Patient health status: Does the EHR contain the following data elements when on the Patient Profile tab of the Pharmacy section? Answer with yes (if complete) and no (if missing or incomplete). Explain your answers. Hint: These core data sets are defined on page 5 of the resource Understanding the Continuity of Care Record.
Diagnoses, problems, and conditions--YES-This includes the patients current list of promblems and conditions
Adverse reactions and alerts list allergies by agent and symptom-YES this list the patients current allergies and symptoms, and it is locted on pharamacy tab in patient profile
List of current medications including name, code, dose, schedule/refill dates, prescribing provider, and comments-YES THIS IMPORTANT TO PHARMACY WHEN FILLING PRESCRIPTION
Comprehensive immunization documentation including dates and disease identifier-YES THIS IMPORTANT THE DR KNOW YOU UP TO DATE ON SHOTS
Vital signs information, including readings and date signs were taken-YES THIS IS NEEDED FOR ADJUSTMENTS IN HEALTHCARE
Laboratory results information-YES THE DR NEEDS TO KNOW THE RESULTS FOR DIAGNOSIS
Procedures/assessments information including description, dates, times, locations, and codes.-YES IMPORTANT TO DR TO PROVIDE HEALTHCARE
Health status section for optional greater details at the discretion of the provider-YES IMPORTANT AGAIN TO DR AND PHARM ACY
Care documentation: Does the EHR contain this data when on the Patient Profile of the Pharmacy section? Answer Yes {if all information is present) or No (if information is missing or not all information is present). Provide rationale for your answer.
Yes
No
Care Plan Recommendations: Does the EHR contain this data when on the Patient Profile tab of the Pharmacy section? Answer Yes {if all information is present) or No (if information is missing or not all information is present). Provide rationale for your answer.
Yes
No
Practitioners: Does the EHR contain this data when on the Patient Profile tab of the Pharmacy section? Answer Yes {if all information is present) or No (if information is missing or not all information is present). Provide rationale for your answer.
Yes
No
Applying HIE and the CCR in practice. In the de-identified patient chart provided for your review, a prescription for a new medication was placed in the Central Clinic through the Health section of the EHR today and submitted via the HIE organization to the Pharmacy section of the EHR. Please locate this prescription order from today and answer the following questions.
What is the prescription written for?
Which provider wrote this prescription and ordered this medication?
What is the current status of this prescription?
What is the reason for this status, according to the Notes under the Order Details for the medication?
Click on the envelope icon to view the system alert message from the Pharmacy. (This message can be accessed via the envelope in the patient information bar at the top of the EHR.) What type of message is in the inbox?
What does the system alert message say?
Based on your review of the de-identified EHR, the HIE organization between the Central Clinic and the Lakeview Pharmacy, and the CCR data shared through the HIE, describe step-by-step how the prescription order data sharing occurred for the new prescription.
