Clinical Coordination Glossary

Action

A specific task assigned to a named clinician with a due date and team visibility. Actions are created from chat, referrals, handovers or ambient voice consultations. They are the core unit of coordination in CAREFUL.

ADT feed

Admit, Discharge, Transfer. A standard HL7 message sent from PAS when a patient is admitted, moved or discharged. CAREFUL uses ADT feeds to automatically add and remove patients from team lists.

Ambient voice technology

AI that records clinical consultations and generates structured notes. CAREFUL's ambient voice also suggests tracked actions from the same recording.

Audit trail

A timestamped, attributed record of every transaction in CAREFUL — visible at patient, team and organisation level. Used for clinical governance, incident investigation and compliance.

Bleep / pager

A one-way communication device still used in many NHS hospitals. Bleeps are interruptive, leave no record and require a callback. CAREFUL replaces bleeps with structured, trackable communication.

Clinical coordination

The process of ensuring that clinical decisions become completed actions across teams, shifts and organisations. Distinct from clinical communication (sending messages) and clinical documentation (recording notes).

Clinical Safety Case (DCB0129)

An NHS standard requiring suppliers to maintain a systematic assessment of clinical risks associated with their software. CAREFUL holds active DCB0129 certification.

Cross-organisational coordination

Coordination between clinicians in different organisations — for example, a hospital and a GP practice, or a care home and a community pharmacy. CAREFUL supports this by allowing teams from different organisations to share patient records and action plans.

DSPT

Data Security and Protection Toolkit. An NHS England assessment that all organisations accessing NHS patient data must complete annually.

EPR

Electronic Patient Record. The clinical record system used by hospitals. CAREFUL complements the EPR — it does not replace it.

FHIR

Fast Healthcare Interoperability Resources. A modern standard for exchanging healthcare information electronically. CAREFUL supports FHIR for integration with EPR systems.

Handover

The transfer of clinical responsibility from one clinician to another, typically at shift change. In CAREFUL, handover transfers actions, context and patient status — not just a name on a list.

HL7

Health Level Seven. A set of international standards for the transfer of clinical and administrative data between healthcare systems. CAREFUL uses HL7v2 for ADT feeds.

MDT

Multi-disciplinary team. A group of clinicians from different specialties who meet to discuss complex patient cases. CAREFUL turns MDT decisions into tracked actions.

Mirth Connect

An open-source healthcare integration engine used by CAREFUL to process HL7 and FHIR messages. Widely deployed in NHS settings.

On-duty / off-duty

A toggle in CAREFUL that controls push notification delivery. On-duty staff receive notifications. Off-duty staff do not, but retain full access to the platform.

PAS

Patient Administration System. The hospital system that manages patient demographics, admissions and discharges. CAREFUL receives patient data from PAS via ADT feed.

Referral

A structured request from one team to another for clinical input or patient transfer. In CAREFUL, referrals include a conversation thread, accept/reject workflow and full audit trail.

Status

An organisation-level indicator showing where a patient is in their journey — for example, "awaiting pharmacy" or "ready for discharge". Visible to all teams.

Team

A group of clinicians who share responsibility for a set of patients. Teams in CAREFUL can represent wards, specialties, services or any clinical grouping. Patients and clinicians can belong to multiple teams.