| Situation / Action | Information |
|---|
| 1 | There is no local medication info. Vitalink holds a medication scheme Vx. |
| 2-3 | Patient is admitted to the hospital, Vitalink medication scheme Vx is downloaded. |
| 3-4 | Local EMR Home medication is possibly updated to Vx'. |
| The EPD 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 EPD. The local medication scheme and Vitalink medication scheme are in sync. |
| 2 | OPTIONAL: Local medication scheme is possibly updated to Version 1' in preparation to become admission medication. |
| 34-5 | 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 Vx'Version 1, possibly substituted to the clinical formularium. |
| 4b4 | During admission a new version Vx+1 was made available on Vitalink. (This update was not caused by the hospital!) | 5 | During admission changes A to Z numerous changes can happen to the admission medication. These changes are local and are not communicated nor affecting the Vitalink medication schema Vx+1scheme. |
| 6-75 | At discharge, a new home medication Vx" scheme Version 1' is determined , taking into consideration previous home medication (Vx'), possibly after re-substitution of admission medication.  Is admission medication deleted or frozen or re-used in case of a future admission?
in the local EMR, possibly re-substituted to the original medication of the patient at the start of the admission. |
| 6 | In the meantime, a new medication scheme was uploaded to Vitalink by another Caregiver. The Vitalink medication scheme is now Version 2. |
| 7 | 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. |
| 8 | 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. | 7-8 | The new home medication has been uploaded to Vitalink The user consulted the combined overview to see the Vitalink changes between Vx and Vx+1. We recommend to show a notification that there is newer version of the medication scheme on Vitalink.The user can choose to keep changes, adapt changes or delete changes. |
| 9 | The local medication scheme is now version 2'. |
| 10 | The local medication scheme 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 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. |
| 12 | The local medication scheme is now Version 3. The local medication scheme and Vitalink medication scheme | 8 | Home medication and Vitalink are in sync. |
