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A hospital admission is the moment when a patient is taken being admitted to the care of the hospital. It means the hospital is in charge of the care of this patient. This admission can be only for a couple of hours (policlinical, day clinic, etc.) or for several days, weeks, months and thus include an overnight stay. There are also different types of hospital admission: the admission can be planned e.g. for a surgery or can be an unplanned (urgent) admission e.g. in case of a car accident.
NOTION1 ! Local EMR EHR information in this section always holds the HOME MEDICATION and ADMISSION MEDICATION.
NOTION2 ! Medication during admission are is never uploaded to Vitalink.
Basic flow:
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Home Medication EHR is already in sync with Vitalink
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| Situatie / Actie | Info |
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| 1 | 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 1 that is already present in the EPDEHR. The local medication scheme EHR and Vitalink medication scheme are in sync. | | 2 | OPTIONAL: Local medication scheme The home medication section in the EHR 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 (A to Z) can happen to the admission medication. These changes are local to the EHR 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 EHR, as much as possible re-substituted to the original medication of the patient at the start of the admission. | | 6 | The local medication scheme home medication of the EHR version 1" 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.EHR. The EHR The EPD requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the local medicationschemelocally. | | 8 | The local medication scheme is EHR holds now Version 2. The local medication scheme EHR and Vitalink medication scheme are in sync. |
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