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| Abbreviation | Meaning |
|---|
| UX | User experience |
| EHR | Electronic Health Record |
| EHR HM | Home medication overview in the Electronic Health Record |
| EHR AM | Admission medication overview in the Electronic Health Record |
| CG | Care Giver (this can refer to the person who hierarchically has the access rights to see, change or update a medication scheme. This is not necessarily the prescriber or the pharmacist |
| TR | Therapeutic Relationship |
| IC | Informed Consent |
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Combined overview: if a new Vitalink medication scheme is available for the patient, the medication lines from Vitalink are shown together with the medication lines from the local EMREHR Home Medication section. The origin of each medication line will be visually indicated as well as changes, additions or stops. Certain medication lines are displayed in a clustered way to clearly show the changes. After manipulation on the combined overview, it is this combined overview that will be uploaded to Vitalink. There are no two medication schemes (local vs. Vitalink), but one combined overview is shown in one medication scheme module of the EMREHR.
Abbreviated list: the combined overview of all active medications from the local EMR EHR and Vitalink can be shown in an abbreviated manner by means of the abbreviated list (if there is a Vitalink medication scheme for the patient). The following information is mandatory shown: product name, dosage and posology (with underlying information about the date and remark if relevant). The intention is to show this abbreviated list in relevant places, eg on the dashboard / start page when opening the patient's EMR, on the right side of the work screen (sumehr, prescription module, ...).
Legend
| Symbol | |
|---|
| The local medication scheme Home Medication EHR section is in sync with Vitalink. |
| The local medication scheme The Home Medication EHR section is not in sync with Vitalink. |
| Admission medication. |
| |
| User action that caused an error. |
| Automatic action. No user input required. |
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Ambulant visit is the use case where the patient visits the hospital without being admitted (= taken into care of the hospital).
NOTION! Local EMR EHR information in this section always holds the HOME MEDICATION as opposite to the admission where there is mention of HOME MEDICATION and ADMISSION MEDICATION.
Basic flow:
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Home medication
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EHR section is already in sync with Vitalink
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Situation / Action | Information |
|---|
| 1 | OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting of or oncology visit with patiëntof the patient)
Vitalink medication scheme is imported. | | 2 | The EPD EHR requests the latest version of the Vitalink medication scheme. This action can be done manually by a user action,
but is preferably done automatically. Vitalink responds with the same version that is already present in the EPDEHR Home Medication. The local medication scheme EHR Home Medication section and Vitalink medication scheme are in sync. | | 3 | OPTIONAL: Local medication can be updated in the combined overview during the preparation for the ambulant visit Vx'. | | 4 | OPTIONAL: Preparing of ambulant visit stops. The local medication scheme is now version 1'. | | 5 | Start ambulant visit. | | 6 | End ambulant visit. The caregiver made changed to the local medication scheme. The local medication scheme is now Version 1". | | 7 | The local medication scheme is exported to Vitalink. The Vitalink medication scheme now becomes Version 2. | | 8 | Vitalink sends the updated identification code for each medication (URI's) back to the EPD. There are two options: - The EPD adds the URI's in the local medication scheme and updates the version number to Version 2.
- The EPD requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the local medicationscheme.
| | 9 | The local medication scheme is now Version 2. The local medication scheme and Vitalink medication scheme are in sync. |
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NOTION2 ! Medication during admission are never uploaded to Vitalink.
Basic flow: Local medication EMR is already in sync with Vitalink
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| Situatie / Actie | Info |
|---|
| 1 | The EPD requests the latest version of the Vitalink medication scheme. This action can be done manually by a user action,
but is preferably done automatically. Vitalink responds with the same version that is already present in the EPD. The local medication scheme and Vitalink medication scheme are in sync. | | 2 | OPTIONAL: Local medication scheme is possibly updated to Version 1' in preparation to become admission medication. | | 3 | During admission, Admission medication (= medication during an admission in the hospital) A is determined. This admission medication scheme will hold relevant information from the home medication Version 1, possibly substituted to the clinical formularium. | | 4 | During admission numerous changes can happen to the admission medication. These changes are local and are not communicated nor affecting the Vitalink medication scheme. | | 5 | At discharge, a new home medication scheme Version 1' is determined in the local EMR, possibly re-substituted to the original medication of the patient at the start of the admission. | | 6 | The local medication scheme is exported to Vitalink. The Vitalink medication scheme now becomes Version 2. | | 7 | Vitalink sends the updated identification code for each medication (URI's) back to the EPD. There are two options: - The EPD adds the URI's in the local medication scheme and updates the version number to Version 2.
- The EPD requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the local medicationscheme.
| | 8 | The local medication scheme is now Version 2. The local medication scheme and Vitalink medication scheme are in sync. |
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