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12.1.2 Scenario descriptions

12.1.2.1 Patient pre-admission or patient admission

A physician’s office is scheduling a patient for admission to the hospital. The admitting diagnosis/problem list and admission information is sent by the physician’s electronic information system to the hospital’s ADT system and longitudinal medical record. The trigger event identifies the message as an "add problem" to the ADT and medical record system

12.1.2.2 Consultation

A consultation is requested for an individual. The information system generating the consultation triggers an unsolicited message containing the problem/diagnosis list that is transmitted to the consulting organization. Goals and various kinds of role information are included with the transmission. The trigger event identifies the message as an unchanged record.

12.1.2.3 Loading a clinical repository

Information from point of care, clinical practice management or ancillary systems regarding the creation or update of pathways, problems, diagnoses, or goals are communicated to the clinical repository. Message triggers from the departmental systems may indicate adding, correcting, deleting, or updating records maintained in the clinical data repository.

12.1.2.4 Communicating clinical pathways and multidisciplinary plans of care

The pathway is communicated between Quality Assurance, Point of Care Systems, Research Databases, and Clinical Order Entry Systems. A point of care information system triggers a linkage between a problem and a set of ordered interventions initiated by the clinical order entry system.

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