We didn't start with billing and bolt clinical on top, or start with clinical and patch in the billing later. It's one system, front desk to discharge, shaped by people who've actually sat behind those desks.
Search all registered patients, open their eye visits, and work from a staged clinical record. Capture visual acuity, refraction and eye-specific findings, use specialist templates, sign records and track follow-up and result-review tasks.
Start with active visits, then move between the clinic overview, patient history, results awaiting action and follow-up recalls. Examination, audiology and procedure records support signed documentation and amendments, with unresolved work kept visible after checkout.
Prepare selected consultation or OPD nursing encounters while connected. Continue supported narrative drafts in an encrypted workspace on that browser, protected by a separate passphrase, then reconnect to recover and review the work before adding it to the patient record.
An idle warning gradually shades the workspace; moving the pointer, typing or touching the screen before the countdown ends resumes work. Once locked, staff verify their identity to continue, or choose Switch user. Hospital branding and a profile photo or initials keep the screen recognisable.
The adult wristband layout uses larger text and moves patient details away from the adhesive tip and long edges. Barcode and QR areas retain clear space for scanning, with a print preview and layout checks for the supported band sizes.
Find reports by category, from census and bed occupancy to billing, pharmacy, inventory and theatre. Access follows the user's role and hospital, with CSV, Excel and PDF exports for sharing and further analysis.
Patient registration and MRN assignment, scannable hospital cards and wristbands, NHIS lookup, photo capture, next-of-kin, allergies and payer details.
A nurse command centre runs the outpatient floor — live queue, wait-time thresholds, clinic load, escalations — alongside a real-time consulting-room board showing which doctor is in which room. Structured SOAP notes, ICD-10 + ICD-11 diagnosis picker (role-aware suggestions for every specialty), vitals trends, prescription pad with stock-aware drug picker, diagnosis codes that build the claim automatically.
Triage by zone, time-to-doctor metrics, fast-track and resus pathways, automatic escalation when NEWS2 climbs.
Bed maps with acuity colour-coding, drag-and-drop transfers, drug rounds, IO charts, nursing notes, shift handover.
Auto-build from the chart: diagnosis, length of stay, active medications, follow-up plan pre-filled from the admission and visit record. Doctor reviews, edits anything, signs and sends to the GP.
Eye, ENT, dental, mental health, antenatal, diabetic, dermatology, TB & chest, dietetics, physio, OT and speech.
Scheduled video visits over an encrypted peer-to-peer connection, with a TURN relay for patients on awkward networks. The patient waits in a lobby; the clinician joins from a full consult workspace — SOAP notes, ICD-10/11 diagnosis, lab and imaging orders, stock-aware prescription pad — and files a consult summary straight to the chart. Same record, same safety checks as an in-person visit.
Enrol patients on home monitoring and watch a clinician board of their readings with per-analyte trend charts. Per-tenant alert thresholds flag a drifting vital before it becomes an admission.
Run structured follow-up programmes as a caseload: enrol patients, see who's due and who's overdue a touchpoint, and track patient-reported outcome (PROM) trends over time.
Bring several clinicians into one multi-disciplinary video session around a single case.
Consult-linked messaging keeps the patient and care team in touch between visits, under the same tenant isolation, PHI handling and audit trail as the rest of the record.
Order sets, vacutainer guidance, result entry with abnormal-flag rules, validation by senior tech, push back to the ordering doctor. Longitudinal trends panel compares every result against prior values, with a date-picker for one-on-one comparison.
Hierarchical ordering (modality → body area → study) with contrast options on CT/MRI and a free-text box for unlisted studies. Modality worklists, image attachments, structured reports, sign-off workflow, DICOM ingestion (on request).
Donor register, cross-match log, unit traceability from donor to patient, expiry control, regulator-ready reports.
Dispense against prescriptions, batch tracking, dose checks, allergy interlocks, partial fills, refunds and returns. Self-prescribe block: doctors cannot write prescriptions for themselves; every attempt is audited.
Reorder thresholds, expiry alerts, supplier ledgers, GRN/issue notes, intra-hospital transfers, controlled-drug register.
Per-procedure consumables, intra-op recording, billing pulled directly from what was actually used.
Theatre lists, surgeon and anaesthetist assignments, pre-op checklist, fasting status, equipment requests.
Time-stamped chart for vitals, drugs, fluids, ventilation. Signed off by the anaesthetist at end of case.
Surgeon's op note, post-op orders that flow into the ward chart, recovery-room observation chart.
Take payment at any service point. Receipts go to email, SMS or printed.
NHIS, Glico, Acacia, Allianz preconfigured. Claims build from the clinical record. Rejections surfaced with the reason; resubmit in one click.
By patient, payer or department. Drill into a balance to see every line that built it.
Monthly runs with SSNIT / PAYE, benefits and approved salary advances composed into each payslip automatically. Printable slips, QuickBooks / Xero / Tally exports.
Per-department revenue, cost-of-care and contribution. Drill from the headline number into the underlying lines.
A searchable workspace for executive, patient, billing, pharmacy, appointments and department reports. Review census, occupancy, length of stay, revenue, outstanding balances and service activity, with access controlled by hospital and role. Export to CSV, Excel or PDF.
A complete workforce stack, kept behind the same secure boundary as your clinical data, plus a phone-first staff app, so the things people actually care about (clocking in, shifts, leave, payslips, advances) live in their pocket.
