Medical Clinic Business Rules


A Patient can make many appointments with one or more doctors in the clinic, and a doctor an accept appointments with many patients. However, each appointment is made with one doctor, and each appointment references a single patient.


Emeregency cases do not require an appointment. However, and emergency is entered into the appt book as “Unscheduled” for appt management purposes


If kept, an appt yields a visit with the doc specified in the appt. The visit yields a diagnoses, and when appropriate, treatment.


Each visit updates the patient’s records to provide a medical history


Each patient visit creates a bill. Each patient visit is billed by one doctor, and each doctor can bill many patients


Each bill must be paid. However, a bill may be paid in many installments, and a payment may cover more than one bill


A patient can pay the bill directly, or the bill may be the basis for a claim submitted to an insurance company


If the bill is paid by the insurance co, the deductible is submitted to the patient for payment.