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Basic flow: Home medication EHR section is already in sync with VitalinkExample when the system is still working on the sync with Vitalink.
Example when the latest validation was done by a general practitioner.
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Variant 1: There is no Home Medication data in the EHR
Example when there is no home medication of the EHR. All medication lines are coming from Vitalink (variant 1).
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Variant 2: Home Medication in the EHR is outdated vs. Vitalink medication scheme
Example when 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 (variant 2).
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- In this wireframe, the combined overview is visible. This means that the home medication of the local EHR is visualized together with the Vitalink medication data.
- It is important that the user can see at a glance what is new (added), changed, stopped on Vitalink in comparison with the previous active medication in the local EHR that the healthcare professional has checked with the patient during a previous contact.
- Medication lines that have no Vitalink icon are medication lines coming from the local EHR (in this case 3 medication lines).
- It is important that there is a visual difference between data from Vitalink vs. data from the local medication scheme of the EHR.
- In this example, it is visible that new medication was added on Vitalink.
- It is important that a changed medication, stopped medication, added medication is clearly indicated (here: the label 'new' is used in combination with the Vitalink icon) (cfr. next wireframe).
- List view vs. scheme view: the healthcare professional should be able to select the preferred view of the active medication list (combined overview).
- The list view in the wireframe illustrates only an example. It should be adapted towards the needs of the healthcare professionals (extra columns, features, ...).
- It is very important for healthcare professionals to have an hour scheme visualization. This means that the Vitalink data should be mapped on the hour scheme which will result in an hour medication scheme that the healthcare professional is used to.
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- 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).
The Vitalink data is displayed in a combined overview with the local EHR medication. Here it is visible that one medication line is changed via Vitalink. One medication line is stopped via Vitalink.
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Actions possible on a medication line
Actions via drop down menu: possible to edit changed medication line, prescribe, reject change, check history, ...
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- Possible actions for a new / changed medication line are:
- Edit (edit posology, comment, ...)
- Prescribe (make new prescription for patient)
- Reject change (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 and other related information)
- 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.
- Keep in mind, this is a software feature; this means that the software provides the feature to display the history of all changes that has been made towards a medication line).
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Actions via drop down menu: possible to re-activate stopped medication line, check history, ...
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- The drop down list with actions visualised in the wireframe is only an illustration and is not restrictive.
- This can be enriched with existing features within the hospital software (e.g. substitute, stop medication, instructions of use, ...).
Quick access to most important features when validating, e.g. edit or reject changed medication line. More features are available via drop down menu.
Quick access to most important features when validating, e.g. re-activate stopped medication line. More features are available via drop down menu.
- 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).
- This means that de healthcare professional can reinitiate the previous state of the medication line (cfr. previous medication state in history overview of that medication).
Example when medication line is folded out to see more details.
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Validating at the end of the ambulant visit
Example of 'Validate & update Vitalink' button on top of the list of the combined overview of the active medication.
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Partial upload of the medication scheme to Vitalink
Example of notification when the healthcare professional validates the medication scheme without selecting all medication.
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No Vitalink update when closing patient record
Example of notification when the healthcare professional closes the medical record without validating & updating the medication scheme towards Vitalink.
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- When a change or other action is necessary, the healthcare professional can start from here (using the drop down list with actions).
Patient Print
Example of screen overlay with visualization of patient friendly medication scheme. As from here, it is also possible to validate & update the medication scheme towards Vitalink.
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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 is 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.
- As an alternative, it is also possible to use the Patient medication scheme that is provided by Vitalink. This will be offered in pdf format (cfr. below).
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Support staffs prepares patient visit
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