This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Examplescenario-example

FHIR Infrastructure Work Group

Maturity Level: N/A

Ballot Status: Informative

Compartments: Not linked to any defined compartments

This is the narrative for the resource. See also the XML or JSON format. This example conforms to the profile ExampleScenario.

Generated Narrative with Details

id: example

title: Mobile Medication Administration

status: draft

description: This scenario demonstrates the process of getting the relevant medication instructions for a patient visit and reporting the results of administration. The scenario is as follows: After the prescription is issued, the institution schedules each individual administration event in the Medication Administration Record (MAR). When preparing for a visit, the nurse queries the MAR for the scheduled administrations, obtaining a bundle of records. The nurse then performs the care activities and registers the results in the device. Upon synchronization of the device and the institution, the results of administration are uploaded to the EHR, thus updating the MAR.

purpose: Purpose: this serves to enable remote performing of medication administration, by using remote / mobile devices to a) Get the planned medication administrations and b) Record the performing of these administrations without a permanent connection to the EHR.

actor
actorId: Nurse
type: person
name: Nurse
description: The Nurse

actor
actorId: MAP
type: entity
name: Nurse's Tablet
description: The entity that receives the Administration Requests to show the nurse to perform them

actor
actorId: OP
type: entity
name: MAR / Scheduler
description: The Medication Administration Order Placer

actor
actorId: MAC
type: entity
name: MAR / EHR
description: The entity that receives the Medication Administration reports

instance
resourceId: iherx001
resourceType: MedicationRequest
name: Initial Prescription
description: The initial prescription which describes "medication X, 3 times per day" - the exact scheduling is not in the initial prescription (it is left for the care teams to decide on the schedule).

instance
resourceId: iherx001.001
resourceType: MedicationRequest
name: Request for day 1, morning
description: The administration request for day 1, morning

instance
resourceId: iherx001.002
resourceType: MedicationRequest
name: Request for day 1, lunch
description: The administration request for day 1, lunch

instance
resourceId: iherx001.003
resourceType: MedicationRequest
name: Request for day 1, evening
description: The administration request for day 1, evening

instance
resourceId: iherx001.004
resourceType: MedicationRequest
name: Request for day 2, morning
description: The administration request for day 2, morning

instance
resourceId: iherx001.005
resourceType: MedicationRequest
name: Request for day 2, lunch
description: The administration request for day 2, lunch

instance
resourceId: iherx001.006
resourceType: MedicationRequest
name: Request for day 2, evening
description: The administration request for day 2, evening

instance
resourceId: iheadm001a
resourceType: MedicationAdministration
name: Morning meds - taken
description: Administration report for day 1, morning: Taken

instance
resourceId: iheadm001b
resourceType: MedicationAdministration
name: Morning meds - not taken
description: Administration report for day 1, morning: NOT Taken

instance
resourceId: iherx001bundle
resourceType: MedicationRequest
name: Bundle of Medication Requests
description: All the medication Requests for Day 1
containedInstance
resourceId: iherx001.001
containedInstance
resourceId: iherx001.002
containedInstance
resourceId: iherx001.003
containedInstance
resourceId: iherx001.004
containedInstance
resourceId: iherx001.005
containedInstance
resourceId: iherx001.006

instance
resourceId: iheadm002
resourceType: MedicationAdministration
name: Lunch meds - taken
description: Administration report for day 1, lunch: Taken
version
versionId: iheadm002v1
description: Medication just taken
version
versionId: iheadm002v2
description: Medication rejected

instance
resourceId: iherxqry
resourceType: SearchParameter
name: Search query1
description: The search administration request for day 1, morning

process
title: Mobile Medication Administration
description: Mobile Medication Administration
preConditions: Medication administration requests are in the EHR / MAR, scheduled for each individual intake.
postConditions: Medication administration Reports are submitted, EHR is updated.
step
Operations
- Number Name Initiator Receiver
* 1 1. Get today's schedule Nurse MAP
step
Processes
-
*
step
pause: true
step
Operations
- Number Name Initiator Receiver
* 4 Notify (alert) MAP Nurse
step
Operations
- Number Name Initiator Receiver
* 5 Read orders Nurse MAP
step
pause: true
step
Operations
- Number Name Initiator Receiver
* 5 Ask if patient took meds Nurse Nurse
step
alternative
name: Check if patient took drugs
option
description: Yes, patient took drugs
Steps
-
*
option
description: No, patient did not take drugs
Steps
-
*
option
description: Not clear
Steps
-
*
step
pause: true
step
Operations
- Number Name Initiator Receiver
* 6 Administer drug Nurse Nurse
step
Operations
- Number Name Initiator Receiver InitiatorActive
* 7 Register administration Nurse MAP true
step
pause: true
step
Processes
-
*
step
pause: true
step
Processes
-
*

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.