1. Overview

The ENT Clinic Management module turns Dolibarr into a complete management solution for an ear, nose and throat clinic. It covers the whole patient journey, from appointment booking through consultation, ENT investigation, surgery, inpatient stay, device fitting and billing, and adds quality management, patient and referrer portals, reporting and business intelligence.

IMPORTANT - Medical responsibility. This module is a MANAGEMENT tool. Medical decisions, diagnoses and treatments remain the exclusive responsibility of qualified healthcare professionals. The module structures, stores and presents information; it never substitutes for clinical judgement.

1.1 Technical identity

 

1.2 Native Dolibarr integration

The module depends on the Third Parties and Products modules and integrates with:

·       Third Parties - suppliers of implants, devices and consumables; insurance organisations.

·       Products and Services - hearing aids, implants and medicines as native products.

·       Stocks and Warehouses - physical stock behind the clinic's own stock items.

·       Quotes, Orders and Invoices - each billed act can be linked to a native quote and invoice.

·       Payments and Banks - settlements recorded against billed acts.

·       Accounting - through the native invoice chain.

·       Agenda - appointment and surgery scheduling.

·       EDM (GED) - storage of generated PDF documents.

·       Projects and Tickets - optional linkage for transversal follow-up.

·       Users and Groups - practitioners can be linked to Dolibarr users.

·       REST API - the module publishes its own documented API.

 

2. Functional scope

The module is organised in eight functional zones. Each zone groups the business objects that belong to the same stage of the clinic's work.

 

2.1 Business object reference

Each object below has its own list, card, creation form, permissions and REST endpoint.

 

 

3. ENT Clinic Command Center dashboard

The dashboard is the landing page of the module and is refreshed on every load.

3.1 Key performance indicators

 

3.2 Charts

·       Twelve-month trend combining consultations, exams and surgeries.

·       Distribution of exams by family (audiology, vestibular, rhinology, laryngology, endoscopy, imaging).

·       Activity per practitioner, limited to ENT doctors and surgeons.

·       Distribution of diagnoses by family.

·       Today's agenda and the upcoming surgical schedule, both clickable.

 

4. Detailed features

4.1 Patient management

·       Complete record: identity, contact details, emergency contact, address, insurer, mutual, insurance number, blood group, allergies and current treatment.

·       Structured medical history with type (medical, surgical, ENT, allergy, family, long-term treatment), onset date and severity.

·       Consultation, exam, surgery and billing history reachable from the record.

·       Referring doctor linked to the patient, feeding the referrer portal.

·       Patient record printable as a PDF file with the clinic letterhead.

4.2 Appointments and consultations

·       Six appointment types and seven lifecycle statuses, including in-waiting-room and no-show.

·       SMS and e-mail reminders, confirmation tracking and waiting list.

·       Six consultation types including emergency and tele-consultation.

·       Emergency consultations carry an emergency level that feeds the dashboard.

·       Structured clinical record: reason, anamnesis, symptoms, clinical examination, conclusion, treatment plan and follow-up date.

4.3 ENT investigations

 

·       Each exam records laterality, the equipment used, duration, conclusion and a pathological flag.

·       Audiograms store one hearing threshold per frequency (250 to 8000 Hz) and per ear, with the reference range.

·       Exam status distinguishes scheduled, performed and interpreted; performed-but-not-interpreted exams are raised in the alert centre.

4.4 Diagnoses

Ten diagnosis families are supported - ear, hearing, balance, nose, sinus, throat, larynx, sleep, oncology and other - covering otitis, hearing loss, tinnitus, vertigo, Meniere's disease, rhinitis, sinusitis, polyps, septal deviation, tonsillitis, adenoids, sleep apnoea, ENT cancers, dysphonia and swallowing disorders. Custom diagnoses are supported through free-text labels and codes.

4.5 Surgery and operating theatres

·       Twelve procedure types including tympanoplasty, septoplasty, sinus surgery, tonsillectomy, adenoidectomy, laryngeal surgery, cervical surgery, cochlear implantation, salivary gland surgery, grommet insertion and turbinoplasty.

·       Surgeon, anaesthetist, team, room, anaesthesia type, laterality, planned and actual dates, duration.

·       Implant used is linked to the procedure, giving end-to-end device traceability.

·       Three-phase surgical safety checklist, each item timestamped and signed.

·       Operative report and post-operative follow-up, exportable as PDF.

·       Complication flag feeding the quality complication rate.

4.6 Hospitalisation

·       Beds organised by ward and type (standard, single, paediatric, day-care), each with a daily rate.

·       Stays link patient, bed, surgery and referring practitioner.

·       Admission reason, discharge summary and computed length of stay.

·       Bed occupancy on the dashboard is derived directly from ongoing stays.

·       Nursing care acts recorded per stay with nurse, time, completion and observation.

4.7 Implants, prostheses and stock

·       Six device families with brand, model, serial number, lot number, supplier, expiry, purchase and sale price.

·       Fitting date, fitted patient and warranty end are tracked per device.

·       Stock items in six families with alert threshold, storage location, lot-tracking and cold-chain flags.

·       Stock movements typed as inbound, outbound, inventory, supplier return and scrapping, each with lot and expiry.

