1 Prepare a context diagram for New Century’s information system.
Patient Insurance American
Company Medical
Association
Patient Claim Insurance
Reports Payment
&
Outputs
Patient 0
Payment
New Century CPT Codes
Patient
Inputs Information Provider
Management
Reports
System
Office Provider
Staff Inputs Provider
Office Staff
2 Prepare a diagram 0 DFD for New Century. Be sure to show numbered processes for
handling appointment processing, payment and insurance processing, report processing,
and records maintenance. Also, prepare lower-level DFDs for each numbered process.
3 Prepare a list of data stores and data flows needed for the system. Under each data store, list
the data elements required. The data flows are as follows:
1) Bill
2) Drop-in
3) Hours
4) Drop-in Report
5) Fixed Fees
6) Payment
7) Payment Data
8) Receipt
9) Receipt Data
10) Registration Data
11) Report Data
12) Reports
13) Student Data
14) Variable Monthly Fees
The Data Stores are as follows:
15) Drop-In Data
16) Registration Data
Data Elements for each data store are as follows: (Note that answers may vary here – students
should pick out all the data elements identified in Chapter 3 as existing and should speak to new
elements needed to create “family” bills.
17) Drop-In Data
18) Household Number
19) Student Name
20) Student Number
21) Month
22) Date of Attendance
23) Block Attended
24) Registration Data
25) Household Number
26) Student Number
27) Student Name
28) Monthly Fixed Fees
29) Prepare a data dictionary entry and process description for one of the system’s functional
primitives.
4 Prepare a data dictionary entry and process description for one of the system’s functional
primitives.
Data Dictionary
The data flow diagram is used to represent the functional flow of the system. Though New
Century system is very simple, there is no need of making a logical solution complex, a new
principle can be created using decision table or decision tree. A complete listing of the functional
activities consisting of input and output data flows, have been arranged.
Sample documentation of the above four processes identified in the 0-level diagram are
mentioned below:
PROCESS MAKE APPOINTMENT
Purpose: Schedules A Patients Appointment And Services.
Input Data Flows: Appointment Request
Patient Data
Cpt Fee Schedule
Output Data Flows: Service Data
Appt Data Process Description:
For Each Appointment Request From Patient
Retrieve Patient Number From Patients Verify Patient Number
For Each Cpt Code In Appointment Request
Retrieve Cpt Code From Cpt Fee Schedule
Add/Change/Delete Cpt Code In Scheduled Service Data
Add/Change/Delete Provider Number In Scheduled Service Data
Add/Change/Delete Appointment Number, Appointment Date, Start Time, Patient Number In
Scheduled Appointment Data
Appt Data Process Description:
For Each Appointment Number
Retrieve Household Number From Patients
Retrieve Employer Group Number From Households
Retrieve Ins. Co. Number From Households
For Each Appointment Number In Completed Appointment Data Retrieve Fee From Service
Data
Apply Charge To Households
Apply Provider Charges To Providers
Apply Last Exam To Patients
Apply Fee To Mtd Charges
Add Appointment Number, Appointment Date, Start Time, End Time, Patient Number In
Completed Appointment Data
Add Cpt Code, Provider Number, Fee In Completed Service Data
Delete Appointment Number, Appointment Date, Start Time, End Time, Patient Number In
Completed Appointment Data
Delete Cpt Code, Provider Number In Scheduled Service Data Send Claim To Insurance
Company
PROCESS MODIFY CPT CODE
PURPOSE: Add/Change/Delete an American Medical Association CPT code
INPUT DATA FLOWS: CPT CODES
OUTPUT DATA FLOWS: CPT CODES
PROCESS DESCRIPTION:
For each CPT CODE CHANGE from AMERICAN MEDICAL ASSOCIATION Apply CPT
CODE to CPT FEE SCHEDULE
COMPLETE APPOINTMENT
Purpose: Processes An Appointment That Has Been Completed
Input Data Flows: Employer Data
Provider Data
Household Data
Service Data
Appt Data
Output Data Flows: Claim
Charges
Provider Charges
Service Charge
Service Data
PROCESS MODIFY CPT FEE
Purpose: Add/Change/Delete A Cpt Fee
Input Data Flows: Fee Data
Output Data Flows: Fee Data
Process Description:
For Each Fee Change From Provider
Apply Fee To Cpt Fee Schedule
Other Functional Primitive Processes:
PROCESS PATIENT PAYMENT
Purpose: Process A Payment Received From A Patient
Input Data Flows: Patient Payment
Output Data Flows: Mtd Payments Ytd Payments
PROCESS INSURANCE PAYMENT
Purpose: Process A Payment Received From An Insurance Company
Input Data Flows: Insurance Payment
Output Data Flows: Mtd Payments Ytd Payments
PROCESS CREATE CALL LIST
Purpose: Prepare And Print The Daily Call List That Shows All Patients Who Are To Be Called To Be
Reminded Of Their Appointment
Input Data Flows: Call List Data
Output Data Flows: Call List
PROCESS CREATE APPOINTMENT LIST
Purpose: Prepare And Print The Daily Appointment List That Shows All Patients And Their Scheduled
Services For Each Provider
Input Data Flows: Service Data
Provider Appointment Data
Output Data Flows: Appointment List
PROCESS CREATE REMINDER POSTCARDS
Purpose: Prepare And Print Reminder Postcards For Each Appointment
Input Data Flows: Reminder Postcard Data
Output Data Flows: Reminder Postcard
PROCESS CREATE MAILING LABELS
Purpose: Prepare And Print Patient Mailing Labels
Input Data Flows: Mailing Label Data
Output Data Flows: Mailing Labels
PROCESS CREATE STATEMENT
Purpose: Prepare And Print Monthly Statements To Patients
Input Data Flows: Statement Data
Output Data Flows: Statement
PROCESS MODIFY PATIENT
Purpose: Add, Change, And Delete Patient And Household Data Received From Patients
Input Data Flows: Patient Change
Output Data Flows: Patient Update
PROCESS MODIFY HOUSEHOLD
Purpose: add, change, and delete household data changes received from patients
Input data flows: household change
Output data flows: household update
