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• In this wireframe, the home medication of the local EHR is visible. 

• It is visible that the system is syncing with Vitalink (upper right corner).
  • This is done automatically, without interference of the healthcare professional.
  • It is important that the automatic sync starts when opening the EHR of the patient (and not only when opening the medication module of the EHR).
  • The healthcare professional should be aware that the system is syncing with Vitalink. Therefore it is recommended to use an icon and/or textual label expressing what the system is doing.
  • The sync can only be done with Vitalink if IC & TR are OK.

• While syncing, the healthcare professional can do all actions in the medication module of the hospital software (add new medication, re-prescribe, transfer to admission medication, ...).

• It is possible to validate the active medication list of the local EHR; but preferably this is only done when the Vitalink data are synced with the medication data of the local EHR. 

• The automatic import and analysis of the information from the Vitalink medication scheme should take a minimum of time. Preferably 4 to 6 seconds or less; with a maximum of 10 seconds.

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Example when the system is still working on the sync with Vitalink. 

• In this wireframe, the home medication of the local EHR is visible. 

• It is visible that the system is syncing with Vitalink (upper right corner).
  • This is done automatically, without interference of the healthcare professional.
  • It is important that the automatic sync starts when opening the EHR of the patient (and not only when opening the medication module of the EHR).
  • The healthcare professional should be aware that the system is syncing with Vitalink. Therefore it is recommended to use an icon and/or textual label expressing what the system is doing.
  • The sync can only be done with Vitalink if IC & TR are OK.

• While syncing, the healthcare professional can do all actions in the medication module of the hospital software (add new medication, re-prescribe, transfer to admission medication, ...).

• It is possible to validate the active medication list of the local EHR; but preferably this is only done when the Vitalink data are synced with the medication data of the local EHR. 

• The automatic import and analysis of the information from the Vitalink medication scheme should take a minimum of time. Preferably 4 to 6 seconds or less; with a maximum of 10 seconds.

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Sync with Vitalink is completed. The vitalink data is displayed in a combined overview with the local EHR medication. Here it is visible that one new medication line is added via Vitalink.

• Here, it is visible that the sync with Vitalink is completed (upper right corner). The healthcare professional can be informed about this by:
  • Using a meaningful icon, combined with another icon expressing a status.
  • Information about the latest validation date of the Vitalink medication scheme (in this case: 29.05. 2019, 19:30).

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• If the user wants to obtain more information (e.g. validated by, sync info, version number, ...) or wants to do manually a new sync with Vitalink, this information can be provided via a tooltip when moving over this status information. For example: 

Image Removed                           Example when the latest validation was done by a general practitioner. 

Image RemovedExample when the latest validation was done by a specialist
in an hospital (only the hospital will be visible). 

• When the sync with Vitalink isn't possible, it should be indicated that the sync couldn't be done successfully (status information). 
  • When doing a mouse over, more information about the failure should be provided via a tooltip. 
  • It should be possible to initiate a new sync with Vitalink. 

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• When there isn't a Vitalink medication scheme for the patient, this should be indicated.

  • It should be possible to create a Vitalink medication scheme for the patient via 1 click.

  • When checking the check box in the example below, the medication list that it validated by the healthcare professional will be uploaded to Vitalink at the end of the contact.

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Image Added                           Example when the latest validation was done by a general practitioner. 

Image AddedExample when the latest validation was done by a specialist
in an hospital (only the hospital will be visible). 

• When the sync with Vitalink isn't possible, it should be indicated that the sync couldn't be done successfully (status information). 
  • When doing a mouse over, more information about the failure should be provided via a tooltip. 
  • It should be possible to initiate a new sync with Vitalink. 

Image Added

• When there isn't a Vitalink medication scheme for the patient, this should be indicated.

  • It should be possible to create a Vitalink medication scheme for the patient via 1 click.

  • When checking the check box in the example below, the medication list that it validated by the healthcare professional will be uploaded to Vitalink at the end of the contact.

    Image Added

• Here, it is visible that a new medication line was added on Vitalink. 
  • This medication line is visualized in a combined overview with the medication of the local EHR.
  • This new

• Here, it is visible that a new medication line was added on Vitalink. 
  • This medication line is visualized in a combined overview with the medication of the local EHR.
  • This new medication line is highlighted to indicate that this is data coming from outside the EHR.
  • This new medication line receives an icon, indicating the source.
  • This new medication line receives a label (new), indicating that it concerns a new added medication line.

• When the healthcare professional agrees with the combined overview, he/she doesn't have to take any action.
• Only when the healthcare professional doesn't agree, action should be taken (cfr. next wireframe with drop down menu).

