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| Situatie / Actie | Info |
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| 1 | 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 1 that is already present in the EHR. The EHR and Vitalink medication scheme are in sync. | | 2 | OPTIONAL: 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 EHR, as much as possible re-substituted to the original medication of the patient at the start of the admission. | | 6 | The 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 EHR. The EHR requests Version 2 of the medication scheme from Vitalink to update the version and URI's locally. | | 8 | The EHR holds now Version 2. The EHR and Vitalink medication scheme are in sync. |
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Variant 1: There is no data in the
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home medication of the EHR UITTEKENEN
Follow "Ambulant Visit - Variant 1" until step 4.
Continue with Admission - Basic Flow starting from step 2.
Variant 2: Home Medication is outdated compared to Vitalink UITTEKENEN
Follow "Ambulant Visit - Variant 2" until step 4.
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| Situation / Action | Information |
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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 that is already present in the EPDEHR. The local home medication scheme of the EHR and Vitalink medication scheme are in sync. | | 2 | OPTIONAL: Local Home medication scheme 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 or 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 in 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 | In However, in the meantime, a new medication scheme was uploaded to Vitalink by another Caregiver. The Vitalink medication scheme is now Version 2. | | 7 | The local medication scheme When the home medication in the EHR, version 1" is exported to Vitalink. The export failed , the export will fail because the version 2 of the medication scheme in Vitalink is more recent than the local Home medication scheme of the EHR, which was based upon version 1 of Vitalink. | | 8 | The local EMR However, the hospital EHR holds the master medication scheme. The local EMR Therefor 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 medication scheme home medication of the EHR in 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. | | 9 | After validation/rejection, the home medication in the EHR | 9 | The local medication scheme is now version 2'. | | 10 | The local home medication scheme of the EHR is exported to Vitalink. The Vitalink medication scheme now becomes Version 3. | | 11 | Vitalink sends the updated identification code for each medication (URI's) back to the EPD. There are two options: EHR. The EHR The EPD adds the URI's in the local medication scheme and updates the version number to Version 3.
The EPD requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the local medicationschemeHome medication. | | 12 | The local medication scheme is EHR holds now Version 3. The local medication scheme EHR and Vitalink medication scheme are in sync. |
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A transfer to another hospital takes place when the patient, in view of his treatment, is moved to an other hospital for further treatment without a previous discharge in the first hospital.
Basic Flow
In the case of a patient transfer to another hospital, the normal flow is similar as to the basic flow during admission. All medication updates are transferred to Vitalink as if it were a normal discharge.
In the case medication (e.g. intravenal medication, hospital specific medication) is not uploadable to Vitalink, the medication is passed on to the receiving hospital via the transfer note (via the hub, via the eHealth box or others). This is because information during and related to an admission is often hospital-related and not adaptable to home medication as is the purpose of the Vitalink format.
4. Home hospitalisation
Home hospitalisation is the use case where a patient is actually admitted to the hospital but the treatment is provided to the patient in his home. This means that the patient is not physically staying in the hospital.
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In the case a patient is receiving his hospital treatment at home without admission in into the hospital, the use cases follows the same steps as the ambulant visit.
5. Other use cases
Below you can find use cases for which Vitalink medication scheme cannot be used:
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No other use cases have been defined.
Import
Access to medication information.
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