End-to-End Training Scenarios (S01 – S25)

All training scenarios use SYNTHETIC, NON-IDENTIFIABLE patient data only. Real patient records are never used during staff training. Each scenario below can be executed in the training environment with trainer-controlled synthetic patients.

• Cross-Role Scenarios: Marked with an asterisk (*) — these require two or more trainees from different clinical departments acting simultaneously.

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Complete Training Scenario Matrix

#	Scenario Title	Responsible Role(s)	Training Objective	Expected Clinical & System Outcome
S01	New Patient Walk-In Registration	Receptionist	Register a new walk-in patient via Path A	Moana ID assigned; no duplicate record; patient appears in clinic queue.
S02	Returning Patient Search	Receptionist	Search MPI and use existing record without creating duplicate	Existing record opened and used; zero duplicate records created.
S03*	Near-Duplicate MPI Detection	Receptionist, Administrator	Trigger near-duplicate review queue; Admin resolves match	Near-match correctly queued in Path B; Admin performs Link or Create decision.
S04*	Emergency Presentation with MEWS Alert	Receptionist, Nurse, Doctor	Register emergency patient; enter triage vitals triggering MEWS ≥ 5	Emergency encounter opened; HIGH-priority deterioration alert fired; Doctor assigned.
S05*	Emergency at Full Capacity	Nurse, Doctor, Administrator	Demonstrate capacity warning when all emergency holding beds are occupied	Visual capacity warning displayed; clinical overflow decision documented.
S06	Doctor Consultation & ICD-10 Coding	Doctor	Complete full SOAP clinical note with ICD-10 coded diagnosis	SOAP note signed and committed; mandatory ICD-10 diagnosis permanently recorded.
S07	Known Allergy at Prescribing	Doctor	Prescribe a drug in the same pharmacological class as documented allergy	System advisory banner displayed; alternative drug selected and signed.
S08*	Drug-Drug Interaction (Major Tier)	Doctor, Pharmacist	Prescribe interacting drug pair; demonstrate advisory at prescribing and hard stop at dispensing	Major advisory shown to doctor; HARD STOP blocks dispensing; doctor acknowledges; dispensed with override log.
S09*	Routine Laboratory Order End-to-End	Doctor, Lab Tech, Supervisor	Full laboratory diagnostic workflow from EHR order to result in patient chart	CPOE order → LIS receipt → specimen barcoding → result entry → Supervisor verify → Dispatch → EHR Results view.
S10*	Critical Laboratory Result Dual-Gate	Lab Supervisor, Doctor	Enter critical lab panic value; complete dual-gate acknowledgment	Notify Clinician modal completed with verbal contact log; doctor acknowledges within 30 minutes.
S11	Suspected Incorrect Lab Result	Lab Supervisor	Identify clinically implausible value; quarantine and repeat test	Result quarantined; redraw specimen requested; corrected report dispatched.
S12*	Radiology Order, Report & Acknowledgment	Doctor, Radiologist	Full radiology workflow from CPOE order to doctor acknowledgment	Order → DICOM PACS study link → OHIF review → 3-part structured report → release → doctor acknowledges.
S13*	Critical Radiology Finding	Radiologist, Doctor	Identify acute critical imaging finding; execute call-first protocol	Verbal telephone contact documented in report text; report released; doctor acknowledges.
S14*	Standard Pharmacy Dispensing (4 Stages)	Pharmacist	Complete full 4-stage prescription lifecycle with four-eyes rule	Four-eyes rule enforced (different staff for check); stock deducted; charge posted; active on MAR.
S15*	Dispensing Hard Stop at Pharmacy	Pharmacist, Doctor	Attempt to dispense prescription with unacknowledged contraindicated alert	Hard stop fires (403); dispensing blocked; doctor contacted; override documented; dispensing completed.
S16*	Controlled Drug Dispensing	Senior Pharmacist, Pharmacist	Dispense Schedule 8 narcotic with cryptographic witness verification	Digital controlled drug register completed; cryptographic witness recorded; perpetual stock balanced.
S17*	Inpatient Admission & Bed Allocation	Doctor, Nurse, Administrator	Admit emergency patient; allocate ward bed; close source ED encounter	Admission recorded; source ED encounter closed; bed marked Occupied; nursing dashboard updated.
S18*	Critical Vital Alert (NEWS2 ≥ 7)	Nurse, Doctor	Enter patient vitals pre-staged to trigger aggregate NEWS2 score ≥ 7	STAT alert fires simultaneously to nurse & doctor; patient attended; alert acknowledged; response logged.
S19*	Shift Handover with AI Summary	Outgoing Nurse, Incoming Nurse	Generate AI-assisted handover; identify trainer-planted error; edit and submit	AI draft reviewed and corrected; handover submitted via End Shift action; incoming nurse confirms receipt.
S20*	Safe Clinical Discharge (All Results In)	Doctor, Nurse, Receptionist	Complete full clinical discharge process with all diagnostic results reviewed	All results confirmed; clinical summary written; eMAR reconciled; bed released to Cleaning; billing flagged.
S21*	Discharge with a Pending Result	Doctor, Nurse	Initiate clinical discharge with diagnostic result still outstanding	Pending test documented in discharge summary; patient informed and follow-up plan recorded.
S22	Paper Downtime Procedure	All Roles	Trainer announces simulated power/network outage; all roles activate paper procedure	Care continued on physical forms with timestamps; all records transcribed into Moana chronologically on recovery.
S23*	Offline Sync & Conflict Resolution	Nurse, Supervisor	Workstations go offline; same record edited from two locations; reconnect and merge	Conflict correctly queued in Conflict Resolution Queue; supervisor reviews and selects safe merge.
S24*	End-to-End Outpatient (OPD) Journey	Receptionist, Doctor, Pharmacist	Complete full patient journey: Registration → OPD consult → CPOE Rx → Pharmacy dispense	Zero data loss; all handoffs completed; patient discharged with dispensed take-home medications.
S25*	End-to-End Emergency to Discharge	Receptionist, Doctor, Nurse, Lab, Pharmacy	Full emergency patient journey: Registration, triage, MEWS, consultation, lab, pharmacy, admission, nursing, discharge	Complete hospital continuum exercised; all modules active; immutable audit trail fully populated.