Prenatal Screening
Cell-free DNA, carrier screening and anatomy scan findings are results no phone system should read. How these calls are captured and escalated instead.
In the US, the information-blocking provisions of the 21st Century Cures Act have required since April 2021 that electronic health information be released to patients without delay, with narrow exceptions. A patient can read a high-risk screening result on her phone on a Friday night. The next thing she does is call you, and there is no version of that call that should reach a voicemail greeting.
Even a technically correct read-back is wrong here. A screening result carries a probability, not a diagnosis, and the distance between those two things is the entire counselling conversation. The system's job is to reach the right human quickly and carry the question accurately, and it is configured so that it cannot do anything else.
A genetic counsellor, an MFM service, the delivering obstetrician: the destination is set per branch and per time of day, with tiered escalation to the next contact if the first does not respond inside the interval you set. Nothing waits for the next business day unless your rule says it does.
Partner testing after a positive carrier screen means the caller is frequently not the patient, and sometimes is a patient in his own right. Your authorisation policy is applied on that call and the disclosure decision is logged rather than improvised. A HIPAA BAA is included, with AES-256 at rest and TLS in transit.
No result spoken by the AI
Screening findings are never read, confirmed or interpreted on an automated call
24/7 coverage
The Friday-night portal call is answered and escalated, not left until Monday
HIPAA BAA included
Screening questions and identifiers encrypted with AES-256 at rest and TLS in transit
No. Confirming a result is a clinical communication even when the patient is looking at it, and these are screening tests reporting probability rather than diagnosis. The call is verified, the question is captured in her words, and it is escalated to the person your protocol names.
In the US, the information-blocking provisions of the 21st Century Cures Act have required since April 2021 that electronic health information, including results, be made available without delay, subject to narrow exceptions. Canadian and Australian practices operate under their own release rules and configure the branch accordingly.
Yes, where you name that destination, including different targets by day of week, by clinician and after hours, with tiered escalation if the first contact does not respond within your interval. External destinations outside your organisation are supported.
The same principle applies. The system does not describe, confirm, minimise or explain a finding. It captures gestational age, the question and the caller's own words, and routes to your MFM or obstetric destination under the rules you wrote.
These are flagged against the timing window your protocol specifies rather than dropped into any open slot, and many practices prefer the appointment to be placed by staff after clinician review. Both configurations are supported and the choice is yours.
Verified caller and stated relationship, gestational age, the test as the patient named it, her question in her own words, callback number, the branch taken and timestamps on each contact attempt. No result value is ever asserted by the system.
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