Use case scenario diagrams by undul855

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									                                  Results Reporting – Directed Delivery

      Patient                 Clinician               Laboratory              Data Repository                  Locator Service


  Provide patient                                   Process lab order            Store lab results
identity information,                                                    1
 update as needed
                                                                             Notify locator service of
                                                                                    lab results
Identify providers of
                                                                                                             Public availability of lab
  care, update as
                                                                                                                     results
       needed
                                                                                  Store lab results      2
                           Ordering clinician
                                                              3
                         integrate results and
                             view in EHR                                      Process request for test
                                                                                      results

                           Providers of care
                         integrate results and                4
                             view in EHR
                                                                             5
                                                                                                             Notify providers of care
                           Providers of care
                                                                                                                  of new results
                        without an EHR receive
                         notification of results

2.1.1. Ordering clinician receives results integrated into the EHR; providers of care receive test results or
notification of test results
1. Lab sends copy of test results to the regional service provider.
2. Regional service provider processes and stores test results.
3. Regional service provider sends the test results to the ordering clinician and other designated providers of care who
can accept the results in an EHR system (local or remote).
4. Regional service provider notifies the providers of care who don’t have an EHR system that can accept lab results.
                               Results Reporting – Directed Delivery

      Patient               Clinician               Laboratory             Data Repository              Locator Service


  Provide patient                                 Process lab order          Store lab results
identity information,                                                 1
 update as needed
                                                                          Notify locator service of
                                                                                 lab results
Identify providers of
                                                                                                      Public availability of lab
  care, update as                                                                        2
                                                                                                              results
       needed
                                                                               Store lab results
                         Public health agency
                        integrates results and
                         view in EHR system                       3        Notifies public health
                                                                               of reportable
                        View results using a                                     conditions
                        clinical data system
                         (non-EHR system)


                                                                                                      Notify providers of care
                                                                                                           of new results



3.1.1. Public health official receives results of care that indicate reportable conditions
1. Lab sends copy of test results to the regional service provider.
2. Regional service provider processes and stores data.
3. Regional service provider notifies the public health officials of reportable condition.
                                          Results Reporting – Look Up

      Patient                 Clinician               Laboratory               Data Repository          Locator Service


  Provide patient
                        Query for lab test result 1                              Process query
identity information,
 update as needed

                                                 3                         2
Identify providers of    Integrate results and                                  Process request for
  care, update as        view on EHR system                                          results
       needed

                         View results using a    3
                         clinical data system
                          (non-EHR system)




2.1.2. Clinician queries for historical test results and receives results either integrated into the EHR or viewed
using a clinical data system (non-EHR system)
1. Clinician queries regional service provider for patient and relevant test results.
2. The Regional service provider aggregates data from the service grid and processes the request.
3. The Regional service provider sends the test results to the clinician’s EHR (local or remote) or other clinical data
viewer.
                                          Results Reporting – Look Up

      Patient                 Clinician              Laboratory               Data Repository          Locator Service


  Provide patient       Authorized public health
                                                 1                              Process query
identity information,   provider queries for lab
 update as needed              test result

                                                 3                        2
Identify providers of    Integrate results and                                 Process request for
  care, update as        view on EHR system                                         results
       needed

                         View results using a    3
                         clinical data system
                          (non-EHR system)




3.1.2. Authorized public health provider queries for historical test results and receives results either integrated
into the EHR or viewed using a clinical data system (non-EHR system)
1. Clinician queries regional service provider for patient and relevant test results.
2. The Regional service provider aggregates data from the service grid and processes the request.
3. The Regional service provider sends the test results to the clinician’s EHR (local or remote) or other clinical data
viewer.
                                         Results Reporting – Look Up

      Patient                Clinician               Laboratory               Data Repository          Locator Service


  Provide patient       Care manager queries
                                                1                               Process query
identity information,     for lab test result
 update as needed

                                                3                         2
Identify providers of   Integrate results and                                  Process request for
  care, update as       view on EHR system                                          results
       needed

                         View results using a   3
                         clinical data system
                          (non-EHR system)




4.1.2. Authorized care manager queries for historical test results and receives results either integrated into the
EHR or viewed using a clinical data system (non-EHR system)
1. Care manager queries regional service provider for patient and relevant test results.
2. The Regional service provider aggregates data from the service grid and processes the request.
3. The Regional service provider sends the test results to the clinician’s EHR (local or remote) or other clinical data
viewer.
                               Registration Triggered History Query

        Consumer                   Data Sharing                 Health Care                     Regional Service
                                     Systems                     Provider                          Provider

