1. Getting Started
1.1 Your Role as Medical Secretary
As a Medical Secretary (also known as Medical Office Assistant), you are the backbone of clinic operations. Your role includes:
- Managing the patient queue
- Checking in patients
- Recording vital signs
- Handling appointment bookings
- Processing billing and payments
- Managing patient records
1.2 Logging In
- Open your web browser and navigate to your clinic URL
- Enter your credentials (Email and Password)
- Click Sign In
1.3 Navigation
| Menu Item | Description |
| Dashboard | Queue management and daily overview |
| Appointments | View and manage all appointments |
| Doctors | View assigned doctors and their status |
| Patients | Manage patient records |
| Billing | Create and manage invoices |
2. Dashboard & Queue Management
The Dashboard is your primary workspace for managing daily clinic operations.
2.1 Queue Board Overview
The dashboard features a Kanban-style queue board with 5 columns representing the patient flow:
| Column | Description | Actions Available |
| Incoming | Pending appointment requests | Approve, Reject, Reschedule |
| Scheduled | Confirmed appointments | Check-in, Reschedule, Cancel |
| Waiting Room | Checked-in patients | Record Vitals, Start Consultation |
| In Consultation | Currently with doctor | View Status |
| For Billing | Consultation completed | Create Invoice |
2.2 Checking In Patients
When a patient arrives at the clinic:
- Find their appointment in the Scheduled column
- Click Check-in
- Patient moves to Waiting Room
- Optionally record vital signs
2.3 Recording Vital Signs
| Vital Sign | Unit | How to Measure |
| Blood Pressure | mmHg | Use BP monitor (e.g., 120/80) |
| Pulse Rate | bpm | Count beats for 1 minute |
| Temperature | °C | Use thermometer |
| Weight | kg | Use weighing scale |
2.4 Drag-and-Drop
You can drag appointment cards between columns to change status:
- Drag from Scheduled → Waiting Room = Check-in
- Drag from Waiting Room → Scheduled = Revert check-in
2.5 Updating Doctor Status
Help patients know doctor availability:
- Active (green) - Available for consultations
- On Break (yellow) - Temporarily unavailable
- Out of Office (red) - Not available today
3. Appointments Management
3.1 Creating Walk-In Appointments
For patients who arrive without prior booking:
- Click + Walk-In button
- Search for existing patient or create new
- Select the doctor
- Choose appointment reason
- Click Create Walk-In
3.2 Booking Scheduled Appointments
- Click + Book Appointment
- Search and select patient
- Choose doctor
- Select date from calendar
- Pick available time slot
- Add appointment reason
- Click Book
3.3 Rescheduling & Cancelling
To reschedule: Find appointment → Click Reschedule → Select new date/time → Confirm
To cancel: Find appointment → Click Cancel → Select reason → Confirm
4. Patient Management
4.1 Creating a New Patient
- Click + New Patient
- Fill in required information:
| Field | Description | Required |
| First Name | Patient's first name | Yes |
| Last Name | Patient's last name | Yes |
| Date of Birth | Birthday | Yes |
| Gender | Male/Female | Yes |
| Phone | Contact number | Yes |
| Email | Email address | No |
| Emergency Contact | Name and phone | Recommended |
- Add HMO information if applicable
- Click Save
Duplicate Detection: The system automatically checks for existing patients with the same name, birthdate, and gender to prevent duplicate records.
4.2 Viewing Patient History
- Click on patient name
- View consultation history: Past visits with dates, Diagnoses, Prescriptions given, Documents uploaded
4.3 Archiving Patients
For inactive patients: Find patient → Click Archive → Confirm
To restore: Go to Archived filter → Find patient → Click Unarchive
5. Doctor Management
5.1 Viewing Assigned Doctors
Navigate to Doctors to see doctors you work with:
- Doctor name and photo
- Specialty
- Current status (Active, On Break, Out of Office)
- Today's appointment count
5.2 Doctor Status Management
- Click on doctor card
- Update status: Active, On Break, or Out of Office
5.3 Checking Slot Availability
- Select doctor
- Choose date
- System shows available time slots
- Grayed slots are unavailable
6. Billing & Invoices
6.1 Creating an Invoice
After consultation is complete:
- Find patient in For Billing column or go to Billing
- Click Create Invoice
- Step 1 - Select Services: Choose consultation fee, Add procedures/tests, Add custom items
- Step 2 - Review: Verify line items, Check total, Apply discounts
- Click Create Invoice
6.2 Common Billing Items
| Item | Description |
| Initial Consultation | First-time patient visit |
| Follow-up Consultation | Return visit |
| Procedure Fee | Medical procedures |
| Laboratory | Lab test charges |
| Medical Certificate | Document fees |
6.3 Recording Payments
- Find the invoice
- Click Record Payment
- Enter: Amount, Payment Method (Cash, Card, GCash, etc.), Reference Number
- Click Confirm Payment
6.4 Payment Methods
| Method | Notes |
| Cash | Count carefully, give receipt |
| Credit/Debit Card | Record reference number |
| GCash/Maya | Screenshot confirmation |
| Bank Transfer | Record reference number |
| HMO | Verify coverage first |
6.5 Cancelling & Refunds
To cancel: Find invoice → Click Cancel → Enter reason → Confirm
To refund: Find paid invoice → Click Refund → Enter amount and reason → Process
7. Document Management
7.1 Uploading Patient Documents
- Go to patient record
- Click Documents tab
- Click + Upload
- Select document type:
| Type | Examples |
| Medical Report | Previous medical records |
| Prescription | Old prescriptions |
| Lab Result | Blood tests, urinalysis |
| Imaging | X-ray, ultrasound, MRI |
| Vaccination Card | Immunization records |
| ID | Valid identification |
| Insurance | HMO cards |
- Select file from computer
- Click Upload
8-9. Profile & Troubleshooting
8.1 Profile Settings
Click your name in sidebar to view profile. You can change email and password.
9.1 Common Issues
- Cannot Check-In Patient - Appointment not approved. Approve from Incoming column first.
- Cannot Start Consultation - Patient not checked in. Check-in patient first.
- Invoice Creation Failed - Consultation not completed. Wait for doctor to end consultation.
- Cannot Find Patient - Check archived list or search by phone number.
9.2 Best Practices
- Check-in patients promptly when they arrive
- Record vitals before consultation starts
- Verify HMO before the appointment
- Create invoices immediately after consultation
- Update doctor status when they take breaks
9.3 Getting Help
- Contact Clinic Admin - For access and permission issues
- Email Support: support@ritecaredr.com
Appendix: Status Color Codes
| Color | Appointment Status |
| Blue | Scheduled |
| Yellow | Waiting Room |
| Green | In Consultation |
| Gray | Completed |
| Red | Cancelled |
| Orange | No-Show |