DC-01 to DC-05

Core Requirement

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EPR MDF Core Capability

DC-01.1 - Discharge Notes

As a Healthcare or Clinical Professional,

I want to create discharge notes and outpatient letters with structured messages and headings and, that they be compliant with PRSB Standards

So that, the patient is transferred from my care with the correct and complete, relevant information

Acceptance criteria 1:

Given the need to create discharge notes and outpatient letters with PRSB compliant messages and headings

When a patient is discharged

Then the complete, correct and relevant information is provided according to PRSB standards

Acceptance criteria 2:

Given the need to transfer care to other care settings

When creating the digital handover

Then the system must adhere to Transfer of Care - Acute Inpatient Discharge Standard (DAPB 4042)

Application Function

Description

AF345 Create discharge documentation

On discharge of a patient the discharge notes and outpatient letter(s) are created automatically by the system compliant with PRSB guidelines. All documentation is recorded in the patient record for digital access

AF317 Patient access to records

The ability of an authenticated patient to be able to view their own medical record including:

• All relevant documents, e.g. discharge summary, care plans

• All relevant part of care record.

Note: It must be possible for clinicians to be able to restrict information for sharing with the patient via the portal where necessary.

AF210 Generate Discharge summary

The ability of an application to generate a discharge summary document

AF213 Send Discharge summary

The ability to send an electronic discharge summary once completed in accordance with nationally defined standards.

Standards Compliance

• STD091 Transfer of Care - Acute Inpatient Discharge Standard - DAPB4042: Transfer of Care Acute Inpatient Discharge

• STD097 Outpatient letter – Outpatient letter – PRSB

• STD098 Mental Health Inpatient Discharge - Mental Health Inpatient Discharge - PRSB

• STD099 Emergency Care Discharge - Emergency care discharge v2.1 – PRSB

EPR MDF Transformation & Innovation Capability

DC-02.1 - EDD on Admission

As a Clinical Professional,

I want the system to auto advise an EDD (Estimated Date of Discharge) based, on the admission SNOMED code,

and the average time of admittance (configurable)

So that, I have an immediate view of admittance for planning

Acceptance criterion 1:

Given the need to advise on a EDD on admission

When a patient is admitted to a hospital inpatient ward

Then the EDD is automatically advised on admission and the average time of admission

Application Function

Description

AF364 Estimated Discharge Date

On admission the system should generate and Estimated Discharge Date (EDD) based on the Snomed admission code. The EDD can be changed by:

• Manual override in cases where other factors may reduce or extend the likely length of stay

• Addition of a second Snomed diagnosis code which will cause a automatic recalculation

EPR MDF Transformation & Innovation Capability

DC-02.2 - Override EDD

As a Clinical Professional,

I want, to be able to override the system provided EDD (Estimated Date of Discharge)

and, include a manual value (used in the average calculation)

So that, I can readjust the value

Acceptance criterion 1:

Given the need to override a EDD

When a patient is admitted to a hospital inpatient ward

Then the EDD can be readjusted

Application Function

Description

AF364 Estimated Discharge Date

On admission the system should generate and Estimated Discharge Date (EDD) based on the Snomed admission code. The EDD can be changed by:

• Manual override in cases where other factors may reduce or extend the likely length of stay

• Addition of a second Snomed diagnosis code which will cause a automatic recalculation

EPR MDF Transformation & Innovation Capability

DC-02.3 - EDD with a Second Diagnosis

As a Clinical Professional,

I want, the system provided auto EDD to auto adjust if a second diagnosis code is applied and, add the second code into the calculation of EDD for that code

So that, EDD in the system will become consistent and accurate.

