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- An alternative for validating & updating to Vitalink at the end of a contact is doing so when having the patient friendly medication screen open. Often this one of the last actions the healthcare professional does when working in the patient file.
- The healthcare professional can choose if he/she wants to print or wants to print & immediately validate the medication scheme towards Vitalink.
- In this way, the healthcare professional doesn't need to validate anymore before closing the patient file in the EHR.
Variant 3: Vitalink medication scheme changes
Example when a nurse, pharmacist assistant or medical secretary opens the medication module of the EHR.
- Often a nurse, hospital pharmacist assistant or a medical secretary prepares an ambulant visit.
- This healthcare professional checks for example upfront 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 healthcare professional with validation rights).
- When a nurse, pharmacist assistant or medical secretary would open the patient record in the EHR, the system will start automatically 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.
Example when a nurse, pharmacist assistant or medical secretary can add/edit/stop medication and register internal check (once Vitalink is synced).
-- Nurse, hospital pharmacist assistant or a medical secretary checks medication list and this list is correct
- 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).
-- 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, the EHR allows for duplication of a medication line. In this way, the healthcare professional can report the changes stated by the patient.
- This action will result in a duplicated medication line that is only available in the local EHR.
- It is important that the URI of the medication line is copied when duplicating !
- These two medication lines (original medication line coming from Vitalink & medication line that is duplicated and changed) are grouped / visualized together.
- These two medication lines can never be both validated towards Vitalink.
- Duplicating a medication line will be done via an action on the drop down menu.
- Since the nurse / pharmacist assistant / medical secretary can't change a Vitalink medication line, the EHR allows for duplication of a medication line. In this way, the healthcare professional can report the changes stated by the patient.
- Next, the nurse / pharmacist assistant / medical secretary clicks on 'Register internal check'.
- This will result in an additional date, which would be the internal check date (visible on the next wireframe).
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.
- 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, 10:05).
- 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 with the ambulant visit.
Example when a specialist is logged in and checks the internal check done by the nurse, pharmacist assistant or medical secretary. There are changes.
- 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, 10:05).
- 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 there are two medication lines that are grouped since they are (almost) the same.
- The specialist will see that the posology is different for the Vitalink medication line vs. local EHR medication line.
- The specialist will see that the local EHR medication line is added by a nurse / pharmacist assistant / medical secretary and has the most recent update date.
- If needed, the specialist can check with the patient the change the nurse / pharmacist assistant / medical secretary has made. Next, the specialist can decide to remove the Vitalink medication line.
- When validating the home medication, it will be the medication line that was created by the nurse / pharmacist assistant / medical secretary that will be uploaded to Vitalink.
- The specialist can continue with the ambulant visit.