Use Case Template

Patient Authored Document Implementation Guide

Use Case: Parent Documents Child’s Information

Use Case Information
Actors / Patient (a child) and the child’s parent
Assumptions /
  • This is a document that can be added to, or items can be deleted.

Outstanding Issues /
  • When is this information to be created vs. sent?
  • How frequently is this information forwarded to the provider eg. Is this information sent each instance, or is it bundled up as a digest at less frequent intervals?
  • By what means in the information sent? Could it be via Direct?

Scenario /
  • Jane Smith is a 40 year old female.
  • Jane’s son, Junior, is 10 years old and has autism.
  • Jane keeps track of Junior’s health history, his medications, and his day-to-day progress toward the care plan that was established by his physician.
  • Each day, Jane notes Junior’s progress against his care plan, and records any changes which could be associated with medication changes or developmental changes.
  • Junior has a sitter who stays with him in the afternoon between the time he gets home from school and Jane returns from work. Jane uses the PHR to communicate with Junior’s sitter. The sitter can record information in the PHR at a laptop they keep in the kitchen. Each evening, when Jane gets home, she and the sitter review the day together and talk about how Junior is doing.
  • Before Jane takes Junior for a doctor’s visit, she selects information out of the record that will give the care provider a representative view of how Junior has been doing in his daily activities.

Authors: Lisa Nelson, [add your name and feel free to contribute]

Data Elements and Attributes of Interest

Data element / Scenario Value / Considerations
RecordTarget / Junior
Author / Jane
Informant / The sitter
Authenticator / Jane
LegalAuthenticator / Jane
InformationRecipient / Junior’s Doctor
DataEnterer / Not used
Participant / Not used
Custodian / The PHR application for the joint benefit of Jane and her son (Her PHR vendor makes it possible for Jane to keep the master copy of any CDA documents produced about Junior.) Jane set up the health data account with the PHR company in much the same way she established a savings account for Junior at her local bank.
relatedDocument/ ParentDocument / The care plan document. This might append to a prior document, keeping its setId the same, but incrementing the versionNumber
documentationOf/ ServiceEvent / This might be no ServiceEvent. Where would Junior’s care providers be listed when there isn’t a ServiceEvent tin the document.
inFulFillmentOf/ Order / There might be no order.
Authorization/ consent / Jane has an electronic consent document which details what type of information various providers are authorized to receive or share. How would this consent document be referenced?
ComponentOf/ EncompassingEncounter / The care plan document. This might append to a prior document, keeping its setId the same, but incrementing the versionNumber