Determine the data required for a new patient. Design an input source document that will be used to capture the patient’s data and a data entry screen to enter the information into the system.

What will be an ideal response?

If students developed a list of data elements in Chapter 5, they should refer to it now. Otherwise, they can use the sample list provided. Each data element should link to an item in the input source document. A sample list of data elements follows:

Patient Data:
PATIENT FIRST NAME
PATIENT LAST NAME
PATIENT DATE OF BIRTH
RELATIONSHIP CODE
LAST EXAM DATE


Household Data:
HOUSEHOLD FIRST NAME
HOUSEHOLD LAST NAME
HOUSEHOLD ADDRESS
HOUSEHOLD CITY
HOUSEHOLD ZIP
HOUSEHOLD HOME PHONE
HOUSEHOLD WORK PHONE
EMPLOYER GROUP NUMBER

In addition to these data elements, a typical input form might request a Social Security number, and information on medical history, allergies, insurance, and other data necessary to set up a patient’s medical file. In laying out the new patient form, students should follow the guidelines for source document design.
They should pay particular attention to designing the form’s captions, document zones, and information flow. The data entry screen should follow the guidelines in the chapter.The screen form should resemble the paper source document, so it will be easy for a user to transfer the information from the paper form to the computer-based screen form.