CC-UC-00802 - Update Medication Request

Actors

• Client/client caregiver
• Medical doctor (MD)/nurse practitioner (NP)

Pre-conditions

• Client is currently taking medication for a specified health concern.
• The client is seeking care for a new health concern.

Step	Description	Data elements collected	Result
1	MD/NP assesses health concern and reviews the client's current medication.	Health Concern Health Concern(s) Health Concern Body Site Health Concern Severity Health Concern Evidence Health Concern Date of Onset Health Concern Date of Resolution Health Concern Date of Diagnosis Health Concern Clinical Status Health Concern Category Health Concern Verification Status Health Concern Reporting Source Medication Medication Lot Number Medication Route of Administration Medication Usage Start Date and Time Medication End Date and Time Medication Reason Medication Notes Medication Administration Body Site Medication Administration Status Medication Administration Status Reason Medication Administration Date and Time Medication Incident Description (if applicable)	Health concern is assessed and current medication is reviewed. Details are recorded in the client's medical record.
2	MD/NP addresses the health concern and updates the care plan and generates a new medication request as appropriate.	Health Concern Health Concern(s) Health Concern Body Site Health Concern Severity Health Concern Evidence Health Concern Date of Onset Health Concern Date of Resolution Health Concern Date of Diagnosis Health Concern Clinical Status Health Concern Category Health Concern Verification Status Health Concern Reporting Source Medication Medication Lot Number Medication Route of Administration Medication Usage Start Date and Time Medication End Date and Time Medication Reason Medication Notes Medication Administration Body Site Medication Administration Status Medication Administration Status Reason Medication Administration Date and Time Medication Incident Description (if applicable)	Health concern is addressed, the client's care plan is updated, and a new medication request is generated as appropriate, and recorded client's medical record.
3	Continue at step 6 of Primary Health Care: Basic Flow - Medication Request.	Not applicable	Not applicable

Post-conditions

• Client's care plan and medication request is updated to address the client's new health concern.
• The client's medical record is updated.
• This use case continues at step 6 Primary Health Care: Basic Flow - Medication Request.

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Contact us

If you have questions about this initiative, would like to be added to our stakeholder notification list or would like to participate in our consultations, please email us.

connectedcare@cihi.ca