Patient Management

The patient management system is the core of LyfeAI Provider, offering comprehensive tools for managing patient demographics, medical history, and clinical data.

Overview

The patient management module provides:

• Complete patient demographic records
• Medical history tracking
• Document management
• Insurance information
• Emergency contacts
• Activity timeline
• AI-powered insights

Patient Records

Demographics

Each patient record includes:

interface PatientDemographics {
  // Basic Information
  mrn: string;                    // Medical Record Number
  firstName: string;
  middleName?: string;
  lastName: string;
  dateOfBirth: Date;
  gender: 'male' | 'female' | 'other';
  
  // Contact Information
  address: {
    street: string;
    city: string;
    state: string;
    zipCode: string;
    country?: string;
  };
  phone: string;
  alternatePhone?: string;
  email?: string;
  preferredContactMethod?: 'phone' | 'email' | 'sms';
  
  // Additional Demographics
  race?: string;
  ethnicity?: string;
  primaryLanguage?: string;
  maritalStatus?: string;
  
  // Employment
  employer?: string;
  occupation?: string;
}

Medical Information

interface MedicalInformation {
  // Conditions
  problems: Array<{
    name: string;
    icd10Code: string;
    onsetDate?: Date;
    status: 'active' | 'resolved' | 'inactive';
    severity?: 'low' | 'medium' | 'high';
  }>;
  
  // Medications
  medications: Array<{
    name: string;
    dosage: string;
    frequency: string;
    route: string;
    startDate?: Date;
    prescribedBy: string;
  }>;
  
  // Allergies
  allergies: Array<{
    allergen: string;
    reaction: string;
    severity: 'mild' | 'moderate' | 'severe';
    type: 'drug' | 'food' | 'environmental';
  }>;
  
  // Vitals
  latestVitals?: {
    bloodPressure?: string;
    heartRate?: number;
    temperature?: number;
    weight?: string;
    height?: string;
    bmi?: number;
  };
}

Creating Patients

Manual Entry

Navigate to Patients → Add Patient:

1. Basic Information

   • Enter required fields (name, DOB, gender)
   • Generate or enter MRN
   • Add contact information

2. Medical History

   • Add current conditions
   • List medications
   • Document allergies

3. Insurance Information

   • Primary insurance details
   • Secondary insurance (if applicable)
   • Authorization information

4. Emergency Contact

   • Name and relationship
   • Contact numbers
   • Alternate contacts

Import from Document

Use AI to extract patient data from documents:

// Upload a document
const handleDocumentUpload = async (file: File) => {
  const result = await processDocumentWithAI(file);
  
  if (result.success) {
    // Review extracted data
    setExtractedData(result.data);
    setShowReviewDialog(true);
  }
};

Batch Import

Import multiple patients from CSV or FHIR bundles:

1. Prepare data file
2. Navigate to Patients → Import
3. Upload file
4. Map fields
5. Review and confirm

Viewing Patients

Patient List

The main patient list provides:

• Search: Quick search by name, MRN, DOB
• Filters: Status, provider, conditions
• Sorting: Name, age, last visit
• Actions: View, edit, message

Patient Detail View

Comprehensive patient information organized in tabs:

1. Summary: Overview with AI insights
2. Timeline: Chronological history
3. Notes: Clinical documentation
4. Orders: Labs and medications
5. Care Plans: Active care plans
6. Communication: Messages and calls
7. History: Detailed medical history

Patient Search

Basic Search

Quick search from the top navigation:

// Search implementation
const searchPatients = async (query: string) => {
  return patients.filter(patient => 
    patient.name.toLowerCase().includes(query.toLowerCase()) ||
    patient.mrn.includes(query)
  );
};

Advanced Search

Filter by multiple criteria:

• Demographics (age, gender, location)
• Clinical (conditions, medications)
• Administrative (provider, last visit)
• Risk factors (AI-identified)

Managing Patient Data

Editing Information

1. Navigate to patient detail
2. Click "Edit" button
3. Update information
4. Save changes

All changes are tracked in audit log.

