Doctor & Clinical Officer
Doctors and Clinical Officers are the primary clinical documentation users in LAMISPlus. They record everything that happens in a consultation, what the patient reported, what the examination found, the diagnosis, the investigations ordered, and the treatment prescribed. They are also responsible for inpatient admission decisions and daily ward round documentation.
What they see when they log in
The doctor sees a consultation queue, the list of patients who have completed triage and are ready to be seen. Each patient in the queue shows their name and the triage vitals recorded by the nurse. The doctor reviews triage findings before calling the patient in.
What they can do
Clinical consultation The consultation screen is the doctor's workspace. It captures the full clinical encounter:
- History of presenting complaint
- Review of systems
- Physical examination findings
- Diagnosis (with ICD code support for standardised disease coding)
- Referrals to specialists or other facilities
- Clinical plan and follow-up instructions
Every consultation is time-stamped and permanently linked to the doctor who recorded it.
Laboratory orders From within the consultation, the doctor orders any required investigations. The order appears immediately in the lab scientist's queue, no paper request form needed. When results are ready, they appear directly on the doctor's consultation screen. The doctor can review results and continue documenting without leaving the consultation.
Prescriptions The doctor prescribes medication directly in the consultation: drug name, dose, frequency, route, and duration. The prescription appears in the pharmacist's dispensing queue automatically.
Inpatient admission When a patient needs to be admitted, the doctor initiates the admission from within the patient's record, selecting the ward, documenting the admitting diagnosis, and assigning the bed. The ward management team sees the admission immediately.
Ward rounds For admitted patients, the doctor documents daily ward rounds: current clinical status, response to treatment, changes to medication orders, new investigation requests, and planned discharge date. Nursing staff can view these notes in real time.
Appointment scheduling Doctors can schedule follow-up appointments directly from the consultation, linking them to the patient's record.
What they cannot do
Lab results are entered by the lab scientist and medication is dispensed by the pharmacist. The doctor's role is clinical documentation only. Billing and financial records are outside their access. Once a consultation is submitted, it cannot be modified by another clinician.
A typical consultation
A patient is called in from the queue. The doctor sees on screen that the nurse recorded a temperature of 38.4°C and a pulse of 102. The patient reports three days of fever and cough. The doctor examines the patient, records the findings, diagnoses a chest infection, and orders a full blood count and chest X-ray. The order appears in the lab queue immediately. The doctor prescribes amoxicillin, submits the consultation, and the prescription is in the pharmacist's queue before the patient reaches the pharmacy window.