Glossary

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

1. Encounter Documents

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 Documents is:

To indicate scanned in lab results as abnormal
To include all OMD mandatory data elements for Attached files
To add documents
To view the documents in chart whether or not they have been acknowledged/ viewed by providers
To create ticklers from the document

1.1.2. Description

Encounter Documents use cases are designed to identify scanned in lab results as abnormal (category AbnLab). All mandatory OMD data elements should be included in attached files (

EMR Requirements of Appendix A – EMR Specification v4.0– 2.2.1.2.10 Attached Files). Different document formats (images, PDFs, text) can be added to patient's eChart and can be viewed in the chart whether or not they have been acknowledged or viewed by the provider before. Also ticklers can be created from the documents.

1.1.3. Pre-action requirements/state:

OSCAR McMaster Test Version 12.1, system, and DB are up, and running 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 attached files data elements

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's name	Access Patient Search Results page from Search Tab	Patient search results page is accessible from Search Tab	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 Document management system screen	Click on Documentation heading in left hand menu	Document management system page opens	General User
6	Add document	Click on Add Document hyperlink and Fill out the fields	Document is added	General User
7	Display all mandatory OMD attached files data elements	Verify that all mandatory OMD attached files data elements are populated	All mandatory OMD attached files data elements are populated	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

Identify scanned in lab results as abnormal

Num.	Step	Description	System Response	User
	Pre-condition	Scanned document is available to add in encounter documents
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	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 Document management system screen	Click on Documentation heading in left hand menu on patient Demo screen	Document management system page opens	General User
6	Add Document	Add scanned document	Scanned document is added	General User
7	Identify scanned in lab document as abnormal	Verify that category/ type should be selected as AbnLab for scanned document	AbnLab type is selected if result is scanned	General User

Alternate Flow 2

Add text, image or PDF documents

Num.	Step	Description	System Response	User
	Pre-condition	Text, image, PDF documents are available to add in Encounter documents
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	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 Document management system screen	Click on Documentation heading in left hand menu on patient Demo screen	Document management system page opens	General User
6	Add text document	Verify that text document can be added	Text document is added	General User
7	Add image document	Verify that image document can be added	Image document is added	General User
8	Add PDF document	Verify that PDF document can be added	PDF document is added	General User

Alternate Flow 3

Ability to view not acknowledged/ acknowledged document in chart

Num.	Step	Description	System Response	User
	Pre-condition	Inbox Lab results should match with patient's name
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	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	View Document in chart	Verify that Inbox document is viewable in Documents chart on Encounter screen	Document is viewable	General User
6	Acknowledge the document	Acknowledge the document from Inbox Lab reports page	Document is acknowledged	General User
7	View acknowledged document in chart	Verify that acknowledge document is viewable in Documents chart on Encounter screen	Acknowledged document is viewable in chart	General User

Alternate Flow 4

Create ticklers from the Documents page

Num.	Step	Description	System Response	User
	Pre-condition	Inbox Document is assigned to a patient
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 Document from Encounter page	Click on a document under Documents heading in left hand menu on Encounter page	Document opens in a new window	General User
6	Create tickler	Verify that tickler can be created from the document	Tickler is created and submitted	General User

1.2.2 Exception Flows of Events (Negative)

N/A

OSCAR EMR

Use Cases Encounter Documents