General

This document contains UX guidelines that all software packages in the eHealth domain should comply with.

Electronic medical record, electronic pharmaceutical record and electronic nursing record will be referred to as electronic record, unless explicitly mentioned.

UX Guidelines for the Vitalink medicationscheme can found here.

Automatic verification informed consent

See wireframes 1.1 - 1.3.

Mandatory

When opening a patient's EMR, it must be verified automatically whether there is an informed consent.

Only if no informed consent has been registered will this be displayed visually and the possibility is offered to register the informed consent via a single click. This applies to every opening of an EMR.

Recommendations

• Group all 'status' information in a single place.

• Indicate the status of the informed consent by means of an icon, color or label.
  
  • Make sure that the icons used are intuitive. If not, use a label.
  • Observe with color use for persons with eg color blindness.
  • Colors can be used for support, but may not be used in a meaning-bearing way.

• Ensure that the status information is displayed sufficiently. The GP must be able to detect the status of the informed consent laterally, while he/she is working with the patient. Especially if there is no informed consent, the status information should be remarkable enough.

• If there is an informed consent: show the status of this correctly.

• If there is no informed consent:
  
  • Display the status of this correctly.
  • Show (preferably not in the work screen so that the GP's workflow is not interrupted) a notification with the information for registration with regard to the informed consent.
  • Provide the possibility that a refusal of informed consent can be remembered.

• When the notification shows that there is no informed consent, make sure that the GP can immediately register the informed consent. Provide a clear, readable text with regard to informed consent. This can be done in the following way:
  
  • Provide a font that is large enough.
  • Structure the text (provide paragraphs, white space, ...).
  • Provide bullets.
  • Example of a clear representation of a text with regard to the informed consent.
  • Provide a clear action button for registration (primary action button) and refusal of informed consent (secondary action button) and provide the possibility to register the reason for refusal.
  • Also provide the possibility to close this notification (no registration, no refusal).

• Give feedback to the healthcare provider that the registration of informed consent has passed / failed. This can be done in the following ways:
  
  • Ensure that the status information is immediately adjusted after registration (and not at a subsequent opening of the EMR). This can be done, for example, by changing the icon and / or color.
  • If necessary, show a brief notification (eg in the header of the application or on the side of the screen) that automatically disappears after, for example, 4 seconds.

Automatic verification therapeutic relationship

See wireframes 1.1 - 1.3.

Mandatory

When opening a patient's EMR, it must be verified automatically whether there is a registration of a therapeutic relationship.

Only if no therapeutic relationship has been registered is this displayed visually and the possibility is offered to register the therapeutic relationship with one click.
The therapeutic relationship is automatically recorded wherever possible when reading the e-ID card or opening the EMR.

Recommendations

• These are the same as the recommendations for 'informed consent'.

Deviation nurse

The therapeutic relationship with the nurse is automatically recorded when reading the e-ID and is valid for 15 months. With this registration, the card number and national register number of the patient must be stored in the electronic nursing record.

if no interruption of the care has taken place after 15 months, this therapeutic relationship can be extended again by the nurse via the card number and the nation register number. However, this should not be done automatically and should be a manual action by the nurse in the electronic nursing record. The registration should mention "eidencoding_housecall".

If, due to connectivity or other problems, the nurse can't work online with the electronic nursing record, will the formalities automatically be filled in a new connection to the electronic nursing record (eg after the round) with regard to the extension of the therapeutic relationship. This requires the e-ID number and national register number and can establish the therapeutic relationship via the "eidencoding_housecall".

Bodies such as the "Wit-Gele Kruis", "Solidariteit voor het Gezin"... have their therapeutic relationships established according to the "circle of trust". No further registration of the therapeutic relationship at the individual level of the nurse should be performed.