Recovery Checklist
The complete downtime recovery checklist
44 data types across patient administration, medications, vitals, orders, and clinical documentation — with a clear accounting of what Lumenly automates, what's partial, and what requires manual re-entry.
Coverage Reference
EMR Downtime Recovery Checklist
Every data type hospitals must recover after a downtime event — and exactly how Lumenly handles each one.
20
Lumenly handles
45% of 44 items
14
Partial coverage
32% of 44 items
10
Still manual
23% of 44 items
Lumenly— extracted and exported to EMRPartial— extracted or filed as PDF, not discrete EMR dataManual only— no interface path; customer must re-enter
Patient Administration
5 Lumenly1 Partial
| ID | Item | Status | Notes |
|---|---|---|---|
| 1 | Patient registration / demographics | Lumenly | Extracted from facesheet; Lumenly holds a provisional record until EMR-side registration assigns a real MRN |
| 2 | Admission details (date, type, unit) | Lumenly | Extracted from facesheet |
| 3 | Admitting diagnosis | Lumenly | Extracted from facesheet |
| 4 | Attending / treating provider | Lumenly | Extracted from facesheet |
| 5 | New patients registered during downtime | Partial | Lumenly creates a provisional record during downtime and produces a reconciliation worklist after restore, matching extracted patient data against your EMR via FHIR with confidence scoring; HIM/registration staff review and approve matches |
| 6 | Discharge date / disposition | Lumenly | Extracted from facesheet if present; held in provisional record until MRN confirmed |
Medications
4 Lumenly1 Partial1 Manual
| ID | Item | Status | Notes |
|---|---|---|---|
| 7 | Medication administrations (MAR) | Lumenly | Extracted + exported as a structured CSV for MAR backfill import by hospital analyst |
| 8 | Controlled substance administrations | Lumenly | Extracted + included in MAR CSV export; DEA schedule audit trail with separate CSV export |
| 9 | PRN medication administration | Lumenly | Captured in MAR extraction + included in MAR CSV export |
| 10 | Active medication orders (CPOE) | Partial | Distinct from items 7–9 (administered doses). No inbound orders interface; Lumenly generates a structured CPOE re-entry worklist (CSV) grouped by ordering provider so clinicians can systematically re-enter orders in your EMR |
| 11 | Outpatient prescriptions written during downtime | Manual only | No interface path; provider must re-issue in EMR |
| 12 | Medication administration summary | Lumenly | Lumenly generates a per-patient medication administration summary derived from MAR data; grouped by drug with doses given, refused, and held |
Vitals & Observations
6 Lumenly
| ID | Item | Status | Notes |
|---|---|---|---|
| 13 | Vital signs (BP, HR, temp, RR, SpO2) | Lumenly | Extracted + exported via the EMR's HL7 flowsheet interface |
| 14 | Pain scale assessments | Lumenly | Extracted from vitals; included in flowsheet export |
| 15 | Intake & output (I&O) | Lumenly | Extracted + exported via the EMR's HL7 flowsheet interface |
| 16 | Blood glucose readings | Lumenly | Captured in vitals/flowsheet extraction; exported via flowsheet interface |
| 17 | Neurological assessments (GCS, pupils) | Lumenly | Extracted + exported via flowsheet interface; default LOINC mappings shipped (GCS: 9269-2) — no per-org config needed |
| 18 | Ventilator settings / respiratory therapy | Lumenly | Dedicated RT extractor; default LOINC mappings for PEEP, FiO2, tidal volume, RR — exported via flowsheet interface |
Orders
5 Manual
| ID | Item | Status | Notes |
|---|---|---|---|
| 19 | Lab orders | Manual only | No inbound orders interface; must be re-entered by provider in EMR |
| 20 | Imaging orders | Manual only | No inbound orders interface; must be re-entered by provider in EMR |
| 21 | Referral orders | Manual only | No inbound orders interface; must be re-entered by provider in EMR |
