CC-UC-01400 - Primary Health Care: Basic Flow - Medical Procedure

Actors

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

Pre-conditions

• Client is covered under provincial/territorial health care insurance.
• Client is an existing customer at clinic.
• Client is at the clinic for a pre-scheduled medical procedure.

Step	Description	Data elements collected	Result
1	MD/NP obtains consent to perform procedure.	Not applicable	Consent for the procedure is provided by client/client caregiver and the client's medical record is updated to reflect the consent. CC-UC-01401 Consent is not given.
2	MD/NP performs procedure.	Procedure Category Procedure Performed Procedure Status Procedure Status Reason Procedure Date and Time Procedure Reason Procedure Body Site Periprocedural Event Procedure Tolerance Procedure Tolerance Narrative	Procedure is performed successfully and recorded in the client's medical record. CC-UC-01402 Unable to perform procedure. CC-UC-01403 Unexpected intraprocedural event.
3	MD/NP provides client with post-procedure care.	Post-Procedure Instructions	The client receives post-procedure care, and the client's medical record is updated.
4	Medical administrator schedules follow-up appointment as directed by MD/NP .	Appointment Services by Appointment Only Flag Appointment Service Category Appointment Service Type Appointment Creation Date and Time Appointment Requested Range Appointment Priority Appointment Expected Duration Appointment Reason Appointment Instructions Appointment Confirmation Status Appointment Attendance Requirement Appointment Participation Period Appointment Period Appointment Specialty Appointment Type Appointment Cancellation Date and Time Appointment Rescheduled Date and Time Appointment Cancellation Reason Appointment Rescheduled Flag	The follow-up appointment is scheduled, and the client's medical record is updated.
5	Use case ends.	Not applicable	Not applicable

Post-conditions

• Consent is obtained for procedure.
• Procedure is performed successfully.
• Follow-up appointment is scheduled.
• Client's medical record is updated.

Back to use case category

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