Installable mobile app at <tenant>-staff.medicarehis.com. One-tap clock-in with geolocation, next-shift tile, leave, payslips, reviews, document vault, CME, salary advances. The app interface can reopen offline after installation; live staff data and actions require a connection.
RFID card tap on a ward kiosk, or session clock-in from the phone. HMAC-hashed card UIDs (no plaintext on disk). Supervisor override for missed punches with ≥10-char reason; self-override blocked.
Monthly rotas per ward / discipline / subunit with day, afternoon, night shifts. Auto-feeds the staff PWA's Schedule tab so every nurse sees their next 14 days.
State-machine workflow: draft → submitted → acknowledged → finalised. Per-competency 1-5 ratings, right-to-respond contract baked in (HR can't file until staff acknowledges), HR revision-request branch.
Contracts, licenses, ID copies, training certs, CME certificates. Magic-byte sniff on upload (polyglot defense), 60-day expiring-soon surface, contract auto-archive on supersede.
Continuing-ed credits with per-role annual targets baked in for Ghana: GMDC 25 (doctors), N&MC 15 (nurses), PSGH 20 (pharmacists). Verified vs pending split; self-verify blocked.
Per-role checklists: new_nurse, new_doctor, new_theatre_staff, new_pharmacy, new_admin. Universal steps (contract, fire safety, IPC, RFID enrolment) plus role-specific clinical orientation. Auto-finalises on required-step completion.
Manager / direct-report tree with cycle detection. Each staff sees their slice in the PWA: manager, peers, direct reports.
Public job board, public apply endpoint, structured pipeline (applied → screened → interview → offer → hired). Atomic per-panellist interview feedback. Terminal-stage protection.
Staff request from the PWA, HR approves with 50%-of-basic cap, approved advances auto-deduct on the next payroll run with atomic apply.
Health insurance, pension, transport, housing, meal, phone, professional development. Frequency-normalised cost, composed into each payslip's allowance + deduction lines.
Verbal → written → final warning → suspension → termination, with full appeal / hearing / outcome state machine. 14-day appeal window, panel-composition guards (subject can't sit on own panel).
Every department, every role, finely scoped. A nurse never sees the cost of care; a biller never sees clinical notes outside their codes. Superadmin can grant individual users specific capabilities on top of their role: prescribing rights for a nurse-practitioner, lab-ordering for a senior pharmacist.
Configure departments, roles and optional features for each hospital. Availability follows the hospital's plan and enabled services, with authorised overrides and an audit trail of configuration changes.
Every read, write, delete and login attempt logged with user, time, IP. The audit log is a hash-chained ledger: modifying or removing a past entry breaks the chain and the integrity check flags it. 7-year retention. Exportable for regulators.
WebAuthn (Face ID, Touch ID, Windows Hello) and TOTP for direct staff sign-in. OpenID Connect SSO for hospitals on Microsoft 365 / Azure AD / Google Workspace / Okta: group-to-role mapping, hardened id_token verification, JIT user provisioning. Idle locking hides the clinical workspace and requires identity verification to resume. Passkey unlock is offered only to users with an enrolled passkey.
Selected consultation and OPD nursing narrative drafts can be prepared online and edited in an encrypted browser workspace during a connection outage. Local access lasts up to eight hours after authorisation. Reconnect for recovery and clinical review; prescribing, ordering and signing remain online.
Appointment reminders, lab-result-ready alerts, prescription pickup nudges. Reduces no-show rates.
Conformant CapabilityStatement at /fhir/metadata. Patient, Encounter, Observation (lab + vitals), MedicationRequest, AllergyIntolerance, Condition: partners can read and POST. Bearer-key auth, tenant-scoped. ICD-10 + SNOMED CT + LOINC throughout.
MLLP listener accepts ORU^R01 (results) and ADT^A01/A04/A08 from existing Sysmex / Cobas / Mindray analysers + registration systems. Outbound ORM^O01 sends orders the other way. ACK^R01 round-trip in seconds. Plug-and-play with your existing lab capex.
Your CMO writes clinical decision-support rules at Settings → Clinical policies. No code change required. Conditions on patient demographics, drug, route, or recent labs. Trigger at prescribe-time or on lab result release. Every fire and override audits.
Single screen, the patient's lifetime. Every visit, lab, prescription, imaging report, vitals reading, allergy, immunisation, colour-coded by type, day-grouped, full-text searchable, printable for medical records.
Scheduled snapshots and startup backups provide recovery points, with retention controlled by the deployment configuration. Hash manifests help detect corrupted snapshot files before restoration.
Authorised administrators can download a hospital-scoped JSON export containing patient and operational records, with export metadata and an audit entry. Use it to support migration, data review and continuity planning.
Authorised operators restore from a selected recovery point using the procedure for their database. JSON snapshot restoration creates a safety copy first; PostgreSQL deployments use a separate database restore procedure.
Multi-tenant deployments isolate each hospital's data at the storage layer. A superadmin acting on one hospital cannot accidentally read or write another's records. Per-hospital module + feature toggles let you tailor exactly what each tenant sees.
Belt-and-braces guards on surfaces with the highest privacy stakes: Labour & Delivery surfaces only render for female patients admitted to a maternity-themed ward; platform-tier roles never appear in clinical "Viewed by" trails. Both the UI and the server enforce independently.
TLS 1.3 in transit, encryption at rest on the underlying volume. Sessions are HTTP-only and rotate on privilege change. CSP, X-Frame-Options, and a tight permissions-policy header on every response.
Enter the subdomain your IT team gave you. We'll redirect you to your hospital's secure login.