# Outpatient Physician Workflow: Patient Search and Consultation Management

## 1. Purpose of the Scenario

This scenario describes the full workflow of an outpatient physician:

* patient search
* opening the medical record
* working with consultations
* filling in and signing a consultation

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## 2. System Login

### Preconditions

* The user is authenticated under an outpatient physician account

### Result

Main system workspace is displayed.

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# 3. Patient Search

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## 3.1 Fast Search

**Action:**
Enter patient data in the **Fast Search** panel:

* Ambulatory card number
* Case number
* Last name / First name / Middle name
* Date of birth (`dd.mm.yyyy`)
* Document

**Expected result:**
System displays matching patients in the results table.

[![](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/scaled-1680-/image-1779461371291.png)](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/image-1779461371291.png)
📷 **Figure 1 — Fast Search panel with available search fields**

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## 3.2 Search Results

**Action:**
Review the search results table.

**Expected result:**
A list of patients is displayed with the following columns:

* Time
* Code
* Full name
* Date of birth
* Attachment
* Residential address
* Registration address
* Additional information
* Doctor

[![](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/scaled-1680-/image-1779461389262.png)](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/image-1779461389262.png)
📷 **Figure 2 — Patient search results table with highlighted row**

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## 3.3 No Results Scenario

**Action:**
Perform a search with no matching patients.

**Expected result:**
System displays message:

**Data not found**

[![](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/scaled-1680-/image-1779461415351.png)](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/image-1779461415351.png)**Screenshot:**
📷 **Figure 3 — Empty search result state (Data not found message)**

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# 4. Opening the Medical Record

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## 4.1 Open Patient Record

**Action:**
Double-click a patient row in the search results.

**Expected result:**
Patient medical record opens.

[![](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/scaled-1680-/image-1779461455806.png)](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/image-1779461455806.png)
📷 **Figure 4 — Medical record header with patient context**

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## 4.2 Medical Record Header


The top section of the medical record displays patient information:

* Patient full name
* Date of birth and age
* Ambulatory case number
* Patient search context (Search patient / from / by)

This section also includes a built-in patient search functionality with filters (similar to Fast Search), allowing quick switching between patients without leaving the medical record.

Additionally, a **Reg.cart** button is available, which opens the patient’s registration card. This section is described separately.

**Expected result:**
The user can view the current patient context, search for another patient, or open the registration card.

[![](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/scaled-1680-/image-1779461495860.png)](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/image-1779461495860.png)
📷 **Figure 5 — Medical record header (patient identification block)**

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# 5. Medical Record Structure

Available tabs:

* Consultations
* Radiological Diagnostics
* Laboratory investigations
* Dentistry
* Referrals
* Medical history
* Visits
* Other

[![](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/scaled-1680-/image-1779461712004.png)](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/image-1779461712004.png)

📷 **Figure 6 — Medical record tab navigation panel**

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## 5.1 Tab Actions

Each tab supports:

* Print
* Create
* Create based on
* Edit

[![](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/scaled-1680-/image-1779461756979.png)](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/image-1779461756979.png)

📷 **Figure 7 — Tab action toolbar (Print / Create / Edit)**

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# 6. Consultations Section

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## 6.1 Consultation List View

**Action:**
Open **Consultations** tab.

**Expected result:**
List of consultations is displayed.

Displayed fields:

* Consultation number
* Consultation date
* Payment type
* Doctor name
* Specialty
* Service name
* Visit / illness
* ICD-10 diagnosis
* Signed status

[![](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/scaled-1680-/image-1779461830144.png)](https://wiki.vistamed.ru/uploads/images/gallery/2026-05/image-1779461830144.png)

📷 **Figure 8 — Consultations list with multiple records**

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## 6.2 No Previous Versions Rule

**System limitation:**

* Only the latest version of consultation is stored

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## 6.3 Open Consultation

**Action:**
Double-click a consultation row.

**Expected result:**
Consultation form opens.

**Screenshot:**
📷 **Figure 9 — Consultation form opened (overview layout)**

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# 7. Consultation Form

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## 7.1 General Purpose

Used for:

* filling medical data
* ordering services and referrals
* diagnosis creation
* signing consultation

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## 7.2 Action Panel

Buttons:

* Save
* Save the template
* Upload a template
* Sign
* Print
* Close

**Screenshot:**
📷 **Figure 10 — Consultation action panel (Save / Sign / Print)**

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## 7.3 Saving

**Action:**
Click Save.

**Expected result:**
Consultation is saved as draft.

**Screenshot:**
📷 **Figure 11 — Saved consultation state indicator**

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## 7.4 Signing Rules

**Action:**
Click Sign.

**System rule:**
All mandatory fields (highlighted in yellow) must be filled.

**Expected result:**

* If valid → consultation is signed
* If invalid → signing is blocked

**Screenshot:**
📷 **Figure 12 — Mandatory fields highlighted in yellow + Sign validation**

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## 7.5 Editing Rules

* Users with sufficient permissions can edit consultations
* Regular users may have read-only access

**Screenshot:**
📷 **Figure 13 — Read-only vs editable consultation state**

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## 7.6 Clinical Sections Overview

Sections include:

* General information
* Clinical data
* Diagnosis
* Conclusion
* Statistical information

**Screenshot:**
📷 **Figure 14 — Consultation form sections overview**

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## 7.7 Bottom Panel

Contains:

* system version
* doctor info
* specialty
* Download Manual
* Print
* Exit

**Screenshot:**
📷 **Figure 15 — Bottom system panel with Exit button**

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## 7.8 Completing Work

**Action:**
Save and/or sign consultation, then exit system.

**Expected result:**
Session is safely closed.

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**Screenshot:**
📷 **Figure 16 — Exit button location in consultation form**