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Example when a nurse, pharmacist assistant or medical secretary can add/edit/stop medication and register internal check (once Vitalink is synced).  

Example when a specialist is logged in and checks the internal check done by the nurse, pharmacist assistant or medical secretary. There are no changes.

Example when a specialist is logged in and checks the internal check done by the nurse, pharmacist assistant or medical secretary. There are changes.

Preparation of ambulant visit by support staff
-- Nurse, hospital pharmacist assistant or a medical secretary checks medication list and this list is correct

• • Often a nurse, hospital pharmacist assistant or a medical secretary prepares an ambulant visit.
  • This healthcare professional checks for example up front the active medication of a patient.

• This type of healthcare professionals have no validation rights related to the active medication, but they indicate in the local EHR that the medication is checked.
  • Therefore they use the action button 'register internal check'. 
  • In this wireframe, this button is active but not highlighted since the Vitalink sync is not yet done.
• This type of healthcare professionals can add / edit / stop / ... medication in the local home medication of the EHR, just in an informative way (to inform the specialist). 

• When a nurse, pharmacist assistant or medical secretary would open the medication module of a patient in the EHR, the system will start checking if there is a Vitalink medication scheme for this patient. If yes, there will be a sync with Vitalink.

• Here, it is visible that the system is syncing the local EHR home medication list with the Vitalink medication scheme.

• After syncing with Vitalink, it is visible that one new medication line is added from Vitalink to the local EHR medication list.
  • Since the sync with Vitalink is done, the button to register that the medication is checked becomes highlighted.
• The nurse, pharmacist assistant or medical secretary will check with the patient if all medication listed is still relevant (= actively taken).

• If the patient indicates that the listed medication is correct (= combined overview of local medication list of the EHR and the medication on Vitalink), the nurse / pharmacist assistant / medical secretary will do what he/she normally does: click on 'Register internal check'.
• This will result in an additional date, which would be the internal check date (visible on the next wireframe).

• On this screen, the specialist is logged in while in consultation with the patient.
• The specialist can see the internal check date by the nurse / pharmacist assistant / medical secretary in the right upper corner (10.06.2019, 10:35).
  
  • Since the internal check date is more recent than the Vitalink medication scheme date, the specialist will know that the Vitalink medication line is checked by the nurse / pharmacist assistant / medical secretary and is reported as 'actively taken by the patient'.
  • When the Vitalink validation date would be more recent than the internal check date, the specialist will know that in the meantime another healthcare professional has updated the Vitalink medication scheme.
• When seeing this medication list, the specialist can assume that this is the correct active medication of the patient.
• The specialist can continue the ambulant visit. 

Preparation of ambulant visit by support staff
-- Nurse, hospital pharmacist assistant or a medical secretary checks medication list and this list is not correct

• When the nurse / pharmacist assistant / medical secretary is changing a medication line of the home medication of the EHR, the medication line becomes highlighted (+ icon + textual label).
  • The same for adding, stopping, ... home medication from the EHR.

• When the nurse / pharmacist assistant / medical secretary should change / stop a medication line from Vitalink (according to the information the patient is providing), this isn't possible due to the access rights to Vitalink.
  • Since the nurse / pharmacist assistant / medical secretary can't change a Vitalink medication line, this healthcare professional should do this by adding a medication line in the local EHR.
• Next, the nurse / pharmacist assistant / medical secretary clicks on 'Register internal check'. 
  • By doing so, the medication line becomes also highlighted (+ icon + textual label).

• If the nurse / pharmacist assistant / medical secretary has made changes, they will be highlighted in another colour.
  • An icon & textual label should clarify even more that is concerns an internal change of the active medication.

• On this screen, the specialist is logged in while in consultation with the patient.
• The specialist can see the internal check date by the nurse / pharmacist assistant / medical secretary in the right upper corner (10.06.2019, 10:35).
  
  • Since the internal check date is more recent than the Vitalink medication scheme date, the specialist will know that the Vitalink medication line is checked by the nurse / pharmacist assistant / medical secretary and is reported as 'actively taken by the patient'.
  • When the Vitalink validation date would be more recent than the internal check date, the specialist will know that in the meantime another healthcare professional has updated the Vitalink medication scheme.
• When seeing this medication list, the specialist sees that the nurse / pharmacist assistant / medical secretary has added an additional medication line in the EHR.  
• The specialist sees that this is related to a medication line on Vitalink (grouping of the same medication).
• The specialist decides which medication line to keep / to stop.
• The specialist can continue the ambulant visit.