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Situation / Action

Information
1

OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting or oncology visit of the patient)
Vitalink medication scheme is imported.

2

The 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 EHR Home Medication.

The EHR Home Medication section and Vitalink medication scheme are in sync.

3OPTIONAL: Local Home medication EHR can be updated in the combined overview during the preparation for the ambulant visit Vx'.
4OPTIONAL: Preparing of ambulant visit stops. The local medication scheme is now version 1'.
5Start ambulant visit.
6End ambulant visit. The caregiver made changed changes to the local Home medication schemeEHR. The local medication scheme Home Medication EHR is now Version 1".
7

The local medication scheme Home medication EHR version V1'' 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.

    • EHR.

    The EHR

    The EPD

    requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the

    local medicationscheme

    EHR.

    9

    The local The Home medication scheme EHR is now on Version 2 of the medication scheme.

    The local The Home medication scheme EHR section and Vitalink medication scheme are in sync.



    Variant 1: There is no Home Medication data in the

    ...

    EHR


    Situation / Action

    		Information
    1

    OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting of oncology visit with patiëntpatient)
    Vitalink medication scheme is imported.

    2

    There is no data in the local the Home medication scheme EHR section so 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.

    3Vitalink send the latest version 1 of the medication scheme to the EPDEHR.
    4

    The local The Home medication scheme EHR is now also Version 1.

    The local medication scheme EHR and Vitalink medication scheme are in sync.

    5OPTIONAL: Local medication can be updated in the combined overview during the preparation for the ambulant visit Vxto V1'.
    6OPTIONAL: Preparing of ambulant visit stops. The local medication scheme is EHR holds now version 1'.
    7Start ambulant visit. Updates and changes are executed in the combined overview during the visit.
    8End ambulant visit. The caregiver made changed changes to the local Home medication schemeEHR section. The local  The Home medication scheme EHR is now Version 1".
    9

    The local medication scheme Version 1" of the EHR is exported to Vitalink.

    The Vitalink medication scheme now becomes Version 2.

    10

    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 EHR

    The EPD

    requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the

    local medicationscheme

    EHR.

    11

    The local Home medication scheme in the EHR is now Version 2.

    The local medication scheme EHR and Vitalink medication scheme are in sync.


    Variant 2:

    ...

    Home Medication in the EHR is outdated vs. Vitalink medication scheme



    Situation / Action

    		Information
    1

    OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting of oncology visit with patiënt)
    Vitalink medication scheme is imported.

    2

    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.

    3

    Vitalink send the latest version of the medication scheme to the EPD.

    The Vitalink medication scheme is imported and updates, changes, etc are shown in a combined overview. The caregiver can validate/reject changes.

    4

    If you validate the Vitalink medication scheme, you keep to version 2. If you reject changes in the combined overview, the local medication scheme will now be Version 2' and is not in sync with Vitalink (because you have already made some changes to it).

    5OPTIONAL: Local medication can be updated in the combined overview during the preparation for the ambulant visit Vx'.
    6OPTIONAL: Preparing of ambulant visit stops. The local medication scheme is now version 2'.
    7Start ambulant visit.
    8End ambulant visit. The caregiver made changes to the local medication scheme. The local medication scheme is now Version 2".
    9

    The local medication scheme is exported to Vitalink.

    The Vitalink medication scheme now becomes Version 3.

    10

    Vitalink sends the updated identification code for each medication (URI's) back to the EPD. The EPD adds the URI's in the local medication scheme and updates the version number to Version 3.

    11

    The local medication scheme is now Version 3.

    The local medication scheme and Vitalink medication scheme are in sync.


    ...


    Situatie / ActieInfo
    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.

    2OPTIONAL: 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.

    4During admission numerous changes can happen to the admission medication. These changes are local and are not communicated nor affecting the Vitalink medication scheme.
    5At 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.


    Variant 1: There is no data in the local medication scheme

    Follow "Ambulant Visit - Variant 1" until step 4.

    ...