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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.
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
- (composed of) Activities (during execution represented by) Activity Instances (and/or)
- (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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