Posting to the EHR

When posting inforation from the welfare technology solution to VKP, for adding journal notes to the EHR, the following resources may be used:

  • DetectedIssue represents an alert about something that has happened with the patient.
  • Composition - a note, typically describing the follow-up of an alert.
  • Practitioner - health care worker or other employee, typically the one that follows-up on the patient or writes the note.
  • Device - the device that triggered the alert (e.g. safety alarm, medication dispenser) or a camera that was used in a digital encounter.
  • MedicationDispense - represents information about successful events from a medication dispenser, typically the successful delivery of medication.
  • Encounter - represents digital encounters with the patient (typically with a camera). The encounter can be planned or event-based (triggered by an alert).

The resources listed above serve as "building blocks" that can be used in various combinations when posting information, depending on the scenario. When more than one resource is posted, they must be "wrapped" in a Bundle of type Document. The typical scenarios and corresponding resource combinations are as follows (required resources are marked with "X", optional resources with "?"):

Scenario Alert (DetectedIssue) Note (Composition) Digital encounter (Encounter) Medication dispenser (MedicationDispense) Employee (Practitioner) Device/sensor (Device)
Stand-alone note X ?
Alert and follow-up X X ? ?
Planned digital encounter ? X X ? ?
Event-based digitaø encounter X X X ? ?
Medication dispenser - normal operation X