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Health Orders, Diagnostics, And Pharmacy
Clinical Orders is the coordination point for orders. Laboratory, imaging, pharmacy, and theatre workflows receive released order lines and complete the specialized work.
Clinical Orders
Clinical orders can contain lab, medication, imaging, procedure, nursing, referral, and mixed lines.
| Step | Requirement |
|---|---|
| Draft | Patient, provider, encounter, facility, and order type are captured. |
| Safety checks | Allergies, interactions, duplicate therapy, contraindications, and required data are evaluated where configured. |
| Release | Order lines are locked into downstream worklists. |
| Fulfilment | Lab, pharmacy, imaging, nursing, or procedure workspaces complete the work. |
| Audit | Each lifecycle event is traceable by user, provider, patient, encounter, and time. |
Order numbers are system-generated from the configured numbering templates.
Order Sets
Order sets help providers select common bundles, such as fever workup or ANC first visit.
Before release, each line should resolve to:
- a clinical concept
- a Health service profile
- an operational item or stock item where relevant
- a Billing item and price where billable
- a downstream worklist target
Laboratory
Laboratory manages:
- lab order details
- specimen collection and accessioning
- specimen receipt, rejection, transfer, aliquot, and chain-of-custody
- result entry
- coded observation generation
- validation and release
- critical result notification and acknowledgement
- analyser and quality-control traceability
Released lab results should appear on the patient chart and Health reports.
Imaging
Imaging manages:
- imaging order details
- modality worklist readiness
- studies and accession numbers
- DICOM links where integrated
- contrast safety checks
- dose records
- imaging reports, versions, signing, release, and critical notification
Contrast and consumables remain Inventory-owned. Charges remain Billing-owned.
Pharmacy
Pharmacy manages:
- medication catalog profiles
- formulary rules
- controlled-drug controls
- medication order details
- medication safety checks
- dispensing
- administration records
- medication returns
- reconciliation
- controlled-drug register entries
Stock movements remain Inventory-owned. Health pharmacy should show movement numbers and statuses, and should not become a second stock ledger.
Prescription To Sale
Some facilities collect money at a cashier before dispense. Others collect at the pharmacy counter. Pinkapple supports both patterns without making Pharmacy a second cashier system.
For pharmacy-counter collection:
- The clinician releases a medication order.
- Pharmacy reviews the order detail, safety state, remaining quantity, formulary status, and stock availability.
- The pharmacy/POS counter opens the order from the sale screen.
- The sale line is limited to the remaining prescription quantity.
- The cashier selects the approved batch or lot where the item is lot-tracked.
- POS posts the receipt, payment, stock issue, and GL handoff.
- Health creates the medication dispense record from the POS receipt so the patient chart shows the clinical dispense, receipt, stock movement, lot, expiry, and charge evidence.
For cashier-before-dispense collection, Billing creates the invoice from Health visit-charge traces, the cashier collects through Teller or Billing payment, and Pharmacy dispenses against the paid or approved order according to facility policy.
Medication Safety
Medication safety should enforce or warn on:
- allergies and intolerance
- duplicate therapy
- drug-drug interactions
- dose range
- route, frequency, and duration rules
- pregnancy or age constraints where configured
- controlled-drug handling
- override reason and audit trail
Hard stops should be used for clinically unsafe actions. Soft warnings should require an override reason and audit.
Patient Chart Integration
Patient chart widgets should surface:
- open orders
- recent lab results
- critical results
- medication order/dispense/admin/return history
- imaging reports
- linked stock movement numbers
- charge and invoice state where relevant