Glossary

1	EMR	Electronic Medical Record
2	MRP	Most Responsible Physician
3	OMD	Ontario Medical Documentation

1. Encounter Preventions

1.1 Summary

1.1.1 Business Need

Defined users:

MRP doctors, residents, nurses, team assistants and other medical staff with the credentials and rights to access OSCAR web-site. General user is given administrative rights.
Super User/Administrator with full rights:

Add/Edit/Delete
Reactivate account
Access to admin part of the OSCAR

Main purpose of Encounter Preventions is:

To include all mandatory OMD immunizations data elements
To maintain a record of preventative care activities
To print an immunizations summary
To enter prevention data in one location

Encounter Preventions requirements (Confluence link: https://oscaremr.atlassian.net/wiki/pages/viewpage.action?spaceKey=QA&title=OLD+OMD-based+testing+checklist&src=email) need to be aligned with Ontario MD EMR Specification document set that describes the high level and detail requirements central to the general EMR application. Encounter Prevention use cases are created to meet the EMR Requirements of Appendix A – EMR Specification v4.0 (2.2.1.2.3 – Immunization) for Oscar application and to validate the application Encounter Prevention functionality.

1.1.2. Description

Encounter Preventions use cases are designed to display all mandatory immunization data elements in Prevention section, to maintain a record of preventative care/ screening activities (procedure and date performed). Preventative care activities will be included automatically and become visually distinct when past due. Immunization summary for a patient can be printed and should include patient information (patient name, DOB, health card number) and each immunization information (name, date administered, name of primary physician).

Prevention data should not be entered in more than one location.

1.1.3. Pre-action requirements/state:

OSCAR McMaster Test Version 12.1, system, and DB are up, configured and working as expected.

1.1.4. Post-action state:

OSCAR McMaster Test Version 12.1 is running and behaving as expected.
OSCAR McMaster Test Version 12.1 has all functionality prior to the change (outside of removing functionality intentionally)

1.2 Flow of Events

This section describes the main flow of the Use Case and system responses.

Display all mandatory OMD encounter prevention data

Num.	Step	Description	System Response	User
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	Search the patient name	Access Patient Search Results page from Search Tab	Patient search results page is accessible from Search Tab by name	General User
4	Activate eChart module	Select E hyperlink to open eChart from the current record	eChart module is opened for the selected patient	General User
5	Access Add Preventions screen	Click on Preventions heading on the left hand side menu on the Encounter page and select a Prevention	Add Preventions page appears in a new window	General User
6	Verify all mandatory OMD immunization data elements	Verify that all mandatory OMD immunization data elements are included in the forms	All mandatory OMD immunization data elements are included in the forms	General User

1.2.1 Alternate Flows of Events

This section describes the alternative flow of events based on variations in the main Use Case scenario that still result in a Successful End Condition at completion of the Use Case.

Alternate Flow 1

Preventative care/ screening activities are recorded

Num.	Step	Description	System Response	User
	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	Search patient by name	Access Patient Search Results page from Search Tab	Patient search results page is accessible from Search Tab by name	General User
4	Activate eChart module	Select E hyperlink to open eChart from the current record	Connect to the OSCAR main page	General User
5	Access Add Preventions screen	Click Preventions heading on the left hand side menu on the Encounter page	The Preventions page appears in a new window	General User
6	Verify that preventative care activities are recorded	Verify that a record of preventative care/screening activities (procedure & date performed) is maintained	A record of preventative care/screening activities (procedure & date performed) is maintained	General User

Alternate Flow 2

Past due preventative care activities are automatically become visually distinct

Num.	Step	Description	System Response	User
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	Search patient by name	Access Patient Search Results page from Search Tab	Patient search results page is accessible from Search Tab by name	General User
4	Activate eChart module	Select E hyperlink to open eChart from the current record	Connect to the OSCAR main page	General User
5	Access Add Preventions screen	Click Preventions link on the left hand side on the Encounter page	Preventions page appears in a new window	General User
6	Past due Preventative care activities become visually distinct	Verify that Preventative care activities become automatically visually distinct when past due	Preventative care activities become automatically visually distinct when past due	General User

Alternate Flow 3

Print immunization summary for a patient

Num.	Step	Description	System Response	User
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	Search patient by name	Access Patient Search Results page from Search Tab	Patient search results page is accessible from Search Tab by name	General User
4	Activate eChart module	Select E hyperlink to open eChart from the current record	eChart module is opened for the selected patient	General User
5	Access Preventions screen	Click Preventions link on the left hand side menu on the Encounter page	Preventions page appears in a new window	General User
6	Enable to print immunization summary	Print immunizations summary for a patient	Immunization summary is printed	General User
7	Verify printed version data	Verify that printed version includes all required data (patient's and immunizations info)	Printed version includes all required data	General User

Alternate Flow 4

Prevention data should not be entered in more that one location

Num.	Step	Description	System Response	User
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	Search patient by name	Access Patient Search Results page from Search Tab	Patient search results page is accessible from Search Tab by name	General User
4	Activate eChart module	Select E hyperlink to open eChart from the current record	eChart module is opened for the selected patient	General User
5	Access Add Preventions screen	Click on Preventions link on the left hand side menu on the Encounter page and select a Prevention	Add Preventions page appears in a new window	General User
6	Add Preventions form	Fill out the form and save	Prevention form is completed and saved	General User
7	Verify that prevention data should be entered in one location	Verify that info entered in preventions should not be entered in flowsheets	Info entered in preventions should not be entered in flowsheets	General User

1.2.2 Exception Flows of Events (Negative)

N/A

OSCAR EMR

Use Cases Encounter Preventions