Add a New Provider to the Active Care Team

This example shows you how to add a provider who has never been on the care team to the active care team.

User is identified by the Care Team Sync application with SER 346133: 346133^UNDERWOOD^HELANE^K^^^^^EPC^^^^PROVID
Logs onto Vocera and is assigned Room 22 Bed 1 in the N 4 West Unit at 9:30AM on Aug 27.
CTS sends an HL7 message with the last instance of each provider seen for the role RN, adding a new ROL instance for this new provider not yet in the care team history.

The following message is sent by CTS to the Epic system.

MSH|^~\&|VCTS_SYNC|VCTS_TST|||20140827093000.000-0400||ADT^A08|345|P|2.3
EVN|A08|20140827093000.000-0400||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^^^^^^^^EPC^^^^PROVID|20140419032010|20140419103431
ROL|5||RN|344192^^^^^^^^EPC^^^^PROVID|20140419184945|20140420080000
ROL|6||RN|344439^^^^^^^^EPC^^^^PROVID|20140419160615
ROL|12||RN|346133^^^^^^^^EPC^^^^PROVID|20140827093000

Only the providers in the role we are updating are sent. Also, notice that CTS includes only the SER number, and not the provider name, in the outbound message.

This affects the membership of the care team for the patient in the EPIC system, which has the side effect of sending back an UPDATE message that 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|20140827093005|IPRN|ADT^A08|139000|P|2.3
EVN|A08|20140827093005||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
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
ROL|12||RN|346133^UNDERWOOD^HELANE^K^^^^^EPC^^^^PROVID|20140827093000

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