🏥 Business Onboarding Cookbook: Hemodialysis Centers & Renal Care Clinics

Category: Hemodialysis Centers & Renal Care Clinics
Primary Domain: 11_Healthcare_Specialized_Diagnostics
Platform: 360 SERVICE HUB

1. Overview & Business Profile Context

This cookbook provides realistic, comprehensive, and verified test data for onboarding an advanced clinical hemodialysis unit and day-care renal therapy center. It exercises:

• Compound Three-Way Clinical Allocation (Bay SPACE + Nurse PERSON + Machine EQUIPMENT): Modeling maintenance renal replacement therapy where the physical recliner station, senior dialysis nurse, and medical hemodialysis machine are atomically locked for 4 hours.
• Dedicated Isolation Bay Protocol (Seronegative vs. Seropositive Bays): Modeling specialized clinical isolation bays with dedicated machines reserved strictly for hepatitis/retroviral positive patients to eliminate cross-contamination risks.
• Hourly Duration Engine with 4-Hour Standard Dialysis Cycles: 4-hour continuous treatment cycles aligned with clinical nephrology clearance protocols, with zero mid-treatment interruptions.
• Turnaround Hot Chemical Disinfection & RO Line Flush Buffer (45 Minutes): Enforcing a mandatory 45-minute buffer between dialysis shifts for 85°C hot water citric acid machine chemical cycles, RO loop flushing, line priming, and linen sterilization.
• Three-Shift Clinical Operating Grid: Operating continuously from 06:00 AM through 10:00 PM organized into three standardized clinical shifts (Morning, Afternoon, Evening).

2. Step-by-Step Onboarding Data

Step 1 of 5: Business Information

Step 2 of 5: Add Resource (Polymorphic Flow)

Add the following 4 realistic resources covering 2 standard dialysis stations, 1 hepatitis isolation bay, and 1 senior dialysis nurse:

[ What does your customer book? ]
 ├── [○] 1. Room / Space         ──► Station 1: Fresenius 4008S Hemodialysis Suite (General)
 ├── [○] 2. Room / Space         ──► Station 2: Fresenius 4008S Hemodialysis Suite (General)
 ├── [○] 3. Room / Space         ──► Station 3: B. Braun Dialog+ Isolation Dialysis Suite
 └── [●] 4. Team Member / Staff  ──► Sister Anita Patnaik (Senior Dialysis Technologist & Nurse)

Resource 1: Station 1: Fresenius 4008S Hemodialysis Suite (Room / Space)

Resource 2: Station 2: Fresenius 4008S Hemodialysis Suite (Room / Space)

Resource 3: Station 3: B. Braun Dialog+ Isolation Dialysis Suite (Room / Space)

Resource 4: Senior Dialysis Technologist & Nurse (Team Member / Staff)

Step 3 of 5: Services & Offerings

Configure the following 4 realistic renal care offerings covering general dialysis, isolation sessions, and clinical reviews:

[ Services & Offerings Portfolio ]
 ├── 1. Standard Maintenance Hemodialysis Session (Hours | 4 Hours | ₹2,200 | Station 1/2 + Nurse)
 ├── 2. Isolation Suite Hemodialysis Session (Hours | 4 Hours | ₹2,800 | Station 3 + Nurse)
 ├── 3. Nephrologist Clinical Review & AV Fistula Assessment (Minutes | 30 mins | ₹1,000 | 1:1 Doctor)
 └── 4. Emergency Acute Dialysis Shift (Hours | 4 Hours | ₹3,500 | Station + Nurse)

Offering 1: Standard Maintenance Hemodialysis Session (Hours — Space 1:1 — 4 Hours)

Offering 2: Isolation Suite Hemodialysis Session (Hours — Space 1:1 — 4 Hours)

Offering 3: Nephrologist Clinical Review & AV Fistula Assessment (Minutes — 30 mins)

Offering 4: Emergency Acute Dialysis Shift (Hours — Space 1:1 — 4 Hours)

Step 4 of 5: Availability & Working Hours

Configure three-shift clinical hours across all 7 days:

Weekly Schedule Grid

Shift Timing Breakdown

Advanced Operating Settings

Step 5 of 5: Booking Rules, Fulfillment & Policies

3. Five Deterministic End-to-End QA Test Scenarios

Scenario 1: Standard Three-Shift Cadence & 45-Minute Disinfection Buffer

• Action: Patient books Standard Maintenance Hemodialysis Session for Morning Shift 1 on Station 1 (06:30 AM – 10:30 AM). Another patient queries Station 1 for a morning slot starting at 10:30 AM.
• Expected Result:
  • The booking engine injects a 45-minute hot water citric acid disinfection buffer from 10:30 AM to 11:15 AM.
  • The 10:30 AM request is blocked.
  • The earliest available start time for the next patient on Station 1 is 11:15 AM (Shift 2).

Scenario 2: Seropositive vs. Seronegative Isolation Mutual Exclusion

• Action: A seronegative patient attempts to book a standard session and the only free bay is Station 3: B. Braun Dialog+ Isolation Dialysis Suite.
• Expected Result:
  • The system enforces clinical resource category filtering: Station 3 is marked as Isolation Dialysis (Seropositive Only).
  • The seronegative booking cannot consume Station 3, preventing patient contamination.
  • System indicates general bays (Station 1 and Station 2) are sold out for that shift.

Scenario 3: Nurse Supervised Capacity Boundary ($N=2$ Max Active Stations)

• Action: Sister Anita Patnaik is configured with Simultaneous Clients Handled = 2. In Shift 1 (06:30 AM – 10:30 AM):
  • Patient A books Station 1 (Nurse Anita assigned).
  • Patient B books Station 2 (Nurse Anita assigned).
  • Patient C attempts to book a third concurrent session requiring Nurse Anita.
• Expected Result:
  • Sister Anita reaches her supervisory capacity cap of 2 active patients.
  • Patient C's request is rejected as no nurse supervisor is available, even if a machine were physically present.

Scenario 4: Mandatory Viral Serology Approval Workflow

• Action: A new patient initiates a booking for a hemodialysis session on Station 2.
• Expected Result:
  • Because Instant Confirmation is set to OFF, the booking enters PENDING_MERCHANT_APPROVAL.
  • The clinic nephrologist and nurse portal prompts staff to verify that the patient's viral markers (HBsAg, HCV, HIV) are uploaded and negative before confirming the slot.

Scenario 5: Tri-Weekly Recurring Booking Capability

• Action: A chronic kidney disease (CKD-5) patient books a 3-slot weekly package for Monday, Wednesday, and Friday morning shifts under a single account.
• Expected Result:
  • The merchant rule allows up to 3 active bookings per customer.
  • All 3 shifts are successfully scheduled concurrently without being blocked by anti-hoarding rules.