          Log on                 Process health care                                   2         Regional provider
                                        data                                                   processes and stores
                                                                                                      results
                                                          1
    Consumer provides           Data sharing systems
                           3
  access to health records      provide copy of data to
        to clinician               regional provider                                                Processes
                                                              Provider requests data            authentication from
                                                                access from client                   provider


                                                                Provider transmits 4             Process data and
                                                              registration summary                  aggregates
                                                                                                          5
                                                               View and/or integrate
                                                              results on EHR system
                                                                                           6
                                                                                               Transmits summary to
                                                               View results using a                  provider
                                                               clinical data system
                                                                (non-EHR system)
2.2 Consumer visits Health Care Provider and provides registration summary information; provider uses
registration information to automate look up of previous medical history.
1. Data sharing systems (i.e. claims systems) provide copy of data to Regional service provider.
2. Regional service provider processes and stores test results.
3. Consumer permits health care provider to access Regional service provider account.
4. Provider transmits registration summary to Regional service provider.
5. Regional service provider processes data and aggregates patient information.
6. Regional service provider transmits available aggregated data about patient to clinician.
7. Health care provider views aggregated data (and/or integrates this data into EMR).
                                Registration Triggered History Query

         Consumer                     Data Sharing                   Health Care                    Regional Service
                                        Systems                       Provider                         Provider

           Log on                   Process health care                                              Regional provider
                                           data                                                    processes and stores
                                                                                                          results
     Consumer provides             Data sharing systems
   access to health records        provide copy of data to
         to clinician                 regional provider                                                 Processes
                                                                  Provider requests data            authentication from
                                                                    access from client                   provider
                                                                                               1
                                                                     Provider transmits              Process data and
                                                                   registration summary                 aggregates

                                                                                                               2

                                                                    View and/or integrate
                                                                  results into public health   3
                                                                  data viewer or statistical
                                                                           software
                                                                                                   Transmits summary to
                                                                                                    public health official
                                                                    View results using a
                                                                    clinical data system
                                                                     (non-EHR system)

3.2 Authorized public health official views data for surveillance.
1. Provider transmits registration summary to Regional service provider.
2. Regional service provider processes data and aggregates information.
3. Regional service provider transmits available aggregated data to public health official.
4. Public health official views aggregated data on public health data viewer and or downloads summary data into
separate statistical analysis software.
                                Registration Triggered History Query

         Consumer                      Data Sharing                  Health Care                Regional Service
                                         Systems                      Provider                     Provider

           Log on                    Process health care                                          Regional provider
                                            data                                                processes and stores
                                                                                                       results
     Consumer provides             Data sharing systems
   access to health records        provide copy of data to
         to clinician                 regional provider                                              Processes
                                                                   Provider requests data
                                                                                                 authentication from
                                                                     access from client
                                                                                                  provider and care
                                                                                                      manager
                                                                      Provider transmits    1
                                                                    registration summary

                                                                                                 Process data and
                                                                   Care manager queries             aggregates
                                                                    the regional service                   2
                                                                          provider



                                                                                            3   Processes query and
                                                                    View and/or integrate       provides summary to
                                                                       results into care           care manager
                                                                    manager data viewer.



4.2 Authorized care management agent views patient data.
1. Provider transmits registration summary to Regional service provider.
2. Care manager queries regional service provider for patient and relevant test results.
3. The Regional service provider aggregates data and processes the request.
4. The Regional service provider sends the test results to the care manager data viewer.
                                   Registration Triggered History Query

            Consumer                     Data Sharing                  Health Care              Regional Service
                                           Systems                      Provider                   Provider

              Log on                   Process health care                                  2     Regional provider
                                              data                                              processes and stores
                                                                                                       results
        Consumer provides 3           Data sharing systems 1
      access to health records        provide copy of data to
            to clinician                 regional provider                                           Processes
                                                                   Provider requests data
                                                                                                 authentication from
                                                                     access from client
                                                                                                  provider and care
                                                                                                      manager
                                                                   Requests medication 4
                                                                        history                            5
                                                                                                  Process data and
                                                                                                     aggregates
2.3. Treating clinician queries for medication history and
receives results either integrated into the EHR or viewed
using a clinical data viewer (non-EHR system)
1. Data sharing systems provide copy of data to Regional service
provider.
2. Regional service provider processes and stores test results.
                                                                   View and/or integrate                      6
3. Consumer permits health care provider to access Regional
                                                                   results EHR system.      7
service provider account.                                                                       Transmits aggregated
4. Authorized Health Care provider requests medication history                                     data to provider
                                                                    View results using a
from Regional service provider.                                     clinical data system
5. Regional service provider processes data and aggregates           (non-EHR system)
patient information.
6. Regional service provider transmits available aggregated data
about patient to clinician.
7. Health care provider views aggregated data (and/or integrates
this data into EMR).
                                   Registration Triggered History Query

