...

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

Wireframes

1.

...

Reduced combined overview

Image Added

Example of a dashboard page, visualizing the active medication of the patient. The

...

Basic flow: Home medication EHR section is already in sync with Vitalink

Image Removed

Example when the system is still working on the sync with Vitalink. 

• In this wireframe, the home medication of the local EHR is visible. 

• It is visible that the system is syncing with Vitalink (upper right corner).
  • This is done automatically, without interference of the healthcare professional.
  • It is important that the automatic sync starts when opening the EHR of the patient (and not only when opening the medication module of the EHR).
  • The healthcare professional should be aware that the system is syncing with Vitalink. Therefore it is recommended to use an icon and/or textual label expressing what the system is doing.
  • The sync can only be done with Vitalink if IC & circle of trust are OK.

• While syncing, the healthcare professional can do all actions in the medication module of the hospital software (add new medication, re-prescribe, transfer to admission medication, ...).
• It is possible to validate the active medication list of the local EHR; but preferably this is only done when the Vitalink data are synced with the medication data of the local EHR. 
• The automatic import and analysis of the information from the Vitalink medication scheme should take a minimum of time. Preferably 4 to 6 seconds or less; with a maximum of 10 seconds.

Image Removed
Example when the sync with Vitalink is completed. 

...

• It can be useful to have on the homepage / dashboard page of the patient file of the EHR a reduced / abbreviated list of the active medication.
  • In this way, the healthcare professional can see in a glance, when opening the patient file, some basic information on what medication the patient is taking & what the changes are regarding to the last visit of the patient.

• This reduced list of active medication should also present to combined overview of the active medication of the EHR & the medication coming from Vitalink. 
  • The software / user can decide which information is useful to shop in such a reduced combined overview. 
  • It is recommended to display at least the product name, dosage & posology.

• This reduced combined overview will work in the same way as the complete combined overview.
  • In the wireframe, it is visible that the local active medication is visualised. In the meantime, the system is syncing with Vitalink (automatically).
  • It is clearly indicated that the system is working on the sync with Vitalink.

Image Added

Example of a dashboard page, visualising the combined active medication overview of the patient (Vitalink medication lines + local EHR medication lines).

• In this example, it is visible that the sync with Vitalink is

...

• completed.
• A reduced combined overview is displayed. 
• It is visible that on Vitalink one new medication line was added.

• The healthcare professional

...

• Using a meaningful icon, combined with another icon expressing a status.
• Information about the latest validation date of the Vitalink medication scheme (in this case: 29.05. 2019, 19:30).

Image Removed

• If the user wants to obtain more information (e.g. validated by, sync info, version number, ...) or wants to do manually a new sync with Vitalink, this information can be provided via a tooltip when moving over this status information. For example: 

• should be able to do some actions (manipulations on the medication lines) as from here, or as from the complete combined overview).
  • It should be possible to go to the home medication module of the EHR with one click (e.g. by clicking on the title bar 'home medication').
  • If a sorting mechanism (e.g. on ATC class) is selected in the complete combined overview, the same sorting mechanism is used in this reduced combined overview.

Image Added

Example of dashboard page, visualizing the admission medication when the patient is hospitalized. 

• When the patient is hospitalized, a 2nd tab or sub navigation 'Admission medication' should appear on the homepage / dashboard page: representing the home medication in a reduced way.

• When opening the EHR when the patient is hospitalized, this 'Admission medication' tab should be opened by default. 
  • The healthcare professional will be able to navigate to the Admission medication module of the EHR via one click.
  • When in the tab 'Admission medication', no Vitalink indication is visible. 
  • All medication lines coming from Vitalink are validated or rejected or edited by the healthcare professional before transferring the home medication towards the admission medication. 

2. Ambulant Visit

Basic flow: Home medication EHR section is already in sync with Vitalink

Image Added

Example when the system is still working on the sync with Vitalink. 

• In this wireframe, the home medication of the local EHR is visible. 

