# Speciality clinic software for eye, heart, skin and mental health care

> Specialty packs for eye, heart, skin and mental health clinics: exam forms, diagnosis menus and service catalogues on one record, with sealed charts.

Source: https://www.medicine.et/for/speciality-clinics  
Site: Bloom Medicine — https://www.medicine.et

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A specialty pack installs the examination forms, diagnosis menus and service catalogue your department needs — on the same record as booking, billing, the pharmacy and follow-up. So the specialist’s hour goes to patients, not to paper.

## Measured in Ethiopia

- **47.24%** — mean time in therapeutic range on warfarin across two private cardiac centres in Addis Ababa (2019–20) ([J Blood Med, 2023](https://doi.org/10.2147/JBM.S397189))
- **59.9%** — of adults with psychosis in Sodo district were not in biomedical care for their current episode ([BMC Psychiatry, 2019](https://doi.org/10.1186/s12888-019-2281-6))
- **39.2%** — of 401 hypertensive patients across four South Gondar hospitals missed appointment follow-up ([Research note · Missed appointments](https://www.medicine.et/research/missed-appointments))
- **11.5%** — of adults in the Addis Ababa surveillance site reported at least one chronic non-communicable disease ([Research note · NCD caseload](https://www.medicine.et/research/ncd-caseload))

## The problems we hear from speciality clinics

- **Specialist findings on general forms** — A generic OPD sheet has no place for what a specialist actually examines, so findings end up in the margin — or nowhere a colleague can find them.
- **Long-term patients who drift away** — Specialty care is follow-up care. A patient who misses one review often misses the next, and nobody notices until they come back worse.
- **Courses of treatment in a notebook** — Sessions sold as a course, product sales at the counter and part-payments tracked by hand are where specialty revenue goes missing.
- **Confidential notes in a shared folder** — Mental-health and other sensitive notes in a general file can be read by anyone who handles it — and Ethiopian law now treats health data as sensitive personal data.
- **Results and referrals on paper** — Lab results, outside reports and referral letters arrive and leave on paper, and rarely make it into the chart.

## What changes

- **Forms built for your specialty** — Ophthalmology, cardiology, dermatology and psychiatry packs install specialty examination forms and diagnosis menus — and you can design further forms yourself.
- **Follow-up that does not depend on memory** — Reminders by Telegram, WhatsApp or SMS, and chronic-care registers that show who is overdue and who is uncontrolled.
- **Every session and sale accounted for** — Courses sold as packages that count themselves down, and a point-of-sale register with stock for spectacles, skincare or other products.
- **Charts that stay sealed** — Sensitive charts can be sealed, with break-the-glass access, flagged unusual reads and an audit trail of every view.

## Eye care, from exam lane to theatre list to the optical counter

The ophthalmology pack installs eye examination forms and diagnosis menus. Cataract and other surgical lists run through the Operating Theatre module, and spectacles and frames sell through the point-of-sale register against your own stock. Device output from autorefractors or OCT is attached to the chart as exported images or reports — there is no live device connection.

- Ophthalmology examination forms and diagnosis menus
- Surgical sessions and case booking with the WHO safety checklist
- Frames and lenses sold by barcode, with stock by variant
- Recall reminders for glaucoma and post-operative reviews

## Cardiology and long-term heart care

The cardiology pack covers the consultation; the chronic-care registers carry the follow-up — hypertension, diabetes and cardiovascular disease, with control status and the WHO cardiovascular risk assessment. Results, including INR, arrive in the chart from the lab. The system does not calculate warfarin doses; dosing stays with the clinician.

- Cardiology examination forms and diagnosis menus
- Cardiovascular, hypertension and diabetes registers with control status
- WHO cardiovascular risk assessment
- Prescriptions checked for interactions, dose and allergies
- Referral letters to and from surgical centres

## Dermatology and aesthetic clinics

The dermatology pack installs skin examination forms and diagnosis menus. Clinical photos are attached to the chart under role-based access instead of living on a personal phone. Procedure courses sell as packages, biopsies go out as lab requests with histopathology coming back, and products sell at the counter.

