A remote critical-care review
The local team prepares the case so a remote specialist can review the supported context.
TeleICU
Explore the people, decisions and connected records from the first action to the final handover.
END-TO-END WORKFLOW CASE
The local team prepares the case so a remote specialist can review the supported context.
A local ICU team requests a remote specialist review. The specialist needs the agreed clinical record, while bedside care stays with the local team.
Remote expertise needs clinical context and a clear return path to the bedside.
Confirm the patient encounter and document the question for specialist review.
Make the agreed notes and observations available through the selected source-system connection.
Review the available information and record the specialist’s assessment within the agreed service.
Document recommendations and the points requiring local clinical review.
Review the specialist note and record the local clinician’s care decision and responsibilities.
Document completed review work and any further specialist or bedside follow-up.
Encounter · Review question
Each stage identifies the team, the action and the record carried forward.
Confirm the selected capabilities, required companions and external connections during configuration.
Missing source information is referred back to the local team. Video, device data and live monitoring are separate connections, not assumed features of this scenario.
Responsible team · Local care teamThe specialist records what is missing and asks the local clinical team to provide or clarify the source information.
Responsible team · Local care teamThe source and interface owners follow the agreed fallback. Bedside care and clinical decisions remain with the responsible local team.
Responsible team · Integration & IT teamExternal systems, device connections, catalogue licenses and national exchanges are activated only within their agreed delivery scope. The professionals retain clinical decisions.
END-TO-END WORKFLOW CASE
The next team receives the documented review, care-plan context and assigned responsibilities.
A remote ICU specialist hands an ongoing review to the next specialist. The local team needs consistent context and explicit follow-up responsibility.
A change of specialist must not erase the review history.
Confirm the patient case and the current documented specialist review.
Provide the documented clinical update within the agreed information-sharing scope.
Document the previous review, open questions and next specialist responsibility.
Read the prior context and document the receiving specialist’s assessment.
Review the updated recommendations and retain local clinical decision responsibility.
Record whether further review is required and which service owns it.
Patient · Active review
Each stage identifies the team, the action and the record carried forward.
Confirm the selected capabilities, required companions and external connections during configuration.
If local and remote records differ, identify the source and ask the responsible clinician to reconcile the information before relying on it.
Responsible team · Local care teamThe specialist records what is missing and asks the local clinical team to provide or clarify the source information.
Responsible team · Local care teamThe source and interface owners follow the agreed fallback. Bedside care and clinical decisions remain with the responsible local team.
Responsible team · Integration & IT teamExternal systems, device connections, catalogue licenses and national exchanges are activated only within their agreed delivery scope. The professionals retain clinical decisions.
END-TO-END WORKFLOW CASE
Specialists review the supported order, result and medication context attached to the case.
A TeleICU review needs notes and results held in a local source system. The teams agree exactly which information is available for the review.
A remote record should show its source and permitted scope.
Identify the clinical notes, observations and results required for this service.
Document the source system, identity mapping and team responsible for the connection.
Carry supported source information through the selected, tested interface.
Check the available context and identify any missing information for local follow-up.
Record the review against the correct case and identify the information used.
Review the specialist record and document the local care or information follow-up.
Required information · Review scope
Each stage identifies the team, the action and the record carried forward.
Confirm the selected capabilities, required companions and external connections during configuration.
Unavailable data is made explicit in the review. An interface agreement determines what can be exchanged; no universal device compatibility is implied.
Responsible team · Integration & IT teamThe specialist records what is missing and asks the local clinical team to provide or clarify the source information.
Responsible team · Local care teamThe source and interface owners follow the agreed fallback. Bedside care and clinical decisions remain with the responsible local team.
Responsible team · Integration & IT teamExternal systems, device connections, catalogue licenses and national exchanges are activated only within their agreed delivery scope. The professionals retain clinical decisions.
END-TO-END WORKFLOW CASE
The delivery team defines what is exchanged and who operates each side of the connection.
A hospital introduces a TeleICU connection alongside its existing clinical system. IT, clinicians and service leads need clear delivery and operating responsibilities.
A usable connection joins technical delivery to a real clinical handover.
Agree the local and remote teams, systems and information needed for the review service.
Document the agreed protocol, identity mapping, licenses and delivery owners.
Prepare an authorized demonstration case and confirm the intended source information.
Review the exchanged context, permitted access and agreed failure handling.
Document the review and demonstrate its return to the responsible local clinician.
Agree acceptance, support ownership and the activated service boundary.
Teams · Systems · Information scope
Each stage identifies the team, the action and the record carried forward.
Confirm the selected capabilities, required companions and external connections during configuration.
A failed test returns to the named interface owner. Activation follows agreed acceptance; connectivity does not grant unrestricted record access.
Responsible team · Integration & IT teamThe specialist records what is missing and asks the local clinical team to provide or clarify the source information.
Responsible team · Local care teamThe source and interface owners follow the agreed fallback. Bedside care and clinical decisions remain with the responsible local team.
Responsible team · Integration & IT teamExternal systems, device connections, catalogue licenses and national exchanges are activated only within their agreed delivery scope. The professionals retain clinical decisions.