Consumer Empowerment Use Case Scenario

Part 1: Consumer views and updates registration and medication history information

Ms. Patricia Walker is an 89 year old diabetic. Her daughter, Mary, who lives in another state, helped her create a PHR account during a visit last year. Following total knee replacement surgery Patricia has decided to move in with her daughter so that her daughter can help with her rehabilitation. Dr. Douglas will become Patricia’s primary care physician in her daughter’s home town.

Before going to the first appointment with Dr. Douglas, Patricia and Mary decide to review Patricia’s registration and medications history information in the PHR. They also want to update Patricia’s address information with her daughter’s home address. While reviewing the medication history information, Mary notices that Patricia’s prescription for Acetaminophen oxycodone HCl is out-of-date because Dr. Norton, her primary care physician where she used to live, changed the dosage during a recent telephone call to the office. Mary submits a request to have the medication history information updated.

Part 2: Consumer establishes provider permissions to view data

After reviewing the medication history information, Patricia asks Mary if it will be accessible to Dr. Douglas. Mary then adds Dr. Douglas to Patricia’s list of providers and grants Dr. Douglas access to Patricia’s information.

Part 3: Provider retrieves registration and medication history data

During the visit to Dr. Douglas’ office, Lois, who is the office manager, requests Patricia’s address and insurance information. Mary grants permission for Lois to access the registration information in Patricia’s PHR. Lois accesses the PHR, retrieves Patricia’s registration information, reviews it on-line, then decides to bring it into the office system.
While reviewing Patricia’s case, Dr. Douglas decides to review her medication history. Dr. Douglas uses the access provided by Mary to retrieve Patricia’s medication history via her PHR.

EHR Use Case Scenario

Ms. Patricia Walker is an 89 year old diabetic. Her daughter, Mary, who lives in another state, helped her create a PHR account during a visit last year. Following total knee replacement surgery Patricia has decided to move in with her daughter so that her daughter can help with her rehabilitation. Dr. Douglas is Patricia’s new primary care physician in her daughter’s home town.

Patricia is having some difficulty managing her diabetes as a result of her change in exercise following her knee replacement surgery. Her daughter, Mary, has arranged an appointment with Dr.Watson, an Endocrinologist who specializes in the management of diabetes. Before going to the first appointment with Dr. Watson, Mary updates the list of providers in Patricia’s PHR to include Dr. Watson. She also adds Jane, a home health nurse who is helping Patricia manage her diabetes.

Part 1: Ordering physician receives lab test results

During Patricia’s office visit, Dr. Watson decides to order a new HbA1c test. The test is completed by the laboratory and the test result is made available to Dr. Watson in his local EHR. Dr. Watson receives notification that test results are available and views the new test result

Part 2: Physician retrieves historical results

After receiving the new lab results, Dr. Watson decides to review her prior laboratory results, including the HbA1c results in the months before she had surgery. Using the EHR in his local practice, Dr. Watson queries for the available laboratory results, views them, decides to incorporate them into his EHR and compare them to the new result.

Part 3: Non-ordering clinician receives lab test results or notification

Dr. Douglas, Patricia’s new primary care physician, also needs to be aware of Patricia’s HbA1c results. The Laboratory sends the test results to Dr. Douglas. Jane, the home health nurse who helps Patricia manage her diabetes, receives notification that updates to Patricia’s information are available and views them using a web browser.