Standards and Guidelines for Electronic Medical Record Systems in ...

Use Case Title
Summary
Primary Actor
Secondary Actors
Order and Results
Clinician wishes to place lab test orders and receive results from the lab
EMR
LIS
Business Rules
Pre-condition(s)
Correct Patient Identification
Sequence of Events
Action/Stimulus
EMR transmits orders to LIS
The LIS receives diagnostic results manually
through direct data entry or electronically from
analyzer
System Response
LIS receives orders and:
Matches orders with existing patient records;
Fails to locate corresponding patient records and
requests that the user create a new record;
Returns duplicate patient records for orders
received.
The LIS:
Cross-references patient identities of rest results
received with patient records identities on
LIS/EMR/MPI;
Stores diagnostic results in existing patient records;
Fails to locate existing patient records for test
results received.
The LIS transmits diagnostic results to EMRs, EMRs acknowledge receipt of test result as
correctly identified.
Post Condition(s)
Outstanding Issue(s)
Test result transmitted only after validation.
Test results correspond correctly with orders.
Correct patient visit record missing in EMR when
test results are transmitted back.
EMRs changes/updates demographics before
Standards and Guidelines for Electronic Medical Records Systems in Kenya 49