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

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Bus<strong>in</strong>ess Rules<br />

Pre-condition(s)<br />

Correct Patient Identification<br />

Sequence of Events<br />

Action/Stimulus<br />

EMR places lab test orders to LIS<br />

LIS attempts to correctly identify patient records<br />

<strong>for</strong> orders placed by cross-referenc<strong>in</strong>g<br />

EMR/LIS/MPI.<br />

The LIS transmits diagnostic results to EMRs.<br />

System Response<br />

LIS receives orders <strong>and</strong>:<br />

Matches them with exist<strong>in</strong>g patient records;<br />

Fails to locate correspond<strong>in</strong>g patient records <strong>and</strong><br />

requests that the user create a new record;<br />

Returns duplicate patient records <strong>for</strong> orders<br />

received.<br />

The LIS:<br />

Identifies a correct match;<br />

Identifies multiple matches;<br />

Fails to locate a match <strong>and</strong> requests that the user<br />

create a new record.<br />

EMRs acknowledge receipt of test results as<br />

correctly identified.<br />

Post Condition(s)<br />

Outst<strong>and</strong><strong>in</strong>g Issue(s)<br />

Similar issues as described <strong>in</strong> the above use case<br />

<strong>St<strong>and</strong>ards</strong> <strong>and</strong> <strong>Guidel<strong>in</strong>es</strong> <strong>for</strong> <strong>Electronic</strong> <strong>Medical</strong> <strong>Record</strong>s <strong>Systems</strong> <strong>in</strong> Kenya 51

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