Direct Issue to BHTs from Pharmacy - hmislk/hmis GitHub Wiki

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Pharmacy > Inpatient Medication Management > Direct Issue to BHTs

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1. Enter Patient Name, BHT, PHN, or MRN

Empty patient search panel

Scanning a barcode: PHN and MRN are printed as barcodes on patient wristbands and other documents. Scan the barcode straight into the search box — if it matches exactly one admission, the bill screen opens automatically, no click needed.

Auto-selected after scanning an exact PHN/BHT/MRN match

If the same patient has more than one matching admission (or you search by partial name), all matches are listed for you to pick manually.

Multiple matches listed for manual selection

2. Search and select items needed to be issued

3. Enter the quantity of each item that should be added

4. Press the "Add" button

If an item needs to be removed use the "Remove" button. If you want to change the quantity of each item press the "Edit" button.

If the requested item is out of stock, select a substitute

Each bill line has a "Select a Substitute" button (🔄 icon) next to the item name.

Substitute button on a bill line

Pressing it opens an Alternatives dialog listing every in-stock, non-expired sibling brand of the same medicine (same generic/VMP), ordered by earliest expiry first, with rate, stock, and expiry shown for each. Press "Replace" on the alternative you want to issue instead.

Alternatives dialog with FEFO-ordered sibling brands

The bill line updates immediately — item name, rate, service charge, and net value are all recalculated for the new item.

Bill line and totals after the substitute swap

A line priced from an inpatient package shows a lock icon instead of the substitute button — package-priced items can't be substituted, since the package quota was reserved for that specific item.

5. Select "Settle" to finalize the bill

If you want to start over press "New Bill"

6. Print the bill

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Rate, Service Charge, and Discount visibility on the printed bill: these figures are gated by two separate privileges, so a user can be allowed to see one without the other.

  • Rate / Gross / Net — require the Nursing IP Billing View Rates privilege (plus the Nursing IP Billing - Show Rate and Value setting being enabled).
  • Service Charge / Discount — additionally require the IP Billing View Discount privilege. Without it, the Rate/Gross/Net columns and totals still print, but the Service Charge and Discount columns/rows are hidden rather than shown as zero.

With both privileges granted, every column and total prints correctly, matching what was actually charged:

Printed bill with Gross, Service Charge, Discount, and Net Total all shown correctly

"ISSUE BILL" native print format: if the Pharmacy Inward Direct Issue Bill is PosHeaderPaper print-format option is enabled, this page instead prints a separate 72mm "ISSUE BILL" header format. Its RATE/VALUE columns and Net Total row are controlled by the Pharmacy Bill Sent to Ward - Show Rate and Value application config (default: on, combined with the Nursing IP Billing View Rates privilege) — the same config used by the Inward BHT Issue Against Request page's print, so both ward-issue printouts stay consistent.

Default (config on): RATE, VALUE, and Net Total print:

ISSUE BILL format with RATE, VALUE, and Net Total shown

Config switched off: only ITEM and QTY print, no RATE/VALUE columns or Net Total:

ISSUE BILL format with RATE/VALUE and Net Total hidden


Direct Issue vs Issue Discharge Medicines

These two pages look similar but charge differently:

Direct Issue to BHTs (this page) Issue Discharge Medicines
Used for Medicines given during the ward stay Take-home medicines at discharge
Charge Retail rate plus the inward price-matrix service charge (margin) Retail rate only — no service charge
Privilege Direct Issue to BHT Pharmacy Discharge Medicine Issue

Both draw stock from your logged-in pharmacy and both appear in the inward/pharmacy reports and the interim bill. See Issue Discharge Medicines for the discharge workflow.

Related Features

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