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ID

D

Type

Core Requirement

Status

Alpha

Release

V3.0 - March 2023

Core Level Requirements

Transformation

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& Innovation Level Requirements

Description

Management and administration of diagnostic tests including requesting and viewing diagnostics.

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EPR MDF Core Capability

D-03.1 - Request Diagnostic Tests

As a Clinical Professional,

I want the ability to digitally request diagnostic tests,

So that I can get accurate diagnosis results.

Acceptance criteria 1:

Given I have the system access to request diagnostic tests,

When I request a diagnostic test,

Then the request for a diagnostic test is sent to the chosen diagnostic service.

Acceptance Criteria 2:

Given that I have requested a diagnostic test,

When the diagnostic test is performed and the patient record is updated with the test results,

Then I get notified that the test has been completed and I can then view the result in the patient record.

Info

Supporting Information

  • Diagnostic Tests can contain images that need to be viewable from the EPR

  • Test results could be sent from systems outside of the EPR

Additional Detail

  • Capability to digitally request consultations and diagnostic tests (including but not limited to laboratory, radiology and cardiology tests) with appropriate decision support to identify duplicate or conflicting requests and flag risk and to integrate results / images into the patient record

Application Function

Description

AF217 Place Test/Investigations Order

The ability to engage testing services in real time and record the action that a request has been made on the patient record.
Scope includes:

  • Imaging/Scans

  • MRI

  • Lab (samples)

  • Blood Product Ordering

The application must be able to support the following:

  • Adding relevant patient data to the order

  • Accurate annotation of body maps to accompany orders

  • Appending images to orders

EPR MDF Core Capability

D-04.1 - Diagnostic Test Results

As a Clinical Professional,

I want to be notified that the diagnostic tests that I requested have been completed,

and I want to be able to see these results in the patient record, within appropriate prescribing pathways

So that I can take the appropriate course of action.

Acceptance Criteria 1

Given I have requested a diagnostic test,

When the test is completed and the results are added to the patient record,

Then I should be notified that the results are published.

Acceptance Criteria 2

Given a diagnostic test has been completed,

When the test is completed and the results have been added to the patient record,

Then I am able to view the results of the test.

Acceptance Criteria 3

Given the need to record test results

When results are added to the patient record

Then they should be recorded in compliance with any relevant test result standard

Info

Supporting Information

  • Diagnostic Tests can contain images that need to be viewable from the EPR,

  • Test results could be sent from systems outside of the EPR,

Application Function

Description

AF173 Generate clinical alerts

The ability of an application to run algorithms based upon patient data (observations, conditions, test results etc.) to proactively identify conditions or deterioration in conditions and generate clinical alerts where issues are identified (scores are beyond defined thresholds).

AF184 Send Results Notification 

The ability of an application to send a notification to the clinician who ordered a test and concerned clinical groups where a test result indicates that a patient has an urgent health need.

AF185 Results Acknowledgement

The ability of an application to request an acknowledgement from a clinician that results have been viewed and actioned where the results fall outside normal parameters for the specific clinical speciality of the requesting clinician.

AF231 Visualise Test/Investigation results

The ability to visualise a set of corresponding results, e.g. via time-series graphs.

This should include the ability to overlap significant events onto views, e.g. interventions, procedures

AF229 View Test/Investigation Results

The ability to view the results of all tests/investigations carried out on behalf of a patient including any associated artefacts (images etc.) captured via the testing application.

AF228 Receive and Process Test Results

The ability of an application to be able to receive and process results received from diagnostic results systems (including correlating results with requests).

Standards Compliance

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EPR MDF Transformation & Innovation Capability

D-08.1 - Diagnostic Time Stamps

As a Clinical Professional,

I want any investigation notes to be visibly time stamped

So that, I can see which notes are current, and the timeline of notes

Acceptance Criteria 1

Given the need to keep up to date with the patients progress

When reviewing investigation notes

Then notes are all time stamped

Application Function

Description

AF215 Order History - Patient

The ability to view a record of order requests made on behalf of a patient including:

  • All orders/investigations

  • The current status of any outstanding/incomplete requests

  • The results of completed tests

  • Verification data (e.g. patient identifying information, barcoding)

This should be for current and/or historic care episodes

Standards Compliance

EPR MDF Transformation & Innovation Capability

D-09.1 - Single User Interface for Tests and Diagnostics

As a Clinical Professional,

I want to see test results and diagnostics in a single user interface

So that, I don't have to jump between different user interfaces for all diagnostic information,

Acceptance Criteria 1:

Given the need to review tests and diagnostic results

When reviewing the patients care record

Then both test results and diagnostics are in the same user interface

Application Function

Description

AF215 Order History - Patient

The ability to view a record of order requests made on behalf of a patient including:

  • All orders/investigations

  • The current status of any outstanding/incomplete requests

  • The results of completed tests

This should be for current and/or historic care episodes

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