ID | MH-03 |
|---|---|
Type | Core Requirement |
Status | Published |
Release | V3.0 - March 2023 |
MH-03 Recording of therapeutic observations
Electronic recording of therapeutic observations in inpatient mental health settings.
Electronic recording of therapeutic observations in inpatient mental health settings via mobile devices
Core Level Requirements
Transformation & Innovation Level Requirements
Description
Inpatient mental health care relies on ‘Therapeutic Observations’ to be routinely completed by staff. Staff make qualitative observations of a patient’s mental state and behaviour at predetermined regular intervals, or even continuously, such that it may prompt them to make an intervention to provide additional support to reduce distress, anxiety or low mood. These user stories describe the need to record these types of therapies in the patient record.
User Stories
MH-03.1 - Recording Therapeutic Observations | |
|---|---|
DCF Core Capability | |
As a mental health professional, I want to record therapeutic observations in an inpatient mental health setting, So that a patient's progress can be recorded and reviewed Acceptance criteria 1:Given a user has the correct permissions, When carrying out patient observation, Then therapeutic observations can be recorded on the patient care plan. | |
Application Function | Description |
AF389 Record Therapeutic intervention | Enable recording of therapeutic observations against the patient record |
Standards Compliance | |
STD004 AIDC: Automatic Identification and Data Capture - ISB 0108 Guidance | |
STD030 Digital Imaging and Communications in Medicine (DICOM) | |
STD043 Identity Verification and Authentication Standard for Digital Health and Care Services | |
MH-03.2 - Mobile Access | |
|---|---|
DCF Transformation Capability | |
As a mental health Professional, I want to record therapeutic observations for inpatient mental health setting on a mobile device, So that care can be recorded on a wider range of devices. Acceptance criteria 1:Given the system is online and accessible, When the system is viewed on a mobile device, Then the system should have the same functionality as it does on desktop devices. | |
Application Function | Description |
AF389 Record Therapeutic intervention | Enable recording of therapeutic observations against the patient record |
AF326 Maintain Patient Record via Mobile App | The ability for a user to view/update a Patient medical record via a Mobile Device |
Standards Compliance | |
STD030 Digital Imaging and Communications in Medicine (DICOM) | |
STD043 Identity Verification and Authentication Standard for Digital Health and Care Services | |
Applicable Standards |
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The following standards are applicable to the secondary care setting: |
⬅️ Care Plans | Requirements Map | Mental Health Medicine Management ➡️ |