Use case for community nurse reviews the GP record when they visit a patient

Brief description

Either ahead of or during a visit a community nurse can review a patient’s record.

Use case justification

Clinical and administration:

  • Access to accurate information at the point of care, reducing the opportunity for errors to occur.
  • Data can be formatted and filtered by the local system, so the clinician is presented the information they need in a suitable format.

Patient-focused:

  • Security of patient information is maintained and improved through the reduction of paper-based ‘patient identifiable documents’ in use within departments.
  • Increased patient/clinician time due to reduction in clinician time spent collecting and transcribing information away from the patient.
  • Better patient experience as they are not being asked for information which should already be available to the clinician.

Primary actors

  • Community nurse
  • Community system
  • GP Connect
  • GP clinical system

Secondary actors

  • Patient

Triggers

  • The community nurse is visiting or preparing to visit a patient.

Preconditions

  • The community nurse has the correct/appropriate system access rights.
  • The patient’s GP has agreed to share patient information via GP Connect.
  • The patient allows this shared information to be viewed/used by the community nurse.
  • Electronic interactions between community system/GP Connect/GP clinical system have been correctly configured.

Postconditions

  • On success:
    • The community nurse can view the GP patient’s record and use it to assist in making clinical decision.
Step Description
Step 1 Community nurse visits or prepares to visit a patient.
Step 2 Clinician identifies need to establish the patient’s medication history.
Step 3 Clinician accesses the community system to retrieve GP patient record history. The community system requests the GP patient record from GP Connect.
Step 4 GP Connect requests GP patient record from the GP clinical system.
Step 5

GP clinical system provides the GP patient record to GP Connect.

The GP patient record will include:

  • Patient history

    • Medications

    • Allergies

    • Other

  • Palliative care register

  • Immunisations

Step 6 GP Connect presents the GP patient record to the community system.
Step 7 The community system formats and filters the patient record so that the relevant information is clearly presented to the community nurse.
Step 8 The community nurse uses the information to support their appointment with the patient.