Use case for dentist reviews the GP record when they treat a patient

Brief description

During an appointment the dentist can review relevant parts of a patient’s record to ensure their actions are clinically appropriate.

Use case justification

Clinical and administration:

• Access to accurate information at the point of care reducing the opportunity for errors to occur.
• Data can be formatted and filtered by the local system, so the clinician is presented the information they need in a suitable format.

Patient-focused:

• Security of patient information is maintained and improved through the reduction of paper-based ‘patient identifiable documents’ in use within departments.
• Increased patient/clinician time due to reduction in clinician time spent collecting and transcribing information away from the patient.
• Better patient experience as they are not being asked for information which should already be available to the clinician.

Primary actors

• Dentist
• Dental system
• GP Connect
• GP clinical system

Secondary actors

• Patient

Triggers

• The patient attending a dental appointment.

Preconditions

• The dentist has the correct/appropriate system access rights.
• The patient’s GP has agreed to share patient information via GP Connect.
• The patient allows this shared information to be viewed/used by the dentist.
• Electronic interactions between dental system/GP Connect/GP clinical system have been correctly configured.

Postconditions

• On success:
  • The dentist can view the GP patient’s record and use it to assist in making clinical decision.

Basic flow with alternative and exception flows

Step	Description
Step 1	Patient attends a dental appointment.
Step 2	Clinician identifies need to review relevant parts of the patient’s medication history.
Step 3	Clinician accesses the dental system to retrieve GP patient record history. The dental system requests the relevant parts of the GP patient record from GP Connect.
Step 4	GP Connect requests the relevant parts of the GP patient record from the GP clinical system.
Step 5	GP clinical system provides the relevant parts of the GP patient record to GP Connect. The GP patient record will include: Medications Allergies Relevant conditions (for example, heart conditions)
Step 6	GP Connect presents the relevant parts of the GP patient record to the dental system.
Step 7	The dental system formats and filters the patient record so that the relevant information is clearly presented to the dentist.
Step 8	The dentist uses the information to support their treatment of the patient.