ClinicalClinical (Doctor / Clinical officer / Nurse)
Triage by Kenya Triage Category. Structured SOAP notes per department. Orders for lab, imaging, prescriptions, referrals, and nursing tasks. Ward rounds, growth charts, MCH book, immunisation schedule, discharge summaries.
- Encounter is the join point — every order, vital, note, diagnosis sits on it
- ICD-10 coding with KEMR mappings
- Paediatric WHO 0–5 + Kenyan MCH-card growth charts
- ANC / PNC tracking with the MCH book equivalence
PharmacyPharmacy
Dispensing queue linked to Encounter prescriptions. KEML formulary plus facility additions, with dosage forms, drug-drug interactions, and pregnancy categories. Stock with batches and expiry. Two-signature narcotics register.
- Counselling notes attachable to dispense
- Re-order alerts off live stock-on-hand
- Repeat prescriptions with dispense-history
LaboratoryLaboratory
Sample reception with barcoded specimens. Analyser worklists over HL7 v2 (Mindray, Sysmex, Beckman, Roche — driver per vendor). Manual entry for bench tests. Validation and release workflow. Turnaround-time metrics on the bench.
- Test catalogue mapped to LOINC where possible
- Result-to-Encounter routing with abnormal-flag highlighting
- TAT dashboards by department, analyser, and test
ImagingImaging
Modality catalogue (X-Ray, ultrasound, CT, MRI). DICOM modality worklist via the imaging adapter. Radiologist reporting alongside the image. PACS retrieval (Orthanc in dev, dcm4chee in production).
- Worklist auto-populated from imaging orders
- Reports attach back to the Encounter as structured text
BillingBilling, Cashier & Claims
Charges captured automatically from every service, drug, and ward-day. Bills closed and receipted at point of service or central cashier. Insurer contracts with per-service pricing overrides. SHA eClaim packaging with all clinical attachments. Private insurer claims as PDF + structured summary. KRA eTIMS receipts via Kalatas.
- Cashier shift close-out reconciles cash, mobile money, card, and accruals
- Pre-authorisation flow before high-cost services
- Claim rejection codes flagged back to records for fix-and-resubmit
RecordsRecords & Reporting
Registration, file retrieval, ICD-10 coding, statutory reports. DHIS2 monthly summaries (MOH-105 OPD, MOH-705 inpatient, MOH-710 immunisation, MOH-731 HIV) compiled from clinical data. Notifiable disease notices for cholera, measles, COVID-like events.
- Patient merge / split runbook for duplicate or collapsed MRNs
- Daily one-page departmental summaries on the admin dashboard
ReferralsReferrals
Outgoing referrals to facilities in the same group, or to external facilities via the SHA HIE. Incoming referral inbox with triage. Ambulance and transport coordination notes alongside the clinical packet.
- FHIR query for cross-facility patient lookup
- Referral packet includes diagnoses, investigations, prescriptions, and discharge summary