| 22 | Lab results (values) | Manual only | Filing discrete lab results requires the ORU HL7 results interface, which is not in current scope. Customers should file critical values via their lab system or have providers re-attest |
| 23 | Radiology reads / reports | Manual only | No structured interface; radiologist must re-attest or re-dictate in EMR |
Clinical Documentation
1 Lumenly5 Partial1 Manual
| ID | Item | Status | Notes |
|---|---|---|---|
| 24 | Progress notes / provider documentation | Partial | Extracted; filed as scanned PDF attached to patient chart (MDM interface) — not a structured note |
| 25 | Nursing assessments | Lumenly | Extracted + exported via the EMR's HL7 flowsheet interface |
| 26 | Discharge summaries | Partial | Filed as scanned PDF attached to patient chart (MDM interface); not structured |
| 27 | Discharge instructions given to patient | Manual only | Not typically on a standard paper form |
| 28 | Physical therapy / occupational therapy notes | Partial | Filed as scanned PDF (MDM); not structured |
| 29 | Social work notes | Partial | Filed as scanned PDF (MDM); not structured |
| 30 | Wound care documentation | Partial | Filed as scanned PDF (MDM); not structured |
Safety-Critical Records
2 Lumenly4 Partial
| ID | Item | Status | Notes |
|---|---|---|---|
| 31 | Allergy updates (new or modified) | Partial | Partial by design — provider attestation required for safety-critical changes. Lumenly extracts allergy mentions from all clinical documents and surfaces a Safety Alerts panel; provider reviews and re-enters in EMR |
| 32 | Code status changes (DNR, care limits) | Partial | Partial by design — provider attestation required. Extracted from all clinical docs and surfaced in Safety Alerts panel; provider must re-attest in your EMR |
| 33 | Advance directive updates | Partial | Partial by design — provider attestation required. Extracted and surfaced in Safety Alerts panel to prevent missed re-entry |
| 34 | Fall risk assessments | Lumenly | Extracted + exported via flowsheet interface; default LOINC mapping for Morse Fall Scale (59453-3) — no per-org config needed |
| 35 | Pressure injury documentation | Lumenly | Extracted + exported via flowsheet interface; default LOINC mapping for Braden Scale (38228-3) — no per-org config needed |
| 36 | Restraint orders / documentation | Partial | Partial by design — restraints are time-bounded by regulation (CMS CoP §482.13). Lumenly extracts restraint mentions from nursing assessments and orders and surfaces them in the Safety Alerts panel; provider must re-enter the order and initiate the re-evaluation clock in your EMR |
Surgical & Procedural
3 Partial2 Manual
| ID | Item | Status | Notes |
|---|---|---|---|
| 37 | Operative notes | Partial | Filed as scanned PDF attached to patient chart (MDM interface); not structured |
| 38 | Anesthesia records | Partial | Anesthesia vitals and event times exported via flowsheet interface; anesthesiologist narrative filed as scanned PDF (MDM); anesthesia medications follow the MAR CSV pipeline. Customers using a dedicated AIMS should rely on that system's own backfill |
| 39 | Implant / device records | Manual only | No standard interface; EMR inventory management systems are typically outbound only |
| 40 | Blood bank / transfusion records | Manual only | Proprietary blood bank system interfaces only |
| 41 | Procedure consent forms | Partial | Filed as scanned PDF attached to patient chart (MDM interface); not structured |
Billing & Compliance
2 Lumenly1 Manual
| ID | Item | Status | Notes |
|---|---|---|---|
| 42 | Charge capture / billing records | Manual only | No interface planned; high compliance risk |
| 43 | Controlled substance diversion audit | Lumenly | DEA CII–CV audit trail with CSV export |
| 44 | CMS / TJC quality metrics | Lumenly | Reconstructed automatically from extracted data |
FAQ
Common questions about coverage
How data flows back into your EMR, and why some things are intentionally partial.
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