• It is visible that the system is syncing with Vitalink (upper right corner).
  • This is done automatically, without interference of the healthcare professional.
  • It is important that the automatic sync starts when opening the EHR of the patient (and not only when opening the medication module of the EHR).
  • The healthcare professional should be aware that the system is syncing with Vitalink. Therefore it is recommended to use an icon and/or textual label expressing what the system is doing.
  • The sync can only be done with Vitalink if IC & circle of trust are OK.

• While syncing, the healthcare professional can do all actions in the medication module of the hospital software (add new medication, re-prescribe, transfer to admission medication, ...).
• It is possible to validate the active medication list of the local EHR; but preferably this is only done when the Vitalink data are synced with the medication data of the local EHR. 
• The automatic import and analysis of the information from the Vitalink medication scheme should take a minimum of time. Preferably 4 to 6 seconds or less; with a maximum of 10 seconds.

Image Added
Example when the sync with Vitalink is completed. 

Image Added                          

 Example when the latest validation was done by a general practitioner. 

Image Added
Example when the latest validation was done by a specialist in an hospital (only the hospital will be visible). 

• When the sync with Vitalink isn't possible, it should be indicated that the sync couldn't be done successfully (status information). 
  • When doing a mouse over, more information about the failure should be provided via a tooltip. 
  • It should be possible to initiate a new sync with Vitalink. 

Image Added

• When there isn't a Vitalink medication scheme for the patient, this should be indicated.

  • It should be possible to create a Vitalink medication scheme for the patient via 1 click.

  • When checking the check box in the example below, the medication list that is validated by the healthcare professional will be uploaded to Vitalink at the end of the contact.

    Image Added

• In the examples above, each time Vitalink is addressed as external source.
• If Réseau Santé Wallon is addressed as external source, the RSW icon & textual label should be used.

Image Added

• If Réseau Santé Bruxellois is addressed as external source, the RSB icon & textual label should be used.

Image Added

Image Added

Example when the home medication of the EHR is in sync with the Vitalink medication scheme (Basic flow). 

• When the sync with Vitalink is done, it is visible in the wireframe that there is no difference between the home medication of the local EHR and the medication on Vitalink. 
  • If there would be a difference, the medication lines coming from Vitalink would be highlighted & labeled (cfr. next wireframe). 

Variant 1: There is no Home Medication data in the EHR

Image Added

Example when there is no home medication of the EHR. All medication lines are coming from Vitalink (variant 1). 

• When the sync with Vitalink is done, it is visible in the wireframe that all medication lines are coming from Vitalink. There was no home medication in the EHR.
  • It is visible that the medication lines are coming from Vitalink due to the highlighting colour, the icon & the label 'new'.

Variant 2: Home Medication in the EHR is outdated vs. Vitalink medication scheme

Image Added

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).

• 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.

• 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, ...).

Image Removed                          

 Example when the latest validation was done by a general practitioner. 

Image Removed
Example when the latest validation was done by a specialist in an hospital (only the hospital will be visible). 

• When the sync with Vitalink isn't possible, it should be indicated that the sync couldn't be done successfully (status information). 
  • When doing a mouse over, more information about the failure should be provided via a tooltip. 
  • It should be possible to initiate a new sync with Vitalink. 

Image Removed

• When there isn't a Vitalink medication scheme for the patient, this should be indicated.

  • It should be possible to create a Vitalink medication scheme for the patient via 1 click.

  • When checking the check box in the example below, the medication list that is validated by the healthcare professional will be uploaded to Vitalink at the end of the contact.

    Image Removed

• In the examples above, each time Vitalink is addressed as external source.
• If Réseau Santé Wallon is addressed as external source, the RSW icon & textual label should be used.

Image Removed

• If Réseau Santé Bruxellois is addressed as external source, the RSB icon & textual label should be used.

Image Removed

Image Removed

Example when the home medication of the EHR is in sync with the Vitalink medication scheme (Basic flow). 

