Use cases

Two distinct types of use cases for cross-border comunication have been identified:

• An occasional visitor, for example someone on holiday or attending a business meeting. The distinguishing characteristic is that this type of visit is irregular, infrequent, and may not be repeated. This is a type of incidental encounter where the healthcare professional may have no previous record of the person seeking care.
• A routine case, for example someone who lives in one country but works in another. The distinguishing characteristic is that this type of visit is regular, frequent, and the person seeking care may be accustomed to using services in the country where he or she works as a matter of personal convenience. This is a type of occasional situation where the healthcare professional may have some information available from previous encounters.

Patient Summary Storyboard: A 44–year-old woman from Sweden develops a urinary tract infection during her holidays in Greece. She reports about an allergy against an antibiotic, but cannot recall the name.
Possible answer from PS: a specific antibiotic (Sulphonamide) may not be administered.
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Within the cross-border prescription area there are two basic generic use cas

• A patient needs medicine that is already prescribed in the home country when in another country. In this case the pharmacist should be able to electronically access the prescription from the same eHealth interface used for prescriptions ordered in the local country. When medicine is dispatched, the system should notify the home country node of the foreign patient about the dispensed drugs.
• A medical professional decides to prescribe medicine to a visiting patient from another country. To assist the medical professional to make the best decision on the pharmaceutical strategy to be used, the patient's medical and pharmaceutical history from her home country will be available through the patient summary. When the electronic prescription is finalized, a copy of the prescription will also be sent to the patient's national node for inclusion in the national medication summary.

ePrescription Storyboard: A patient from Andalusia (Spain) is spending a one-month vacation in Denmark. He suffers from a chronic illness and receives long-term treatment. However, according to regulations in Andalusia, he cannot collect, with certain exceptions, more than one box of the same medicine at a time. After three weeks in Denmark, he runs out of the medicine and goes to a pharmacy to purchase a new box. The dispenser consults the information from Spain to find out whether a prescription for the medication is currently available.
Answer from ePrescription: The prescription is available - the patient receives the medicine. Information about the dispensed medicine is sent to Andalusia to update the related prescription (eDispensation).
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