Architecture in motion
Follow the work, not the menu
Three operating models show how a patient journey crosses domains without giving one service ownership of the whole hospital. They explain architectural intent, not facility-specific deployment scope.
03
workflow models
15
owned states
01
rule: ownership survives the handoff
Model 01 / Multi-specialty OPD
One visit, several owners, one coherent story
The platform model for a booked appointment or walk-in moving through identity, queue, consultation, diagnostics and follow-up.
- 01
Resolve identity
Owner / Patient Registry / MPIFind or create the enterprise patient identity without creating a new person for every facility or specialty.
state and evidence hand off
- 02
Reserve the visit
Owner / Scheduling & QueueA booked slot or walk-in token becomes one visible place in the provider’s operating queue.
state and evidence hand off
- 03
Open the encounter
Owner / Clinical Care & EMRThe clinician owns assessment, diagnosis, orders and plan inside a visit-specific clinical record.
state and evidence hand off
- 04
Execute the orders
Owner / Diagnostics / PharmacyEach diagnostic or medication domain executes its own lifecycle and returns a verified result or dispense state.
state and evidence hand off
- 05
Close the loop
Owner / Clinical / SchedulingThe clinician reviews outcomes, closes the encounter and creates the next follow-up or referral when needed.
loop closed with an explicit owner
Model 02 / Admission to discharge
Three discharge states, never one ambiguous checkbox
The platform separates clinical readiness, financial clearance and physical departure because each state has a different owner and consequence.
- 01
Clinical acceptance
Owner / Inpatient ADTAn admission episode begins after the care team accepts the patient, not because a billing form was created.
state and evidence hand off
- 02
Allocate the bed
Owner / Inpatient ADTBed assignment and later ward or ICU transfers remain explicit movements in the inpatient lifecycle.
state and evidence hand off
- 03
Deliver and coordinate care
Owner / Clinical domainsRounds, orders, medication and difficult discharge barriers are owned by the services responsible for them.
state and evidence hand off
- 04
Resolve three clearances
Owner / Clinical / Billing / ADTClinical discharge, payer or billing clearance and physical discharge advance independently and remain visible.
state and evidence hand off
- 05
Return the resource
Owner / Facility OperationsPhysical departure releases the bed into turnaround; cleaning readiness is not inferred from a clinical order.
loop closed with an explicit owner
Model 03 / Cashless insurance
The claim begins before treatment, not after discharge
Coverage, medical necessity, operational charges, controlled documents and accounting settlement remain connected without sharing ownership.
- 01
Verify coverage
Owner / Insurance & ClaimsEligibility and coverage constraints are captured before a planned course of care begins.
state and evidence hand off
- 02
Seek authorisation
Owner / Insurance & ClaimsClinical documents and estimates support a payer decision without giving the payer lifecycle ownership of care.
state and evidence hand off
- 03
Capture care and charges
Owner / Clinical / BillingClinical necessity stays with clinicians while the operational patient account records chargeable activity.
state and evidence hand off
- 04
Assemble the claim
Owner / Claims / DocumentsThe submission references controlled artifacts and the final patient account instead of reconstructing them from paper.
state and evidence hand off
- 05
Reconcile settlement
Owner / Claims / FinanceThe payer lifecycle closes the claim; Finance records the settled accounting outcome in the books.
loop closed with an explicit owner
A clearer next step
Bring us your hardest handoff
We will map the actors, decisions, system owners and evidence path before talking about screens.