Lamese · L1.0 v1.0 — Patient Journey · MOD-0.1 · MOD-2.1 · MOD-2.2 · MOD-2.3 · MOD-2.9

Patient Registration

Module 0.1 · LPR Initialisation

MOD-0.1

🇬🇭

Ghana Card Verification

NIA API · Master Patient Index

Ghana Card Number *

Try: GHA-123456789-0 · GHA-987654321-1

Invalid format. Check and retry.

✓ NIA VERIFIED

👤

—

Date of Birth

—

Gender

—

Ghana Card

—

NHIS

// LPR initialised — MPI entry patient_id: — ghana_card: — nia_verified: true facility: HO-MUN-HOSP-T5 created_by: — record_status: ACTIVE

⊕

No Ghana Card?

Generate temporary ID — reconcile later

For children, foreign nationals, or patients without their Ghana Card. A reconciliation flag is set on the record.

LMS-TMP-———

Reason

Demographics

Pre-filled from NIA registry

👤

Identity Details

Locked · Sourced from NIA

✓ Pre-filled from Ghana Card registry. Contact NIA to correct legal name or date of birth.

First Name

Last Name

Date of Birth

Gender

📍

Contact & Location

Required for follow-up and referrals

Phone Number *

Alternative Phone (optional)

Region

District (opt)

👥

Next of Kin

Optional — emergency contact

Name (optional)

Relationship

Phone (opt)

Clinical Baseline

Allergies, blood group, conditions

🩺

Clinical Baseline

Accessible to clinical staff only

🔒 Reception role: Blood group and NHIS number only. Allergies and medical history will be completed by clinical staff at consultation.

Blood Group

NHIS No. (opt)

Allergies

Known Drug Allergies

Feeds real-time drug interaction alerts in Module 2.6

Chronic Conditions

Known Conditions

Current Medications (if any)

Consent

Module 0.2 · Data Sovereignty Engine

🔐

Patient Consent

Ghana Data Protection Act 2012

Patient controls who accesses their record, for what purpose, and for how long. All decisions are recorded with a timestamp and are revocable at any time.

Share record across Lamese network

Required for referrals and emergency care

Include in national health analytics

Anonymised — helps GHS track disease patterns

Receive SMS health notifications

Appointment reminders, prescription ready, follow-up due

Restrict sensitive health records

Mental health and reproductive health require additional consent per encounter

Access via Lamese MyHealth app

Patient views own record on smartphone

Share data with NHIA for claims processing

Required for NHIS reimbursement — clinical data shared with National Health Insurance Authority only for claims

Captured: — · By: —

Confirm Registration

Review before creating the LPR

📋

Registration Summary

Final check

Full Name

—

Ghana Card

—

Date of Birth

—

Gender

—

NHIS Status

—

Facility

Ho Municipal Hospital

This will create a Longitudinal Patient Record anchored to the verified Ghana Card identity in the Lamese Master Patient Index. This record follows the patient across every Lamese facility for life.

✓

Patient Registered

Longitudinal Patient Record created and anchored to Ghana Card. The patient exists in the Lamese Master Patient Index.

Lamese Patient ID

—

Longitudinal Patient Record

Module 2.1 · Master clinical biography · Lifetime record

MOD-2.1

👤

—

—

Ghana Card

—

Registration Facility

Ho Municipal Hospital · Tier 5

Blood Group

Unknown

Record Status

● ACTIVE

🔐

Consent Status

Module 0.2 · Data Sovereignty Engine

Loading consent records...

📊

Encounter History

All recorded clinical episodes at this facility

No prior encounters recorded at this facility.

⚕️

Clinical Summary

Known conditions · Allergies · Current medications

Known Allergies

None recorded

Chronic Conditions

None recorded

Current Medications

None recorded

Outpatient Consultation

Module 2.2 · SOAP Engine · ICD-10 · NHIS Tariff

MOD-2.2

👤

—

📋

Subjective

Chief complaint & history — patient's account

S

Chief Complaint

Primary reason for visit

Presenting Complaint *

History of Presenting Illness

Duration

Severity (1–10)

Relevant History (optional)

⚡ Lamese Intelligence · Ghana STG

Clinical decision support only. Clinician judgement overrides. Not a diagnosis.

