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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

2. System Login

Preconditions

  • The user is authenticated under an outpatient physician account

Result

After successful login, the main system workspace is displayed.

3. Patient Search

Patient search is performed via the Fast Search window.

Available fields:

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

3.2 Search Results

After executing a search, a table of patients is displayed with the following columns:

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

Expected result

A list of patients matching the search criteria is displayed.

3.3 No Data Scenario

If no patient is found:

  • the system displays the message: Data not found

Expected result

The user understands that the search returned no results and can adjust search parameters.

4. Opening the Medical Record

4.1 Action

To open a medical record:

  • double-click the required patient row in the search results

4.2 Result

The patient medical record is opened.

4.3 Medical Record Header

The top section of the medical record displays:

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

Example:

  • Patient: Artamonova Vlada
  • Date of birth: 04.05.1995 (31)
  • Ambulatory case No.: 104197/2024

Expected result

The user can clearly identify the selected patient and verify correctness.

5. Medical Record Structure

The following tabs are available:

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

5.1 Common Tab Actions

Each tab supports the following actions:

  • Print — print data
  • Create — create a new record
  • Create based on — create based on an existing record
  • Edit — edit a record

5.2 Access Rights Rule

  • Editing is available only to users with appropriate permissions
  • Users without elevated permissions may have read-only access

6. Consultations Section

6.1 Purpose

The Consultations tab contains all patient consultation records.

6.2 Consultation List (Without Opening a Record)

Displayed fields:

  • Consultation number
  • Consultation date
  • Payment type
  • Doctor’s name
  • Specialty
  • Service name
  • Visit / illness
  • ICD-10 diagnosis
  • Document signed status

6.3 Expected result

The user sees a list of all patient consultations with summary medical and administrative data.

6.4 Limitations

  • Only current records are displayed
  • Previous versions of consultations are not stored

6.5 Opening a Consultation

Action

  • double-click a consultation row

Expected result

The selected consultation form opens (latest available version of the record).

7. Consultation Form

7.1 General Logic

The consultation form is used for:

  • entering medical data
  • ordering examinations and services
  • forming a diagnosis
  • signing the consultation

7.2 Action Panel

Available buttons:

  • Save — save changes
  • Save the template — save as template
  • Upload a template — load template
  • Sign — sign consultation
  • Print — print form
  • Close — close form

7.3 Saving Rules

  • Consultation can be saved in draft mode
  • Saving does not require all fields to be filled

7.4 Signing Rules (Sign)

Conditions for signing

Signing is allowed only if:

  • all mandatory fields (highlighted in yellow) are completed

Restriction

  • If required fields are missing, the system blocks the Sign action

Expected result

  • If valid → consultation is signed successfully
  • If invalid → system prevents signing and shows validation errors

7.5 Editing Rules

Access control

  • Users with extended permissions can edit consultations
  • Regular users may have read-only access depending on role configuration

7.6 Consultation Form Sections

General Information

  • payment type
  • examination type
  • service name

Clinical Data

  • anamnesis
  • objective status
  • vital signs
  • complaints and examination data

Diagnosis

  • diagnosis type
  • primary/secondary diagnosis
  • ICD-10 code
  • first-time diagnosis indicator
  • suspected malignancy indicator

Conclusion

  • conclusion
  • recommendations
  • disability status
  • treatment information

Statistical Information

  • treatment result
  • reason for visit
  • planned hospitalization date

7.7 Bottom Panel

Displays:

  • system version

  • doctor information

  • specialty

  • actions:

    • Download Manual
    • Print
    • Exit

7.8 Completing Work

After completing work:

  • the consultation must be saved and/or signed
  • the user must exit the system using the Exit button
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