APPENDIX
A SIMPLIFIED DIAGRAMMATICAL ILLUSTRATION
OF HOW USE OF THE CLINICAL SPINE APPLICATION SERVICE BY A CLINICIAN
DURING A PATIENT PRESENTATION MIGHT WORK
In the National Programme for IT OBS, in the
section "Clinical Spine Application Service", the potential
use of the NPfIT architecture to support a clinician during a
patient presentation is described. When the options have been
simplified, such as in the example below, the sample IT journey
for the professional could embrace 11 (or more) steps that access
various local and national data depositories. The clinicians IT
actions can be:
1. Sign on to their own home page (which
will be user modifiable to show the information that the health
care professional personally wishes to see).
2. Conduct a patient search to find the
patient.
3. Having located the patient, view the
standard patient summary (this initial summary will be a single
screen with a snapshot of information derived from the demographic
services and the spine information services).
4. The clinician may view the patient problem
list.
5. The clinician may view patient allergies.
6. The clinician may view patient procedures
and intervention histories.
7. The clinician may view the patients visit
and encounter summary.
8. The clinician may view patient health
care tracking along care pathways considered to be of particular
importance where the patient is subject at any one time to a "dual
diagnosis situation" such as mental health and diabetes.
9. The clinician may view family and social
history, tests ordered and their results.
10. The clinician may view the patients
medication profile.
11. The clinician may view the patients
medication profile alerts.
This raises many questions, too many to be addressed
in this evidence statement, but it does illustrate the complexity
of the architecture envisaged and hence the scale of the challenge
in delivering it.
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