• When the sync with Vitalink is done, it is visible in the wireframe that there is no difference between the home medication of the local EHR and the medication on Vitalink. 
  • If there would be a difference, the medication lines coming from Vitalink would be highlighted & labeled (cfr. next wireframe). 

Variant 1: There is no Home Medication data in the EHR

Image Removed

Example when there is no home medication of the EHR. All medication lines are coming from Vitalink (variant 1). 

• When the sync with Vitalink is done, it is visible in the wireframe that all medication lines are coming from Vitalink. There was no home medication in the EHR.
  • It is visible that the medication lines are coming from Vitalink due to the highlighting colour, the icon & the label 'new'.

Variant 2: Home Medication in the EHR is outdated vs. Vitalink medication scheme

Image Removed

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).

• 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.

• 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.

...

-- Nurse, hospital pharmacist assistant or a medical secretary checks medication list and this list is not correct

...

• When the nurse / pharmacist assistant / medical secretary should change / stop a medication line from Vitalink (according to the information the patient is providing), this isn't possible due to the access rights to Vitalink.Since the nurse / pharmacist assistant / medical secretary can't change is changing a Vitalink medication line , the EHR allows for duplication of a medication line. In this way, the healthcare professional can report the changes stated by the patient.
  • This action will result in a duplicated medication line that is only available in the local EHR. 
  • It is important that the URI of the medication line is copied when duplicating ! 
  • These two medication lines (original medication line coming from Vitalink & medication line that is duplicated and changed) are grouped / visualized together.
  • These two medication lines can never be both validated towards Vitalink.  
• Duplicating a medication line will be done via an action on the drop down menu.

• Next, the nurse / pharmacist assistant / medical secretary clicks on 'Register internal check'. 
• This will result in an additional date, which would be the internal check date (visible on the next wireframe).

Image Removed

Example when a specialist is logged in and checks the internal check done by the nurse, pharmacist assistant or medical secretary. There are no changes.

• On this screen, the specialist is logged in while in consultation with the patient.
• The specialist can see the internal check date by the nurse / pharmacist assistant / medical secretary in the right upper corner (10.06.2019, 10:05).
  
  • Since the internal check date is more recent than the Vitalink medication scheme date, the specialist will know that the Vitalink medication line is checked by the nurse / pharmacist assistant / medical secretary and is reported as 'actively taken by the patient'.
  • When the Vitalink validation date would be more recent than the internal check date, the specialist will know that in the meantime another healthcare professional has updated the Vitalink medication scheme.

• When seeing this medication list, the specialist can assume that this is the correct active medication of the patient.
• The specialist can continue with the ambulant visit. 

Image Removed

• the home medication of the EHR, the medication line becomes highlighted (+ icon + textual label).
  • The same for adding, stopping, ... home medication from the EHR.

• When the nurse / pharmacist assistant / medical secretary should change / stop a medication line from Vitalink (according to the information the patient is providing), this isn't possible due to the access rights to Vitalink.
  • Since the nurse / pharmacist assistant / medical secretary can't change a Vitalink medication line, the EHR allows for duplication of a medication line. In this way, the healthcare professional can report the changes stated by the patient.
    • This action will result in a duplicated medication line that is only available in the local EHR. 
    • It is important that the URI of the medication line is copied when duplicating ! 
    • These two medication lines (original medication line coming from Vitalink & medication line that is duplicated and changed) are grouped / visualized together.
    • These two medication lines can never be both validated towards Vitalink.  
  • Duplicating a medication line will be done via an action on the drop down menu.

• Next, the nurse / pharmacist assistant / medical secretary clicks on 'Register internal check'. 
• This will result in an additional date, which would be the internal check date (visible on the next wireframe).

Image Added

Example when a specialist is logged in and checks the internal check done by the nurse, pharmacist assistant or medical secretary. There are no changes.

