Examplescenario-example.xml

Example of examplescenario (id = "example")

<ExampleScenario xmlns="http://hl7.org/fhir">
  <id value="example"/> 

  <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative with Details</b> </p> <p> <b> id</b> : example</p> <p> <b> title</b> : Mobile Medication Administration</p> <p> <b> status</b> : draft</p> <p> <b> description</b> : 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.</p> <p> <b> purpose</b> : 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.</p> <blockquote> <p> <b> actor</b> </p> <p> <b> actorId</b> : Nurse</p> <p> <b> type</b> : person</p> <p> <b> name</b> : Nurse</p> <p> <b> description</b> : The Nurse</p> </blockquote> <blockquote> <p> <b> actor</b> </p> <p> <b> actorId</b> : MAP</p> <p> <b> type</b> : entity</p> <p> <b> name</b> : Nurse's Tablet</p> <p> <b> description</b> : The entity that receives the Administration Requests to show the nurse to perform them</p> </blockquote> <blockquote> <p> <b> actor</b> </p> <p> <b> actorId</b> : OP</p> <p> <b> type</b> : entity</p> <p> <b> name</b> : MAR / Scheduler</p> <p> <b> description</b> : The Medication Administration Order Placer</p> </blockquote> <blockquote> <p> <b> actor</b> </p> <p> <b> actorId</b> : MAC</p> <p> <b> type</b> : entity</p> <p> <b> name</b> : MAR / EHR</p> <p> <b> description</b> : The entity that receives the Medication Administration reports</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherx001</p> <p> <b> resourceType</b> : MedicationRequest</p> <p> <b> name</b> : Initial Prescription</p> <p> <b> description</b> : The initial prescription which describes &quot;medication X, 3 times per day&quot; -
           the exact scheduling is not   in the initial prescription (it is left for the care teams
           to decide on the schedule).</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherx001.001</p> <p> <b> resourceType</b> : MedicationRequest</p> <p> <b> name</b> : Request for day 1, morning</p> <p> <b> description</b> : The administration request for day 1, morning</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherx001.002</p> <p> <b> resourceType</b> : MedicationRequest</p> <p> <b> name</b> : Request for day 1, lunch</p> <p> <b> description</b> : The administration request for day 1, lunch</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherx001.003</p> <p> <b> resourceType</b> : MedicationRequest</p> <p> <b> name</b> : Request for day 1, evening</p> <p> <b> description</b> : The administration request for day 1, evening</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherx001.004</p> <p> <b> resourceType</b> : MedicationRequest</p> <p> <b> name</b> : Request for day 2, morning</p> <p> <b> description</b> : The administration request for day 2, morning</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherx001.005</p> <p> <b> resourceType</b> : MedicationRequest</p> <p> <b> name</b> : Request for day 2, lunch</p> <p> <b> description</b> : The administration request for day 2, lunch</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherx001.006</p> <p> <b> resourceType</b> : MedicationRequest</p> <p> <b> name</b> : Request for day 2, evening</p> <p> <b> description</b> : The administration request for day 2, evening</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iheadm001a</p> <p> <b> resourceType</b> : MedicationAdministration</p> <p> <b> name</b> : Morning meds - taken</p> <p> <b> description</b> : Administration report for day 1, morning: Taken</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iheadm001b</p> <p> <b> resourceType</b> : MedicationAdministration</p> <p> <b> name</b> : Morning meds - not taken</p> <p> <b> description</b> : Administration report for day 1, morning: NOT Taken</p> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherx001bundle</p> <p> <b> resourceType</b> : MedicationRequest</p> <p> <b> name</b> : Bundle of Medication Requests</p> <p> <b> description</b> : All the medication Requests for Day 1</p> <blockquote> <p> <b> containedInstance</b> </p> <p> <b> resourceId</b> : iherx001.001</p> </blockquote> <blockquote> <p> <b> containedInstance</b> </p> <p> <b> resourceId</b> : iherx001.002</p> </blockquote> <blockquote> <p> <b> containedInstance</b> </p> <p> <b> resourceId</b> : iherx001.003</p> </blockquote> <blockquote> <p> <b> containedInstance</b> </p> <p> <b> resourceId</b> : iherx001.004</p> </blockquote> <blockquote> <p> <b> containedInstance</b> </p> <p> <b> resourceId</b> : iherx001.005</p> </blockquote> <blockquote> <p> <b> containedInstance</b> </p> <p> <b> resourceId</b> : iherx001.006</p> </blockquote> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iheadm002</p> <p> <b> resourceType</b> : MedicationAdministration</p> <p> <b> name</b> : Lunch