Patient Care Workflow: Difference between revisions
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==3. Key Use Case== | ==3. Key Use Case== | ||
# Patient visits their primary healthcare provider for a health issue. (Note: It is conceivable that patient comes in for a preventive visit and a reason for consultation is discovered; this would be important to consider if “visit type” is a filter for the use case.) | "I am ordering something that I can’t do myself, and I what to know that happens . . ." | ||
# Primary Care Provider (PCP) sends summary report and order for consult to Specialist 1. | |||
# Specialist 1 requests additional information from PCP. | |||
# Specialist 1 orders tests. | |||
# Specialist 1 receives results and forwards them to PCP with update note | |||
# Specialist 1 sends summary report and request for service to Specialist 2. | |||
# Specialist 1 sends summary report and note to PCP. | |||
# Specialist 2 requests additional information from Specialist 1. | |||
# Specialist 2 sends report to Specialist 1. | |||
# Specialist 1 sends copy of report and note to PCP. | |||
<!-- # Patient visits their primary healthcare provider for a health issue. (Note: It is conceivable that patient comes in for a preventive visit and a reason for consultation is discovered; this would be important to consider if “visit type” is a filter for the use case.) | |||
# Primary Care provider evaluates the health issue, and makes a determination that the patient needs to be referred to a specialist. | # Primary Care provider evaluates the health issue, and makes a determination that the patient needs to be referred to a specialist. | ||
# Patient locates a specialist based upon their preferences. (Note: In some situations, the patient will do this, however, in most, the primary healthcare provider will provide guidance, perhaps a specific name of a physician or practices; in other cases, the referral coordinator in the referring physicians’ office will need to check the patient’s insurance network, etc.) | # Patient locates a specialist based upon their preferences. (Note: In some situations, the patient will do this, however, in most, the primary healthcare provider will provide guidance, perhaps a specific name of a physician or practices; in other cases, the referral coordinator in the referring physicians’ office will need to check the patient’s insurance network, etc.) | ||
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# Patient receives treatment from followup provider. | # Patient receives treatment from followup provider. | ||
# At next visit to primary care provider, PCP asks patient for an update on referall. | # At next visit to primary care provider, PCP asks patient for an update on referall. | ||
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==4. Standards & Systems== | ==4. Standards & Systems== | ||
Revision as of 15:32, 17 October 2007
1. Proposed Profile: Patient Care Workflow
- Proposal Editor: Kboone
- Profile Editor: TBD
- Date: N/A (Wiki keeps history)
- Version: N/A (Wiki keeps history)
- Domain: PCC
2. The Problem
Presently, there is no established and uniform mechanism for the interchange of orders for consultations or referals across organizational boundaries. As part of this problem, information about where the patient's medical home also needs to be communicated, to facilitate communication between the consulting provider with the patient's primary care team. Along the way, various communications need to occur between specialists, treating physicians, and the patient's primary care team. These communications are often relatively simple requests, which should be able to be automated via modest workflow.
3. Key Use Case
"I am ordering something that I can’t do myself, and I what to know that happens . . ."
- Primary Care Provider (PCP) sends summary report and order for consult to Specialist 1.
- Specialist 1 requests additional information from PCP.
- Specialist 1 orders tests.
- Specialist 1 receives results and forwards them to PCP with update note
- Specialist 1 sends summary report and request for service to Specialist 2.
- Specialist 1 sends summary report and note to PCP.
- Specialist 2 requests additional information from Specialist 1.
- Specialist 2 sends report to Specialist 1.
- Specialist 1 sends copy of report and note to PCP.
4. Standards & Systems
Systems
- EHR Systems
- Practice Management Systems
- HIS Systems
- ADT Systems
Standards
- HL7 Version 2.X
- HL7 Version 3.X
- HL7 CDA Release 2.0
- ASTM/HL7 Continuity of Care Document
- Web Services
- SOAP
- HTTP
- DNS
- SMTP
- MIME
- S/MIME
5. Discussion
The workflow for exchange of information between providers needs to address:
- Ordering
- Scheduling
- Communications between Providers
- Task Lists
- Reporting
IHE would be a good venue to solve this problem because it reflects a need to support the integration of several standards together.