Glossary

1	COPD	Chronic Obstructive Pulmonary Disease
2	EMR	Electronic Medical Record
3	MRP	Most Responsible Physician
4	OMD	Ontario Medical Documentation

1. Encounter Flowsheets

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 Flowsheets is:

To include all mandatory OMD flowsheets data elements
To visually flag items that are out of treatment interval
To modify, create, and print flowsheets

Encounter Flowsheets 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 Flowsheets Use cases are created to meet the EMR Requirements of Appendix C – EMR Specification v4.0 (3.1 – Diabties Care Elements, 3.2 – Asthma Care Elements, 3.3 – Heart Failure Elements, 3.4 – COPD Care Elements, 3.5 – Hypertension Care Elements) for Oscar application and to validate the application Flowsheets functionality.

1.1.2. Description

Encounter Flowsheets use cases are designed to include all mandatory OMD data elements for 5 flowsheets (diabetes, asthma, heart failure, COPD, hypertension). Each flowsheet has a set of OMD requirements including ranges (ie Hypertension/ LDL-C treatment target < 3.5 mmol/L) and how often they should be completed (ie annually, monthly). Flowsheets should visually indicate elements of care that are out of treatment interval. Flowsheets can be modified both for a single patient and overall for a provider. Users should be able to create and print flowsheets.

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.

Include all mandatory OMD Flowsheet 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 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 Health Tracker page	Select Health Tracker hyperlink under Measurements heading on the left hand menu	Health Tracker page opens in a new window	General User
6	Verify all mandatory OMD data elements	Verify that all mandatory OMD data elements is included for each flowsheet: DIAB (Diabetes) ASTH (Asthma) HYPTENTION (Hypertension) CHF (Chronicle Heart Failure) M8 (COPD)	All mandatory OMD data elements are included in the flowsheets 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

Visually flag items that are out of treatment target/ interval

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 Health Tracker page	Select Health Tracker hyperlink under Measurements heading on the left hand menu	Health Tracker page opens in a new window	General User
6	Verify out of treatment target/ interval element of care	Verify that out of treatment target/ interval element of care should be visually flagged on each flowsheet	Out of treatment target/ interval element of care is visually flagged on each flowsheet	General User

Alternate Flow 2

Modify flowsheets for a single patient and overall for a provider

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 Health Tracker page	Select Health Tracker hyperlink under Measurements heading on the left hand menu	Health Tracker page opens in a new window	General User
6	Modify flowsheets	Verify that each flowsheet can be modified Add /remove items Change targets/ intervals	Each flowsheet is modified Add /remove items Change targets/ intervals	General User
7	Modify flowsheets for a patient and overall for a provider	Verify that each flowsheet can be modified for A single patient A provider	Each flowsheet is modified for A single patient A provider	General User

Alternate Flow 3

Create flowsheet

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	Access Create a new flowsheet page	Select Administration Tab from the top navigation bar → System management → Create New Flowsheet	Create a new Flowsheet page appears in a new window	General User
4	Create a new flowsheet	Create a new flowsheet	New flowsheet is created	General User

Alternate Flow 4

Print flowsheet

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	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 Health Tracker page	Select Health Tracker hyperlink under Measurements heading on the left hand menu	Health Tracker page opens in a new window	General User
6	Print flowsheet	Select Print function	Flowsheet is printable	General User

1.2.2 Exception Flows of Events (Negative)

N/A

OSCAR EMR

Use Cases Encounter Flowsheets