Acceptance criterion 1:

Given the need to override a EDD

When a patient is admitted to a hospital inpatient ward

Then the EDD can be readjusted

Application Function

Description

AF364 Estimated Discharge Date

On admission the system should generate and Estimated Discharge Date (EDD) based on the Snomed admission code. The EDD can be changed by:

• Manual override in cases where other factors may reduce or extend the likely length of stay

• Addition of a second Snomed diagnosis code which will cause a automatic recalculation

EPR MDF Transformation & Innovation Capability

DC-03.1 - Discharge Pathway Configuration

As a Clinical Professional,

I want to be able to configure and view all pathways to discharge

and, to adjust or change pathways as conditions vary

So that, discharge decisions can be seen by the team

Acceptance criterion 1:

Given the need to discharge a patient

When a patients treatment is complete

Then the discharge pathways can be configure, view and adjust all discharge pathways

Application Function

Description

AF367 Configure Discharge Pathways

The System will allow pathways to discharge to be configured and amended as required.

• Include support for intermediate care beds

• Allow configuration of appropriate details for each mode of discharge

EPR MDF Transformation & Innovation Capability

DC-03.2 - Intermediate Care Beds

As a Clinical Professional,

I want to have visibility of intermediate care beds as part of discharge pathways

So that, I can manage the care bed resource

Acceptance criterion 1:

Given the need to discharge a patient

When a intermediate care bed is required

Then these beds are visible and can be managed

Application Function

Description

AF367 Configure Discharge Pathways

The System will allow pathways to discharge to be configured and amended as required.

• Include support for intermediate care beds

• Allow configuration of appropriate details for each mode of discharge

EPR MDF Transformation & Innovation Capability

DC-03.3 - Different Modes of Discharge

As a Clinical Professional,

I want discharge information to be shown in different modes dependent on the discharge pathway

So that, I can see discharge information according to the pathway adopted

Acceptance criterion 1:

Given the need to view discharge information based on the discharge pathway

When a different modes of discharge are required

Then the information is displayed in different modes, dependant on the pathway chosen

Application Function

Description

AF367 Configure Discharge Pathways

The System will allow pathways to discharge to be configured and amended as required.

• Include support for intermediate care beds

• Allow configuration of appropriate details for each mode of discharge

EPR MDF Transformation & Innovation Capability

DC-04.1 - Visibility to Community Care

As a Clinical Professional,

I want discharge information to be viewable and available to community care

So that, Community Care can interact and plan for transfer into the community

Acceptance criteria 1:

Given the need to discharge a patient

When a patients treatment is transferred to community care

Then the discharge pathways can be configure, view and adjust all discharge pathways

Acceptance criteria 2:

Given the identify a patient using their NHS number

When accessing or sharing patient data

Then all patient data must be associated with an NHS number

Acceptance criteria 3:

Given the need to process patient data

When accessing or sharing patient data

Then all appropriate information governance standards will be adhered to

Acceptance criteria 4:

Given the need to create discharge notes and outpatient letters with PRSB compliant messages and headings

When a patient is discharged

Then the complete, correct and relevant information is provided according to PRSB standards

Acceptance criteria 5:

Given the need to transfer care to other care settings

When creating the digital handover

Then the system must adhere to Transfer of Care - Acute Inpatient Discharge Standard (DAPB 4042)

Application Function

Description

AF367 Configure Discharge Pathways

The System will allow pathways to discharge to be configured and amended as required.

• Include support for intermediate care beds

• Allow configuration of appropriate details for each mode of discharge

Standards Compliance

• STD047 Inter-Provider Transfer Administrative Minimum Data Set - ISB 0112 Guidance

• STD085 The Core Information Standard - The Core Information Standard

• STD064 NHS Number for Secondary Care - ISB 0149-02 Guidance

• STD091 Transfer of Care - Acute Inpatient Discharge Standard - DAPB4042: Transfer of Care Acute Inpatient Discharge

• STD097 Outpatient letter – Outpatient letter – PRSB

• STD098 Mental Health Inpatient Discharge - Mental Health Inpatient Discharge - PRSB

• STD099 Emergency Care Discharge - Emergency care discharge v2.1 – PRSB

EPR MDF Transformation & Innovation Capability

CD-04.2 - Access to Patient Care Record

As a Clinical Professional,

I want, to have access to the patient summary record of entire treatment given to the patient

and, I want Community care to have a view of the summary record

So that, a full picture of patient need can be seen before transfer to Community

Acceptance criteria 1:

