Pulmonology Triage, Respiratory Monitoring, and Specialist Support

> Product boundary: CareScreen closes screening care gaps: eligibility from the chart/EHR, in-clinic capture (devices and questionnaires), async specialist interpretation, and structured results back to the PCP EMR. ConsultBridge is a separate FabrixMed product for live provider-to-provider specialty consults. CareScreen does not require ConsultBridge. Referral recommendations from screening are documented in the EMR; the PCP handles next steps through normal clinical workflow. Recommended URL: /by-specialty/pulmonology Respiratory problems appear everywhere. Patients present with shortness of breath, COPD exacerbations, asthma symptoms, oxygen needs, abnormal pulse oximetry, post-pneumonia follow-up, sleep apnea concerns, chronic cough, pulmonary nodules, abnormal imaging, and post-discharge respiratory instability across emergency departments, urgent care centers, microhospitals, rural hospitals, primary care offices, SNFs, ALFs, correctional facilities, home health programs, and community clinics. Some patients need immediate emergency escalation. Some need urgent pulmonology review. Some need chronic respiratory monitoring. Some need better post-discharge follow-up before the next hospitalization. FabrixMed helps healthcare organizations bring pulmonology expertise closer to the point of care with independent FabrixMed products (each specialty may use CareScreen, ConsultBridge, or both — no required handoff between them):

CareScreen and ConsultBridge are independent products. CareScreen closes screening gaps with async review and EMR documentation. ConsultBridge supports live provider-to-provider consults when purchased separately. Both can address respiratory concerns to the right specialist pathway — without integration.

• ConsultBridge supports provider-to-specialist pulmonology consults, respiratory triage support, COPD/asthma complexity, oxygen questions, abnormal imaging review, post-discharge follow-up, and pulmonary care coordination.
• CareScreen supports respiratory screening, monitoring, COPD/asthma care-gap workflows, oxygen and symptom tracking, sleep apnea screening, and post-discharge respiratory follow-up.

FabrixMed supports pulmonology workflows through both ConsultBridge and CareScreen.

ConsultBridge helps treating clinicians submit structured pulmonology questions to the right pulmonary provider. A pulmonology consult request can include:

The pulmonology provider reviews the submitted information and returns recommendations through the platform. The treating clinician remains responsible for bedside assessment, emergency escalation, diagnosis, treatment, transfer decisions, prescribing, monitoring, and final patient management.

A patient presents to a rural hospital with shortness of breath, COPD symptoms, asthma symptoms, abnormal oxygen saturation, chronic cough, or abnormal imaging. The local team needs to determine whether the patient requires immediate emergency escalation, admission, transfer, outpatient follow-up, or pulmonology review. With ConsultBridge:

This supports rural and community sites without replacing ED, EMS, or transfer protocols.

A resident develops worsening shortness of breath, cough, oxygen needs, wheezing, low oxygen saturation, or post-discharge respiratory concerns. The facility may default to ED transfer because pulmonology input is unavailable. With ConsultBridge:

This supports safer, better-documented decision-making and may reduce avoidable transfers when clinically appropriate.

Correctional facilities face barriers around outside transport, specialty scheduling, medication continuity, and security staffing. Patients may report shortness of breath, wheezing, chronic cough, asthma symptoms, COPD symptoms, sleep apnea concerns, or post-infection respiratory complaints. With FabrixMed:

This supports pulmonology access while reducing avoidable movement when clinically appropriate.

CareScreen supports respiratory screening, monitoring, and care-gap workflows. It is especially useful in primary care, SNFs, ALFs, correctional facilities, home health, rehabilitation programs, ACOs, CINs, health plans, mobile health units, and employer clinics. CareScreen can help teams identify and track:

CareScreen does not replace pulmonology consultation. It helps identify who needs action and route them into the right pathway.

A primary care clinic identifies patients with COPD or asthma who have poor control, frequent exacerbations, repeated urgent visits, or medication adherence issues. CareScreen can help capture relevant data and route patients into:

This helps convert chronic respiratory risk from a passive chart problem into an active workflow.

• primary care follow-up
• EMR-documented referral recommendations after CareScreen screening (live pulmonology consult via ConsultBridge only if the organization uses that separate product)
• medication review
• smoking cessation support
• pulmonary rehab referral
• sleep apnea evaluation
• health plan or ACO care management
• emergency escalation if red flags are present

A patient has obesity, hypertension, daytime sleepiness, snoring, witnessed apneas, or cardiometabolic risk factors. CareScreen can help identify sleep apnea risk and route the patient to the appropriate pathway:

This gives FabrixMed a practical respiratory-adjacent screening use case without overclaiming diagnosis.

• primary care follow-up
• sleep testing referral
• pulmonology or sleep medicine consult
• cardiology/endocrinology overlap if needed
• health plan care management

Traditional telemedicine is often a video visit. Pulmonology often needs more than a conversation. Effective pulmonary support may depend on:

ConsultBridge helps route the specialist question and respiratory context. CareScreen helps identify and monitor respiratory risk and care gaps. CareScreen and ConsultBridge each support pulmonology access — as independent products (no integrated handoff).

ConsultBridge and CareScreen can create value by helping organizations:

Red-flag workflows can help protect emergency protocols while routing appropriate cases to pulmonology support.

SNFs, ALFs, LTCs, correctional facilities, and home health teams can access pulmonology input before defaulting to outside transfer.

CareScreen can help track oxygen use, symptoms, medication changes, and pulmonology follow-up after hospitalization.

Health systems, ACOs, CINs, and health plans can extend pulmonology expertise across more sites without requiring every location to staff pulmonologists on-site.