(A) Spaghetti diagram depicting the journey of two patients within ACA (A) Spaghetti diagram depicting the journey of two patients within ACA. (B) Process map depicting the typical patient journey in ambulatory care. (A) Spaghetti diagram depicting the journey of two patients within ACA. (B) Process map depicting the typical patient journey in ambulatory care. Alexandra von Guionneau, and Charlotte M Burford BMJ Open Qual 2019;8:e000542 © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.