·       Items below their alert threshold and lots nearing expiry are raised in the alert centre.

4.8 Medical equipment and maintenance

·       Ten equipment types covering the full ENT technical platform.

·       Purchase date and price, warranty end, maintenance contract reference.

·       Last and next maintenance, last calibration and operational status.

·       Four maintenance natures: preventive, corrective, calibration and regulatory inspection.

·       Provider, technician, duration, cost, compliance and next due date recorded per intervention.

4.9 Insurance and billing

·       Five organisation types with coverage rate, direct-billing flag and payment delay.

·       Billed acts cover consultations, exams, surgeries, hospitalisations, device sales and hearing-aid sales.

·       Insurer share and patient share are computed from the patient's insurance coverage rate.

·       Each act can be linked to a native Dolibarr quote and invoice.

·       Six billing statuses including partially paid and unpaid; unpaid amounts feed the dashboard and alerts.

·       Payments recorded by method and payer type, including partial settlements.

4.10 Quality management

·       Five audit types with scope, auditor, score and non-conformity count.

·       Six incident natures with severity, root cause, corrective action, owner, due date and closure date.

·       Patient satisfaction survey with five score dimensions and recommendation intent.

·       Quality indicators computed over a homogeneous population: the complication rate and checklist compliance are measured over performed surgeries only, and the recommendation rate over answered surveys only.

·       Charts for incident severity distribution and monthly satisfaction trend.

4.11 Portals

·       Patient portal: appointments, validated reports, prescriptions, invoices and secure messaging; the patient record can be exported as PDF.

·       Referring doctor portal: referred patients with their follow-up, reports transmitted to the referrer with per-report PDF download, and secure messaging.

·       Draft reports are never exposed on the portals; only validated, sent or archived reports are.

4.12 Alert centre

 

4.13 Reporting

Eleven reports are available, each exportable to PDF, Excel and CSV: activity, exams, surgery, practitioners, patients, referrers, finance, insurance, stock, equipment and quality. Exports preserve accented characters and contain no HTML entities.

4.14 Business intelligence

·       Revenue to date and end-of-month forecast, prorated on elapsed days.

·       Change against the monthly average, computed on complete closed months only so the figure is not distorted by the running month or by the month truncated by the analysis window.

·       Bed and theatre occupancy, average length of stay.

·       Stock value and consumed quantities.

·       Profitability per act type, as chart and table, with the average price per act.

 

5. Generated PDF documents

 

Every generated document carries the clinic letterhead, the generation date, the medical-responsibility notice and the DoliResources publisher line.

6. Demonstration dataset

The module configuration page provides a Demonstration datasets section with two actions: Populate demonstration data and Purge demonstration data.

·       The generator creates a coherent twelve-month dataset: insurers, suppliers, referring doctors, practitioners, operating rooms, beds, patients with medical history, appointments, consultations, diagnoses, exams with detailed results, prescriptions, certificates, reports, surgeries with checklists, hospitalisations with nursing care, implants, stock items and lots, equipment with maintenance, billed acts, payments, audits, incidents, satisfaction surveys and secure messages.

·       Data is realistic, not merely present: figures are drawn so that the dashboard reads like a working clinic (around 62 percent bed occupancy, 7.9/10 average satisfaction, roughly 5 percent complication rate, 96 percent checklist compliance).

·       Every generated row is tagged, and the purge removes only tagged rows plus the native third parties and products the generator created. Real data is never touched.

·       The purge cascades onto records a user may have created under a demonstration parent, so no row is left on a dead foreign key.

·       A dataset version guard re-seeds improved demonstration content on module upgrade.

7. Permissions

Eleven permission groups are defined. Read and write are granted by default so the module is usable immediately after activation; delete and administration are not.

 

8. REST API

The module exposes a documented REST API under /api/index.php/entclinic/. It requires the native Dolibarr API module to be enabled and a valid API key on the calling user. Every route enforces the same permission groups as the user interface.

 

Twenty-seven resources are exposed: patients, practitioners, referrers, appointments, consultations, diagnoses, exams, examresults, prescriptions, certificates, reports, surgeries, oprooms, beds, hospitalizations, implants, stockitems, stocklots, equipments, maintenances, insurances, billings, payments, audits, incidents, satisfactions and messages.

Sort fields are validated against the real table columns before reaching SQL, and a caller lacking the read permission on a group receives HTTP 403.

9. Internationalisation

The module ships 733 translation keys in five languages: French, English, Spanish, Italian and German. Every user-visible key is namespaced to the module, which prevents another installed module from overriding the wording, and the module re-asserts its own translations on each page so its labels always win.

Coded database columns (statuses, types, families) store language-independent codes and are always displayed through a translated vocabulary, both in lists and in creation forms, where they are offered as drop-down lists.

10. Installation

·       Copy the entclinic folder into the custom/ directory of Dolibarr, or deploy module_entclinic-1.0.zip from Home > Setup > Modules > Deploy external module.

·       Enable the module from Setup > Modules, CRM family.

·       Activation creates the 31 tables, the permissions, the menus and the demonstration dataset.

·       Assign the permission groups to users from the user card.

·       Adjust the module settings: clinic name, default consultation duration, stock alert threshold, expiry and maintenance alert windows, SMS reminders and patient portal.

 

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