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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 patient)
Vitalink medication scheme is imported.

2

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

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

The Home medication EHR is now also Version 1.

The 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 to V1'.
6OPTIONAL: Preparing of ambulant visit stops. The 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 changes to the Home medication EHR section. The Home medication EHR is now Version 1".
9

The 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.

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

11

The Home medication in the EHR is now Version 2.

The EHR and Vitalink medication scheme are in sync.


...


Situation / Action

Information
1

OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting of or oncology visit with patiënt)
Vitalink medication scheme is imported.patient) The EHR holds the home medication version 1. The home medication section of the EHR is outdated versus Vitalink. 

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.

3

Vitalink send the latest version 2 of the medication scheme to the EPDEHR.

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 in your EHR. If you reject changes in the combined overview, the local medication scheme home medication section of your EHR will now be hold Version 2' and is not in sync with Vitalink (because you have already made some changes to it).

5OPTIONAL: Local Home medication in the EHR can be updated in the combined overview during the preparation for the ambulant visit Vxto V2'.
6OPTIONAL: Preparing of ambulant visit stops. The local medication scheme is EHR holds now version 2'.
7Start ambulant visit.
8End ambulant visit. The caregiver made changes to the local home medication schemein the EHR. The local medication scheme is EHR holds now Version 2".
9

The local home medication scheme EHR 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 3EHR requests Version 3 of the medication scheme from Vitalink to update the version and URI's in the EHR.

11

The local Home medication scheme in the EHR is now Version 3.

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


...




Situation / ActionInformation
1

OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting of or oncology visit with patiënt)
Vitalink medication scheme is imported.of the patient)
The home medication section of the EHR holds version 1 of the medication scheme

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.

Vitalink responds with the same version that is already present in the EPD.

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

3OPTIONAL: Local medication Home Medication in the EHR can be updated in the combined overview during the preparation for the ambulant visit Vxto version 1'.
4OPTIONAL: Preparing of ambulant visit stops. The local medication scheme is EHR holds now version 1'.
5Start ambulant visit.
6

In the meantime, a new medication scheme was uploaded to Vitalink by another Caregiver.

The Vitalink medication scheme is now Version 2.

7End ambulant visit. The caregiver made changed changes to the local home medication schemein the EHR. The local medication scheme is EHR holds now Version 1".
8

The local Home medication scheme of the EHR is exported to Vitalink. The export failed because the version of the medication scheme in Vitalink is more recent than the local medication schemeone in the EHR.

9

The local EMR Since the EHR holds the master medication scheme . The local EMR version V1", the EHR has to provide an interface (= combined overview) in order to show medication changes between Version 1 and Version 2 of the Vitalink medication scheme and the local home medication scheme of the EHR Version 1". The caregiver can validate/reject changes.

We recommend to show a notification that there is newer version of the medication scheme on Vitalink.

10

The local medication scheme is The caregiver can validate/reject changes. The EHR holds now version 2'.

11

The local home medication scheme of the EHR is exported to Vitalink.

The Vitalink medication scheme now becomes Version 3.

12

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 3.

    • EHR.

    The EHR requests Version 3

    The EPD requests Version 2

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

    local medicationscheme

    EHR.

    13

    The local medication scheme is EHR holds now Version 3.

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


    Note

    If the Vitalink medication scheme changes during the preparation of the ambulant visit and the person responsible notices,

    he/she can download the new version of the medication scheme and take the needed actions (see Variant 2: Local medciation scheme is outdated vs. Vitalink medication scheme Step 2 - 4).


    ...