• On this screen, the specialist is logged in while in consultation with the patient.
• The specialist can see the internal check date by the nurse / pharmacist assistant / medical secretary in the right upper corner (10.06.2019, 10:05).
  Since the internal check date is more recent than the Vitalink medication scheme date, the specialist will know that the Vitalink medication line is checked by the nurse / pharmacist assistant / medical secretary and is reported as 'actively taken by the patient'.
• When the Vitalink validation date would be more recent than the internal check date, the specialist will know that in the meantime another healthcare professional has updated the Vitalink medication scheme.

• When seeing this medication list, the specialist sees that there are two medication lines that are grouped since they are (almost) the same.
  • The specialist will see that the posology is different for the Vitalink medication line vs. local EHR medication line.
  • The specialist will see that the local EHR medication line is added by a nurse / pharmacist assistant / medical secretary and has the most recent update date.

• in the right upper corner (10.06.2019, 10:05).
  
  • Since the internal check date is more recent than the Vitalink medication scheme date, the specialist will know that the Vitalink medication line is checked by the nurse / pharmacist assistant / medical secretary and is reported as 'actively taken by the patient'.
  • When the Vitalink validation date would be more recent than the internal check date, the specialist will know that in the meantime another healthcare professional has updated the Vitalink medication scheme.

• When seeing this medication list, the specialist can assume that this is the correct active medication of the patient
• If needed, the specialist can check with the patient the change the nurse / pharmacist assistant / medical secretary has made. Next, the specialist can decide to remove the Vitalink medication line.
• When validating the home medication, it will be the medication line that was created by the nurse / pharmacist assistant / medical secretary that will be uploaded to Vitalink.
• The specialist can continue with the ambulant visit. 

Variant 3: Vitalink medication scheme changes

Image RemovedImage Added

Example when a specialist is logged in and checks the internal check done by the nurse, pharmacist assistant or medical secretary. There are changes.The specialist notices new changes that are made on Vitalink after the internal check.

• In this example, Vitalink is updated by another healthcare professional (e.g. general practitioner) after the internal check of the nurse / pharmacist assistant / medical secretaryOn this screen, the specialist is logged in while in consultation with the patient.
• The specialist can see this via the Vitalink validation date. Since this date is 12.06.2019, 13:10 he/she can see that this date is more recent that the internal check date internal check date by the nurse / pharmacist assistant / medical secretary in the right upper corner (10.06.2019, 10:05).
  
• The specialist will check with the patient the change the nurse / pharmacist assistant / medical secretary has made and the new Vitalink updates. 
• The specialist can continue with the ambulant visit. 

2.Admission

Variant 2: Home Medication is outdated compared to Vitalink

Image Removed

Example of synced home medication.

• In this example, it is visible that the home medication of the EHR is synced with the Vitalink data. 
• Vitalink has newer information, which is added to the home medication of the EHR.
• The medication line coming from Vitalink is clearly indicated (highlight, icon, label).
• The healthcare professional can add/edit/stop/... medication from the home medication of the EHR before transferring it to the admission medication.

Image Removed

Example of selection made to transfer home medication to admission medication.

• In this case, the healthcare professional decides to transfer only 6 medication lines to the admission medication. 
• These medication lines can be selected via checking the check boxes.
• Next the healthcare professional can press the button to do the transfer to the admission medication.
• When transferring home medication to admission medication, the URI of the medication line stays linked to the transferred medication line.
  • In this way, the medication can always be resubstituted to the original product when it is substituted during admission. 
  • When the medication line has no URI (since there is no Vitalink medication scheme, only a local EHR home medication list), another unique identification should be provided to the medication line that is transferred from home medication to admission medication. 
    • This ensures also the easy resubstitution of the product to the original product after admission. 
  • Resubstitution is not obliged but it is recommended. 
  • By applying the approach described above, the resubstitution process would be easy & fast for the healthcare professional. 

Image Removed

Example of admission medication, transferred from the home medication. 

