1.Ambulant Visit
Ambulant visit is the use case where the patient visits the hospital without being admitted (= taken into care of the hospital or ocupying a hospital bed).
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Variant 3: Vitalink changes during hospital admission
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| Situation / Action | Information |
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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 that is already present in the EHR. The home medication of the EHR and Vitalink medication scheme are in sync. | | 2 | OPTIONAL: Home medication 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 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 EHR, as much as possible re-substituted to the original medication of the patient at the start of the admission. | | 6 | However, in the meantime, a new medication scheme was uploaded to Vitalink by another Caregiver. The Vitalink medication scheme is now Version 2. | | 7 | When the home medication in the EHR, version 1" is exported to Vitalink, the export will fail because the version 2 of the medication scheme in Vitalink is more recent than the Home medication scheme of the EHR, which was based upon version 1 of Vitalink. | | 8 | However, the hospital EHR holds the master medication scheme. 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 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 is now version 2'. | | 10 | The home medication 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 EHR. The EHR requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the Home medication. | | 12 | The EHR holds now Version 3. The EHR and Vitalink medication scheme are in sync. |
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Variant 4. Discharge over the weekend
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