2004 EHR WfMS Tutorial Slide 15: Patient Encounter: Workflow Reference Model

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For example, the process definition, the encounter definition is made up of activities such as “Get Patient”, the nurse collects the vital signs and a short chief complaint, checks allergies and current medication, and the role of physician: examination, assessments, orders, reviewing the billing codes and approving them. On the righthand side we have the actual [or ‘enacted”] encounter. This patient comes in on a particular date, the nurse actually captures vitals, the nurse actually notes his allergies and medications. The physician actually examines hims, diagnoses, prescribes and bills.

015-workflow-management-system-patient-encounter

Application of Workflow Reference Model

  • Business Process
    • (defined by) Process Definition (composed of)
      • [Note that following list corresponds to workflow editor pick list items on later slide LINK]
      • 1. Get Patient
      • 2. Vital Signs/CC
      • 3. Allergies
      • 4. Current Meds
      • 5. Examination
      • 6. Assessments
      • 7. Orders
      • 8. E&M (Evaluation and Management billing codes) Coding
      • 9. Approve Billing
      • (managed by) Workflow Management System (via)
        • Process Instances
          • [Note: this process instance is the enacted process definition]
          • 1. Actually get B Smith on 2/10/04
          • 2. Actually capture his vitals and chief complaint
          • 3. Actually note his allergies
          • 4. Actually medications
          • 5. Actually examine him
          • 6. Actually diagnoses his problem
          • 7. Actually prescribe a medication
          • 8. Actually calculate an E&M level
          • 9. Actually bill his payer

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Related links:

(2006 EHR WfMS Tutorial) Slide 67-71: Doughnut Baking Automation Analogy, Workflow Reference Model, Patient Encounter

(There much more content about this topic in the 2006 tutorial.)

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