• The healthcare professional is in the section 'Admission medication'. 
• The 6 medication lines that were indicated to be transferred to the admission medication are visible.
• It is possible to substitute the medication.
  • This can be done by clicking on the substitute icon on each medication line: Image Removed
     
  • Or by opening the drop down menu via the Image Removed icon (visible at each medication line) and via selecting the feature 'substitution':

Image Removed

• • Since the internal check date is more recent than the Vitalink medication scheme date, the specialist will know that the Vitalink medication line is checked by the nurse / pharmacist assistant / medical secretary and is reported as 'actively taken by the patient'.
  • When the Vitalink validation date would be more recent than the internal check date, the specialist will know that in the meantime another healthcare professional has updated the Vitalink medication scheme.

• When seeing this medication list, the specialist sees that there are two medication lines that are grouped since they are (almost) the same.
  • The specialist will see that the posology is different for the Vitalink medication line vs. local EHR medication line.
  • The specialist will see that the local EHR medication line is added by a nurse / pharmacist assistant / medical secretary and has the most recent update date.

• If needed, the specialist can check with the patient the change the nurse / pharmacist assistant / medical secretary has made. Next, the specialist can decide to remove the Vitalink medication line.
• When validating the home medication, it will be the medication line that was created by the nurse / pharmacist assistant / medical secretary that will be uploaded to Vitalink.
• The specialist can continue with the ambulant visit. 

Variant 3: Vitalink medication scheme changes

Image Added

Example when a specialist is logged in and checks the internal check done by the nurse, pharmacist assistant or medical secretary. There are changes.
The specialist notices new changes that are made on Vitalink after the internal check.

• In this example, Vitalink is updated by another healthcare professional (e.g. general practitioner) after the internal check of the nurse / pharmacist assistant / medical secretary.
• The specialist can see this via the Vitalink validation date. Since this date is 12.06.2019, 13:10 he/she can see that this date is more recent that the internal check date (10.06.2019, 10:05).
• The specialist will check with the patient the change the nurse / pharmacist assistant / medical secretary has made and the new Vitalink updates. 
• The specialist can continue with the ambulant visit. 

3.Admission

Variant 2: Home Medication is outdated compared to Vitalink

Image Added

Example of synced home medication.

• In this example, it is visible that the home medication of the EHR is synced with the Vitalink data. 
• Vitalink has newer information, which is added to the home medication of the EHR.
• The medication line coming from Vitalink is clearly indicated (highlight, icon, label
• Next, a screen overlay opens with the substitution options.
• The active medication will be displayed in list of scheme view, depending on the choice of the healthcare professional. 
• For admission, scheme view is normally preferred; so by default it should open in scheme view.
The healthcare professional should be able to select within the scheme view the most appropriate view (by day / by hour / ...).
• The healthcare professional can add/edit/stop/... medication lines in from the home medication of the EHR before transferring it to the admission medication.

Image Removed

Image Added

Example of selection made to transfer home medication to The 1st and 3rd medication line are substituted in the admission medication.The healthcare professional selects at the end the admission the medication that should be transferred to the home medication.

• In this case, the healthcare professional decides to transfer only 6 medication lines to the admission medication. 
• These medication lines can be selected via checking the check boxesWhen discharging the patient, the admission medication will be transferred to the home medication module.This can be done by checking the check boxes of the medication lines that need to be transferred.
• Next the healthcare professional can press the button to do the transfer to the admission medication.
• When transferring home medication to admission medication, the URI of the medication line stays linked to the transferred medication line.
  • In this exampleway, the healthcare professional decides to only transfer 5 medication lines to the home medication.

Image Removed

Example of home medication after transferring the admission medication to the home medication.
The former medication lines from the home medication that were not transferred to the admission medication are visualized with a grey background.

• The admission medication is transferred to the home medication.
• Via the substitute icon, it is clearly visible for the healthcare professional which medication lines should be put in their original state (product) for the hospital discharge. 
• Medication that is substituted can be re-substituted by using the resubstitute icon of via the drop down menu.