Given the need to discharge a patient

When a patients treatment is transferred to community care

Then the patient summary care record of the entire treatment given to the patient is accessible to community care

Acceptance criteria 2:

Given the identify a patient using their NHS number

When accessing or sharing patient data

Then all patient data must be associated with an NHS number

Acceptance criteria 3:

Given the need to process patient data

When accessing or sharing patient data

Then all appropriate information governance standards will be adhered to:

Acceptance criteria 4:

Given the need to create discharge notes and outpatient letters with PRSB compliant messages and headings

When a patient is discharged

Then the complete, correct and relevant information is provided according to PRSB standards

Acceptance criteria 5:

Given the need to transfer care to other care settings

When creating the digital handover

Then the system must adhere to Transfer of Care - Acute Inpatient Discharge Standard (DAPB 4042)

Application Function

Description

AF158 View Patient Record (summary)

The ability to present a summary view of a patient record including pertinent information, e.g DNA, Allergies etc.

Standards Compliance

• STD047 Inter-Provider Transfer Administrative Minimum Data Set - ISB 0112 Guidance

• STD085 The Core Information Standard - The Core Information Standard

• STD064 NHS Number for Secondary Care - ISB 0149-02 Guidance

• STD091 Transfer of Care - Acute Inpatient Discharge Standard - DAPB4042: Transfer of Care Acute Inpatient Discharge

• STD097 Outpatient letter – Outpatient letter – PRSB

• STD098 Mental Health Inpatient Discharge - Mental Health Inpatient Discharge - PRSB

• STD099 Emergency Care Discharge - Emergency care discharge v2.1 – PRSB

EPR MDF Transformation & Innovation Capability

DC-05.1 - Onward Referrals

As a Clinical Professional,

I want to be able to make onward referrals for the patient at the point of discharge

So that, patient care beyond admission is arranged

Acceptance criterion 1:

Given the need to discharge a patient

When a patients treatment is transferred to community care

Then the patient summary care record of the entire treatment given to the patient is accessible to community care

Acceptance criteria 2:

Given the need to create discharge notes and outpatient letters with PRSB compliant messages and headings

When a patient is discharged

Then the complete, correct and relevant information is provided according to PRSB standards

Acceptance criteria 3:

Given the need to transfer care to other care settings

When creating the digital handover

Then the system must adhere to Transfer of Care - Acute Inpatient Discharge Standard (DAPB 4042)

Application Function

Description

AF365 Referral on Discharge

The ability of the system to create a referral as part of the discharge process

Standards Compliance

• STD091 Transfer of Care - Acute Inpatient Discharge Standard - DAPB4042: Transfer of Care Acute Inpatient Discharge

• STD097 Outpatient letter – Outpatient letter – PRSB

• STD098 Mental Health Inpatient Discharge - Mental Health Inpatient Discharge - PRSB

• STD099 Emergency Care Discharge - Emergency care discharge v2.1 – PRSB

The full list of standards applicable to the secondary care setting are contained at the link below

• Secondary Care Standards

The following standards apply more specifically to the requirements on this page

• STD007 Assessment, Discharge and Withdrawal Notices between Hospitals and Social Services - SCCI2075 Guidance (NHS Digital)

• STD047 Inter-Provider Transfer Administrative Minimum Data Set - ISB 0112 Guidance

• STD085 The Core Information Standard - The Core Information Standard

• STD064 NHS Number for Secondary Care - ISB 0149-02 Guidance

• STD091 Transfer of Care - Acute Inpatient Discharge Standard - DAPB4042: Transfer of Care Acute Inpatient Discharge

• STD097 Outpatient letter – Outpatient letter – PRSB

• STD098 Mental Health Inpatient Discharge - Mental Health Inpatient Discharge - PRSB

• STD099 Emergency Care Discharge - Emergency care discharge v2.1 – PRSB