# User & Administrator Manuals

Operational guides for the Nigeria Immigration Service Hospital Management System (NIS HMS).

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## 1. Medical Records Officer Manual

### Registering a New Patient File
1. Log in and select the **Patients** menu from the sidebar.
2. Click **Register Patient** at the top right of the page.
3. Complete the form:
   - For NIS officers/dependants, fill in the **Immigration Service Number** (e.g. `NIS/OFF/10293`).
   - For civilians, leave the Service Number blank.
   - Input the patient's **NIN** (11 digits).
4. Save the form. The system will automatically generate a digital patient card with a unique barcode and QR code.

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## 2. Nurse triage Manual

### Recording Vital Signs
1. Select the **Vitals Entry** option from the sidebar.
2. Choose the active patient from the check-in list.
3. Record their blood pressure, temperature, pulse rate, weight, and height.
4. Submit the vitals. The patient will be queued for consultation.

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## 3. Doctor Consultation Manual

### Conducting a Patient Consultation
1. Navigate to the **Consultation** tab in the sidebar.
2. Select a patient from the active consultation queue (those whose vitals have been captured).
3. Record clinical observations using the **SOAP format**:
   - **S (Subjective)**: Symptoms reported by the patient.
   - **O (Objective)**: Examination findings.
   - **A (Assessment)**: Diagnosis and ICD-10 code (e.g., `B50.9` for Malaria).
   - **P (Plan)**: Electronic prescriptions, laboratory requests, or discharge/admission instructions.
4. Click **Submit Consultation**. The system will generate a prescription list for the pharmacy and an invoice for the cashier.

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## 4. Cashier Billing Manual

### Processing Invoice Payments
1. Select the **Billing & Cashier** menu from the sidebar.
2. Click **Checkout** next to the patient's unpaid invoice.
3. Verify the billing breakdown (consultation fees, lab test fees, and prescription costs).
4. Enter the amount to pay, select the payment method (Cash, POS, Bank Transfer, or Insurance), and input the transaction reference if applicable.
5. Click **Post Checkout** to record the payment and generate an official receipt.