The purpose of this page is to provide a better clarification on the specification of the implementation of the Medication Related Overview Service on the OpenNCP scope.

______________________________

MRO Service Implementation Overall Status

Table of contents:

1. Scenario Clarification

Purpose

The overall purpose to be achieved by this use case is to enable a foreign HCP to review the medical information of a patient consulting her, thereby securing an updated and more safe further treatment of the patient.

Use Case Actors

The actors involved in the epSOS MRO Use Case are:

Primary actors:

The Patient
A Prescriber
A Dispenser

Secondary actors:

Patient identification, authentication & role authorization service;
The epSOS Patient Access translation service;

Diagram 1: Use case diagram

The following diagram illustrates the basic use case for the MRO service.

OpenNCP > Medication Related Overview > image2013-10-14 15:36:23.png

Figure 1. Process diagram of the medication distribution 2 (eP and eD) + distribution II (medication related overview).

Basic explanation of the Use case

The patient, who is referred to (or reports himself to) a physician.
When the decision is made that the patient has to take medication for treatment the physician, in his role as prescriber, issues a medication prescription that can be seen both as an order to a pharmacist as well as the agreement between the physician and the patient on the specific treatment with this medication. For doing this, the prescriber receives relevant historical medication information.
The pharmacist, in his role as a dispenser of medication, receives the prescription, in some countries he receives relevant historical medication information, and dispenses the medication. The pharmacist then issues information about the dispensation, which serves two goals: it is added to the historical medication information, and it is used to update the status of the prescription (in some cases it lowers the amount of remaining items that can be given out from the prescription). The patient again, finally, receives the medication and takes care of the administration, with or without the intervention of family members and/or nurses.

2. Requirements

Actions and Steps

Non-Functional Requirements

Legal Requirements

For service legal requirements please consult the D 1.4.3, page 112;

Security Requirements

For service security requirements please consult the D 1.4.3, page 114;

Clinical Requirements

For service clinical requirements please consult the D 1.4.3, page 115.

Additional Architecture NCP / Central Service requirements

For additional Architecture NCP / Central Service requirements please consult the D 1.4.3, page 122.

3. Implementation Strategy Design

Overview

The chosen implementation strategy will make use of the existent Arquitecture and implemented profiles. Following you can fin a table that maps the required steps, in order to accomplish this service and the behaviour that will occur within the OpenNCP system.

Proposed Solution

Step	Actions	OpenNCP actions and operations description	To be implemented in the OpenNCP	Related Profiles
1	Health professional identification and authentication
2	The patient’s identity has to be validated in country B, the patient’s identifier(s) from country A must be used for retrieving the MRO.
3	The patient must agree with sending the MRO to country B (patient consent in country A).
4	Country B requests the MRO from country A. Country A processes this request and sends the MRO to country B.

4. Testing Strategy

5. Documentation and References