> ## Documentation Index
> Fetch the complete documentation index at: https://docs.bizaxl.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Workflow Overview

> End-to-end workflows for the three service types at the Diagnostic and Scan Centre - consultation, imaging scans, and blood tests - showing who does what and in what order.

Every patient visit at the diagnostic centre follows one of three paths depending on the service requested. All three paths begin with patient registration and appointment booking and end with billing.

***

## The Three Service Paths

```
Patient Registration → Appointment Booking → [Service Path] → Billing
```

| Path                | Appointment Type | Performed By                        |
| ------------------- | ---------------- | ----------------------------------- |
| Doctor Consultation | Consultation     | Healthcare Practitioner             |
| Imaging Scan        | Scanning         | Nursing User / Radiology Technician |
| Blood Test          | Lab Test         | Laboratory User                     |

***

## Path 1: Doctor Consultation

Used when the centre's own physician examines the patient (rather than performing a scan or test).

```
1. Patient Registration
   Role: Receptionist
   → Create or locate patient record

2. Appointment Booking
   Role: Receptionist
   → Book appointment (type: Consultation)
   → SMS confirmation sent automatically

3. Vital Signs Recording
   Role: Nursing User
   → Record blood pressure, temperature, weight before the consultation

4. Patient Encounter (Consultation)
   Role: Healthcare Practitioner
   → Record presenting complaint, examination findings, diagnosis
   → Order any investigations (scans or blood tests)

5. Investigation Orders
   Role: System / Receptionist
   → For ordered scans: book a Scanning appointment or create Clinical Procedure
   → For ordered tests: book a Lab Test appointment or create Lab Test record

6. Billing
   Role: Receptionist / Finance
   → Create Patient Invoice for the consultation fee
   → Add any ordered investigations to the same invoice
```

***

## Path 2: Imaging Scan (CT / MRI / USG / X-Ray)

Used for all patients referred for a scan, whether from the centre's own doctor or an external referral.

```
1. Patient Registration
   Role: Receptionist
   → Create or locate patient record
   → Record the referral doctor name if referred

2. Appointment Booking
   Role: Receptionist
   → Book appointment (type: Scanning)
   → Select scan type and assign service unit (scan room)
   → SMS confirmation sent automatically

3. Pre-Scan Preparation
   Role: Nursing User
   → Record vital signs
   → Complete nursing checklist (MRI safety screening, consent, contrast allergy check)
   → Set up consumables (contrast dye, IV cannula, gel, PPE)

4. Scan Procedure
   Role: Nursing User / Radiology Technician
   → Open the Clinical Procedure record
   → Perform the scan
   → Attach the result image using the Result Image field
   → Set status to Completed

5. Report Review
   Role: Healthcare Practitioner (Radiologist)
   → Review the attached scan images
   → Add clinical findings and interpretation
   → Prepare or contribute to Diagnostic Report

6. Billing
   Role: Receptionist / Finance
   → Create Patient Invoice for the scan fee
   → CT: ₹10,000 / MRI: ₹15,000 / USG: ₹1,500 / X-Ray: ₹2,000
```

<Frame>
  <img src="https://mintlify.s3.us-west-1.amazonaws.com/bizaxloptimizationsllp/images/placeholder-diagnostic-scan-workflow.png" alt="Imaging scan workflow diagram showing the six steps from registration through billing with role assignments" />
</Frame>

***

## Path 3: Blood Test (Lab Investigation)

Used for all patients coming for blood tests, whether referred or walk-in.

```
1. Patient Registration
   Role: Receptionist
   → Create or locate patient record

2. Appointment Booking
   Role: Receptionist
   → Book appointment (type: Lab Test)
   → Select test type (H1B1, Hemoglobin, or other)
   → SMS confirmation sent automatically

3. Sample Collection
   Role: Laboratory User
   → Collect the blood sample from the patient
   → Create a Sample Collection record (records who collected, when, sample type)
   → Mark status as "Collected"
   → Send sample to lab

4. Sample Processing
   Role: Laboratory User
   → Receive and process sample in the lab
   → Update Sample Collection status to "Received"
   → Enter results into the Lab Test record
   → Attach result image (if applicable - e.g., gel strip scan)

5. Result Approval
   Role: LabTest Approver
   → Review the entered results
   → Approve the Lab Test record to finalise results
   → System sends SMS notification to patient after approval

6. Diagnostic Report
   Role: Healthcare Practitioner
   → Compile lab results and clinical context into a Diagnostic Report
   → Share report with patient and referring doctor

7. Billing
   Role: Receptionist / Finance
   → Create Patient Invoice for the test fee
```

<Frame>
  <img src="https://mintlify.s3.us-west-1.amazonaws.com/bizaxloptimizationsllp/images/placeholder-diagnostic-lab-workflow.png" alt="Blood test workflow diagram showing seven steps from registration through billing" />
</Frame>

***

## Combined Visit: Scan + Lab Test

Many patients come for both a scan and a blood test on the same visit. In this case:

1. Book two appointments: one Scanning, one Lab Test.
2. Sample collection can happen while the patient waits for their scan room.
3. Both services are invoiced together on one patient invoice.

***

## Role Quick Reference

| Role                    | Primary Responsibilities                                                     |
| ----------------------- | ---------------------------------------------------------------------------- |
| Receptionist            | Registration, all appointment types, invoicing                               |
| Healthcare Practitioner | Consultations, scan report sign-off, diagnostic reports                      |
| Nursing User            | Pre-scan prep, checklists, scan procedure recording, result image attachment |
| Laboratory User         | Sample collection, lab processing, result entry                              |
| LabTest Approver        | Reviewing and approving lab results before release                           |
| Pharmacist              | Medicine dispensing at the pharmacy counter                                  |
| Centre Manager          | Dashboard monitoring, reports, audit                                         |

***

## Automated System Events

These happen without any manual action:

| Trigger                 | Automatic Action                      |
| ----------------------- | ------------------------------------- |
| Appointment saved       | SMS confirmation sent to patient      |
| Appointment approaching | SMS reminder sent (time configurable) |
| Appointment date passes | Status updated from Scheduled to Open |
| Fee Validity expires    | System marks validity as expired      |