• In this example, it is visible that one medication line has been changed on Vitalink. One medication line has been stopped.
  • These medication lines are visualized in a combined overview with the medication of the local EHR.

• For the changed medication:
  • This changed medication line is highlighted to indicate that this is data coming from outside the EHR.
  • This medication line is visualized closely together with the related medication line(s) that already existed in the local EHR.
    • This can be done based on the unique URI that each medication line has. 
    • This can be done based on the product name, substance name, ...
    • By doing so, it is easier for the healthcare professional to analyse and decide on the medication lines.
  • This changed medication line receives an icon, indicating the source.
  • This changed medication line receives a label (change), indicating that it concerns a changed medication line.
  • The medication line that is changed becomes 'strike through'.

• For the stopped medication: 
  • This stopped medication line is highlighted to indicate that this is data coming from outside the EHR.
  • The stopped medication line receives another colour to make sure this attracts the attention of the healthcare professional.  
  • This stopped medication This new medication line receives an icon, indicating the source.
  • This stopped medication new medication line receives a label (stoppednew), indicating that it concerns a stopped medication line.The new added medication line that is stopped becomes 'strike through'.

• When the healthcare professional agrees with the combined overview (agreement with changed medication line & stopped medication), he/she doesn't have to take any action.
• Only when the healthcare professional doesn't agree, action should be taken (cfr. next wireframe with drop down menu).

• It is highly recommended to not use too many colour indications for highlighting data coming outside the EHR.
  • Therefore, only one colour is used to indicated new medication & changed medication lines.
  • Another colour is used for highlighting stopped medication lines.

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Actions via drop down menu: possible to edit changed medication line, prescribe, reject, check history, ... 

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Actions via drop down menu: possible to re-activate stopped medication line, check history, ... 

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Quick access to most important features when validating, e.g. edit or reject changed medication line. More features are available via drop down menu.

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Quick access to most important features when validating, e.g. re-activate stopped medication line. More features are available via drop down menu.

• For all medication lines, it is possible to do some actions per medication line.
  • This can be done by clicking on the arrow pointing down.
  • Next, a drop down list with actions appear.

• Possible actions for a new / changed medication line are:
• Edit (edit posology, comment, ...)
• Prescribe (make new prescription for patient)
• Reject (reject the change that was done on Vitalink, the previous medication line (this is now striked through) will become active again)
• History (check history of posology etc)
  • In this case, the medication line can fold open, displaying an overview of all changes over xx time.
  • Another option is displaying a screen overlay with all changes over xx time.
• Don't show on Vitalink (if the patient states that he/she doesn't want that a medication line is visible on Vitalink)
  • If selecting this feature, the icon appears on the medication line. In this way, the healthcare professional is aware of it during a next contact.

• Possible actions for a stopped medication line are:
  • Re-activate (make medication line active again)
  • History (check history of posology etc)

• The drop down list with actions visualized in the wireframe is only an illustration and is not restrictive. This can be enriched with existing features within the hospital software.

• When validating medication and when confronted with several changes from Vitalink towards the local medication in the EHR, it can also be useful to have a very quick access to the most important features:
  • Edit & reject (in case of new/changed medication line coming from Vitalink)
  • Re-activate (in case of stopped medication line coming from Vitalink) 

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Example when the system is still working on the sync with Vitalink. The healthcare professional can already validate (without sending data to Vitalink).

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Example when there is no Vitalink medication scheme for the patient. By default it is indicated that a Vitalink medication scheme will be created when validating the active medication.
The healthcare professional can uncheck this option and continue with only (internal) validating.

End of the contact 

• After checking the active medication with the patient, updating medication and / or prescribing medication, the healthcare professional will validate the medication scheme (the combined overview). 

• Like already indicated:
  • When the healthcare professional agrees with the combined overview (agreement with changed medication line & stopped medication), he/she doesn't have to take any action.
  • When the healthcare professional doesn't agree, action should be taken (edit, reject, re-activate, ...).

• Validating the combined overview will work the same as validating the active medication in the local EHR: they will have to validate and in the same time, the information will be uploaded to Vitalink. 
• By default all medication lines would be selected (check boxes will be checked).

• When the sync with Vitalink is not yet done, and when the healthcare professional would like to validate already, it is possible to validate & continue. This means that no update to Vitalink is send for this patient.
  • But normally this shouldn't be this case since the sync & analysis of the combined overview should be done in 4 to 6 seconds or less; with a maximum of 10 seconds.

