Guided Notes

Registration, Scheduling & ADT

Patient identity (MPI, MRN), registration and insurance capture, appointment scheduling and templates, and admission-discharge-transfer events that drive the whole EHR.

Patient identity comes first

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Every record hangs off the patient's identity: • MRN (medical record number) — the organization's unique ID for the patient. • MPI / EMPI (enterprise master patient index) — the database that links all of a patient's identifiers across systems. • Matching uses name, date of birth, sex, address, phone, SSN (last 4), photo.

Errors cause duplicates (one person, two charts — results get split) or overlays (two people merged into one chart — dangerous). HIM teams resolve duplicates; registration accuracy prevents them.

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