Workflow Event Step

POS Action

EHRi System Action

EHR IP reference

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

The unit clerk searches for the mother’s record in hospital’s ADT.

The POS ADT system searches locally and finds the patient (because she is a patient of this hospital).

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

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

EHRIP10 Search Patient

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

The POS ADT system displays the corresponding record of current patient and the local information (e.g. patient’s consent directive).

The unit clerk uses the mother’s identifying information and creates a record for each twin in hospital’s ADT system.

Creation of twin’s record (in the current jurisdiction)

The unit clerk enters, in hospital’s ADT system, the identification of a twin.

(The unit clerk repeat the operation for the second twin)

The POS ADT system adds the new patient / twin with the mother’s identifying information.

The POS ADT system sends, to the EHRi system, an update request to create a new client record.

The EHRi system adds a new client record into the EHR Client registry with the patient’s identifying information.

The EHRi system synchronizes with others jurisdictional EHR Client registries.

EHRIP11 Add New Client Registry Patient

(Repeat for each patient / twin)

The EHRi system returns, to POS system, an acknowledgment that the update request is completed (with an EHRi Transaction Client ID).

The POS ADT system displays an acknowledgment about the completed update request.

Update demographic information (with mother’s core demographic information) (in the current jurisdiction)

The unit clerk enters, in hospital’s ADT system, the demographic information of a twin.

(The unit clerk repeat the operation for the second twin)

The POS ADT system adds the demographic information for the current patient / twin with mother’s demographic information.

The POS ADT system sends, to EHRi system, an update request to add the demographic information for the current patient (for the EHRi Transaction Client ID).

The EHRi system adds the demographic information for the current patient (for the EHRi Transaction Client ID).

EHRIP06 Add New Patient

(Repeat for each patient / twin)

The EHRi system returns, to POS system, an acknowledgment that the update request is completed.

The POS ADT system displays an acknowledgment about the completed update request.

Record the hospital admission (in the current jurisdiction)

The unit clerk enters, in hospital’s ADT system, the twin’s admission:

- Mother’s last name,

- Baby Boy X

- Date of delivery,

- Time of delivery.

(The unit clerk repeat the operation for the second twin)

The POS ADT system records the admission for the current patient.

The POS ADT system sends, to the EHRi system, an update request to record the admission event and create a health service encounter for the current patient (for the EHRi Transaction Client ID).

The EHRi system adds the new admission event for this provider, and links this event with a new health service encounter for the current patient (for the EHRi Transaction Client ID).

The EHRi system adds a role event to identify the patient role for the current client (for the EHRi Transaction Client ID), for this provider.

EHRIP15 Put Event

(Repeat for each patient / twin)

The EHRi system returns, to POS system, an acknowledgment that the update request is completed.

The POS ADT system displays an acknowledgment about the completed update request.