Workflow Event Step

POS Action

EHRi System Action

EHR IP reference

At the appropriate time, the patient is taken to the OR.

Resolution of patient’s identification (in the current jurisdiction)

The orthopaedic surgeon accesses patient’s record and enters patient’s identification information in the hospital’s EMR system.

The POS EMR system searches locally and finds the patient.

The POS EMR system sends, to the EHRi system, a request with the key information (ex. name, birth date, provincial health care number) (and to obtain a EHRi Transaction Client ID).

The EHRi system searches and finds for the client in the current jurisdiction, with the provided key information (ex. name, birth date, provincial health care number).

EHRIP10 Search Patient

The EHRi System Client Registry returns, to POS system, the corresponding patient record (with a EHRi Transaction Client ID).

The POS EMR system displays the corresponding record of current patient.

View the health service encounters (in the current jurisdiction)

The orthopaedic surgeon does a request through the hospital EMR system to the information related to a prior knee injury.

The POS EMR system sends, to the EHRi system, a search request with the criteria of health service encounters related to a prior knee injury for the current patient (for the EHRi Transaction Client ID).

The EHRi system searches and finds the health service encounters related to a prior knee injury for the current patient (for the EHRi Transaction Client ID).

EHRIP12 List Events

(Event Type = Encounter “Knee Injury”)

The EHRi system returns, to POS system, a summary list with key identifiers indicated in the health service encounters.

The POS EMR system displays the summary list with key identifiers indicated in the health service encounters.

View details of each of the health service encounters

The orthopaedic surgeon looks at the summary list of health service encounters and selects an encounter to see more detail.

(the orthopaedic surgeon can repeat this step for each health service encounter as needed, and depending on the health service encounter structure)

The POS EMR system sends, to the EHRi system, a search request, with the key identifiers indicated in the selected health service encounter, to find the detail of the selected health service encounter for the current patient (for the EHRi Transaction Client ID).

The EHRi system searches, with the key identifiers indicated in the selected health service encounter, and finds every contained event in the selected health service encounter.

EHRIP12 List Events

(Event Type = Encounter ID)

The EHRi system returns, to POS system, a health service event list.

The POS EMR system displays the health service event list.

The orthopaedic surgeon looks at the summary list of health service events and selects an event to see more detail.

(the orthopaedic surgeon can repeat this step for each health service event as needed, and depending on the health service event structure)

The POS EMR system sends, to the EHRi system, a search request, with the key identifiers indicated in the selected health service event, to find the detail of the selected health service event for the current patient (for the EHRi Transaction Client ID).

The EHRi system searches, with the key identifiers indicated in the selected health service event, and finds the detail of event in the selected health service event.

EHRIP13 Get Event

The EHRi system returns, to POS system, the detail of health service event.

The POS EMR system displays the detail of health service event.

The orthopaedic surgeon reviews the report of the MRI along with his own notes from the outpatient visits.

Patient’s operation

Familiar with the details of patient’s case, the orthopaedic surgeon proceeds to do the ACL reconstruction.