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Gaps #94286

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Clinicare > Nursing Addendum – Restrict Post Discharge/Sign-off Functionality

Added by Nur Azline Binti Nasir Syam 5 months ago. Updated 2 months ago.

Status:
Tested
Priority:
High
Assignee:
Kierthini Nethi
Category:
-
Target version:
-
Start date:
27/07/2026
Due date:
% Done:

0%

Estimated time:
(Total: 0:00 h)
Spent time:
1:40 h
Dev Due date:
01/08/2026
Release date to QA:
01/09/2026
Issue released on:
QA
Function:
HUMS

Description

Description:
The current Nursing Addendum function allows users to add notes even after the patient record has been signed off or discharged. This creates risks of documentation inconsistency and non-compliance with clinical governance standards.

Issues Identified:
1.Addendum after discharge – System permits addendum entries after patient discharge.
2.Post sign-off editing – Addendum can still be added after the note is signed off.
3.Documentation integrity – Post-discharge addendum undermines the accuracy and finality of patient records.

Expected Behavior:
Once a patient record is signed off or discharged, the system must block addendum functionality.
Addendum should only be allowed while the patient is still active and the note is not signed off.
Clear error message should be displayed if users attempt to add an addendum post discharge/sign-off.

Files

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clipboard-202606251030-d7f5r.png (138 KB) clipboard-202606251030-d7f5r.png Nur Azline Binti Nasir Syam, 25/06/2026 10:30 AM
clipboard-202607291550-s6otm.png (398 KB) clipboard-202607291550-s6otm.png Anis Yusof , 29/07/2026 03:50 PM
clipboard-202607291550-lktqj.png (496 KB) clipboard-202607291550-lktqj.png Anis Yusof , 29/07/2026 03:50 PM
clipboard-202607291550-1ji6a.png (372 KB) clipboard-202607291550-1ji6a.png Anis Yusof , 29/07/2026 03:50 PM
clipboard-202607291550-3cokb.png (386 KB) clipboard-202607291550-3cokb.png Anis Yusof , 29/07/2026 03:50 PM
clipboard-202607291550-yayho.png (372 KB) clipboard-202607291550-yayho.png Anis Yusof , 29/07/2026 03:50 PM
clipboard-202608051344-g9zro.png (204 KB) clipboard-202608051344-g9zro.png Harshada Dixit, 05/08/2026 01:44 PM
clipboard-202608051345-aluvy.png (470 KB) clipboard-202608051345-aluvy.png Harshada Dixit, 05/08/2026 01:45 PM
clipboard-202608051345-jlzty.png (244 KB) clipboard-202608051345-jlzty.png Harshada Dixit, 05/08/2026 01:45 PM
clipboard-202608051347-5pugs.png (142 KB) clipboard-202608051347-5pugs.png Harshada Dixit, 05/08/2026 01:47 PM
clipboard-202608051349-sw2gr.png (264 KB) clipboard-202608051349-sw2gr.png Harshada Dixit, 05/08/2026 01:49 PM
clipboard-202609011715-ycbyj.png (177 KB) clipboard-202609011715-ycbyj.png Harshada Dixit, 01/09/2026 05:15 PM
clipboard-202609011715-0pgdj.png (163 KB) clipboard-202609011715-0pgdj.png Harshada Dixit, 01/09/2026 05:15 PM
clipboard-202609011715-gsj8l.png (159 KB) clipboard-202609011715-gsj8l.png Harshada Dixit, 01/09/2026 05:15 PM
clipboard-202609011715-lgt8s.png (234 KB) clipboard-202609011715-lgt8s.png Harshada Dixit, 01/09/2026 05:15 PM

Subtasks 2 (2 open — 0 closed)

Gaps #94324: Nursing Addendum – Flag Addendum NotesAssignedMehdi Mehdi27/07/2026

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Gaps #95017: Clinicare > Addendum Notes Entry Logic – Prevent Delete, Allow Linked AddendumTestedAmirali Mahjour 27/07/2026

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 #1

Updated by Nur Azline Binti Nasir Syam 5 months ago · Edited

  • File clipboard-202606241123-ae1b8.png added
  • Subject changed from Nursing Addendum – Restrict Post Discharge/Sign-off Functionality to Clinicare > Op Nursing > Nursing Addendum – Restrict Post Discharge/Sign-off Functionality
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 #2

Updated by Nur Azline Binti Nasir Syam 5 months ago · Edited

  • File clipboard-202606241320-wvjdu.png added
  • File clipboard-202606241324-cqdzc.png added
  • File clipboard-202606241324-kv8qs.png added
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 #3

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (clipboard-202606241123-ae1b8.png)
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 #4

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (clipboard-202606241320-wvjdu.png)
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 #5

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (clipboard-202606241324-cqdzc.png)
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 #6

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (clipboard-202606241324-kv8qs.png)
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 #7

Updated by Nur Azline Binti Nasir Syam 5 months ago · Edited

  • File Screenshot 2026-06-24 132018.png added
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 #8

Updated by Nur Azline Binti Nasir Syam 5 months ago · Edited

  • File Screenshot 2026-06-24 155835.png added
  • File Screenshot 2026-06-24 160506.png added
  • File Screenshot 2026-06-24 160620.png added
  • File Screenshot 2026-06-24 160720.png added
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 #9

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (Screenshot 2026-06-24 132018.png)
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 #10

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (Screenshot 2026-06-24 155835.png)
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 #11

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (Screenshot 2026-06-24 160620.png)
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 #12

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (Screenshot 2026-06-24 160506.png)
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 #13

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • File deleted (Screenshot 2026-06-24 160720.png)
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 #14

Updated by Nur Azline Binti Nasir Syam 5 months ago · Edited

To remove addendum from module OP,IP AND ER the 'main other' tab, base on the image shared.