                                                           Image Removed     or     Image Removed

• The medication lines that were originally in the home medication but were not transferred to the admission medication, are visualized in a grey background. 
  • In this way, the healthcare professional can easily identify and evaluate if these medication lines are still relevant. 
  • Medication lines that aren't relevant anymore can be stopped via the drop down menu per medication line.

Image Removed

Example of home medication after transferring the admission medication to the home medication.
One medication line is resubstitued. One medication line isn't substituted. 

• The healthcare professional decides in this example to resubstitute the Omneprazole; the Betahistine stays in the substituted product. 
• The healthcare professional decides in this example to stop the Lormetazepam EG. 

• Next, the healthcare professional can validate the relevant lines of the home medication and update Vitalink.

Variant 4. Discharge over the weekend

Often patients with a long admission in the hospital are allowed a stay during the weekend at home. In the hospital system this weekend stay is not seen as a discharge.
However, during this period, the medication for the stay at home is treated as in the case of a discharge after an admission. After the weekend home stay, actions are taken as if with a new admission. 

• • medication can always be resubstituted to the original product when it is substituted during admission. 
  • When the medication line has no URI (since there is no Vitalink medication scheme, only a local EHR home medication list), another unique identification should be provided to the medication line that is transferred from home medication to admission medication. 
    • This ensures also the easy resubstitution of the product to the original product after admission. 
  • Resubstitution is not obliged but it is recommended. 
  • By applying the approach described above, the resubstitution process would be easy & fast for the healthcare professional. 

Image Added

Example of admission medication, transferred from the home medication. 

• The healthcare professional is in the section 'Admission medication'. 
• The 6 medication lines that were indicated to be transferred to the admission medication are visible.
• It is possible to substitute the medication.
  • This can be done by clicking on the substitute icon on each medication line: Image Added
     
  • Or by opening the drop down menu via the Image Added icon (visible at each medication line) and via selecting the feature 'substitution':

Image Added

• Next, a screen overlay opens with the substitution options.
• The active medication will be displayed in list of scheme view, depending on the choice of the healthcare professional. 
  • For admission, scheme view is normally preferred; so by default it should open in scheme view.
  • The healthcare professional should be able to select within the scheme view the most appropriate view (by day / by hour / ...).

• The healthcare professional can add/edit/stop/... medication lines in the admission medication.

Image Added

The 1st and 3rd medication line are substituted in the admission medication.
The healthcare professional selects at the end the admission the medication that should be transferred to the home medication.

• When discharging the patient, This means that the admission medication will be transferred to the home medication module.
  • This can be done by checking the check boxes of the medication lines that need to be transferred.
   
  • Next the healthcare professional can press the button to do the transfer to the home medication
  will be validated & uploaded to Vitalink
  • .
  Often, a patient friendly medication scheme will be printed for the weekend home stay.Also from here it is possible to validate & upload the medication list to Vitalink (cfr. ambulant visit). 
  
• After the weekend, the home medication is normally not changed. However, a Vitalink sync will be done.
Next, the home medication will be transferred again to the admission medication. 

• When having a discharge over the weekend, medication is normally not substituted. 
When having a final discharge, the medication is re-substituted as much as possible to the original medication.

• In some cases, when having a discharge over the weekend, the admission medication is not transferred to the home medication.
  • This means that no update of the medication will be available on Vitalink.
  • This is only done when no mediation problems are expected. 

3. Reduced combined overview

Image Removed

Example of a dashboard page, visualizing the active medication of the patient. The system is still working on the sync with Vitalink.

• • In this example, the healthcare professional decides to only transfer 5 medication lines to the home medication.

Image Added

Example of home medication after transferring the admission medication to the home medication.
The former medication lines from the home medication that were not transferred to the admission medication are visualized with a grey background.

• The admission medication is transferred to the home medication.
• Via the substitute icon, it is clearly visible for the healthcare professional which medication lines should be put in their original state (product) for the hospital discharge. 
• Medication that is substituted can be re-substituted by using the resubstitute icon of via the drop down menu.

