In scope for FoT.
Out of scope for FoT.
FoT Clinical Settings & User Stories
These have been assembled through engagement during 2015/16 with various clinical communities and examples are as follows:
Patient’s allergies and adverse reactions available to MIU
A patient falls off his bike and hurts his arm and leg. He attends local MIU, is assessed and told he will need stitches. MIU Nurse views his allergies and adverse reactions and sees he has an intolerance to nylon stitches and uses an alternative
Patient’s drug allergies available to out of hours (OOH) GP
A patient has painful bites and her situation worsens at the weekend. She is seen by OOH GP who concludes a number of bites are infected. GP asks if she is on any regular medication/any known allergies. She is taking regular medication and has an allergy to a type of antibiotic but cannot remember the exact details. The GP is able to view details of the medication she is taking and the known allergies. The GP prescribes appropriate antibiotics
Patient visits number of care settings within 24 hr period
Patient visits GP during a morning appointment and then is presented to A&E later that evening. Clinician needs to understand all encounters over past 24 hrs to build a complete picture” Emergency department able to confirm elderly patient’s known health problems
Hospital pharmacist needs to reconcile new inpatient’s current medication
A patient is admitted to hospital via A&E and the hospital pharmacist needs to reconcile current meds against the inpatient prescription. They have access to the patient’s current medications from GP record in order to do this and check for any contradictions, interactions or allergies
Extended Hours Access
for GPs to Care Records for patients being seen who are not registered at their own practice
Consultant Out-patient Appointment
the consultant has access to the patient’s full care record enabling more holistic view of the patient’s condition and more appropriate care decisions
A&E diversion to GP
A&E triage nurses, with the patient’s consent, can view a patient’s GP record to help them assess the appropriate pathway for that patient, diverting away from A&E to GP, Pharmacy, MIU etc if appropriate
Hospital Admission
A patient is admitted to hospital, and the acute team need access to the patient’s clinical record in order to review current information, which will assist in decision making and provision of care whilst in hospital
GP Urgent Care & Minor Injuries Unit
In local hospital needs access to view relevant GP and hospital records; where a patient is ‘upgraded’ from minor to major injuries, everything recorded by the GP team needs to be made quickly available to the A&E team
Community Pharmacy Access
View relevant aspects of the GP record with patient consent including the current consultation, information regarding long-term conditions, prescribing and allergy data
Home visits following hospital discharge
e.g. for wound dressing, suture removal, physiotherapy and general care in the weeks post-discharge
Whilst visiting the patient, clinicians can access the patient’s record in order to check on any history and other interventions appropriate to the care being provided
Provide Feedback
To provide feedback or add your own Use Cases please contact GP Connect by sending an email to the GP Connect Team Inbox.
Some early feedback on the May 2016 release of the GP Connect draft specification can be found on the Openhealthhub Forum under the category of “FHIR Implementation”.
