Workflow Event Step

POS Action

EHRi System Action

EHR IP reference

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

The internal medicine resident enters the patient’s identification information in the ER’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.

Completion of health service encounter (in the current jurisdiction)

The internal medicine resident creates, in the ER’s EMR system, his record of the admitting history and physical with this information:

- History of present illness,

- Past medical history,

- Family history,

- Social history,

- Functional inquiry,

- Physical exam,

- Allergies,

- Medications,

- Provisional diagnosis,

- Management plan.

The POS EMR system is updated with the admitting history and physical record.

The POS EMR system sends, to the EHRi system, an update request to record the admitting history and physical for the current patient (for the EHRi Transaction Client ID).

The EHRi system adds the admitting history and physical event and links it with the specific health service encounter for the current patient (for the EHRi Transaction Client ID).

EHRIP15 Put Event

(Event Type = Admitting History)

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

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