📋 Clinical Pathway Overview
EVEP Mobile Reflection Unit Clinical Pathway Flowchart represents the complete clinical workflow for vision screening and glasses prescription management. This comprehensive flowchart guides medical staff through each step of the patient care process.
🎨 Flowchart Legend:
Process Step - Clinical action
Decision Point - Clinical decision
Quality Check - Validation step
API Endpoint - System integration
🔄 Complete Clinical Workflow
📋 Step-by-Step Clinical Pathway:
1
Patient Registration & Consent
Initial patient registration with parent consent and medical history collection.
📝 Registration Process:
- Student identification and demographic data collection
- Parent/guardian contact information verification
- Medical history and allergy documentation
- Informed consent form completion
- School and grade level confirmation
🔗 API Endpoints:
POST /api/v1/mobile-screening/patients
GET /api/v1/mobile-screening/patients/{id}
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2
Pre-Screening Assessment
Comprehensive pre-screening evaluation and patient preparation.
🔍 Assessment Components:
- Visual acuity baseline measurement
- Eye health preliminary examination
- Patient comfort and cooperation assessment
- Equipment calibration and verification
- Environmental conditions optimization
🔗 API Endpoints:
POST /api/v1/mobile-screening/assessments
PUT /api/v1/mobile-screening/patients/{id}/status
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3
Vision Screening Execution
Standardized visual acuity testing using Snellen chart methodology.
👁️ Screening Protocol:
- Right eye visual acuity measurement (6m distance)
- Left eye visual acuity measurement (6m distance)
- Both eyes combined visual acuity testing
- Near vision assessment (40cm distance)
- Color vision screening (Ishihara test)
🔗 API Endpoints:
POST /api/v1/mobile-screening/screenings
PUT /api/v1/mobile-screening/screenings/{id}
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🔍 Screening Results Evaluation
Based on visual acuity measurements, determine if patient requires glasses prescription.
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4
Prescription Generation
Optical prescription calculation and validation for glasses manufacturing.
📋 Prescription Components:
- Sphere power calculation (myopia/hyperopia)
- Cylinder power determination (astigmatism)
- Axis orientation specification (0-180°)
- Pupillary distance measurement
- Special requirements documentation
🔗 API Endpoints:
POST /api/v1/mobile-screening/prescriptions
GET /api/v1/mobile-screening/prescriptions/{id}
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🔬 Prescription Quality Validation
- Prescription accuracy verification against screening results
- Optical parameter range validation (sphere: ±8.00D, cylinder: ±6.00D)
- Axis orientation consistency check (0-180° range)
- Pupillary distance measurement verification (50-75mm range)
- Clinical decision support system validation
- Medical staff signature and approval confirmation
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5
Inventory Selection & Reservation
Glasses selection from available inventory based on prescription requirements.
🕶️ Inventory Management:
- Prescription-compatible glasses identification
- Frame style and size selection
- Lens material and coating options
- Inventory availability verification
- Item reservation and status update
🔗 API Endpoints:
GET /api/v1/mobile-screening/inventory
PUT /api/v1/mobile-screening/inventory/{id}
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6
Delivery Planning & Coordination
School delivery scheduling and coordination with educational institutions.
📅 Delivery Coordination:
- School contact person identification
- Delivery date and time scheduling
- Delivery address and instructions confirmation
- Parent notification and consent verification
- Delivery route optimization
🔗 API Endpoints:
POST /api/v1/mobile-screening/deliveries
PUT /api/v1/mobile-screening/deliveries/{id}
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7
Glasses Delivery & Handover
Physical delivery of glasses to school with proper documentation and confirmation.
📦 Delivery Process:
- Glasses packaging and protection
- Delivery documentation preparation
- School arrival and contact person identification
- Glasses handover and fitting verification
- Signature collection and delivery confirmation
🔗 API Endpoints:
PUT /api/v1/mobile-screening/deliveries/{id}/status
POST /api/v1/mobile-screening/deliveries/{id}/confirmation
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8
Follow-up & Monitoring
Post-delivery monitoring and follow-up screening scheduling.
📊 Follow-up Activities:
- Patient satisfaction assessment
- Glasses fitting and comfort verification
- Visual improvement evaluation
- Follow-up screening scheduling (3-6 months)
- Long-term outcome tracking
🔗 API Endpoints:
POST /api/v1/mobile-screening/follow-ups
GET /api/v1/insights/analytics
📊 Workflow Phases
🏗️ Clinical Workflow Phases:
📋 Phase 1: Pre-Screening
- Patient registration and consent
- Medical history collection
- Pre-screening assessment
- Equipment preparation
- Environmental setup
👁️ Phase 2: Screening
- Visual acuity testing
- Eye health evaluation
- Color vision screening
- Results documentation
- Clinical decision making
📋 Phase 3: Prescription
- Optical prescription calculation
- Parameter validation
- Quality assurance checks
- Medical staff approval
- Prescription documentation
🕶️ Phase 4: Glasses
- Inventory selection
- Frame and lens matching
- Item reservation
- Quality verification
- Packaging preparation
📦 Phase 5: Delivery
- Delivery planning
- School coordination
- Route optimization
- Physical delivery
- Handover confirmation
📊 Phase 6: Follow-up
- Patient monitoring
- Satisfaction assessment
- Outcome evaluation
- Follow-up scheduling
- Long-term tracking
🔬 Quality Assurance Framework
✅ Comprehensive Quality Checks:
- Data Accuracy: All patient information and screening results verified for completeness and accuracy
- Clinical Standards: Screening procedures follow international visual acuity testing standards
- Prescription Validation: Optical parameters validated against clinical guidelines and safety ranges
- Inventory Management: Glasses selection verified for prescription compatibility and quality
- Delivery Process: Delivery coordination and handover procedures standardized and documented
- Patient Safety: All clinical procedures prioritize patient safety and comfort
- Documentation: Complete audit trail maintained for all clinical activities
- Staff Competency: Medical staff qualifications and training verified before clinical activities