CommunityMed Registration Test – CommunityMed Family Urgent Care

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Querystring HIDDEN - Traffic Source

checkinid: This is the variable set by where the customer accessed the form

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Querystring HIDDEN Arrived

this value is 4, set by querystring, for patient in the parking lot. Otherwise it is 0

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preload HIDDEN Parking lot Clinic ID

ARTIFICIALLY SET TO 2, ERASE WHEN DONE - This variable is set by what parking lot the patient has checked into. Variable is Location set by querystring

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preload HIDDEN Parking lot Clinic Name from ID

This variable is set by what parking lot the patient has checked into. Variable is Location set by querystring

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preload HIDDEN - Current Hour

This captures the current hour of when the patient is completing this form

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preload HIDDEN - DecimalTime

This is the variable showing what the decimal time the patient is completing this form

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preload HIDDEN - Today Date

This is the variable that captures the date of entry for use in calculations

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preload Parking Lot Message

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Calculated HIDDEN FLAG Arrived

this value is 1 for patient in the parking lot. Otherwise it is 0

You are Checking In to the Arlington Clinic

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Section Break to show the emergency message

cant move on to next step without agreeing to the emergency message

IF PATIENT IS HAVING MEDICAL EMERGENCY THREATENING LIFE OR LIMB

Please proceed directly into the clinic with your ID and insurance card.

Medical emergencies may include, but are not limited to:

Chest pain
Symptoms of a stroke (e.g. facial drooping arm/leg weakness or paralysis, speech difficulty)
Distressing difficulty breathing
Severe trauma or bleeding
Severe abdominal pain
Drug overdose/accidental poisonings

Please enter cell phone number

We will use this number to look this visit up in our system

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Lookup cell phone

this looks up the cell phone on the visit table to see if there is already 1 and only 1 visit entered into the visit table with this cell number. If therre are more than one visit entry with the same phone number, have the person enter their visit Z code to differentiate wich visit they are checking in for

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Visit_ID_Code from phoner number lookup

if there is only one visit table entry for the cell number, lookup the visit ID code (z code) for that visit and use it to populate the z-code lookup. If there is MORE than one or LESS than one entry for that cell number, then ask if they are already registered, and, if they are, then ask for the patient the z-code

We Found Your Visit

from your cell phone number

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Registration Lookup

this section allows patients who hd either more than one or 0 records returned when looking up their cell number - this allows an already-registered patient to enter their Z code

Have you already started registration or reservation for this visit?(Required)

Yes, I have already completed registration and have received a VISIT ID number (starts with Z)

No, I have not started the registration process for this visit

Please enter your VISIT ID (Starts with a Z)

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HIDDEN VISIT ID from entry

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Lookup in View

this looks up all the patient data for the visit based on the Visit_ID_code (z-code) and populates the field array with any information required for the visit

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copyto HIDDEN visit ID

This is the visit ID populated by copyto from either 169 or 170. it is -1 or blank? if there are no z-codes generated

field array HIDDEN Patient ID from the reg record

this populates the patient ID from the populate anything field array from field 136 lookup in view

FLAG - calculated Z-code reg Record Found

1 is the visit ID is valid, 0 is the visit ID is not valid/not found. it takes the visit record number (field 136 Lookup in View) and calculates it as a 1 or 0

field array HIDDEN clinic ID from the reg record

This populates the clinic Location_ID from the field array of populate anything for field 136

HIDDEN EXISTING Registration Flag

1 if reg is existing, 0 if patient is pulling in for new registration - Calculated based on the field 116 Hidden Patient ID having a value

We did not find your Visit ID from the Z code you entered

Please press "Previous" button at the bottom of the screen and re-enter the correct Visit ID code,
or let us know below if you need help or will go ahead and complete a new registration

DELETE? We were unable to find your Visit ID Z code

I will go ahead and create a new registration - I realize that I may not get the same time slot

Alert the front desk - I will pop in and ask for help after I finish this check-in

I need help from my car - please start a customer service chat session for me

We will open a chat session to help you -Front Desk - we need some help with a Visit ID Code

We found your Visit ID from the Z code you entered

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HIDDEN visit Date

This pulls in the scheduled visit date

HIDDEN visit timeblock start

HIDDEN Days from today

This is the variable of how many days from today is the selected visit date.

Hours from now

How many hours from now is the appointment time

Hospital ID

This is the clockwise hospital ID for the clinic based on the location ID of the parking lot

HIDDEN - Wrong Location Flag

HIDDEN - Wrong Visit DATE Flag

HIDDEN - ERROR

This field will calculate to a 1 if there is an error to display and a 0 if there is no error

IMPORTANT MESSAGE

Clinic is currently closed -
Don't worry - We can still book you for when we are open!

We are open Mon - Sat 8am-8pm and Sun 12pm-8pm

Please go ahead into the clinic to let the front desk know you are here and completing your paperwork.
You can still complete it in your car, but this way we know you are here to be seen near closing.

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There Seems to Be an Error

You MAY be at the wrong clinic from where you registered...

Our records show you registered at the {:74} clinic, and you are actually at the Arlington clinic.

You MAY be at the clinic on the wrong Visit Date...

Our records from the Z-code visit ID you entered show you registered for a visit on , and today's date is @May 27, 2023

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Parking Lot Info

What is your Car color

What is the Make and model of your car

Patient Name(Required)

First Last

Patient Date of Birth(Required)

POSSIBLE BIRTHDATE ERROR

Please check birthdate - we can't see newborns except emergency.

We will use THIS phone number to contact you for this visit(Required)

We will use the number below to contact you IN YOUR CAR for this visit, Please add or update the number to the correct mobile phone

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Next Step

Lets get you a spot in line - click "Next" below to continue

Clicking "Next" below will check you in as ready to be seen.

We utilize a virtual waiting room, waiting from your car for your protection and convenience.
Our medical staff to call you on the number you provided to start your visit.

If you have any questions or want to wait in our limited-space waiting room, please proceed into the clinic and talk to the front desk.

Pop into the front desk for help

When you complete this form, we will let the front desk know you are coming in because your visit ID was not found

the unique ID below is only for the temporary parking lot queue for patients who are starting the reg process but have not completed it yet. Iit will also be used to pull in patient details to the reg paperwork

Parking Lot Unique ID

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Clinic Main Phone Number

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HIDDEN Create Clockwise Flag

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HIDDEN Place in line

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You are Checking In to the Arlington Clinic

Section Break to show the emergency message

IF PATIENT IS HAVING MEDICAL EMERGENCY THREATENING LIFE OR LIMB

We Found Your Visit

from your cell phone number

Registration Lookup

Section Break to show page ID

We did not find your Visit ID from the Z code you entered

We found your Visit ID from the Z code you entered

IMPORTANT MESSAGE

Clinic is currently closed - Don't worry - We can still book you for when we are open!

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There Seems to Be an Error

You MAY be at the wrong clinic from where you registered...

You MAY be at the clinic on the wrong Visit Date...

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Parking Lot Info

POSSIBLE BIRTHDATE ERROR

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Next Step

Lets get you a spot in line - click "Next" below to continue

Clicking "Next" below will check you in as ready to be seen.

Pop into the front desk for help

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Clinic is currently closed -
Don't worry - We can still book you for when we are open!