HUMS Hospital

Background
HPUMS is a government hospital where patients registered in the ER are generally not assigned to a specific doctor during ER registration, except for Green Zone patients. Green Zone patients are assigned to a specific doctor and consultation room during registration.

Currently, the Doctor In-Charge information displayed in the ER Encounter Summary is derived from the patient admission/registration details. This workflow is suitable for Green Zone patients but does not accurately reflect the attending doctor for patients in other ER zones.

Current Gap
The current ER registration workflow requires users to assign a specific doctor to all ER patients regardless of their triage zone.
This workflow does not reflect the actual operational practice in HPUMS, where:

1. Non-Green Zone patients are managed by available ER doctors based on workload and patient acuity.
2. A specific doctor is not determined during registration.
3. Only Green Zone patients are assigned to a particular doctor at the point of registration.

As a result, the Doctor In-Charge captured during registration for non-Green Zone patients may be inaccurate and misleading.

Requirement
Implement logic to automatically capture the first doctor who opens/accesses the patient's ER EMR record from the ER Dashboard and assign that user as the Doctor In-Charge for the encounter.

Proposed Logic

1. Patient is registered in ER.
2. Patient name appears on the ER Dashboard.
3. The first doctor who opens/clicks into the patient's EMR record is automatically recorded as the Doctor In-Charge.
4. The captured Doctor In-Charge should be displayed in the ER Encounter Summary, EMR banner and relevant ER clinical documentation.

Exception – Green Zone Patients

• Green Zone patients shall continue using the Doctor In-Charge assigned during ER Registration.
• No auto-capture logic is required for Green Zone encounters.
• Existing registration-based doctor assignment flow should be retained.

Expected Outcome

• Accurate identification of the attending doctor for non-Green Zone ER patients.
• Improved clinical accountability and auditability.
• Encounter Summary reflects the actual doctor managing the patient.
• Green Zone workflow remains unchanged and continues to use the registration-assigned doctor.