Additional Requirements : Admision in Hospital

• Admission in hospital:
  • From the model point of view an Admission is a kind of Activity, seen from outside as a black box starting with a request and ending with a report.
  • An admission can be seen as a kind of contact, during which many important Activities takes place at a second level.
  • The generic iterative process become much more intensive during an admission:
    • Many new observations are recorded.
    • New Health Issues or new versions of previously existing Health Issues are discovered.
    • Many activities are required during an admission.
  • The responsibility of the coordination of the patient's health is temporarily done inside the hospital.  For example by a team of an internist and a surgeon.  However the GP should be able to follow and to participate in the discussions.
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  • From the coordination perspective an admission is a kind of request for services.  This request is motivated by diverse factors as the bad condition of the patient requiring intensive care, or the need of technologies requiring hospital environment as surgery.
  • During the admission the care process continue in a similar way with observations, assessments and activities.  However often focusing only on a few types of specialized problems, e.g. an admission focusing on hip replacement.
  • After discharge of the patient a "discharge report" will be provided, summarizing the events during the admission and providing recommendations.  A short report the same day and complete report days or weeks later.
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