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Variant 3: Vitalink medication scheme changes
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| In the hospital people start the preparation of an ambulant visit. Vitalink medication scheme Vx is downloaded. | |||||
| 3 | Local EMR and Vitalink are in sync. | ||||||
| 3 - 5 | Local EMR makes changes to the medication schema (Vx') in preparation of the ambulant visit. | ||||||
| 4 | During the preparation, Vitalink medication scheme has been updated externally to Vx+1 (this update is not caused by the hospital!). | ||||||
| 5 | Preparation phase ends. | ||||||
| 6 | Ambulant visit starts. | ||||||
| 6 - 7 | During the visit, changes are made to medication in the local EMR until a final local medication scheme (Vx") is produced. | 7 - 8 |
The EPD requests the latest version of the Vitalink medication scheme. This action can be done manually by a user action, Vitalink responds with the same version that is already present in the EPD. The local medication scheme and Vitalink medication scheme are in sync. | |
| 3 | OPTIONAL: Local medication can be updated in the combined overview during the preparation for the ambulant visit Vx'. |
| 4 | OPTIONAL: Preparing of ambulant visit stops. The local medication scheme is now version 1'. |
| 5 | Start ambulant visit. |
| 6 | In the meantime, a new medication scheme was uploaded to Vitalink by another Caregiver. The Vitalink medication scheme is now Version 2. |
| 7 | End ambulant visit. The caregiver made changed to the local medication scheme. The local medication scheme is now Version 1". |
| 8 | The local medication scheme is exported to Vitalink. The export failed because the version of the medication scheme in Vitalink is more recent than the local medication scheme. |
| 9 | The local EMR holds the |
master medication scheme. The local EMR 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 local |
medication scheme 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. |
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| Situation / Action | Information | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 1 | OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting of oncology visit with patiënt) | 2 |
. The local medication scheme and Vitalink medication scheme are in sync. |
| Note |
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If the Vitalink medication scheme changes during the preparation |
of the ambulant visit |
In the meantime, a new medication scheme was uploaded to Vitalink by another Caregiver.
The Vitalink medication scheme is now Version 2.
The local medication scheme is exported to Vitalink. The export failed because the version of the medication scheme in Vitalink is more recent than the local medication scheme.
The local EMR holds the master medication scheme. The local EMR 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 local medication scheme 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.
The local medication scheme is now version 2'.
The local medication scheme is exported to Vitalink.
The Vitalink medication scheme now becomes Version 3.
Vitalink sends the updated identification code for each medication (URI's) back to the EPD.
There are two options:
- The EPD adds the URI's in the local medication scheme and updates the version number to Version 3.
- The EPD requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the local medicationscheme.
The local medication scheme is now Version 3.
The local medication scheme and Vitalink medication scheme are in sync.
Variant 5: Vitalink changes during ambulant visit
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| Situatie / Actie | Info | ||
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| 1 | There is no local medication info. Vitalink holds a medication scheme Vx. | ||
| 2 | In the hospital people start the preparation of an ambulant visit. Vitalink medication scheme Vx is downloaded. | ||
| 3 | Local EMR and Vitalink are in sync. | ||
| 3 - 4 | Local EMR makes changes to the medication schema (Vx') in preparation of the ambulant visit. | ||
| 4 | Preparation of the ambulant visit stops. | ||
| 5 | Ambulant visit starts. | ||
| 6 | During the ambulant visit, a newer version Vx+1 is uploaded to Vitalink (this update is not caused by the hospital!). | ||
| 5 - 7 | During the visit, changes are made to medication in the local EMR until a final local medication scheme (Vx") is produced. | ||
| 7 - 8 | The medication scheme is uploaded to Vitalink Vx+2 at the end of the ambulant visit. When uploading, you have a version Vx+1 on VL meanwhile local EMR holds an accent version Vx''. | 8 | Local EMR medication data and Vitalink are in sync.
2. Admission
A hospital admission is the moment when a patient is taken being admitted to the care of the hospital. It means the hospital is in charge of the care of this patient. This admission can be only for a couple of hours (policlinical, day clinic, etc.) or for several days, weeks, months and thus include an overnight stay. There are also different types of hospital admission: the admission can be planned e.g. for a surgery or can be an unplanned (urgent) admission e.g. in case of a car accident.
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