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 #15

Updated by Nur Azline Binti Nasir Syam 5 months ago

  • Subtask #94324 added
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 #16

Updated by Nur Azline Binti Nasir Syam 4 months ago

Issue Identified
Current system allows addendum notes to be created even after patient records are signed off or discharged.
This undermines the finality of documentation and exposes the institution to medico-legal risks.
Post‑discharge modifications compromise compliance with clinical governance and legal standards.

Risks
Documentation integrity – Records lose credibility if altered after sign‑off.
Medico-legal liability – Post‑discharge addendum may be challenged in court or audits.
Compliance breach – Violates standards for medical record immutability.

Recommendation
Block addendum functionality once patient record is discharged or signed off.
Remove any addendum entries created post discharge/sign‑off.
Display a clear error message if users attempt to add addendum after sign‑off/discharge.
Maintain audit trail for all addendum created before discharge/sign‑off.

Expected Behavior
Addendum creation allowed only before discharge/sign‑off.
After discharge/sign‑off, system must restrict addendum creation.
All addendum notes created pre‑discharge must be flagged clearly and remain traceable.

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 #17

Updated by Kierthini Nethi 4 months ago

  • Assignee changed from Kierthini Nethi to Nur Azline Binti Nasir Syam
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 #18

Updated by Nur Azline Binti Nasir Syam 4 months ago

  • Assignee changed from Nur Azline Binti Nasir Syam to Kierthini Nethi
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 #19

Updated by Kierthini Nethi 4 months ago

  • Assignee changed from Kierthini Nethi to Mehdi Mehdi
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 #20

Updated by Kierthini Nethi 4 months ago

  • Tracker changed from Bug to Gaps
  • Severity deleted (Critical)
  • Bug/Defect On deleted (QA)
  • Function HUMS added
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 #21

Updated by Kierthini Nethi 4 months ago

  • Release date to QA set to 15/08/2026
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 #22

Updated by Mehdi Mehdi 4 months ago

  • Assignee changed from Mehdi Mehdi to Abdul Rehman
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 #23

Updated by Mehdi Mehdi 4 months ago

  • Dev Due date set to 01/08/2026
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 #24

Updated by Abdul Rehman 4 months ago

  • Status changed from New to Assigned
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 #25

Updated by Abdul Rehman 4 months ago

  • Status changed from Assigned to Coded
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 #26

Updated by Mehdi Mehdi 3 months ago

  • Status changed from Coded to QA
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 #27

Updated by Anis Yusof 3 months ago

Please find the observation below:

Verified in QA

Clinicare > Nursing Addendum – Restrict Post Discharge/Sign-off Functionality - FAIL in QA, 'Addendum' function is still available in OP after patient's SOAP Notes is signed and finalised & ER modules after patient is discharged or transferred to IP which should not be available as confirmed with @Kierthini Nethi

Currently, 'Addendum' function is only removed from IP > Discharged Patient screen





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 #28

Updated by Abdul Rehman 3 months ago

  • Status changed from Re-open to Coded

working fine on dev

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 #29

Updated by Mehdi Mehdi 3 months ago

  • Status changed from Coded to QA
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 #30

Updated by Harshada Dixit 3 months ago

Clinicare > Nursing Addendum – Restrict Post Discharge/Sign-off Functionality- PASS

Addendum function removed from all respective screen OP/IP/ER
OP- SOAP notes sign & finalize
ER- Discharged Patient
ER- patient transfer to IP > IP admission
IP post discharge

Verified in QA





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 #31

Updated by Mehdi Mehdi 3 months ago

  • Status changed from Tested to Re-open
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 #32

Updated by Mehdi Mehdi 3 months ago

Following our meeting on 14 August 2026, we have decided to revert these changes for the time being, pending a final decision from the HUMS management team.

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 #33

Updated by Mehdi Mehdi 3 months ago

  • Assignee changed from Kierthini Nethi to Amirali Mahjour

i need to add some configuration and make it available just forthe govermnetal hostpital

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 #34

Updated by Amirali Mahjour 2 months ago

  • Status changed from Re-open to Coded
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 #35

Updated by Sarfrazul Haque 2 months ago

  • Status changed from Coded to QA
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 #36

Updated by Pranat Pattanakude 2 months ago

  • Release date to QA changed from 15/08/2026 to 01/09/2026
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 #37

Updated by Harshada Dixit 2 months ago · Edited

Clinicare > Nursing Addendum – Restrict Post Discharge/Sign-off Functionality- PASS

As per @Mehdi Mehdi latest remark on this - Addendum function available on all respective screen OP/IP/ER

OP- SOAP notes sign & finalize
ER- Discharged Patient
ER- patient transfer to IP > IP admission
IP post discharge

Verified in QA




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