meds - taken</p> <p> <b> description</b> : Administration report for day 1, lunch: Taken</p> <blockquote> <p> <b> version</b> </p> <p> <b> versionId</b> : iheadm002v1</p> <p> <b> description</b> : Medication just taken</p> </blockquote> <blockquote> <p> <b> version</b> </p> <p> <b> versionId</b> : iheadm002v2</p> <p> <b> description</b> : Medication rejected</p> </blockquote> </blockquote> <blockquote> <p> <b> instance</b> </p> <p> <b> resourceId</b> : iherxqry</p> <p> <b> resourceType</b> : SearchParameter</p> <p> <b> name</b> : Search query1</p> <p> <b> description</b> : The search administration request for day 1, morning</p> </blockquote> <blockquote> <p> <b> process</b> </p> <p> <b> title</b> : Mobile Medication Administration</p> <p> <b> description</b> : Mobile Medication Administration</p> <p> <b> preConditions</b> : Medication administration requests are in the EHR / MAR, scheduled for each individual
           intake.</p> <p> <b> postConditions</b> : Medication administration Reports are submitted, EHR is updated.</p> <blockquote> <p> <b> step</b> </p> <h3> Operations</h3> <table> <tr> <td> -</td> <td> <b> Number</b> </td> <td> <b> Name</b> </td> <td> <b> Initiator</b> </td> <td> <b> Receiver</b> </td> </tr> <tr> <td> *</td> <td> 1</td> <td> 1. Get today's schedule</td> <td> Nurse</td> <td> MAP</td> </tr> </table> </blockquote> <blockquote> <p> <b> step</b> </p> <h3> Processes</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </blockquote> <blockquote> <p> <b> step</b> </p> <p> <b> pause</b> : true</p> </blockquote> <blockquote> <p> <b> step</b> </p> <h3> Operations</h3> <table> <tr> <td> -</td> <td> <b> Number</b> </td> <td> <b> Name</b> </td> <td> <b> Initiator</b> </td> <td> <b> Receiver</b> </td> </tr> <tr> <td> *</td> <td> 4</td> <td> Notify (alert)</td> <td> MAP</td> <td> Nurse</td> </tr> </table> </blockquote> <blockquote> <p> <b> step</b> </p> <h3> Operations</h3> <table> <tr> <td> -</td> <td> <b> Number</b> </td> <td> <b> Name</b> </td> <td> <b> Initiator</b> </td> <td> <b> Receiver</b> </td> </tr> <tr> <td> *</td> <td> 5</td> <td> Read orders</td> <td> Nurse</td> <td> MAP</td> </tr> </table> </blockquote> <blockquote> <p> <b> step</b> </p> <p> <b> pause</b> : true</p> </blockquote> <blockquote> <p> <b> step</b> </p> <h3> Operations</h3> <table> <tr> <td> -</td> <td> <b> Number</b> </td> <td> <b> Name</b> </td> <td> <b> Initiator</b> </td> <td> <b> Receiver</b> </td> </tr> <tr> <td> *</td> <td> 5</td> <td> Ask if patient took meds</td> <td> Nurse</td> <td> Nurse</td> </tr> </table> </blockquote> <blockquote> <p> <b> step</b> </p> <blockquote> <p> <b> alternative</b> </p> <p> <b> name</b> : Check if patient took drugs</p> <blockquote> <p> <b> option</b> </p> <p> <b> description</b> : Yes, patient took drugs</p> <h3> Steps</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </blockquote> <blockquote> <p> <b> option</b> </p> <p> <b> description</b> : No, patient did not take drugs</p> <h3> Steps</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </blockquote> <blockquote> <p> <b> option</b> </p> <p> <b> description</b> : Not clear</p> <h3> Steps</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </blockquote> </blockquote> </blockquote> <blockquote> <p> <b> step</b> </p> <p> <b> pause</b> : true</p> </blockquote> <blockquote> <p> <b> step</b> </p> <h3> Operations</h3> <table> <tr> <td> -</td> <td> <b> Number</b> </td> <td> <b> Name</b> </td> <td> <b> Initiator</b> </td> <td> <b> Receiver</b> </td> </tr> <tr> <td> *</td> <td> 6</td> <td> Administer drug</td> <td> Nurse</td> <td> Nurse</td> </tr> </table> </blockquote> <blockquote> <p> <b> step</b> </p> <h3> Operations</h3> <table> <tr> <td> -</td> <td> <b> Number</b> </td> <td> <b> Name</b> </td> <td> <b> Initiator</b> </td> <td> <b> Receiver</b> </td> <td> <b> InitiatorActive</b> </td> </tr> <tr> <td> *</td> <td> 7</td> <td> Register administration</td> <td> Nurse</td> <td> MAP</td> <td> true</td> </tr> </table> </blockquote> <blockquote> <p> <b> step</b> </p> <p> <b> pause</b> : true</p> </blockquote> <blockquote> <p> <b> step</b> </p> <h3> Processes</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </blockquote> <blockquote> <p> <b> step</b> </p> <p> <b> pause</b> : true</p> </blockquote> <blockquote> <p> <b> step</b> </p> <h3> Processes</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </blockquote> </blockquote> </div> </text> <title value="Mobile Medication Administration"/>  
  <status value="draft"/> 