- Dermatology examination forms and diagnosis menus
- Clinical photos in the chart, with access by role and every view logged
- Procedure courses sold as packages with usage tracking
- Biopsy requests to outside labs, with histopathology results

## Psychiatry and mental-health clinics

Mental-health charts can be sealed: other staff must break the glass to open one, and that action is logged and flagged. The waiting-room screen calls queue numbers, never names. Follow-up can run by video, and the pharmacy keeps a controlled-drug register.

- Sealed charts with break-the-glass access and access monitoring
- Waiting-room display that shows numbers, not names
- Psychiatry diagnosis menus and examination forms, plus forms you design
- Video consultations, booked, charted and billed like any visit
- Consent records, signed and never edited

## The modules speciality clinics use

- [Specialty Charting](https://www.medicine.et/features#specialties) — Specialty packs that install the forms, diagnoses and service catalogue a department needs.
- [Consultation & Clinical Records](https://www.medicine.et/features#consultation) — Structured charting the facility shapes itself, filled in during the consultation.
- [Security & Privacy](https://www.medicine.et/features#security) — Each role sees only its own work, and every action carries a name and a timestamp.
- [Appointments & Booking](https://www.medicine.et/features#appointments) — Booking against real staff availability, including requests patients raise themselves.
- [Notifications](https://www.medicine.et/features#notifications) — Telegram, WhatsApp, SMS and push from your own templates, with proof of what arrived.
- [Chronic Care (NCD)](https://www.medicine.et/features#ncd) (add-on) — Registers for long-term conditions, with follow-up and control tracked per patient.
- [Billing & Payments](https://www.medicine.et/features#billing) — One balance per visit, however many counters and bills it passed through.
- [Video Consultations](https://www.medicine.et/features#telemedicine) (add-on) — A consultation over video is still a visit — booked, charted and billed like any other.

## Questions

### Is there an ophthalmology (or cardiology, dermatology, psychiatry) module?

Each has a specialty pack that installs examination forms, diagnosis menus and a service catalogue. You can also design further forms yourself.

### Can it connect to our autorefractor, OCT or ECG machine?

Not directly. Attach exported images and reports to the chart; ultrasound and X-ray exports open in the built-in image viewer.

### Who can read a psychiatric chart?

Only the roles you authorise. Sensitive charts can be sealed; anyone else must break the glass, which is logged and flagged.

### Does it manage warfarin dosing?

No. INR results reach the chart from the lab and recall reminders can go out, but dosing decisions stay with the clinician.

### Can we sell a course of treatments?

Yes. Packages are sold at one price, with every session used tracked against the package.

### Can we see patients by video?

Yes, with the optional Video Consultations module — booked, charted and billed like any other visit.

## Cited research

- [The chronic caseload private clinics actually see](https://www.medicine.et/research/ncd-caseload) — Self-reported non-communicable disease in Addis Ababa runs at 11.5% of adults. Among Ethiopians already diagnosed with type 2 diabetes, pooled hypertension prevalence is 55%. This is recurring, appointment-driven care — the kind paper registers handle worst.
- [Missed appointments in Ethiopia are a clinical failure, not an empty chair](https://www.medicine.et/research/missed-appointments) — 39.2% of hypertensive patients in South Gondar follow-up clinics missed their appointments. In HIV care, 93% of patients lost to follow-up disappeared within six months. The Ethiopian evidence measures the harm, not the lost revenue.
- [Proclamation 1321/2024 makes patient data a legal duty, not a filing habit](https://www.medicine.et/research/patient-data-protection-law) — Ethiopia now has a comprehensive personal data protection law. Health data is classified as sensitive personal data, breaches must be reported to the regulator within 72 hours, and the obligations apply to private clinics — not only to hospitals.
