One patient, from the door to the payment
Every other chapter is about one screen. This one is about one patient walking through the whole clinic, and who touches what along the way. If you read only one chapter before your first morning, read this one.
Puan Aminah has a cough. She has been to this clinic before. Here is her whole visit, in the order it happens, with the person doing each part named.
At the counter
- 1The counter presses Ctrl + F and types part of her name, her IC number or her telephone. Her record comes up, and each row says why it matched.
- 2If she is new, the counter registers her instead. Klinira warns if somebody with that IC number or telephone is already on file, before a second record for the same person exists.
- 3The counter puts her in the queue. She gets a number, and the waiting room screen shows it.
If she scanned the QR at the door on her way in, she is already on the check-in board and the counter only has to accept her. The number is issued at that moment, not at the scan — a sign on a wall can be scanned by anybody walking past it.
With the nurse
- 1The nurse opens the queue, takes her temperature, blood pressure and weight, and records them.
- 2The nurse checks the allergy line at the top of her record and asks. If nobody has ever asked, the line says so in amber rather than pretending she has none.
- 3The nurse moves her on to the doctor.
With the doctor
- 1The doctor opens the consultation. The note, the history, the vitals the nurse just took and the allergy line are all on one screen.
- 2The doctor types the note. It saves itself as a draft as they go, so nothing is lost if the machine is switched off.
- 3The doctor adds the diagnosis, then prescribes. Klinira checks each medicine against her allergies and against what she is already taking, and says something when there is something to say.
- 4The doctor presses F9 to finish. The note is written into the record and she moves on to the pharmacy.
An alert never blocks the doctor. A severe one interrupts, asks for a typed reason and records it. We assist; we do not enforce — the clinical decision belongs to the person who trained for it.
At the pharmacy
- 1The prescription is already there. The pharmacist does not retype it.
- 2Klinira chooses the batch that expires first and shows it. The pharmacist can override, and the override is recorded.
- 3The label prints in Bahasa Malaysia and English, with the warnings the law requires on it.
- 4The statutory register entry is written the same day, by itself, for anything that needs one.
- 5The pharmacist hands the medicine over and moves her on. The person who handed it over is the only person who knows it was collected.
Back at the counter
- 1The bill is already made up from the consultation and what was dispensed. The counter checks it rather than building it.
- 2The counter takes the payment. If she pays cash, the screen offers the figure rounded to five sen; if she pays by card, the exact figure is charged.
- 3The receipt prints and the drawer opens. The invoice number is allocated at that moment, never before.
- 4She leaves. Her name comes off the queue board on its own.
What each person actually has to remember
| Who | The whole of their part |
|---|---|
| Counter | Find or register the patient, put them in the queue, take the money at the end. |
| Nurse | Record the vitals, ask about allergies, move them on. |
| Doctor | Write the note, add the diagnosis, prescribe, press F9. |
| Pharmacist | Check the batch, print the label, hand it over, move them on. |
Nobody types the same thing twice. The whole visit is one record from the moment the counter finds her: what the doctor prescribes is what the pharmacist sees, and what the pharmacist dispenses is what the counter charges for.
Take a place in the first installs
Klinira is being built now. Leave your details and you will hear what is finished, be asked what your clinic actually needs, and get the first install dates when it is ready.