Table 1

List of mandatory and recommended notifications and rationale for inclusion

Notification typeRationale for inclusion
Mandatory notification types
 Abnormal imaging result, needs attentionNotification often communicates new unexpected findings.
 Anatomical pathology resultsPrevious national Veterans Affairs recommendation
 Critical lab result: actionMany lab results that are critical, emergent or urgent are communicated this way.
 Imaging request cancel/holdUsed to communicate information when important tests are not done or completed
 Imaging results amendedAmended findings might lead to new treatment decisions or changes in management or diagnosis.
 Orderer-flagged resultsClinicians commonly ‘flag’ tests when initially ordering them for themselves or to other clinicians to ensure they receive a message when tests results are available. The notification must be turned on to receive these notifications.
Additionally recommended notifications to be considered mandatory
 Consult request cancelled/holdCommonly used communication method for status of referrals and consultations
 Consult/request resolutionCommonly used communication method for information exchange between primary care practitioners and specialists
 Order requires electronic signatureUsed widely to remind clinicians to sign pending orders
 Outpatient non-renewable prescription renewalNotification for medications that can only be ordered by a clinician, for example, for controlled substances