Messaging protocol

• US 10,453,565 B2
• Filed: 02/21/2017
• Issued: 10/22/2019
• Est. Priority Date: 12/28/2016
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Cline, Christopher Dillard, Hays, Chad G., Mereddi, Aravind R.
• Primary Examiner(s): Patel, Chirag R
• Assistant Examiner(s): McLeod, Marshall M
• Application Number:
  US15/437,857
• Publication Number:
  US 20180181715A1
• Time in Patent Office: 973 Days
• Field of Search: 709204, 709206, 709217
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: H04L 2101/30 Types of network names
• CPC Class Codes: H04L 51/043 using or handling presence information
• CPC Class Codes: H04L 51/10 Multimedia information
• CPC Class Codes: H04L 51/48 Message addressing, e.g. address format or anonymous messages, aliases
• CPC Class Codes: H04L 61/2521 Translation architectures other than single NAT servers
• CPC Class Codes: H04L 63/102 Entity profiles
• CPC Class Codes: H04L 63/104 Grouping of entities
• CPC Class Codes: H04L 67/54 Presence management, e.g. monitoring or registration for receipt of user log-on information, or the connection status of the users
• CPC Class Codes: H04L 67/63 Routing a service request depending on the request content or context

Abstract

Systems and methods provide for implementation of a messaging protocol that provides security necessary for clinical messaging while also providing scalability needed to properly function within a clinical setting. The messaging protocol provides for federation of messages across messaging domains with a direct target address or via a role or group endpoint address that resolves to one or more target addresses. The messaging protocol also provides the ability to include content other than text in messages.

Claims

1. A computer system comprising:

one or more processors; and

one or more computer storage media storing computer-useable instructions that, when used by the one or more processors, cause the one or more processors to;

detect a request to transmit a message including clinically relevant information identified from one or more electronic medical records to a destination, wherein the destination is within a separate domain and a target endpoint address of the destination is unknown;

determine whether the destination is associated with a role;

upon determining the destination is associated with a role, identify an intended target associated with the role;

generate a first transmission for the intended target without the target endpoint address;

electronically communicate the first transmission to the intended target within the separate domain;

detect a change to the clinically relevant information, wherein the change is detected based on information received from an electronic medical records system associated with the one or more electronic medical records;

generate an updated transmission by updating the first transmission based on the change to the clinically relevant information in the one or more electronic medical records; and

communicate the updated transmission to the intended target.

2. The system of claim 1, wherein the request originates from a first domain different from the separate domain.

3. The system of claim 1, wherein the instructions further cause the one or more processors to detect presence information of the intended target prior to the communication of the transmission.

4. The system of claim 1, wherein the separate domain is disconnected from a first domain from which the request originated.

5. The system of claim 1, wherein the destination is discoverable within a network including the first domain and the separate domain.

6. The system of claim 1, wherein the transmission includes text content and additional content other than text content.

7. The system of claim 6, wherein the additional content other than text content includes any non-textual media type including audio content, video content, images, and application documents.

8. The system of claim 6, wherein the additional content other than text content is an image.

9. A computer-implemented method, the method comprising:

detecting a request to transmit a message including clinically relevant information identified from one or more electronic medical records to a destination, wherein the destination is within a separate domain and a target endpoint address of the destination is unknown;

determining whether the destination is associated with a role;

upon determining the destination is associated with a role, identifying an intended target associated with the role;

generating a first transmission for the intended target without the target endpoint address;

electronically communicating the first transmission to the intended target within the separate domain;

detecting a change to the clinically relevant information, wherein the change is detected based on information received from an electronic medical records system associated with the one or more electronic medical records;

generating an updated transmission by updating the first transmission based on the change to the clinically relevant information in the one or more electronic medical records; and

communicating the updated transmission to the intended target.

10. The method of claim 9, further comprising electronically communicating each of a device acknowledgement and a read acknowledgement to a source device associated with the request.

11. The method of claim 10, further comprising electronically communicating a response from the intended target to the source device.

12. The method of claim 9, wherein the method further comprises:

electronically communicating a notification of the transmission to a source device via an alternate route when a primary route is unavailable.

13. The method of claim 9, wherein the request originates from a first domain different from the separate domain.

14. One or more computer storage media storing computer-useable instructions that, when executed by a computing device, cause the computing device to perform operations, the operations comprising:

detecting a request from a source device within a first domain to transmit a message including clinically relevant information from one or more electronic medical records to a plurality of destinations within a second domain without an endpoint address for each of the plurality of destinations;

identifying one or more intended targets associated with the plurality of destinations, wherein the one or more intended targets are discoverable within a network including the second domain;

generating a transmission for the one or more intended targets without the endpoint address, wherein the transmission includes the clinically relevant information from the one or more electronic medical records;

electronically communicating the transmission to the one or more intended targets within the second domain;

receiving a plurality of responses from the one or more intended targets;

electronically communicating each of a device acknowledgement and a read acknowledgement to the source device, wherein only one device acknowledgement and one read acknowledgment are communicated to the source device, but each of the plurality of responses from the one or more intended targets is communicated to the source device.

15. The one or more computer storage media of claim 14, wherein the first domain is different from the second domain.

16. The one or more computer storage media of claim 14, wherein the operations further comprise detecting presence information of the one or more intended targets prior to the communication of the transmission.

17. The one or more computer storage media of claim 14, wherein the transmission includes text content and additional content other than text content.