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It is important that the GP has one overview of the active medication of the patient. Since information about the active medication can be found both in the local EMR and on Vitalink, the general practitioner wishes to see this information one combined overview. This overview must be shown on the first working screen of the application.

The GP does not want to compare the information from the local EMR and the Vitalink medication scheme manually to determine what has changed. Comparing two different schemes is too time-consuming, too complex and can lead to mistakes. Methods where they can 'update' per line, 'upload' are not well understood. Rows in a table using different status icons can not be interpreted unambiguously.

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After prescribing and completing the consultation it is important that the complete Vitalink ( combined ) medication scheme is shown before validating and uploading.

This means that the GP must actively press the 'Validate Vitalink medication scheme' button before the complete medication scheme is uploaded to Vitalink.

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If the GP does not want the medication scheme (now, to be uploaded to Vitalink now (will have to do it later) to be uploaded to Vitalink , he should have the option to validate later (put it on a 'to do' list) or and to not validate it yet.

If the GP decides, at a later date, to validate this medication scheme, Vitalink must check whether the Vitalink medication scheme in the EMR is the latest version.

• This means that when opening an item from the 'to do' list, the relevant Vitalink medication scheme must be re-loaded.
• If applicable, a message should be shown that a more recent Vitalink medication scheme will be shown.
• The medication schemes that are 'to be validated later' must also be removed from the 'to do' list if they stay to long.

A medication scheme can not 'to be validated' for more than x 5 number of days. This number of days must be parametrisable. Afterwards, the GP is obliged by a notification to validate the medication scheme (and is uploaded to Vitalink) or take another action (not validate).

In case of a home visit, the upload of the medication scheme to Vitalink will possibly take place later if there is no internet connection at that moment (the medication scheme is temporarily placed on a 'to do' list and when connected this medication schedule is automatically uploaded to Vitalink).

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• The GP must be able to open the medication scheme (combined overview) at any time before closing the patient's EMR.
• It is important that the 'to do' list for later validation of medication schemes and uploading to Vitalink can be managed efficiently.
  

  • Provide the GP with a reminder functionality in which he/she can set up to be reminded within x time to validate the medication scheme on the 'to do' list and send it to Vitalink.

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Visualisation of the print version of the Vitalink medication scheme

Mandatory

It should be taken into account that the an official print version of the medication scheme for the patient may evolve in the future.

Depending on the needs of the patient, different types of displays may be necessary.

Each view will be built on the same dataset. This view should be able to be viewed on the screen by the GP & possibly the patient during the consultation, or be printed to give to the patient.

• A display type can be selected on the combined overview of the medication scheme.
• It must be easy to alternate between the different types of view so that the GP can decide in consultation with the patient which visualization of the medication scheme is best suited for the patient.

An exact implementation of this representation(s) will have to be offered by the software supplier.

Click here for more in-depth information regarding the Vitalink medication scheme print.

Recommendations

• Ensure that the GP can easily switch between the different display types.

• Keep the preference for a specific type of display for each patient, so that the GP can know which type he/she should select during a subsequent consultation.

is offered by Vitalink, it is thus not mandatory to develop an own patient print for your EMR. This print should be visualised on the screen by the GP & possibly the patient during the consultation, or be printed to give to the patient.

Click here for more in-depth information regarding the Vitalink medication scheme print.

How to handle mistakes

See wireframes 3.4 and 4.4.

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If a medication scheme is removed from Vitalink and can not be fully visualized visualised by the interpreting software package (eg if there is a problem with a medication line, posology or other), it is important to get as much information as possible on each medication line so that at least 'something' in the Vitalink medication scheme can be shown.

The GP who collects this 'incomplete' Vitalink medication scheme also wants to see as much as possible of the incomplete / incorrect information. If necessary, he/she can supplement the incomplete / incorrect / missing information from his/her professional expertise. 

If possible, as much of the information as possible should be retrieved from the medication line until the information can no longer be read (due to the corrupted construction) (eg if posology is still correct this can also be downloaded but for example the intake moments are not).

The rest of the information (from the corrupted construction) should be downloaded as 'free text' (shown in the comments field). In this way, the GP can supplement the Vitalink medication scheme as well good as possible.

GPs are open to refilling this information again to the medication line; in any case it is better to have minimal information regarding the active medication of the patient than no information (eg now the complete Vitalink medication scheme is sometimes blocked by one corrupted medication line).

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• "The Vitalink medication scheme can not be uploaded. There is an error in the medication line medication x."

• "The Vitalink medication scheme can not be uploaded. There is currently no connection possible with Vitalink."

Recommendations

• Provide sufficient functional & technical tests to prevent bugs.
• Ensure that the GP can complete the information in an easy way.

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