EHR System Flowchart

1. Patient Check-In

• Start
  • Patient arrives at the clinic/hospital
  • Receptionist verifies patient appointment details

2. Enter Patient Information

• New Patient?
  • Yes: Receptionist/Healthcare provider enters new patient information into the EHR system
  • No: Verify and update existing patient information if necessary

3. Record Patient Medical History

• Enter past medical history, allergies, medications, and other relevant details
• Store medical history in the EHR system

4. Clinical Consultation

• Patient meets with healthcare provider
• Healthcare provider reviews patient’s medical history
• Record new information, diagnosis, treatment plan, and prescriptions into the EHR system

5. Order Tests/Procedures

• Tests/Procedures Needed?
  • Yes: Healthcare provider orders lab tests or procedures
  • Order details entered into the EHR system
  • No: Proceed to billing information

6. Perform Tests/Procedures

• Lab technician or relevant staff perform tests/procedures
• Results recorded and uploaded to the EHR system

7. Review Test Results

• Healthcare provider reviews test results
• Discuss results with the patient
• Adjust Treatment Plan?
  • Yes: Update treatment plan in the EHR system
  • No: Proceed to generate medical report

8. Generate Medical Report

• EHR system generates a comprehensive medical report based on the consultation and test results

9. Billing Information

• Enter billing details into the EHR system
• System calculates charges based on services provided

10. Submit Insurance Claim

• Prepare insurance claim documentation
• Submit claim to the insurance provider via the EHR system

11. Insurance Processing

• Insurance Provider Reviews Claim:
  • Approved: Payment made to the healthcare provider
  • Denied: Notification sent for further action

12. Patient Check-Out

• Patient completes visit and receives necessary documentation or follow-up instructions
• End

Visual Flowchart

Start
  |
Patient Arrives -> Verify Appointment Details
  |
New Patient?
  |        \
 Yes        No
  |          \
Enter New Info  Verify/Update Info
  |
Record Medical History
  |
Clinical Consultation
  |
Review History and Record New Info
  |
Tests/Procedures Needed?
  |       \
 Yes       No
  |         \
Order Tests/Procedures  Billing Information
  |
Perform Tests/Procedures
  |
Record and Upload Results
  |
Review Test Results
  |
Discuss with Patient
  |
Adjust Treatment Plan?
  |       \
 Yes       No
  |         \
Update Treatment Plan  Generate Medical Report
  |
Billing Information
  |
Prepare Insurance Claim
  |
Submit Claim
  |
Insurance Provider Review
  |
Approved?       Denied?
  |                 \
Payment Made    Notification Sent
  |
Patient Check-Out
  |
End