One record.
Every program.
The clinical record, schedule and front desk for SYNERGY Recovery Institute — built so a patient in counselling, psychiatry and social work is still one person, with one chart and one medical record number.
Every action is recorded in the audit trail.
Six areas, live now
Everything below is built and running. Areas belonging to a later phase appear in the interface too — visible, labelled and disabled — so the shape of the record is never a surprise.
Patients and records
Registration with a permanent medical record number, full demographics, contacts, duplicate detection, and a chart that opens on every tab the record will ever hold.
Registration · MRN · ChartScheduling
Day, week and month views with a full nine-status lifecycle, conflict warnings, no-show and cancellation reasons, and rescheduling that keeps the chain intact.
Calendar · Status lifecycleGuided check-in
Four verification steps in order — identity, contact, insurance, forms. Each is confirmed explicitly and recorded with who confirmed it and when. A half-finished check-in saves and resumes.
Front deskInsurance
Primary, secondary and tertiary policies with coordination of benefits, overlap prevented at the database, subscriber detail, and front and back card images stored against the policy.
Coverage · Card imagesDocuments
Upload against a patient under a category, filed outside the web root, checked by content rather than file extension, and returned on download byte-for-byte identical to what went in.
Filing · Verified retrievalAudit Center
Every significant action, searchable and filterable, with before and after values on changes. Entries cannot be edited or deleted by anyone — including a database superuser.
Immutable · Hash-chainedA new program is a decision, not a release
Most systems compile their service lines into the software, so adding one means a developer, a deployment and a wait. In SCMS a program is a record. An administrator creates it, names it, activates it — and it appears everywhere a program can be chosen, immediately.
Enrolment never creates a second record. A patient in three programs keeps one medical record number and one chart, and appears in each program's patient list.
Each enrolment holds its own status, assigned provider, referral source and discharge detail — so leaving one program does not disturb the others.
A program in use is deactivated, never removed. New enrolments stop; every historical record that references it stays exactly as it was.
Three enrolments. One medical record number.
Built as a health record from the first commit
Not business software with security added afterwards. The audit trail was the first thing built, before any patient screen existed — which is why the very first sign-in to this system is in it.
A system administrator turns a second factor on for whichever accounts need one. Where it applies there is no session, no patient data and no dashboard until the code verifies.
Accounts lock after repeated failures. Sessions end after inactivity, enforced on the server — a closed laptop is not an open record.
Thirteen roles, forty-nine named permissions, checked on every request. System administrators hold no clinical access unless a second administrator grants it explicitly.
Entries are refused for update or deletion by the database itself, for every role including a superuser, and each row is hashed against the one before it so tampering is detectable.
TLS on every connection, encrypted storage for the database and for uploaded documents, which are held outside the web root and served only after an authorization check.
No shared logins, anywhere. Every action in the record carries the name of the person who took it.
Eight phases
SCMS is delivered in stages, each one working software rather than a milestone on paper. Later phases are already visible in the interface as labelled, disabled areas.
Access and security, organization and programs, patients, insurance, documents, scheduling, check-in, audit.
Assessments, diagnoses, treatment plans, progress notes, consents and signing.
Supervision relationships, co-signing, and the gate that marks work ready to bill.
Prescribing, medication management, orders and laboratory results.
Payer rate tables, authorizations, coding validation and the claim scrubber.
Eligibility, claim submission, remittance, denials and accounts receivable.
Portal access, telehealth launch and secure messaging.
Credentialing management, quality dashboards, incidents and reporting.
Two steps, and a third if it applies
Your administrator creates your account and gives you a temporary password. Everything after that is yours alone — nobody at SYNERGY can see your password, and no second factor is set up without you.
Sign in with the temporary one and you will be asked to replace it immediately. At least twelve characters, and not one you have used here before.
Your email address and the password you just set. That is all most accounts need — there is nothing else to install.
Scan the QR code with an authenticator app, then save the ten recovery codes it gives you. Shown once and never again — keep them somewhere you can reach without your phone.
A system administrator can unlock your account and reset your authenticator enrolment. Both actions are recorded in the audit trail.