EMR In-house Lab workflow

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In my last company, we follow the below workflow for the in-house lab order. Please note : Even though I mention as use case, but it may not have all the typical structure of a use case. I will explain in my own way. 

1. Doctor Orders lab and test perform on the same date

Actor : Doctor, Reception

Use Case : Doctor Orders the lab and patient ready to perform the test on the

same date within the same location.

Pre conditions : Soap note is already created by Nurse

Steps

1. Doctor go to the lab ordering module
2. Select ECG test
3. Doctor orally updates to the patient saying “ I have ordered a ECG Test, our location has in house lab to perform this. Please check with reception whether today or next available day, you are able to perform the test
4. Patient comes out of the doctor room and step into reception area.
5. Reception identified that doctor orders a lab test called ECG and also she knows that current location (the location where she is physically presents) has the in-house lab to perform this.
6. From the UI, reception identifies who will perform this test(test technician)
7. From the UI, she also able to identify whether this test can also conducted in other location for the practice
8. Double click on the test technician name and system shows the scheduler for the test technician for today.
9. She came to know that today slots are free very close to the current time.
10. She immediately turns to patient and checks whether patient is willing to do the test today itself.
11.  Patient accepts to carry on the same day in the same location
12. Reception desk immediately forward the lab order information to test technician dashboard.
13. The use case ends.

Post-conditions

1. 1. Patient Ordering information for the selected test from the list.
2. 2. Test appears in the test technician dashboard as pending item for him.

PLEASE NOTE : Even Test technician slots are free, and the above use case assumes that there is no need to book appointment and then forward. If system expects to first book appointment , then we have to follow the work flow such as checked in, roomed, etc which may fail in this case.

 

2. Doctor Orders lab and test perform on the different date on the same location.

Actor : Doctor, Reception

Use Case : Doctor Orders the lab and patient prefer to come for the test on any

of the future date.

Pre conditions : Soap note is already created by Nurse

Steps

1. Doctor go to the lab ordering module
2. Select ECG test
3. Doctor orally updates to the patient saying “ I have ordered a ECG Test, our location has in house lab to perform this. Please check with reception whether today or next available day, you are able to perform the test
4. Patient comes out of the doctor room and step into reception area.
5. Reception identified that doctor orders a lab test called ECG and also she knows that current location (the location where she is physically presents) has the in-house lab to perform this.
6. From the UI, reception identifies who will perform this test(test technician)
7. From the UI, she also able to identify whether this test can also conducted in other location for the practice
8. Double click on the test technician name and system shows the scheduler for the test technician for today.
9. She came to know that today slots are free very close to the current time.
10. She immediately turns to patient and checks whether patient is willing to do the test today itself.
11. Patient denies for the current date, and prefer to come after 3 days.
12. Reception desk ask the patient whether the patient is willing to come for the test after 3 days to this same location or any other location of the practice.
13.  Patient prefer to come to this same location.
14. Reception desk book the appointment as a test visit after 3 day for the patient.
15. Reception desk print the test instruction(if any) and hand over to the patient.
16. The use case ends.

Alternate workflow

Step after 11 in the above flow

1. Reception desk ask the patient whether the patient is willing to come for the test after 3 days to this same location or any other location of the practice.
2.  Patient prefer to come to different location which is near to home. (Practice has one more location where exclusively tests are conducted)
3. Reception desk book the appointment as a test visit after 3 day for the patient in the different location.
4. Reception desk print the test instruction(if any) and hand over to the patient.
5. The use case ends.

3. Patient come to the location for just to perform the test.

Actor : Reception des

Use Case : Doctor Orders the lab and patient come to the location for the test.

Pre conditions : Soap note is already created by Nurse, doctor and lab order is

pending. Patient already have the appointment with test technician

Steps

1. Patient come to the location for the test
2. Reception desk change the patient status from schedule to Sign in.
3. As soon as sign in, test appears in the test technician dashboard.
4. The use case ends.