            Consumer                      Data Sharing                 Health Care                  Regional Service
                                            Systems                     Provider                       Provider

              Log on                    Process health care                                           Regional provider
                                               data                                                 processes and stores
                                                                                                           results
        Consumer provides             Data sharing systems
      access to health records        provide copy of data to
            to clinician                 regional provider                                               Processes
                                                                   Provider requests data
                                                                                                     authentication from
                                                                     access from client
                                                                                                      provider and care
                                                                                                          manager
                                                                                            1
                                                                   Requests relevant test
                                                                         results                               2
                                                                                                      Process data and
                                                                                                         aggregates




                                                                   View and/or integrate
3.3. Authorized public health provider queries for historical      results EHR system.          3
test results and receives results either integrated into the                                        Transmits aggregated
EHR or viewed using a clinical data viewer (non-EHR                 View results using a               data to provider
system)                                                             clinical data system
1. Clinician queries regional service provider for patient and       (non-EHR system)
relevant test results.
2. The Regional service provider aggregates data and processes
the request.
3. The Regional service provider sends the test results to the
clinician’s EHR (local or remote) or other clinical data viewer.
                                     Registration Triggered History Query

            Consumer                       Data Sharing                Health Care                   Regional Service
                                             Systems                    Provider                        Provider

               Log on                    Process health care                                           Regional provider
                                                data                                                 processes and stores
                                                                                                            results
        Consumer provides               Data sharing systems
      access to health records          provide copy of data to
         to care manager                   regional provider                                              Processes
                                                                   Care manager requests
                                                                                                      authentication from
                                                                   data access from client
                                                                                                        care manager
                                                                                             1
                                                                   Requests relevant test
                                                                         results                                2
                                                                                                       Process data and
                                                                                                          aggregates




                                                                    View and/or integrate
4.3. Authorized care manager queries for historical test            results EHR system.          3
results and receives results either integrated into the EHR                                          Transmits aggregated
or viewed using a clinical data viewer (non-EHR system)             View results using a                data to provider
1. Care manager queries regional service provider for patient       clinical data system
and relevant test results.                                           (non-EHR system)
2. The Regional service provider aggregates data and
processes the request.
3. The Regional service provider sends the test results to the
clinician’s EHR (local or remote) or other clinical data viewer.
                       Patient or Proxy Directly Involved with Regional System

            Consumer                       Data Sharing                  Health Care                Regional Service
                                             Systems                      Provider                     Provider

              Log on                       Create account
                                                                                                  Requests registration
                                                                                                 summary from patient or
                                                                                               3   data sharing system
          Patient or proxy             Data sharing systems
                              1
      establishes permissions          provide copy of data to
        for access to health              regional provider                      2                            4
              records
                                                                                                     Regional provider
                                                                                                   processes and stores
                                                                                                          results
           View summary
             View summary
                                                                                           5
                                                                                                   Transmits summary to
                                  6                                                                 consumer for review
         Modify registration
            summary
                                                                                                      Regional provider
                                                                                                    processes and stores
                                                                                                           results




5.1. Viewing and Editing of Registration Summary
1. Patient or proxy establishes permissions for access to Regional service provider account and rules for information sharing.
2. Provider of Regional service requests registration summary from patient or designated data sharing system.
3. Patient enters data or designated data sharing system transmits registration summary data to Regional service provider.
4. Regional service provider processes data and stores data.
5. Registration summary transmitted to consumer for review.
6. If necessary Patient modifies registration summary and transmits to Regional service provider.
                       Patient or Proxy Directly Involved with Regional System

            Consumer                       Data Sharing                  Health Care                Regional Service
                                             Systems                      Provider                     Provider

              Log on                       Create account
                                                                                                   Requests medication
                                                                                                   history from patient or
                                                                                               3    data sharing system
          Patient or proxy             Data sharing systems
                              1
      establishes permissions          provide copy of data to
        for access to health              regional provider                      2                             4
              records
                                                                                                     Regional provider
                                                                                                   processes and stores
                                                                                                          results
       View mediation history
                                                                                                     Transmits medication
                                                                                           5
                                                                                                    history to consumer for
                                  6                                                                          review
         Modify registration
            summary
                                                                                                      Regional provider
                                                                                                    processes and stores
                                                                                                           results




5.2. Viewing and Editing of Medications
1. Patient or proxy establishes permissions for access to Regional service provider account and rules for information sharing.
2. Provider of Regional service requests medication history from patient or designated data sharing system.
3. Patient enters data or designated data sharing system transmits medication history data to Regional service provider.
4. Regional service provider processes data and stores data.
5. Medication history transmitted to consumer for review.
6. If necessary Patient modifies medication history and transmits to Regional service provider.

								
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