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 (outside scope of current release) Palliative care register (outside scope of current release) Immunisations (outside scope of current release)
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.