DLP Scenario 10: Julian Sterling Full Clinical Lifecycle
👤 Patient Persona & Portal Intake
Patient: Julian Sterling (Male, Age 41).
Location: Edmond, Oklahoma.
Facility: ReCenter Oasis LLC (Practice ID: bf0d53ab-23d1-4330-96d1-0d16bdbd7b2f).
Clinical Safety Alert: In safety screening, Julian explicitly discloses a history of mild stable Myasthenia Gravis treated with Pyridostigmine, triggering AES-COMORB-NEUROMUSCULAR. Botulinum toxins are contraindicated due to the risk of systemic neuromuscular blockade.
Portal Attestation: "Images may show my face" and "all information is correct and complete" are clicked on camera and remain checked at Send Registration.
⚖ Operational Flow & Gate Enforcement
Alert Preservation: The AES-COMORB-NEUROMUSCULAR alert is flagged in Registration Review and stays attached through chart creation and scheduling. It is strictly preserved for physician clinical evaluation.
Master Scheduling: Booked for today's date (October 11, 2026) with Dr. Ravi Sundaram, MD. Provider, appointment type, date, and slot are selected immediately.
Revision: 10/11/2026 (PracticeForceOne Master Clinical Governance Suite).
Arrival Clock Reset: Patient Arrived resets the visit clock. Because clinical safety review is required, the card routes to Intake Incomplete.
Check-In Verification: The clinical alert is displayed at the top of Check-In. Sarah verifies the driver's license on file, marks Government Photo ID Verified, confirms neurologist documentation on file, acknowledges the clinical alert for physician consultation, and confirms Ready for Rooming.
🩺 Clinical Documentation & POS Checkout
Visible Rooming: A room is selected on the card in Ready for Treatment Room, Ready to Room is clicked, and the card moves to Procedure Ready with its room chip before Start Encounter opens the first tab.
Baseline Vitals: Documented as a single consolidated entry (zero duplicate rows), then Ready for Provider with no pause.
Physician Consultation & Care Redirection: Dr. Ravi Sundaram, MD evaluates the neuromuscular history, explains why neurotoxin injections are clinically contraindicated, and redirects care to safe non-neuromodulator aesthetic rejuvenation and soothing barrier treatments. The physician maps the facial treatment zones, affirms clinical safety, adds the comprehensive aesthetic consultation, and electronically signs and locks the chart.
Checkout & Card Retention: Sarah finds the card in Ready for Checkout on the Kanban board and opens checkout from it. Settled via Square Terminal POS (TX-73003-POS), balance due zero. The card remains in Completed for daily census reconciliation.