1.Ambulant Visit

Ambulant visit is the use case where the patient visits the hospital without being admitted (= taken into care of the hospital or ocupying a hospital bed).

NOTION! Local EHR information in this section always holds the HOME MEDICATION as opposite to the admission where there is mention of HOME MEDICATION and ADMISSION MEDICATION.

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

Situation / Action	Information
1	OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting or oncology visit of the patient) Vitalink medication scheme is imported.
2	The EHR 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 EHR Home Medication. The EHR Home Medication section and Vitalink medication scheme are in sync.
3	OPTIONAL: Home medication EHR can be updated in the combined overview during the preparation for the ambulant visit Vx'.
4	OPTIONAL: Preparing of ambulant visit stops. The local medication scheme is now version 1'.
5	Start ambulant visit.
6	End ambulant visit. The caregiver made changes to the Home medication EHR. The Home Medication EHR is now Version 1".
7	The Home medication EHR version V1'' is exported to Vitalink. The Vitalink medication scheme now becomes Version 2.
8	Vitalink sends the updated identification code for each medication (URI's) back to the EHR. The EHR requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the EHR.
9	The Home medication EHR is now on Version 2 of the medication scheme. The Home medication EHR section and Vitalink are in sync.

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

Situation / Action	Information
1	OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting or oncology visit with patient) Vitalink medication scheme is imported.
2	There is no data in the Home medication EHR section so the EHR requests the latest version of the Vitalink medication scheme. This action can be done manually by a user action, but is preferably done automatically.
3	Vitalink send the latest version 1 of the medication scheme to the EHR.
4	The Home medication EHR is now also Version 1. The EHR and Vitalink medication scheme are in sync.
5	OPTIONAL: Local medication can be updated in the combined overview during the preparation for the ambulant visit to V1'.
6	OPTIONAL: Preparing of ambulant visit stops. The EHR holds now version 1'.
7	Start ambulant visit. Updates and changes are executed in the combined overview during the visit.
8	End ambulant visit. The caregiver made changes to the Home medication EHR section. The Home medication EHR is now Version 1".
9	The Version 1" of the EHR is exported to Vitalink. The Vitalink medication scheme now becomes Version 2.
10	Vitalink sends the updated identification code for each medication (URI's) back to the EPD. The EHR requests Version 2 of the medication scheme from Vitalink to update the version and URI's in the EHR.
11	The Home medication in the EHR is now Version 2. The EHR and Vitalink medication scheme are in sync.

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

Situation / Action	Information
1	OPTIONAL: Support staff starts preparation of the ambulant visit (eg. for staff meeting or oncology visit with patient) The EHR holds the home medication version 1. The home medication section of the EHR is outdated versus Vitalink.
2	The EHR requests the latest version of the Vitalink medication scheme. This action can be done manually by a user action, but is preferably done automatically.
3	Vitalink send the latest version 2 of the medication scheme to the EHR. The Vitalink medication scheme is imported and updates, changes, etc are shown in a combined overview. The caregiver can validate/reject changes.
4	If you validate the Vitalink medication scheme, you keep to version 2 in your EHR. If you reject changes in the combined overview, the home medication section of your EHR will now hold Version 2' and is not in sync with Vitalink (because you have already made some changes to it).
5	OPTIONAL: Home medication in the EHR can be updated in the combined overview during the preparation for the ambulant visit to V2'.
6	OPTIONAL: Preparing of ambulant visit stops. The EHR holds now version 2'.
7	Start ambulant visit.
8	End ambulant visit. The caregiver made changes to the home medication in the EHR. The EHR holds now Version 2".
9	The home medication EHR is exported to Vitalink. The Vitalink medication scheme now becomes Version 3.
10	Vitalink sends the updated identification code for each medication (URI's) back to the EPD. The EHR requests Version 3 of the medication scheme from Vitalink to update the version and URI's in the EHR.
11	The Home medication in the EHR is now Version 3. The EHR and Vitalink medication scheme are in sync.

Legend

Symbol	Meaning
	The Home Medication EHR section is in sync with Vitalink.
	The Home Medication EHR section is not in sync with Vitalink.
	Admission medication.
	User action.
	User action that caused an error.
	Automatic action. No user input required.

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Use Cases Hospital Care

1.Ambulant Visit

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

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

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

Legend