  <description value="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 value="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."/> 

  <!--    First define actors   --> 
  <actor> 
    <actorId value="Nurse"/> 
    <type value="person"/> 
    <name value="Nurse"/> 
    <description value="The Nurse"/> 
  </actor> 
  <actor> 
    <actorId value="MAP"/> 
    <type value="entity"/> 
    <name value="Nurse's Tablet"/> 
    <description value="The entity that receives the Administration Requests to show the nurse to perform them"/> 
  </actor>   
  <actor> 
    <actorId value="OP"/> 
    <type value="entity"/> 
    <name value="MAR / Scheduler"/> 
    <description value="The Medication Administration Order Placer"/> 
  </actor> 
  <actor> 
    <actorId value="MAC"/> 
    <type value="entity"/> 
    <name value="MAR / EHR"/> 
    <description value="The entity that receives the Medication Administration reports"/> 
  </actor> 


  <!--    Then define the resource instances    --> 

  <instance> 
    <resourceId value="iherx001"/> 
    <resourceType value="MedicationRequest"/> 
    <name value="Initial Prescription"/> 
    <description value="The initial prescription which describes &quot;medication X, 3 times per day&quot; - the
     exact scheduling is not   in the initial prescription (it is left for the care teams to
     decide on the schedule)."/> 
  </instance> 
  <instance> 
    <resourceId value="iherx001.001"/> 
    <resourceType value="MedicationRequest"/> 
    <name value="Request for day 1, morning"/> 
    <description value="The administration request for day 1, morning"/> 
  </instance> 
  <instance> 
    <resourceId value="iherx001.002"/> 
    <resourceType value="MedicationRequest"/> 
    <name value="Request for day 1, lunch"/> 
    <description value="The administration request for day 1, lunch"/> 
  </instance> 
  <instance> 
    <resourceId value="iherx001.003"/> 
    <resourceType value="MedicationRequest"/> 
    <name value="Request for day 1, evening"/> 
    <description value="The administration request for day 1, evening"/> 
  </instance> 
  <instance> 
    <resourceId value="iherx001.004"/> 
    <resourceType value="MedicationRequest"/> 
    <name value="Request for day 2, morning"/> 
    <description value="The administration request for day 2, morning"/> 
  </instance> 
  <instance> 
    <resourceId value="iherx001.005"/> 
    <resourceType value="MedicationRequest"/> 
    <name value="Request for day 2, lunch"/> 
    <description value="The administration request for day 2, lunch"/> 
  </instance> 
  <instance> 
    <resourceId value="iherx001.006"/> 
    <resourceType value="MedicationRequest"/> 
    <name value="Request for day 2, evening"/> 
    <description value="The administration request for day 2, evening"/> 
  </instance> 


  <instance> 
    <resourceId value="iheadm001a"/> 
    <resourceType value="MedicationAdministration"/> 
    <name value="Morning meds - taken"/> 
    <description value="Administration report for day 1, morning: Taken"/> 
  </instance> 

  <instance> 
    <resourceId value="iheadm001b"/> 
    <resourceType value="MedicationAdministration"/> 
    <name value="Morning meds - not taken"/> 
    <description value="Administration report for day 1, morning: NOT Taken"/> 
  </instance> 

  <instance> 
    <resourceId value="iherx001bundle"/> 
    <resourceType value="MedicationRequest"/> 
    <name value="Bundle of Medication Requests"/> 
    <description value="All the medication Requests for Day 1"/> 
    <containedInstance> 
      <resourceId value="iherx001.001"/> 
    </containedInstance> 
    <containedInstance> 
      <resourceId value="iherx001.002"/> 
    </containedInstance> 
    <containedInstance> 
      <resourceId value="iherx001.003"/> 
    </containedInstance> 
    <containedInstance> 
      <resourceId value="iherx001.004"/> 
    </containedInstance> 
    <containedInstance> 
      <resourceId value="iherx001.005"/> 
    </containedInstance> 
    <containedInstance> 
      <resourceId value="iherx001.006"/> 
    </containedInstance> 
  </instance> 



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



  <!--    QUESTION: How to define search actions?   -->    
  <instance> 
    <resourceId value="iherxqry"/> 
    <resourceType value="SearchParameter"/> 
    <name value="Search query1"/> 
    <description value="The search administration request for day 1, morning"/> 
  </instance>   

