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- Patient XXXXX
- The CT head scan shows a haemorhagic stroke. The ED doctor, through their EHR, logs a referral to the specialist hospial.The form for the referral is already prepopulated with the patients assessment. Additional important information not already recorded in the EHR (such as the pupil size) is highlighted for the ED doctor to fill in.
- The Specialist gets a prompt about the new referral, and is able to review the patient notes as well as the additional referral information. From this they make a decision to transfer the patient to their center. They call the local hospital to request a transfer. They are also able to electronically obtain all the EHR information and scans.
- A transfer is arranged. The Ambulance operator responsible for the transfer is able to see the ED doctors assessment and the specialist assessment from their respective EHRs. From this, they make a decision to prioritize the transfer, and also decide to assign advanced paramedics to the transfer due to the acuity of the patient's condition
- Stroke Study
- Sid arrives in the specialist hospital where he is treated. He consents to sharing information with his GP and for research and audit purposes.
- As he has had a stroke, Sid is also assessed for his risk of falls. He is deemed high risk and is referred for physiotherapy. His referral is also sent to the community team, who can see Sid's current neurology through accessing Sid's hospital notes. From this they are able to set up Sid's house with railings and ramps in advance of his discharge to ensure the environment is safe
- Meanwhile, Dr Dan from the London Stroke Network is investigating stroke outcomes in London. He is able to search all the London hosptial EHRs for stroke referrals. As they all have the same data structure, he is easily able to collate them into a database and judge the severity of each presentation. He is also able to see the outcomes for each patient and compare hospitals to see if outcomes differ.
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