Workflow Klinis Dokter

End-to-end flow dari kedatangan pasien sampai treatment selesai.

1. Check-In Pasien (oleh FO)

Pasien datang → FO buka /admin/appointments → ubah status appointment ke waiting → Visit otomatis ter-create.

2. Dokter Mulai Visit

1. Buka /admin/appointments → cari pasien waiting
2. Klik action "Start Treatment" → status in_treatment
3. Buka rekam medis pasien (medical record)

3. Pemeriksaan & Diagnosis

Anamnesis

Catat keluhan utama, riwayat penyakit sistemik, alergi di patient record.

Pemeriksaan Klinis

• Extra-oral — TMJ, lymph nodes
• Intra-oral — soft tissue, gingiva, oral hygiene

Odontogram

1. Buka /admin/odontogram → pilih pasien → pilih visit
2. Klik gigi di chart visual → pilih surface (M/D/B/L/P/O/I/All)
3. Pilih condition dari palette (caries, filling, crown, missing, dll)
4. Klik "Apply Condition" — auto-save
5. Setiap kunjungan bikin snapshot baru untuk compare history

Periodontal Chart / BPE

Buka /admin/oral-hygiene → buat new index:

• Plaque, Bleeding, Gingival, OHI-S
• BPE 6-sextant (0-4 + *)
• Auto-grade hygiene dari OHI-S

Caries Risk Assessment

/admin/caries-risk → pilih CAMBRA/ADA/ICCMS → centang risk factors → auto-calculate level + reassess interval.

4. Treatment Planning

URL: /admin/treatment-plans

1. Klik "+ New Plan" untuk pasien
2. Add items: pilih treatment, tooth number, phase, estimated cost
3. Total auto-calculate
4. Print/PDF: /admin/pdf/treatment-plan/{id}
5. Pasien tanda tangan → status approved

5. Eksekusi Treatment

Anestesi

Sebelum prosedur invasive, catat di /admin/anesthesia:

• Type (infiltration, IAN block, dll)
• Drug name + concentration + dose
• Pre-anesthesia vitals
• Adverse reaction (kalau ada)

Module Specialty (sesuai jenis)

Endodontic (Root Canal) — /admin/endodontic

• Per tooth: procedure type (pulpotomy/pulpectomy/RCT initial/retreatment)
• Canals count, working length (JSON: {MB:21mm,DB:20mm,P:22mm})
• Apical files, irrigation protocol, obturation material/technique
• Status flow: in_progress → completed → recall 6mo

Orthodontic — /admin/orthodontic

• Case master: appliance type, bracket brand, malocclusion class
• Tiap kunjungan bulanan: add Adjustment (archwire upper/lower, elastics)
• Status flow: planning → records → active → finishing → retention → completed

Implant — /admin/implants

• Record: brand, system, diameter, length, lot, bone density (D1-D4)
• Multi-stage: placement → healing → uncovering → impression → abutment → crown
• Status auto-update saat stage placement/uncovering/crown_delivery done

Bleaching — /admin/bleaching

• Type (in-office/at-home/internal), product, concentration
• Shade before/after (Vita Classic)
• Recall touch-up date

Pediatric Eruption — /admin/pediatric-eruption

• Age-aware (auto-detect dari birthdate)
• Per-tooth status (51-85 deciduous, 11-48 permanent)

6. Clinical Notes (SOAP)

URL: /admin/clinical-notes

Format wajib:

• S (Subjective) — keluhan pasien
• O (Objective) — temuan klinis & treatment yang dilakukan hari ini
• A (Assessment) — diagnosis
• P (Plan) — rencana kunjungan berikut

Tip: gunakan AI SOAP Generator di /admin/ai-assistant untuk draft.

7. Prescription (Jika Perlu)

URL: /admin/prescriptions

Tambah obat: nama, dose, signa, durasi. Print: /admin/pdf/prescription/{id}

8. Selesai Visit

1. Update appointment status → done
2. Visit otomatis ter-completed
3. FO bantu generate invoice
4. Schedule recall sesuai treatment (recall 6 bulan default)

9. Recall Tracking

URL: /admin/recall

System auto-track pasien yang butuh recall:

• Periodic checkup (6 bulan)
• Endodontic recall (6 bulan post-PSA)
• Implant recall (3, 6, 12 bulan)
• Ortho retention check
• Bleaching touch-up

Job otomatis php artisan reminders:dispatch jalan jam 09:00 daily → kirim WhatsApp.