CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

Use Case Self Medication

Introduction

This use case presents an example of a patient that introduces to his shared medication plan a self-medication treatment. Furthermore, this use case also exemplifies how this treatment is at a later stage reviewed and modified by a medical doctor subsequently.

This use case assumes that the patient had no current treatments at the time of the first step of the use case.

Self-Medication

The use case starts with the patient, suffering from frequent headaches, documenting that he is taking paracetamol to tackle them. The patient uses CARA's portal for patients for adding the treatment. For displaying the patient's current medication overview at login, the portal fetches first a PMLC from the eMedication service, which is empty (no treatments). When the patient enters the data for his self-medication treatment, the portal proceeds to submit an MTP document to the eMedication service to record it.

Dispense at the pharmacy

The patient goes to a pharmacy to get a box of paracetamol, without prescription, for his headaches. The pharmacist's system presents the pharmacist with the patient's medication overview, for which it fetches a PMLC document from the eMedication service. After checking the patient's medication overview, the pharmacist proceeds to perform the dispensation of a paracetamol box, which gets recorded in the system. The pharmacist's system sends a DIS document to the eMedication service to this effect.

Medical Consultation

After a while without much improvement, the patient goes to see his general practitioner and discuss his ailment. The practitioner's system fetches a PMLC document from the eMedication service to present the patient's medication overview to the doctor. This PMLC document contains the paracetamol self-medication treatment. At the end of the consultation, and after discussing it with the patient, the practitioner determines the paracetamol treatment is not sufficient since it does not treat the root cause, which will be addressed later after a series of tests, and that the paracetamol treatment should properly be registered with a max daily dose the practitioner deems the patient should not surpass. The practitioner deems ibuprofen to be more effective as a temporary treatment while waiting for results to find the root cause of the headaches. The practitioner records this as a new prescription for the patient containing both ibuprofen to be taken if needed in case of headache and paracetamol to be taken in case ibuprofen is not enough with the new dosage details. The practitioner's system sends an MTP document for the new ibuprofen treatment (no commercial product specified) and a PRE document to the eMedication service with the prescription details for both ibuprofen and paracetamol treatments.