Hospital Management System

Welcome to the Hospital Management module of Nama ERP — the module that runs the full patient lifecycle: from the moment a patient is registered, through admission and a bed assignment, then consultations, lab tests, radiology and surgeries, all the way to the final closing invoice at discharge. It's a complete hospital system built on top of Nama's solid accounting and inventory engine.

What makes a hospital different?

A hospital isn't a shop that sells goods. What it "sells" are medical services — a consultation, a blood test, an X-ray, a night in a room, a surgery — many of which consume drugs and supplies from the warehouse at the same time. And crucially, the patient often doesn't pay alone: an insurance company shares the bill at an agreed percentage. The Hospital Management module is built around these two ideas from the ground up:

• Every service has a price and a cost — the price is charged to the patient/insurer, and the cost may be shared with the doctor or another party.
• Split billing — every invoice line is automatically divided into the patient's share and the insurance company's share, based on endurance percentages coming from the insurance approval and the admission.
• Insurance cap — an admission has a maximum value the insurer will cover across all invoices, with a live remaining counter.

The patient journey (the big picture)

Let's follow a single patient from the front door to discharge.

A patient arrives and is registered in a Patient file — which is at once a medical record and an accounting party. If they're an outpatient, a slot is booked via an Outpatient Reservation against an Outpatient Schedule. If they're to be admitted, a Patient Admission is opened — the pivotal document from which the rest of the journey branches.

From the admission, an Accommodation document is generated that assigns the patient a bed in a room and starts charging the daily accommodation and medical-supervision fees. During the stay they may be moved between rooms via an Accommodation Transfer, fed via Feeding Issues, and the doctor orders lab tests, radiology and surgeries whose results are recorded, while drugs and supplies are dispensed from the pharmacy.

Each of these services produces its own invoice (lab test invoice, radiology invoice, pharmacy invoice…) split between the patient and the insurer. At discharge, an Accommodation Exit document frees the bed and ends the stay, and then a single Closing Invoice gathers every invoice from the admission into the final statement of account.

How documents work in Nama ERP

Understanding document states

Unlike systems that require a separate "posting" step, Nama ERP acts immediately:

Draft: create and edit the document with no accounting effect.

Saved: the moment a document is saved out of draft, it creates its accounting effect immediately (revenue, costs, patient and insurer balances), and may auto-generate other documents (accommodation, invoice, stock issue).

Edits: any change to a saved document is reflected at once, with no separate confirmation step.

Licensing

Every document in this module is protected by the module license hms (NaMa Hospital Management). If the module isn't enabled in your license, its menus won't appear.

How this guide is organized

The module is large, so we've split it into pages that follow the way hospital data is built and operated.

Setup & master files

• Hospital Structure & Rooms — buildings, floors, sections, rooms, beds and clinics, and the room classifications that drive accommodation pricing.
• Medical Master Files — doctors, specialties, diseases, medical services, analyzers, feeding types, patient classes and document categories.
• Medical Service Catalog — lab, radiology, physiotherapy and surgery types and their categories, plus surgery packages.

Insurance & pricing

• Medical Insurance & Approvals — insurance companies and their classes, and the insurance approval that is the source of prices and the patient/insurer split.
• Pricing, Costing & Discounts — sales price lists, cost lists and discounts, indirect (overhead) costing, and changing a patient's price plan.

The patient journey

• Patients & Admission — the patient file, the admission form, outpatient clinics, diagnosis and health status.
• Accommodation & Feeding — bed accommodation, transfers, exit, and meal issuing.
• Clinical Orders & Results — lab and radiology requests and results, surgery requests, reservations and approvals, and the blood bank.

Billing

• Invoicing & Billing — all service invoices (lab, radiology, pharmacy, surgery…), and the closing invoice that consolidates them at discharge.