Workflow Overview

Family calls the clinic
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Care Coordinator registers the patient
(Patient record created: name, address, date of birth,
 mobile number, medical conditions, current medicines, allergies)
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Home visit is booked
(Patient Appointment created: date, time, nurse assigned,
 appointment type = Home Consultation)
Confirmation SMS sent automatically to patient's mobile
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Day of visit:
Nurse receives the day's visit list
Nurse travels to the patient's home
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Nurse opens the visit record on their device
(Patient Encounter created or opened)
Reviews patient's history and the reason for the visit
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Nurse records vital signs
(Vital Signs record: blood pressure, heart rate, temperature,
 oxygen level, blood sugar if diabetic)
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Nurse examines the patient
Records findings in the visit record:
  - How the patient is feeling
  - Any complaints or new symptoms
  - Mobility level (can they walk, do they need help, are they bedridden?)
  - Feeding ability (eating on their own or needing help?)
  - Wound status if applicable
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Nurse submits the visit record
(Patient Encounter submitted - becomes permanent record)
Appointment status changes to Closed
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Care Coordinator creates the invoice
(Sales Invoice: home visit fee charged)
Payment collected
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Next visit scheduled

Wound care visits scheduled for Tuesdays and Fridays
(Two Patient Appointments per week, appointment type = Home Consultation,
 recurring for next 4 weeks)
Reminder SMS sent 2 hours before each visit
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Nurse arrives at patient's home
Opens the Patient Encounter for today's visit
Reviews previous visit notes - how was the wound last time?
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Nurse takes a photo of the wound before starting
(Observation created: Wound Photo - image attached)
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Nurse begins the wound dressing procedure
(Clinical Procedure record opened: Wound Dressing (Home Visit))
System records the start time
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Nursing tasks completed step by step:
  1. Remove old dressing
  2. Clean wound with Normal Saline (100ml)
  3. Apply Betadine Solution
  4. Apply sterile gauze pads
  5. Wrap with bandage roll
  6. Secure with micropore tape
  (Each supply used is tracked against the procedure record)
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Nurse marks Dressing Changed = Yes
(Observation created: Dressing Changed - Boolean)
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Nurse records mobility and feeding observations
(Observations: Mobility Level, Feeding Ability)
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Nurse takes a photo of the wound after dressing
(Optional second Observation: Wound Photo - post-dressing)
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Clinical Procedure record submitted
Nursing task closed with end time recorded
Patient Encounter submitted
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Supplies automatically deducted from stock
(Gauze pads, betadine, bandage, tape quantities reduced)
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Care Coordinator invoices the visit
(Wound Dressing (Home Visit) fee + any consumables billed separately)
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Doctor reviews wound photos at next clinic review
If wound is healing: continue schedule
If not healing: doctor visits patient at home for assessment

Doctor prescribes blood test during a home visit
(Service Request created from Patient Encounter:
 "Blood level test")
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Lab technician is scheduled to visit the patient's home
(New visit booked: appointment type = Lab Visit)
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Lab technician visits the patient
Collects blood sample using standard collection kit
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Sample sent to laboratory for processing
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Laboratory returns results
Lab User enters results into the Lab Test record in the system
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Results reviewed by the approver (doctor or senior clinician)
Results approved
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Patient receives SMS: "Your blood test result is ready"
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Doctor reviews results at the next home visit
Discusses findings with patient
Records any change in treatment in the visit record
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Care Coordinator invoices the blood test