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- Medical Coding System
- Process
- Specialty evidence
Specialty evidence
Trace specimen handling and medication dispensations to their encounter.
Step by step
-
Open encounter Licensed Clinician
The Licensed Clinician starts from the correct patient visit so later evidence has the right reference.
- Identify the visit and patient
- Updates Encounters, Patients
-
Collect specimen Licensed Clinician
The clinician records the specimen type and collection time, moving its state from Ordered to Collected.
- Record type and collection event
- Updates Coding reviews, Encounters
-
Receive and process Licensed Clinician
Staff enter the accession number and set Received, then Tested or Rejected according to the actual outcome.
- Record accession and processing state
- Updates Coding reviews
-
Record dispensation Licensed Clinician
A medication event carries the medication name, lot, quantity, unit and authorizing person with the encounter.
- Record medication, lot, quantity and authority
- Updates Code assignments, Encounters, People
-
Review evidence Clinical Reviewer
The Clinical Reviewer checks the event details and their encounter link before the visit moves on.
- Inspect the linked events
- Updates Coding reviews, Code assignments, Encounters
Who does what
Roles and permissions- Licensed Clinician
- Captures the events; Clinical Reviewer inspects them; Clinical Governance Administrator maintains privilege context for the clinician.
Set up Medical Coding System your way.
Start free, then use Proto to change fields, steps and approvals before your team goes live.