Manage FHIRcast settings

NilRead can be configured to use FHIRcast. FHIRcast synchronizes healthcare applications in real time to show the same clinical content to a common user.

Note
This functionality is only available if the NuanceConnector license is present.

Prerequisites

• A Nuance PowerScribe® One server

  A Nuance PowerScribe® One Client running on the workstation

• A Nuance Powercast connector

NilRead FHIRcast configuration requires the following steps.

Create the Nuance authentication endpoint

Nuance uses the Auth0 authentication.

To create an endpoint for the Nuance authentication:

1. Select Settings. Under Devices, select FHIR.
2. In the FHIR Endpoints area, select Create.
3. In the FHIR endpoint dialog box, enter the following information:

   • Name: NuanceAuth0

   • Authorization grant type: ClientCredentials

   • Authorization endpoint: URL to the authorization endpoint
     

   • Token endpoint: URL to the token endpoint

   • Audience: URL to the PowerCast hub

   • Resource endpoint: URL to the resource endpoint

   • Scope: Enter a single space.

   • Client authentication type: PostForm

   • Client Id and Client secret: These values are provided by Nuance.

   • Select Search with HTTP POST.

4. Select Verify to test the configuration settings.
5. Select Save.

Enable FHIRcast

To enable the FHIRcast feature:

1. Select Settings. Under Devices, select FHIR.
2. In the FHIRcast section, select Enable.
3. In the Powercast Connector field, enter the PowerCast Connector URL provided by Nuance.

   Example
   http://localhost:9292/configuration
   

4. For Mode, select Active to make NilRead drive the workflow and ignore the open and close events sent by other applications or select Passive to when the workflow is driven by other applications.
5. From the Endpoint drop-down list, select the Nuance authentication endpoint previously created.
6. To test the configuration, select Subscribe.
   On success, the message Subscription confirmed is displayed next to Subscribe.
7. Select Save.

FHIRcast status information

When the user opens a study and NilRead is successfully connected to the Nuance Powercast connector, the FHIRcast icon is displayed in the upper left corner.

The icon flashes if the connection could not be established.

Additional information

• When a connection is established, NilRead sends diagnosticreport-open and diagnosticreport-close events to the PowerScribe® One Hub when a user opens or closes a study in NilRead.

• When a user adds, modifies, or deletes annotations in NilRead, NilRead sends a diagnosticreport-update event with the verbs post, put, or delete to the PowerScribe® One Hub.

• When a user selects annotations in NilRead, NilRead sends a diagnosticreport-select event to the PowerScribe® One Hub.

• When NilRead receives a diagnosticreport-update event with the verb delete, NilRead deletes the corresponding annotation.

• When NilRead receives a diagnosticreport-select event, NilRead navigates to the corresponding annotation.