Twelve stages and one handover rule: the next role never has to ask for what the last one already recorded. Each stage has an owning role, and a visit is only complete when every applicable stage is done.
The appointment is marked complete only once every applicable stage is done — and undoing a stage reopens the visit.
The slot is resolved against the doctor's hours, leave, holidays, slot length and token cap. The consultation fee derives from the visit purpose, the invoice is raised, the token is issued and the appointment slip prints.
Identity, contact, allergies, chronic conditions, family history and photo are captured once. The registration fee is collected and the validity clock starts. A lapsed record is renewed at the re-registration fee.
The patient is marked arrived and routed by visit flow — nurse vitals first, or straight to the doctor — then enters the waiting queue with a position number.
Nine vitals plus derived BMI, each compared against the previous reading and flagged when abnormal. Any pre-consultation ECG or X-ray is attached, then the patient is sent through ready for consultation.
Ten panels across four phases — history and vitals, note and diagnosis, prescription and orders, documents and handover. The record is built while the consultation happens, not after it.
Six items are approved individually — the note, the prescription, nursing instructions, laboratory requests, pharmacy requests and patient instructions — each showing the sources behind it. Nothing routes until all six are approved.
Preparation checks are acknowledged, the sample is collected tube by tube, analysis runs, values are entered against the clinic's own reference ranges, then the report is verified, attached to the record and released.
Clinical alerts are acknowledged, items are picked line by line against batch and expiry, substitutions go back to the prescriber where stock is short, payment is taken, labels print and the medicine is handed over.
Tasks are executed and time-stamped, medication administration is recorded with route and injection site, and patients under continuous monitoring sit on an observation roster until a documented outcome closes it.
Every source posts into one ledger. Outstanding dues surface beside the patient wherever they appear, and the day summary is reconciled and printed at closing.
The follow-up is scheduled, the patient summary is delivered, and a reminder is armed for the day before the next visit.
Codes, modifiers and quality measures are drafted from the signed note with the evidence quoted from it, and every code is verified by a person before it reaches billing.
Every stage reads and writes the same patient record. There is no export, no re-entry and no version of the truth that belongs to a single department.
Signing a note creates the pharmacy queue item, the laboratory order and the nursing task. No one has to notice that something is now their job.
A visit is complete when every applicable stage is done — the dispensed prescription and the returned result close it, not the doctor pressing finish.
Thirty minutes, one patient, every stage — on your clinic's own workflow.