                                                           Image Added     or     Image Added

• The medication lines that were originally in the home medication but were not transferred to the admission medication, are visualized in a grey background. It can be useful to have on the homepage / dashboard page of the patient file of the EHR a reduced / abbreviated list of the active medication.
  • In this way, the healthcare professional can see in a glance, when opening the patient file, some basic information on what medication the patient is taking & what the changes are regarding to the last visit of the patient.

• This reduced list of active medication should also present to combined overview of the active medication of the EHR & the medication coming from Vitalink. 
  • The software / user can decide which information is useful to shop in such a reduced combined overview. 
  • It is recommended to display at least the product name, dosage & posology.

• This reduced combined overview will work in the same way as the complete combined overview.
  • In the wireframe, it is visible that the local active medication is visualised. In the meantime, the system is syncing with Vitalink (automatically).
  • It is clearly indicated that the system is working on the sync with Vitalink.

Image Removed

Example of a dashboard page, visualising the combined active medication overview of the patient (Vitalink medication lines + local EHR medication lines).

• In this example, it is visible that the sync with Vitalink is completed.
• A reduced combined overview is displayed. 
• It is visible that on Vitalink one new medication line was added.

• The healthcare professional should be able to do some actions (manipulations on the medication lines) as from here, or as from the complete combined overview).
  • It should be possible to go to the home medication module of the EHR with one click (e.g. by clicking on the title bar 'home medication').
  • If a sorting mechanism (e.g. on ATC class) is selected in the complete combined overview, the same sorting mechanism is used in this reduced combined overview.

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Example of dashboard page, visualizing the admission medication when the patient is hospitalized. 

• When the patient is hospitalized, a 2nd tab or sub navigation 'Admission medication' should appear on the homepage / dashboard page: representing the home medication in a reduced way.

• • easily identify and evaluate if these medication lines are still relevant. 
  • Medication lines that aren't relevant anymore can be stopped via the drop down menu per medication line.

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Example of home medication after transferring the admission medication to the home medication.
One medication line is resubstitued. One medication line isn't substituted. 

• The healthcare professional decides in this example to resubstitute the Omneprazole; the Betahistine stays in the substituted product. 
• The healthcare professional decides in this example to stop the Lormetazepam EG. 

• Next, the healthcare professional can validate the relevant lines of the home medication and update Vitalink.

Variant 4. Discharge over the weekend

Often patients with a long admission in the hospital are allowed a stay during the weekend at home. In the hospital system this weekend stay is not seen as a discharge.
However, during this period, the medication for the stay at home is treated as in the case of a discharge after an admission. After the weekend home stay, actions are taken as if with a new admission. 

• This means that the admission medication will be transferred to the home medication. 
• Next the home medication will be validated & uploaded to Vitalink.
• Often, a patient friendly medication scheme will be printed for the weekend home stay.
  • Also from here it is possible to validate & upload the medication list to Vitalink (cfr. ambulant visit). 
    
    
• After the weekend, the home medication is normally not changed. However, a Vitalink sync will be done.
• Next, the home medication will be transferred again to the admission medication. 
  
  
• When having a discharge over the weekend, medication is normally not substituted. 
• When having a final discharge, the medication is re-substituted as much as possible to the original medication.
  
  
• In some cases, when having a discharge over the weekend, the admission medication is not transferred to the home medication.
  • This means that no update of the medication will be available on Vitalink.
  • This is only done when no mediation problems are expected
  When opening the EHR when the patient is hospitalized, this 'Admission medication' tab should be opened by default. 
  • The healthcare professional will be able to navigate to the Admission medication module of the EHR via one click.
  • When in the tab 'Admission medication', no Vitalink indication is visible. 
  • All medication lines coming from Vitalink are validated or rejected or edited by the healthcare professional before transferring the home medication towards the admission medication.