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1 | 1 | # How to generate a test request |
2 | 2 |
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3 | | -1. Access the EHR UI at <http://localhost:3000>. You'll be redirected to <http://localhost:8180>. Authenticate with `alice` as the username and password. You'll then be redirected back to <http://localhost:3000> to play the role of a prescriber. |
4 | | -2. Click **Select a Patient** in upper left. |
5 | | -3. Locate **Jon Snow** in the list of patients and click the "Select a medication request" dropdown. |
6 | | -4. Locate **Turalio 200 MG Oral Capsule (Medication request: 2183126)**. |
7 | | -5. Click **Select** to assign Jon Snow as the medication request recipient. |
8 | | -6. Click **Send Rx to Pharmacy** to dispatch the prescription. |
9 | | -7. Click **Sign Order**, which demonstrates the case where an EHR has CDS Hooks natively. |
10 | | -8. Await the arrival of two **CDS cards**. |
11 | | -9. Click **Patient Enrollment Form** on the returned CDS card titled **Turalio REMS Patient Requirements**. |
12 | | -10. A questionnaire will appear at <http://localhost:4040> in a new tab. |
13 | | -11. Complete and submit the questionnaire via **Submit REMS Bundle**. |
14 | | - - 11a. For demonstrating an asynchronous workflow, partially complete the questionnaire and click **Save to EHR**. |
15 | | - - 11b. Visit the Patient Portal at <http://localhost:3000/#/patient-portal> as the patient. |
16 | | - - 11c. Login with **JonSnow** as the username and **jon** for the password. |
17 | | - - 11d. Select the saved Questionnaire, complete it, and click **Save to EHR**. |
18 | | - - 11e. Return to the EHR UI at <http://localhost:3000>, select the latest saved questionnaire from the second |
| 3 | +1. Access the EHR client registration page at <http://localhost:3000>. Click Launch with the default FHIR Server Endpoint, Client ID, and Scope values. |
| 4 | +2. You'll be redirected to <http://localhost:8180>. Authenticate with `alice` as the username and password. You'll then be redirected back to the EHR UI at <http://localhost:3000> to play the role of a prescriber. |
| 5 | +3. Click **Select a Patient** in the middle of the page. |
| 6 | +4. Locate **Jon Snow** in the list of patients and click the "Select a medication request" dropdown. |
| 7 | +5. Locate **Turalio 200 MG Oral Capsule (Medication request: 2183126)**. |
| 8 | +6. Click **Select** to assign Jon Snow as the medication request recipient. |
| 9 | +7. Click **Send Rx to Pharmacy** to dispatch the prescription. |
| 10 | +8. Click **Sign Order**, which demonstrates the case where an EHR has CDS Hooks natively. |
| 11 | +9. Await the arrival of two **CDS cards**. |
| 12 | +10. Click **Patient Enrollment Form** on the returned CDS card titled **Turalio REMS Patient Requirements**. |
| 13 | +11. A questionnaire will appear at <http://localhost:4040> in a new tab. |
| 14 | +12. Complete and submit the questionnaire via **Submit REMS Bundle**. |
| 15 | + - 12a. For demonstrating an asynchronous workflow, partially complete the questionnaire and click **Save to EHR**. |
| 16 | + - 12b. Visit the Patient Portal at <http://localhost:3000/#/patient-portal> as the patient. |
| 17 | + - 12c. Login with **JonSnow** as the username and **jon** for the password. |
| 18 | + - 12d. Select the saved Questionnaire, complete it, and click **Save to EHR**. |
| 19 | + - 12e. Return to the EHR UI at <http://localhost:3000>, select the latest saved questionnaire from the second |
19 | 20 | dropdown next to Jon Snow's name, and continue as the prescriber. |
20 | | - - 11f. Click **Launch SMART on FHIR App** and fill out the remainder of the questionnaire, including the prescriber signature, then click **Submit REMS Bundle**. |
21 | | -12. A new UI will appear with REMS Admin Status and Pharmacy Status. |
22 | | -13. Visit the Pharmacy Information Management System at <http://localhost:5050> to play the role of a pharmacist. |
23 | | -14. Click **Doctor Orders** in the top navigation. |