• When there isn't yet a Vitalink medication scheme for the patient, this is indicated via status information. 
  • Next, the healthcare professional can validate and create a Vitalink medication scheme at the same time.
  • It should be set by default that if there not no Vitalink medication scheme, a new one will be created when validating the medication. 
  • The healthcare professional can uncheck this option and can continue with only internal validating the active medication. 

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Example of notification when the healthcare professional validates the medication scheme without selecting all medication.  

• If validating the active medication list / scheme without selecting all medication lines: 

  • A notification appears with the message to select all medication lines.

  • Below the action buttons, the medication list / scheme should be visualized.

    • In this way, the healthcare professional can easily check / select & validate towards Vitalink.

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Example of notification when the healthcare professional closes the medical record without validating & updating the medication scheme towards Vitalink.

• If closing the patient record without validating & updating the medication scheme towards Vitalink:

  • A notification appears with the question to update Vitalink or not.

  • Below the action buttons, the medication list / scheme should be visualized.

  • In this way, the user can easily check & validate towards Vitalink.

• the healthcare professional doesn't agree, action should be taken (cfr. next wireframe with drop down menu).

• In this example, it is visible that one medication line has been changed on Vitalink. One medication line has been stopped.
  • These medication lines are visualized in a combined overview with the medication of the local EHR.

• For the changed medication:
  • This changed medication line is highlighted to indicate that this is data coming from outside the EHR.
  • This medication line is visualized closely together with the related medication line(s) that already existed in the local EHR.
    • This can be done based on the unique URI that each medication line has. 
    • This can be done based on the product name, substance name, ...
    • By doing so, it is easier for the healthcare professional to analyse and decide on the medication lines.
  • This changed medication line receives an icon, indicating the source.
  • This changed medication line receives a label (change), indicating that it concerns a changed medication line.
  • The medication line that is changed becomes 'strike through'.

• For the stopped medication: 
  • This stopped medication line is highlighted to indicate that this is data coming from outside the EHR.
    • The stopped medication line receives another colour to make sure this attracts the attention of the healthcare professional.  
  • This stopped medication line receives an icon, indicating the source.
  • This stopped medication line receives a label (stopped), indicating that it concerns a stopped medication line.
  • The medication line that is stopped becomes 'strike through'.

• When the healthcare professional agrees with the combined overview (agreement with changed medication line & stopped medication), he/she doesn't have to take any action.
• Only when the healthcare professional doesn't agree, action should be taken (cfr. next wireframe with drop down menu).

• It is highly recommended to not use too many colour indications for highlighting data coming outside the EHR.
  • Therefore, only one colour is used to indicated new medication & changed medication lines.
  • Another colour is used for highlighting stopped medication lines.

Image Added

Actions via drop down menu: possible to re-activate stopped medication line, check history, ... 

Image Added

Quick access to most important features when validating, e.g. edit or reject changed medication line. More features are available via drop down menu.

Image Added

Quick access to most important features when validating, e.g. re-activate stopped medication line. More features are available via drop down menu.

End of the contact 

• After checking the active medication with the patient, updating medication and / or prescribing medication, the healthcare professional will validate the medication scheme (the combined overview). 

• Like already indicated:
  • When the healthcare professional agrees with the combined overview (agreement with changed medication line & stopped medication), he/she doesn't have to take any action.
  • When the healthcare professional doesn't agree, action should be taken (edit, reject, re-activate, ...).

• Validating the combined overview will work the same as validating the active medication in the local EHR: they will have to validate and in the same time, the information will be uploaded to Vitalink. 
• By default all medication lines would be selected (check boxes will be checked).

• When the sync with Vitalink is not yet done, and when the healthcare professional would like to validate already, it is possible to validate & continue. This means that no update to Vitalink is send for this patient.
  • But normally this shouldn't be this case since the sync & analysis of the combined overview should be done in 4 to 6 seconds or less; with a maximum of 10 seconds.

• When there isn't yet a Vitalink medication scheme for the patient, this is indicated via status information. 
  • Next, the healthcare professional can validate and create a Vitalink medication scheme at the same time.
  • It should be set by default that if there not no Vitalink medication scheme, a new one will be created when validating the medication. 
  • The healthcare professional can uncheck this option and can continue with only internal validating the active medication. 

• If validating the active medication list / scheme without selecting all medication lines: 

  • A notification appears with the message to select all medication lines.

  • Below the action buttons, the medication list / scheme should be visualized.

    • In this way, the healthcare professional can easily check / select & validate towards Vitalink.

• If closing the patient record without validating & updating the medication scheme towards Vitalink:

  • A notification appears with the question to update Vitalink or not.

  • Below the action buttons, the medication list / scheme should be visualized.

  • In this way, the user can easily check & validate towards Vitalink

• • .