encounter-at-arrival.html
Walk-in / urgent care workflow
Process Diagram
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Source Materials
Steps
Walk-in arrives — PCC Health Summary printed immediately
As the chart is pulled, the Health Summary generates automatically. The triage nurse checks it for: chief complaint context, overdue immunizations, outstanding preventive care, current medications and allergies.
Triage nurse orders labs
Lab orders placed at triage — before the provider sees the patient. Results will be ready by the time the provider encounters the patient.
Provider accesses results at point of care — no phone call needed
Lab results print at the lab printer the moment they are reported. The physician accesses radiology results at a terminal — not by calling the radiologist. Updates Problem List and adds Related Notes in the same workflow.
Domain Pattern: Distributed Parallel Care Entry
The encounter begins at arrival, not when the provider enters the room. Data collection, order entry, and care gap identification happen in parallel — distributed across triage nurse, lab, and provider without duplication. This is a pull-based, event-driven workflow long before those terms existed in software design.