Workflow Event Step

POS Action

EHRi System Action

EHR IP reference

While the Lab Clinician is with the patient, the ER physician wants to do an evaluation of the patient’s record.

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

The ER physician verifies the identification information and enters them in the ER’s EMR system.

The POS EMR system searches and finds locally the identification of 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 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 patient record (with a EHRi Transaction Client ID).

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

Consultation of the patient’s health profile (for the current jurisdiction)

The ER physician does a request in the ER’s EMR system to review the patient health’s profile.

The POS EMR system sends, to the EHRi system, a search request to obtain the patient’s health profile for the current patient (for the EHRi Transaction Client ID).

The EHRi system searches and finds (in current jurisdiction) the information of health profile for the current patient (for the EHRi Transaction Client ID).

EHRIP09 Get Patient Health Profile

The EHRi system returns, to POS system, the health profile for the current patient.

The POS EMR system receives, organizes and displays the patient’s health profile.

The ER physician reviews the patient’s health profile.

View specific events (in two involved jurisdictions)

The ER physician enters a request (with criteria) in the ER’s EMR system to see the most recent lab results and consultation reports.

The POS EMR system sends, to the EHRi system, a search request with the criteria of health service events about recent lab results and consultation reports, for the current patient (for the EHRi Transaction Client ID).

The EHRi system searches and finds (in the two involved jurisdictions) the health service events about recent lab results and consultation reports, for the current patient (for the EHRi Transaction Client ID).

EHRIP12 List Events

(Event Type = Lab Results, Consultation Reports)

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

The POS EMR system receives and displays the summary list of health service events.

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

(the ER physician 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 ER physician is able to view the record of blood sugars and blood pressures patient has uploaded from home.

In order to have full understanding of the consultant’s report that is written in english, the ER physician calls the translation service and gets a complete translation of the document.

This collection of information gives to the ER physician a good impression of patient’s current and past medical history and it becomes clear that she has had fairly good control of her blood pressure and sugar until recently.