  <process> 
    <title value="Mobile Medication Administration"/> 
    <description value="Mobile Medication Administration"/> 
    <preConditions value="Medication administration requests are in the EHR / MAR, scheduled for each individual
     intake."/> 
    <postConditions value="Medication administration Reports are submitted, EHR is updated."/> 

    <step> 
      <operation>  
        <number value="1"/>  
        <name value="1. Get today's schedule"/>  
        <initiator value="Nurse"/>  
        <receiver value="MAP"/>  
      </operation>     
    </step> 

    <step> 
      <process>  
        <title value="P1. Query Administration Requests"/>  
        <description value="Query for medication administration orders,\n- For today's shifts\n- For today's patients"/> 

        <step> 
          <operation>  
            <number value="2"/>  
            <name value="2.Query for medication administration orders,\n- For today's shifts\n- For today's patients"/> 
            <initiator value="MAP"/>  
            <receiver value="OP"/>  
            <request> 
              <resourceId value="iherxqry"/> 
            </request> 
            <response> 
              <resourceId value="iherx001bundle"/> 
            </response> 
          </operation> 
        </step> 
      </process>   
    </step> 

    <step> 
      <pause value="true"/>     
    </step> 


    <step> 
      <operation>     
        <number value="4"/>  
        <name value="Notify (alert)"/>  
        <initiator value="MAP"/>  
        <receiver value="Nurse"/>  
      </operation> 
    </step> 
    <step> 
      <operation>     
        <number value="5"/>  
        <name value="Read orders"/>  
        <initiator value="Nurse"/>  
        <receiver value="MAP"/>  
      </operation> 
    </step> 


    <step> 
      <pause value="true"/>     
    </step> 

    <step> 
      <operation>     
        <number value="5"/>  
        <name value="Ask if patient took meds"/>  
        <initiator value="Nurse"/>  
        <receiver value="Nurse"/>  
      </operation> 
    </step> 

    <step> 
      <alternative> 
        <name value="Check if patient took drugs"/>     
        <option> 
          <description value="Yes, patient took drugs"/> 
          <step> 
            <process> 
              <title value="Register Meds taken"/> 
              <step> 
                <operation>     
                  <number value="1a"/>  
                  <name value="Register Meds taken"/>  
                  <initiator value="Nurse"/>  
                  <receiver value="MAP"/>  
                  <initiatorActive value="true"/> 
                </operation> 
              </step> 
            </process> 
          </step> 
        </option> 
        <option> 
          <description value="No, patient did not take drugs"/> 
          <step> 
            <process> 
              <title value="Register Meds NOT taken"/> 
              <step> 
                <operation>     
                  <number value="1b"/>  
                  <name value="Register Meds NOT taken"/>  
                  <initiator value="Nurse"/>  
                  <receiver value="MAP"/>  
                  <initiatorActive value="true"/> 
                </operation> 
              </step> 
            </process> 
          </step> 
        </option> 


        <option> 
          <description value="Not clear"/> 
          <step> 
            <pause value="true"/>     
          </step> 
        </option> 



      </alternative> 
    </step> 

    <step> 
      <pause value="true"/>     
    </step> 



    <step> 
      <operation>     
        <number value="6"/>  
        <name value="Administer drug"/>  
        <initiator value="Nurse"/>  
        <receiver value="Nurse"/>  
      </operation> 
    </step> 
    <step> 
      <operation>     
        <number value="7"/>  
        <name value="Register administration"/>  
        <initiator value="Nurse"/>  
        <receiver value="MAP"/>  
        <initiatorActive value="true"/> 
      </operation> 
    </step> 

    <step> 
      <pause value="true"/>     
    </step> 

    <step> 
      <process> 
        <title value="P2. Update administration reports"/> 
        <step> 
          <operation>     
            <number value="8"/>  
            <name value="Nurse updates administration report"/>  
            <initiator value="Nurse"/>  
            <receiver value="MAP"/>  
            <initiatorActive value="true"/> 
            <request> 
              <resourceId value="iheadm002"/> 
            </request> 
          </operation> 
        </step> 
      </process> 
    </step> 

    <step> 
      <pause value="true"/>     
    </step> 

    <step> 
      <process> 
        <title value="P3. Upload administration reports"/> 
        <description value="The nurse's system uploads the administration results to the server"/> 
        <step> 
          <operation>     
            <number value="9"/>  
            <name value="Refresh"/>  
            <initiator value="MAP"/>  
            <receiver value="MAC"/>  
            <request> 
              <resourceId value="iheadm001"/> 
            </request> 
          </operation>     
        </step> 
      </process> 
    </step> 



  </process> 


</ExampleScenario>