concurrent-multi-clerk-registration.html
Patient Registration (AG) — multiple departments, one record
Process Diagram
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Source Materials
Steps
Three clinic clerks access the same patient record simultaneously
Registration clerks in the Diabetes, Urgent Care, and Family Practice clinics are all using Patient Registration at the same time. Each accesses: medical record number, demographics, tribal membership, and insurance eligibility. No duplicate data entry. No scheduling conflicts. One source of truth.
Medical records clerk establishes new chart from earlier capture
New-patient data captured earlier (at the point of first contact) is used to establish a formal chart record. Data collection and record formalization are decoupled — capture happens first, reconciliation follows.
Domain Pattern: Single Record, Multi-Department Access
A single patient record shared across all departments in real time — no department-specific silos. The patient identity data model includes fields specific to the IHS context: tribal membership, IHS eligibility, and Contract Health Services authorization. These are domain objects that don't exist in generic EHR frameworks.