DLP 55: Charles Xavier
Clinical Safety Governance
Scenario Code: DLP-SCR-55
Governing Rule: PREV-ADVANCE-CARE-PLANNING (Advance Care Planning & Directive Advisory Alert)
Clinical Protocol: Senior patient without documented advance care directive on file. Document advance care planning discussion, surrogate healthcare decision-maker designation, and directive reconciliation.
Patient & Provider Demographics
Patient Persona: Charles Xavier (Male, DOB: 1957-09-21, Age 69)
Address: 420 Garth Brooks Blvd, Yukon, OK 73099
Phone: (405) 555-0155 | SSN Last 4: 4055
Attending Clinician: Dr. Colette Marchand, MD
Clinical Coordinator: Sarah Jenkins | Clinical Assistant: Alex Morgan, PA-C
Documented Treatment & Settlement
Primary Treatment: Hyaluronic Acid Dermal Filler (1 syringe, $800.00)
Adjunctive Service: Comprehensive Aesthetic Consultation & GFE ($100.00)
Tender Method: Square Terminal POS Device (In-Person)
Transaction Settlement: Approved #TX-73099-POS | Balance Due: $0.00
Audit Invariant: Patient card retained in Lane 12 (Completed) for statutory census reconciliation.