLE^^^^^^EPC^^^^PROVID|20140419160615
  2. Logs off Vocera at 7:30PM on Aug 27 ending her shift. Vocera automatically removes her from the Room 22 Bed 1 group within Vocera.
  3. CTS sends an HL7 message with the last instance of each provider seen for the role RN, however for this provider the end time is set.

The following message is sent:

MSH|^~\&|VCTS_SYNC|VCTS_TST|||20140827193000.000-0400||ADT^A08|445|P|2.3
EVN|A08|20140827193000.000-0400||VCTS_SYNC|^INTERFACE^VCTS^^^^^^TRHSA
PID|1||3007601^^^INV^MR||CAMPBELL^JESSICA||19751121|F|||^^^^^USA^P|||||||100000023169||||||||||||N
PV1|1|INP|N4W^N422^01^TRH^R^^^^^^DEPID|ER|||019917^SANTA^SHELLY^J^^^^^INV^^^^PROVID~342809^SANTA^SHELLY^J^^^^^EPC^^
   ^^PROVID|||MED||||Home/Work|||019917^SANTA^SHELLY^J^^^^^INV^^^^PROVID~342809^SANTA^SHELLY^J^^^^^EPC^^^^PROVID||27139|
   P|||||||||||||||||||||Confirmed Admission|^^^TRH||20140731085952|||152488.74|||2
PV2||ICU||||||20140731|20140827|||Hospital Encounter|||||||||n|N
ROL|4||RN|343872^PERKINS^GERALD^D^^^^^EPC^^^^PROVID|20140419032010|20140419103431
ROL|5||RN|344192^SOUTHARD^NIHAET^^^^^^EPC^^^^PROVID|20140419184945|20140420080000
ROL|6||RN|344439^SHIVELY^MICHELLE^^^^^^EPC^^^^PROVID|20140419160615|20140827193000
      

Notice that only the providers in the role we are updating are sent. The update has been highlighted.

This affects the care team for the patient in the EPIC system which has the side effect of sending back an UPDATE message which should reflect the updated care team. The following message is received by the Vocera Care Team Sync application from EPIC:

MSH|^~\&|REG_UPDATE|TRH_TST||Primary|20140827193005|IPRN|ADT^A08|140000|P|2.3
EVN|A08|20140827193005||REG_UPDATE|^INTERFACE^VCTS^^^^^^TRHSA
PID|1||3007601^^^INV^MR||CAMPBELL^JESSICA||19751121|F|||^^^^^USA^P|||||||100000023169||||||||||||N
PV1|1|INP|N4W^N422^01^TRH^R^^^^^^DEPID|ER|||019917^SANTA^SHELLY^J^^^^^INV^^^^PROVID~342809^SANTA^SHELLY^J^^^^^EPC^^
   ^^PROVID|||MED||||Home/Work|||019917^SANTA^SHELLY^J^^^^^INV^^^^PROVID~342809^SANTA^SHELLY^J^^^^^EPC^^^^PROVID||27139|
   P|||||||||||||||||||||Confirmed Admission|^^^TRH||20140731085952|||152488.74|||2
PV2||ICU||||||20140731|20140827|||Hospital Encounter|||||||||n|N
ROL|1||Surgeon|010537^CASEY^GREG^D^^^^^INV^^^^PROVID~340483^CASEY^GREG^D^^^^^EPC^^^^PROVID|20140419084647||||||525 RACE
   ST^SUITE 3220^SAN JOSE^CA^95126^^O|(123)456-7890^^PH^^^123^4567890~(123)456-7890^^FX^^^123^4567890
ROL|2||Anesthesiolo|005894^SHOSTAK^IGOR^^^^^^INV^^^^PROVID~341957^SHOSTAK^IGOR^^^^^^EPC^^^^PROVID|20140419150838||||||525
   RACE ST^^SAN JOSE^CA^95126^^O|(123)456-7890^^PH^^^123^4567890~(123)456-7890^^FX^^^123^4567890
ROL|3||Hospitalist|010782^LANG^DONALD^J^^^^^INV^^^^PROVID~342061^LANG^DONALD^J^^^^^EPC^^^^PROVID|20140419143134||||||525
   RACE ST^^SAN JOSE^CA^95126^^O|(123)456-7890^^PH^^^123^4567890~(123)456-7890^^FX^^^123^4567890
ROL|4||RN|343872^PERKINS^GERALD^D^^^^^EPC^^^^PROVID|20140419032010|20140419103431
ROL|5||RN|344192^SOUTHARD^NIHAET^^^^^^EPC^^^^PROVID|20140419184945|20140420080000
ROL|6||RN|344439^SHIVELY^MICHELLE^^^^^^EPC^^^^PROVID|20140419160615|20140827193000
ROL|7||PCA|346726^CARDINAL^DAPHNE^A^^^^^EPC^^^^PROVID|20140419230415|20140420062713
ROL|8||PCA|347000^ZART^SHERYL^L^^^^^EPC^^^^PROVID|20140420070025
ROL|9||PCA|350051^WAYLAND^SASHANTAA^D^^^^^EPC^^^^PROVID|20140419163505|20140419232342
ROL|10||Consult MD|3040044^HOSPITALISTS^GEN^^^^^^EPC^^^^PROVID|20140419134012
ROL|11||Consult MD|3040054^GEN ORTHOPEDIC ASSOCIATE OF MY FACILITY^^^^^^^EPC^^^^PROVID|20140419073248|20140420162447|||||525
   RACE ST^SUITE 3220^SAN JOSE^CA^95126^^O|(123)456-7890^^PH^^^123^4567890~(123)456-7890^^FX^^^123^4567890
      

Notice the new UPDATE message has been updated with the change, highlighted.