Open an incident with clear responsibilities
A planned cutover and an unplanned outage both need a shared view of the situation. Record the affected systems, start time, scope, and the people responsible for clinical operations, interfaces, exception review, and recovery decisions.
The continuity walkthrough uses a synthetic EHR cutover incident to show the relationship between extraction, mapping, quarantine, and recovery. The operational capture model and integration boundaries should be agreed with your team before a live pilot.
Define order capture and specimen tracking
Downtime order capture needs enough information for the receiving team to review the record in context. Establish the identifiers, timestamps, originating workflow, status, and owner required by your approved process. Specify how duplicate or incomplete records will be recognized and handled.
Specimen tracking introduces its own handoffs. Identify where a specimen is recorded, how movement and status changes are associated with the order, and who resolves a missing or uncertain link. These capture requirements are central to pilot scoping; the website does not claim a deployed end-to-end laboratory integration.
- Agree on required order context and the method for recording status changes.
- Define specimen identification and the ownership of each handoff.
- Keep unresolved or conflicting information in an assigned review process.
Review uncertain mappings before they proceed
Integration recovery may involve information arriving from different formats or systems. The demonstration shows synthetic HL7 data mapped to a canonical structure, with confidence indicators and quarantine for a low-confidence mapping.
A confidence score is a review aid, not a clinical guarantee. Establish the thresholds, roles, and evidence required to accept a mapping. A record that needs review should retain its context and an accountable owner rather than pass through silently.
Reconcile before authorized restoration
A reconciliation queue should distinguish reviewed records, unresolved exceptions, duplicate concerns, and items waiting for an authorized restoration step. Define the checks that prevent a successful system restart from being mistaken for completed clinical recovery.
Restoration into a live EHR requires a supported interface, validation, appropriate access, and the receiving team's approval. SynArch's website illustrates review and recovery; it does not autonomously write records back to a production EHR or guarantee restoration accuracy.
Carry recovery evidence into the next transition
An executive recovery report can summarize the incident scope, work captured, records reviewed, outstanding exceptions, and the owners responsible for resolution. Agree on the reporting fields and audience during the pilot, rather than assuming an outage duration alone describes the outcome.
Multi-region failover and broader recovery reporting are planned expansion areas. Their acceptance depends on an agreed topology, recovery objectives, data synchronization, and rehearsal evidence. Start with a bounded workflow using synthetic records and your existing approved downtime procedures.
Common questions
What does the continuity strategy capture?
The proposed capture model includes downtime orders, specimen activity, mapping exceptions, reconciliation status, and recovery decisions. Exact fields, integrations, and reporting outputs are agreed during pilot scoping.
Does SynArch restore records automatically into any EHR?
No. Live restoration requires a supported integration route, validation, permissions, and authorized review. No universal EHR integration or autonomous write-back is claimed.
Does it replace clinical downtime procedures?
No. A pilot should work within your approved clinical and operational procedures. Technical recovery and clinical acceptance remain the responsibility of the designated teams.