🩺

Objective

Vitals & examination findings

O

Vital Signs

Measured at this encounter

Temp

°C

BP

mmHg

Pulse

bpm

SpO₂

%

Weight

kg

RR

breaths/min

O

Examination Findings

Clinician-observed

General Appearance

Systems Examination

🔍

Assessment

ICD-10 diagnosis · clinical impression

A

ICD-10 Diagnosis

Search and select — multiple allowed

Search ICD-10 *

Clinical Impression

📝

Plan

Rx · Lab orders · Referrals · Follow-up

P

Electronic Orders

Sent to pharmacy, lab, and referral systems

Management Notes

🩺

Encounter Signed

SOAP note locked. Orders dispatched to Pharmacy & Lab.
Encounter added to Longitudinal Patient Record.

Encounter ID

—

Inpatient ADT

Module 2.3 · Admission · Discharge · Transfer

MOD-2.3

👤

—

All Wards · Bed Map

Free

Occ.

Res.

Clean

—

Available

—

Occupied

—

Reserved

—

Selected — tap Admit to confirm

—

🏥

Admission Details

Complete to create inpatient episode

Admitting Diagnosis *

Admission Type *

Ward *

Admitting Clinician *

Special Instructions (optional)

🛏️

Patient Admitted

Inpatient episode created. Bed allocated. Wristband ready for printing.

Admission ID

—

Bed Allocated

—

📋

Ward Round Documentation

Daily SOAP-lite · timestamped · clinician-signed

Bed / Patient *

Day of Admission

General Condition

Round Note *

Temp (°C)

BP (mmHg)

Clinician Signing

📑

Round Log

All documented ward rounds this admission

No rounds documented yet.

🔄

Ward / Bed Transfer

Bed-to-bed or ward-to-ward movement

Current Location

↓

Transfer to Ward *

New Bed *

Transfer Reason *

Receiving Clinician *

Transfer Notes (optional)

📍

Movement Log

All transfers this admission

No transfers recorded.

🏠

Discharge

Summary · Medication reconciliation · Follow-up

Condition on Discharge *

Discharge Destination *

Discharge Medications

Follow-up Instructions

Discharge Summary

Summary will appear here after drafting or manual entry.

Discharging Clinician *

✅

Patient Discharged

Discharge summary saved to LPR. Bed returned to available pool. NHIS claim documentation generated.

Discharge ID

—

Pharmacy

Module 2.9 · Dispensing · Drug Interaction · Inventory · Audit

MOD-2.9

💊

—

📬

Prescription Queue

e-Rx received from SOAP orders — real-time

⚠️

Drug Interaction Detected

—

💊

Dispense Prescription

Ghana EML formulary · Qty verification · Stock deduction

Prescription Ref

Dispensing Pharmacist *

Dispensing Notes (optional)

Line Items

✅

Dispensed

Prescription fulfilled. Inventory deducted. Receipt ready for patient. NHIS claim documentation generated.

Dispense ID

—

📦

Pharmacy Inventory

Ghana EML · Real-time stock levels · Reorder alerts

🔐

Controlled Drug Audit

Schedule II / III — immutable dispense log

No controlled drug dispensing logged this session.

📋

All Dispense Events

Full session log — this pharmacist

No dispense events this session.

Billing

Module 3.1 · NHIS Claim · Payment · Receipt · Revenue

MOD-3.1

🧾

—

🧾

Episode Bill

Auto-populated from Registration · SOAP · ADT · Pharmacy

📋

Non-Covered Items

Patient-liable — not in NHIS benefit package

Calculating...

Amount Due from Patient

GHS 0.00

After NHIS deduction

💳

Payment Method

Select one or split across methods

💵

Cash

GHS notes & coins

📱

Mobile Money

MTN · Telecel · AirtelTigo

🏢

Corporate

Employer / Insurance

🤝

Waiver

Indigent / Exemption

Amount Tendered

Amount Tendered (GHS)

Change Due (GHS)

Cashier / Biller

✅

Payment Received

Bill closed. NHIS claim submitted. Receipt generated. Revenue posted.

Bill ID

—

NHIS Claim Ref

—

Dzogadze District Hospital

Powered by Lamese HMS · Ayivi Solutions Ltd

—

Patient

—

LPR / LMID

—

Date

—

📊

Daily Revenue Summary

Session totals — feeds into financial dashboard

Breakdown

📋

Transactions

All billed episodes this session

No transactions yet.