DLP 58: Lily Potter
Clinical Safety Governance
Scenario Code: DLP-SCR-58
Governing Rule: PEDS-IMMUNIZATION-STATUS (Childhood Immunization Schedule Advisory)
Clinical Protocol: Child patient aged 4 due for routine pediatric vaccination schedule audit. Document ACIP schedule review, parental advisory, and protocol reconciliation required.
Patient & Provider Demographics
Patient Persona: Lily Potter (Female, DOB: 2022-09-21, Age 4)
Address: 4 Privet Dr, Oklahoma City, OK 73120
Phone: (405) 555-0158 | SSN Last 4: 4058
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-73120-POS | Balance Due: $0.00
Audit Invariant: Patient card retained in Lane 12 (Completed) for statutory census reconciliation.