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Health HMIS Overview

Health HMIS supports outpatient clinics, health centres, diagnostics, pharmacy, inpatient care, theatre, claims, HMIS reporting, interoperability, privacy, and offline clinical sync.

Health does not replace Pinkapple primitives. It adds clinical safety, terminology, patient-chart, order, medication, diagnostic, and governance behavior on top of shared platform records.

What Health Owns

AreaHealth ownership
Clinical terminologyConcepts, names, datatypes, classes, mappings, value sets, reference ranges, and coded answer sets.
Patient clinical profileHealth patient profile, identifiers, protection flags, chart composition, active visits, and visit history. Party demographics remain party-owned.
Encounters and visitsClinical overlays for appointments, OPD queue, triage, admissions, and service-event context.
Clinical factsObservations, conditions, allergies, notes, forms, order lines, audit events, and amendments.
Diagnostics and pharmacyLab results, specimens, imaging reports, medication safety, dispenses, administrations, returns, and controlled-drug register context.
Clinical governanceConsent, break-glass, sensitive access audit, legal holds, clinical note signing, and critical result acknowledgement.

What Shared Primitives Still Own

PrimitiveHealth use
PartiesPatients, providers, payers, employers, next of kin, and guarantors.
Users and rolesLogin access, role assignment, and permissions. Health providers may be users, but provider credentials are not a replacement for system roles.
Operational locationsClinics, departments, wards, theatres, labs, pharmacies, and service points.
Resource capacityProvider schedules, rooms, beds, equipment, and booking capacity where configured.
InventoryMedication stock, consumables, implants, reagents, batches, expiries, stock movement numbers, costing, and valuation.
Billing and paymentsPatient invoices, credit notes, cashier receipt, payment allocation, settlement, and GL posting.
Documents and eventsSupporting documents, service events, charge events, and external evidence.
Reporting and Integration/ETLReport execution, external endpoint credentials, FHIR/HL7/DICOM adapters, exports, and retries.

Core Flow

  1. Register or select the patient as an individual party with a Health patient role.
  2. Open an appointment, OPD queue item, admission, or encounter.
  3. Record triage, observations, conditions, allergies, notes, and clinical forms.
  4. Release clinical orders for lab, imaging, medication, procedure, nursing, or referral workflows.
  5. Complete diagnostics, pharmacy, theatre, or inpatient worklists with clinical audit and safety checks.
  6. Generate visit-charge traces and invoice through Billing.
  7. Collect patient payments through POS, Billing receipts, or Payments depending on the cashier model.
  8. Create claims from posted charge/invoice lines where coverage applies.
  9. Review patient chart, audit, HMIS indicators, and interoperability messages.
AreaOpen fromPurpose
Operating ModelHealthcare -> Setup -> Operating ModelReview capabilities, starter profiles, order sets, and visit-charge defaults.
Clinical TerminologyHealthcare -> Setup -> Clinical TerminologyMaintain concepts, names, mappings, and identifier types.
Clinical Service CatalogHealthcare -> Setup -> Clinical Service CatalogLink lab, medication, imaging, and procedure semantics to item/service, stock, billing, and pricing primitives.
Patient Registry & ChartHealthcare -> Patient Administration -> Patient Registry & ChartRegister patients, view active visits, chart history, forms, orders, notes, lab, pharmacy, and audit.
OPD Queue & TriageHealthcare -> Patient Administration -> OPD Queue & TriageManage walk-ins, queues, triage, and clinical front-door handoff.
Clinical OrdersHealthcare -> Clinical Operations -> Clinical OrdersCreate and release medication, lab, imaging, procedure, referral, or nursing orders.
LaboratoryHealthcare -> Diagnostics -> LaboratoryManage lab order details, specimens, results, observations, validation, and critical notifications.
PharmacyHealthcare -> PharmacyManage medication catalog, dispenses, administrations, returns, medication safety, and controlled drugs.
Inpatient & TheatreHealthcare -> Inpatient & TheatreManage admissions, bed assignment, nursing, discharge, theatre cases, consumables, implants, and PACU.
Finance & ClaimsHealthcare -> Finance & ClaimsReview visit charges, coverage, eligibility, pre-authorizations, claims, remittance, and appeals.
GovernanceHealthcare -> GovernanceManage consent, break-glass, HMIS reporting, interoperability, and offline clinical sync.

Product Boundary

Health should feel like a clinical system, but every financial, stock, payment, user-access, party, location, document, and integration consequence must land in the owning Pinkapple primitive. This is what keeps Health compatible with existing ERP controls while adding OpenMRS-style clinical depth.

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