Diabetes Use Case

Introduction

Objectives

The Virtual Ward has seven objectives, these can be done in any order:

Objective 1

Attends an appointment 3 weeks before annual review

• Given I am a healthcare assistant involved in a patient's care,
• When a patient is booked in for a diabetes annual review,
• Then tests need to be performed and observations need to be recorded.

Objective 2

Patient completes form following HA appointment pre review

• Given I am a patient with diabetes,
• When an annual review has been booked and test results have been received,
• Then I need to complete a form with my goals.

Objective 3

Attends annual review

• Given I am a practice nurse involved in a patient's diabetes care,
• When a patient is seen for a diabetes annual review,
• Then I need to see their test results and submitted information around their diabetes care.
• Then a care plan can be created to coordinate the patient's care.

Objective 4

Submits bp readings online

• Given I am a clinician involved in the patient's diabetes care,
• When a patient submits blood pressure readings using an online form,
• Then I can adjust their medication dose accordingly.

Objective 5

Collects self management data

• Given I am a patient with diabetes,
• When I record blood sugar readings using a glucose sensor,
• Then the data can be used to manage my diabetes care.

Objective 6

Submits information around concerns

• Given I am a patient with diabetes,
• When a review has been booked in with a clinician,
• Then I need to complete a form listing my concerns and information around my diabetes care.

Objective 7

Attends an appointment with consultant diabetologist

• Given I am a clinician involved in a patient's diabetes care,
• When a patient is seen for a review,
• Then I need to see their blood sugar readings.
• Then I need to see their information that they submitted around diabetes care.
• Then I need to create a plan for managing their diabetes care.

Resources

The FHIR reference server has been preloaded with the following patients and associated Observation test data, which can be used for these use cases: