Use Case Table of Contents
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Bilirubin Chart Writes a Transcutaneous Bilirubin Observations
To assess the risk of hyperbilirubinemia in new borns, a clinician uses a transcutaneous bilirubinometer to read the serum bilirubin levels. The clinical clinician then documents the reading to be stored as part of the patients longitudinal record inside the EHR using the Bilirubin Chart Application.
Bilirubin Monitor Writes an Alert/Notification
The Bilirubin Monitor needs a way to When the Bilirubin Monitor sees that a bilirubin observation has not been stored for a new born within a certain amount of time after birth, it needs to raise an alert to relevant clinicians reminding them to do a serum bilirubin reading.
When the Bilirubin Monitor sees a bilirubin observation with serum bilirubin levels that exceed a certain threshold, it needs to raise an alert to relevant clinicians providing advice on how to intervene and treat the patient along with a link so the Bilirubin Chart Application can be opened directly from the Alert/Notification.
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Ideally, the Bilirubin Monitor would raise alerts inside of the EHR in the way that is standard for that EHR. Below is a list of alerts/notifications.
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The goal being that alerts generated by the Bilirubin Monitor are treated the way all alerts generated by EHR are treated.
Eventing Use Cases
Bilirubin Monitor Responds to 'Baby Born' & Bilirubin Observations
The When a baby's birth is documented in the EHR, the Bilirubin Monitor needs to be notified when a baby is born.The Bilirubin Monitor needs to be notified when any type of bilirubin observation is storedis notified by the EHR with an event containing enough relevant information so that the Bilirubin Monitor can query the EHR through it's FHIR services to collect relevant details about the patient.
When ever a serum bilirubin is stored in the EHR, the Bilirubin Monitor is notified by the EHR. (This could be handled by an implementation of the FHIR Subscription resource).
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