...
Notion! It is important to update medication during home hospitalisation to Vitalink in order to make sure that in normal care or emergency cases primary care workers can also see and/or intervene in the Vitalink medication scheme of the patient.
Variant 1: Home hospitalisation
...
with admission
|
| Situatie / Actie | Info |
|
|---|
| 1 | There is no local medication info. Vitalink holds a medication scheme Vx. | (identical to admission - basic scenario)
| | 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' | | 4-5 | 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', possibly substituted to the clinical formularium. | | 5-6 | During the preparation of the home hospitalisation, after the admission in the hospital. ??? Is it correct that there is always a 'normal admission before home hospitalisation? the new home medication in the local EMR is determined Vx", after re-substitution of admission medication.
|
| | 6-7 | The new medication scheme is uploaded to Vitalink Vx+1. |
| | 7-8 | In view of the home treatment, the admission medication is changed to B. |
| | 8-9 | In order to be able to prepare the treatment at home, the new home medication in the EMR is determined Vx+1' (after re-substitution if applicable). |
| | 9-10 | The new medication scheme is uploaded to Vitalink Vx+2. |
| | 10- 11 | The patient's treatment has been finished and discharge is prepared. The hospital makes final changes to home medication Vx+2' |
| | 11-12 | Home medication and Vitalink are in sync. |
|
|
Variant 2: Home hospitalisation
...
without admission
In the case a patient is receiving his hospital treatment at home without previous admission in the hospital, the use cases follows the same steps as the ambulant visit.
...
