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Version: 1.0.0 Last Updated: 2026-05-11 Module: CL (Clinical) Spec: CL-56 Status: Active
Purpose: Helps clinicians review, acknowledge, and act on time-bound clinical alerts (critical labs, medication exceptions, task assignments, and more).

Overview

The Notification Center surfaces every clinical signal routed to you — critical lab results, medication exceptions, task assignments, and other policy-driven alerts. Each alert has a service-level agreement (SLA) deadline; if you do not acknowledge in time, it automatically escalates to the next person in the chain.

Key Capabilities

  • Active queue sorted by SLA deadline (most urgent first)
  • One-click acknowledgement that removes the alert from your active list
  • Auto-escalation when an alert is not acknowledged before its SLA deadline
  • Deduplication so the same signal does not flood your inbox

Prerequisites

PermissionDescription
cl.notification.viewSee alerts routed to you
cl.notification.acknowledgeAcknowledge alerts assigned to you
If the Notification Center shows “Feature unavailable,” your administrator has not enabled the service for your organization.

Getting Started

  1. From the main menu, open Clinical → Notifications.
  2. The page opens on the Active tab. Alerts are sorted by SLA deadline ascending.
  3. The page auto-refreshes every 30 seconds.

Reading an Alert Card

ElementMeaning
Severity badgeCritical, Warning, or Info — drives color and escalation chain
Signal typeHuman-readable label (e.g. “Critical Lab Result”)
Patient linkOpens the linked chart, when available
SLA countdownTime remaining before the alert escalates
AcknowledgePrimary action; removes the alert from your queue

Common Tasks

Acknowledge an Alert

  1. Open Clinical → Notifications.
  2. Locate the alert in the Active tab.
  3. Click Acknowledge.
The alert disappears from the active list immediately and moves to the Acknowledged tab. If the request fails, the alert reappears with a retry toast.

Review Recently Acknowledged Alerts

  1. Switch to the Acknowledged tab.
  2. The most recent 50 acknowledgements are shown with timestamps.
  3. For older history, ask your administrator to pull the Audit Log.

Open the Linked Chart

Click the patient name on the alert card to jump to the chart. Use this before acknowledging when clinical follow-up is required.

Tips and Best Practices

Do’s

  • ✅ Triage the Active tab top-down — items at the top are closest to SLA breach.
  • ✅ Open the chart and complete clinical action before acknowledging.
  • ✅ Acknowledge as soon as you have ownership; this prevents unnecessary escalation to your supervisor.

Don’ts

  • ❌ Do not acknowledge “to clear the queue” without acting — the audit log records who acknowledged each alert.
  • ❌ Do not rely on the queue as a real-time pager; severe events should still be communicated by phone per local policy.

Troubleshooting

Issue: I expected an alert but see nothing

Cause: The signal may have been deduplicated against a recent identical alert, or your role is not the first step of the escalation chain. Solution: Confirm with your administrator that a policy exists for the signal type and that your role is mapped in the chain.

Issue: “Feature unavailable” is displayed

Cause: The cl.notification_service_enabled feature flag is off for your organization. Solution: Contact your administrator to enable it.

Issue: Acknowledge button fails

Cause: Network error, or you do not have cl.notification.acknowledge. Solution: Retry from the toast. If it persists, contact your administrator.

Last Updated: 2026-05-11