CC-UC-00700 - Primary Health Care: Basic Flow - Medication Statement

Actors

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

Pre-conditions

• Client is covered under provincial/territorial health care insurance.
• Client is an existing customer at clinic.
• The client has arrived at the clinic for an appointment with the primary care provider.
• The intake and registration process has been completed.

Step	Description	Data elements collected	Result
1	Client provides RN a list of current medication(s).	Medication Medication Usage Status Medication Usage Status Reason Medication Statement Date and Time Medication Reason Medication Timing Medication Dosage as Needed Flag Medication Route of Administration Medication Dose Value Medication Dose Unit of Measure	Medication Statement is provided and the details are recorded in the client's medical record.
2	MD/NP validates health concern described by client.	) 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	Health concern symptoms are validated. Details are recorded in the client's medical record.
3	MD/NP addresses health concerns and recommends care plan.	Not applicable	Health concern is addressed and a care plan is recommended. Details are recorded in the client's medical record.
4	Use case ends.	Not applicable	Not applicable

Post-conditions

• Medication Statement is recorded.
• Health concern is addressed and a care plan is provided.
• The client's medical record is updated.

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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