Version: 1.0.0 Last Updated: 2026-05-11 Module: CL (Clinical) Spec: CL-56 Status: ActiveDocumentation Index
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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
| Permission | Description |
|---|---|
cl.notification.view | See alerts routed to you |
cl.notification.acknowledge | Acknowledge alerts assigned to you |
Getting Started
- From the main menu, open Clinical → Notifications.
- The page opens on the Active tab. Alerts are sorted by SLA deadline ascending.
- The page auto-refreshes every 30 seconds.
Reading an Alert Card
| Element | Meaning |
|---|---|
| Severity badge | Critical, Warning, or Info — drives color and escalation chain |
| Signal type | Human-readable label (e.g. “Critical Lab Result”) |
| Patient link | Opens the linked chart, when available |
| SLA countdown | Time remaining before the alert escalates |
| Acknowledge | Primary action; removes the alert from your queue |
Common Tasks
Acknowledge an Alert
- Open Clinical → Notifications.
- Locate the alert in the Active tab.
- Click Acknowledge.
Review Recently Acknowledged Alerts
- Switch to the Acknowledged tab.
- The most recent 50 acknowledgements are shown with timestamps.
- 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: Thecl.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 havecl.notification.acknowledge.
Solution: Retry from the toast. If it persists, contact your administrator.
Related Documentation
- Admin Guide: cl-56-notification-service-admin-guide.md
- Specification:
specs/cl/specs/CL-56-centralized-clinical-notification-service.md
Last Updated: 2026-05-11