Table 2. Clinical scenarios and tasks
NumberTask descriptionBrief descriptor
1Home visit request for an 82-year old lady who is ‘confused’.
Task: in preparation for the visit, please check: current/active problems, past relevant/significant problems, active prescriptions (acute and repeat), recent consultation/s, recent lab results.
Overview records
2Hypertension follow-up consultation for a 63-year-old, irregular attender male patient. Additional significant problems include diabetes and coronary heart disease.
Task: review over time values for blood pressure, LDL and HbA1C.
Values over time
322-year-old female patient tells you that she has had depression in the past and she thinks this is coming back. She was given an antidepressant before but she doesn’t think it helped much.
Task: find previous existing entry for the depressive episode and medication prescribed.
Find episode
452-year-old female with a 24-hours history of uncomplicated gastroenteritis.
Task: record the problem using a clinical code for ‘Gastroenteritis’. Enter the history, examination and management details using free text.
Record unstructured
542-year-old patient, smoker of 20 cig/ day, with acute respiratory symptoms for 3 days. Temperature 37.4 C, BP 142/91, pulse 92 bpm.
Task: record the problem using a clinical code for ‘lower resp tract infection’. Enter the history, physical examination and management details using free text. Record his temperature, blood pressure, pulse and smoking status using structured data entry.
Record structured
6Issue the following acute prescriptions for a 75-year-old moderate COPD patient with an acute exacerbation:
Amoxicillin 500 mg capsules
(Supply 21 capsules)
Take one capsule three times a day for 7 days
Prednisolone 5mg gastro-resistant tablets
(Supply 42 tablets)
Take six tablets each morning (as a single dose) for 7 days
Salbutamol 100 micrograms/actuation inhaler CFC free
(Supply 1 200 dose inhaler)
Inhale one to two puffs up to four times a day, when required to relieve breathlessness.
Acute prescribing
762-year-old newly registered patient with a history of diabetes, hypertension and TIA needs his medications.
Task: Set up these medications for regular repeat, and issue today’s prescriptions (all needed):
Amlodipine 10mg tablets (supply 56 tablets)
Take one tablet once a day
Authorize three issues
Aspirin 75 mg dispersible tablets (supply 56 tablets)
Take one tablet once a day
Authorize three issues
Atorvastatin 80 mg tablets (supply 56 tablets)
Take one tablet daily
Authorize three issues
Lisinopril 10 mg tablets (Supply 56 tablets)
Take one tablet once a day
Authorize three issues
Metformin hydrocholoride 500 mg tablets (Supply 224 tablets)
Take two twice a day
Authorize three issues
Medication review in 6 months.
Repeat prescribing
8Hypertension follow-up consultation with a 47-years male patient. Four weeks ago you added amlodipine and changed his simvastatin to pravastatin. Blood pressure today 141/89. LFTs and U&Es normal. He reports no side effects to the new medications.
Task: amend repeat prescriptions as outlined below.
Cancel the following:
Simvastatin 40 mg tablets
Take one tablet at night.
Supply 28 tablets.
Omeprazole 20 mg gastro-resistant capsules
Take one capsule once a day.
Supply 28 capsules. (Prescribed for indigestion; no longer using it)
Salbutamol 100 micrograms/actuation inhaler CFC free (Supply 1 200 dose inhaler)
Inhale one to two puffs up to four times a day (Prescribed it due to hay fever related wheezing ; no longer needed)
Add the following:
Amlodipine 5 mg tablets (Supply 56 tablets) Take one tablet once a day
Pravastatin 80 mg tablets (Supply 56 tablets) Take one tablet daily Authorize three issues
Re-authorize the following (issue limit reached):
Lisinopril 10 mg tablets Take one tablet once a day. Supply 28 tablets.
Authorize three issues medication review in 6 months.
Drugs management
9A 45-year-old male patient comes today to find out the results of a recent blood test.
Task: look up the results on the system.
View labs
10You are reviewing your system labs inbox. One report shows: normal FBC, glucose and U&E; cholesterol 5.9 mmol/L and ALT 54 U/L.
Task: add a comment advising the patient to come in to discuss the results. Mark the report as seen and file/archive as necessary.
Action labs