24 | | -15. View the Doctor Order that was sent to the pharmacist from the prescriber and use the **Verify ETASU** button to get |
| 21 | + - 12f. Click **Launch SMART on FHIR App** and fill out the remainder of the questionnaire, including the prescriber signature, then click **Submit REMS Bundle**. |
| 22 | +13. A new UI will appear with REMS Admin Status and Medication Status. |
| 23 | +14. Visit the Pharmacy Information Management System at <http://localhost:5050> to play the role of a pharmacist. |
| 24 | +15. Click **Doctor Orders** in the top navigation. |
| 25 | +16. View the Doctor Order that was sent to the pharmacist from the prescriber and use the **Verify ETASU** button to get |
25 | 26 | a status update of the REMS requirements submitted. |
26 | | -16. Return to the EHR UI at <http://localhost:3000> and play the role of the prescriber again. Select patient Jon Snow |
| 27 | +17. Return to the EHR UI at <http://localhost:3000> and play the role of the prescriber again. Select patient Jon Snow |
27 | 28 | from the patient select UI and click **Launch SMART on FHIR App**, which will open the SMART on FHIR App in its own |
28 | 29 | view and demonstrate the case where an EHR does not have CDS Hooks implemented natively. |
29 | | -17. From the medications dropdown select **Turalio 200 MG Oral Capsule**, which should populate the screen with cards |
30 | | - similar to those seen in step 7. |
31 | | -18. Click **Check ETASU** and **Check Pharmacy** buttons to get status updates on the prescription and REMS request. |
32 | | -19. Use the **Prescriber Enrollment Form** and **Prescriber Knowledge Assessment** links and |
33 | | - repeat steps 9-11 to submit those ETASU requirements and see how the ETASU status changes in both the pharmacist UI |
| 30 | +18. From the medications dropdown select **Turalio 200 MG Oral Capsule**, which should populate the screen with cards |
| 31 | + similar to those seen in step 9. |
| 32 | +19. Click **Check ETASU** and **Check Pharmacy** buttons to get status updates on the prescription and REMS request. |
| 33 | +20. Use the **Prescriber Enrollment Form** and **Prescriber Knowledge Assessment** links and |
| 34 | + repeat steps 10-12 to submit those ETASU requirements and see how the ETASU status changes in both the pharmacist UI |
34 | 35 | and prescriber UI. |
35 | | -20. Once all the REMS ETASU are met, return to <http://localhost:5050> as the pharmacist, and click **Verify Order** to move the prescription over to the **Verified Orders** tab. Click on the **Verified Orders** tab and click **Mark as Picked Up** to move the prescription over to the **Picked Up Orders** tab. |
36 | | -21. Return to the SMART on FHIR App launched in step 16, assume the prescriber role, and click **Check Pharmacy** to view the prescription status. |
37 | | -22. Repeat step 19 to submit followup/monitoring requests via the **Patient Status Update Form**, on an as need basis. These forms can be submitted multiple times in the prototype, with each submission appearing as a distinct ETASU element. |
| 36 | +21. Once all the REMS ETASU are met, return to <http://localhost:5050> as the pharmacist, and click **Verify Order** to move the prescription over to the **Verified Orders** tab. Click on the **Verified Orders** tab and click **Mark as Picked Up** to move the prescription over to the **Picked Up Orders** tab. |
| 37 | +22. Return to the SMART on FHIR App launched in step 17, assume the prescriber role, and click **Check Pharmacy** to view the prescription status. |
| 38 | +23. Repeat step 20 to submit followup/monitoring requests via the **Patient Status Update Form**, on an as need basis. These forms can be submitted multiple times in the prototype, with each submission appearing as a distinct ETASU element. |
38 | 39 |
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39 | 40 | Congratulations! The REMS Integration prototype is fully installed and ready for you to use! |
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