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UC-02: HCP Views/Consumes a PS-CA

Description

A Health Care Provider, in any care setting , views and, optionally uses, a Patient Summary at the point of care.

Scenario

A patient visits a healthcare provider, such as a walk-in clinic, urgent care center or specialist appointment, presenting with symptoms of dizziness and an earache. During the intake conversation, the patient mentions they have a family physician who has been monitoring their high blood pressure. To support the visit, the provider accesses the patient’s Patient Summary using one of the following options: requesting the summary to be generated on demand, or scanning a QR code or Smart Health Link (SHL) provided by the patient to retrieve it directly. The provider then reviews the Patient Summary and may choose to import the full document or selected data into their system. This information is used to better understand the patient’s medical history and support safe, informed care during the visit.

Triggers

• HCP gathers all available information about their patient to provide care.
• Patient shares access to their Patient Summary by presenting a QR code or Smart Health Link (SHL) at the point of care

Pre-conditions

• In jurisdictions where explicit consent is required to create and share the Patient Summary: Patient provides, or has previously provided, consent to share their data.

• The receiving PS-CA Solution supports at minimum one of the three Content Consumer options: View, Document Import, or Discrete Data Import.

• One of the following Patient Summary access options is available to the HCP:

  a.) On-Demand Generation - The HCP can request for a patient summary to be created at the time of request, consisting of the Patient's most recent health information from available data source(s); or

  b.) Patient Mediated Access - The patient has a valid QR code or Smart Health Link (SHL) that provides the HCP with direct, authorized access to their Patient Summary.

Post-conditions

• HCP views and uses the Patient Summary in support of Patient care.

Use Case Participants & Diagram

The participants involved in this use case are:

• PS-CA Consumer (HCP requesting access to a PS-CA)
• PS-CA Solution (Health Records System enabling access to the PS-CA)

This use case diagram represents the participants and their role in the use case with a high-level view of the flow of information.

Use Case - Primary Flow

The following provides a textual description corresponding to the use case diagram.

1. HCP, providing care for their Patient gathers information from the Patient and other information that may be available in the PS-CA Solution (e.g., Health Records System such as an EHR).

2. HCP accesses the patient's Patient Summary through one of the following pathways:

   a.) On-Demand - HCP requests that a current Patient Summary be generated for the patient by the PS-CA Solution (See UC-04 for details); or

   b.) Patient Mediated Access - HCP scans a QR code or accesses a Smart Health Link (SHL) presented by the patient, which provides authorized access to the patient's Patient Summary(See UC-05 for details)

3. PS-CA Solution applies applicable business/privacy/policy rules (e.g., consent rules applied according to jurisdictional privacy legislation).

4. PS-CA Solution retrieves or generates the Patient Summary and delivers it to the receiving system.

5. HCP obtains access to the Patient Summary and, optionally, consumes the information into their Health Records System.

6. HCP views/uses the most current Patient Summary information available in support of caring for the Patient.

Use Case - Alternate Flow

The following list provides possible alternate flows that may occur within this use case.

• Step 3.b. Provider is not authorized to view the Patient Summary. Process abandoned and HCP does not obtain access to Patient Summary. HCP, alternatively, collects additional input from the Patient.

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