Merging Duplicates

AI-powered duplicate detection:

// Check for duplicates
const duplicates = await checkDuplicates(patientData);

if (duplicates.hasDuplicates) {
  // Review and merge
  const merged = await mergePatientRecords(
    duplicates.matches[0].patientId,
    newPatient.id
  );
}

Archiving Patients

Hide inactive patients without deleting:

1. Set patient status to "inactive"
2. Toggle "hidden" flag
3. Patient removed from active lists
4. Data preserved for compliance

Patient Timeline

Timeline Events

Comprehensive patient history:

• Encounters: All visits and appointments
• Notes: Clinical documentation
• Labs: Test orders and results
• Medications: Prescription history
• Procedures: Surgical history
• Communications: Messages and calls

Adding Timeline Events

Events are automatically added from:

• Clinical encounters
• Order placement
• Result acknowledgment
• Care plan updates
• Patient communications

AI Features

Patient Summary

AI-generated comprehensive summary:

const summary = await generatePatientSummary(patient);

// Returns:
{
  overview: "45-year-old male with well-controlled Type 2 Diabetes...",
  activeProblems: ["Type 2 Diabetes", "Hypertension"],
  riskFactors: ["Family history of CAD", "Former smoker"],
  recommendations: ["Annual eye exam due", "Consider statin therapy"],
  lastVisit: "2024-01-15",
  upcomingNeeds: ["HbA1c in 3 months", "Flu vaccine"]
}

Risk Assessment

Predictive analytics for patient risks:

• Readmission risk
• No-show probability
• Disease progression
• Medication adherence
• Fall risk

Care Gaps

AI identifies missing care elements:

• Overdue screenings
• Missing vaccinations
• Uncontrolled conditions
• Medication gaps
• Follow-up needs

Patient Portal Access

Enabling Portal Access

1. Generate portal invitation
2. Send via email/SMS
3. Patient completes registration
4. Sync data automatically

Portal Features

Patients can:

• View their records
• Message providers
• Schedule appointments
• Upload documents
• Request refills
• Pay bills

Security & Privacy

Access Control

• Role-based permissions
• Provider-patient relationships
• Audit all access
• Emergency access override

Data Protection

• Encryption at rest
• Encrypted transmission
• Automatic backups
• HIPAA compliance

Consent Management

• Track consent forms
• Document sharing preferences
• Research participation
• Marketing preferences

Best Practices

Data Quality

1. Completeness: Fill all relevant fields
2. Accuracy: Verify information regularly
3. Consistency: Use standard formats
4. Timeliness: Update promptly

Workflow Tips

1. Use Templates: For common conditions
2. Leverage AI: For data extraction
3. Regular Reviews: Update patient info
4. Team Communication: Use internal notes

Compliance

1. Documentation: Complete records
2. Privacy: Follow minimum necessary
3. Retention: Follow policy
4. Audit: Regular reviews

Troubleshooting

Common Issues

Can't find patient

• Check spelling variations
• Try partial search
• Check if hidden/inactive

Duplicate patients

• Use merge feature
• Verify before merging
• Check import logs

Missing data

• Check permissions
• Verify data source
• Review import mapping

Performance

Slow search

• Use specific criteria
• Limit date ranges
• Clear filters

Large patient lists

• Use pagination
• Apply filters
• Export for analysis

Integration

EHR Sync

Automatic synchronization with:

• Epic MyChart
• Cerner
• Allscripts
• athenahealth

Lab Integration

Direct result import from:

• LabCorp
• Quest Diagnostics
• Hospital labs

Device Integration

Connect patient devices:

• Blood pressure monitors
• Glucose meters
• Wearables
• Scales

Reporting

Patient Reports

Generate reports for:

• Patient demographics
• Disease registries
• Quality measures
• Population health

Export Options

• PDF summaries
• CSV data export
• FHIR bundles
• CCD documents