Offline Clinic Software in Ghana: What Health Grid Does Offline
Health Grid has a limited offline mode. With encrypted offline storage set up while online, staff can register patients, add them to the queue, record vitals for an open visit and keep consultation drafts without internet. Completing consultations, prescriptions, referrals, dispensing, stock and billing still need a connection.
What an offline system would need
Ask any vendor to demonstrate new patient registration, saving a consultation and dispensing with the network disconnected. Then test reconnection, duplicate records and conflicting edits. A cached screen or an Online/Offline badge is not proof of offline clinical work.
Prepare a downtime process
Agree an approved paper workflow, backup power and connectivity arrangements, and a process for reconciling records after service resumes. Confirm who is responsible for training and support. Health Grid syncs offline registrations, queue entries and vitals automatically when the connection returns and holds possible duplicate patients for staff review; keep a paper process for everything else.
NHIS claims
Facility staff prepare claims from recorded visits of patients with an NHIS membership number. Lines are priced only from the official tariff list your facility imports (no tariffs are built in), a facility manager other than the preparer approves, and approved claims download as a preparation file. You submit through your approved NHIA channel and record the submission, rejection or reimbursement reference, with a full audit trail. Health Grid does not send claims to NHIA.
DHIMS2 reporting
Health Grid builds monthly OPD attendance (new/returning, sex, age bands) and diagnosis counts from your own visits, flags data-quality gaps, and needs a manager's review. Once your facility enters its official DHIMS2 organisation unit and data element codes, it exports a DHIS2 dataValueSet (JSON or CSV). Direct push with a dry run is available only after your facility's approved DHIMS2 account is configured on the server.
Working offline
On a facility-controlled device, staff can turn on encrypted offline storage after signing in online. Without a connection they can register patients, add them to the queue, record vitals for an open visit and keep consultation drafts; these sync automatically once back online, with duplicate-patient review. Dispensing, stock changes, billing and referrals still need a live connection. Keep an approved paper downtime process.
Wallet top-ups and setup fees
Institutions use a prepaid wallet with plan-specific encounter, dispense and referral fees. An administrator records credit for payments received. Online Paystack checkout is built but switched off until a payment account is connected; balances will only change after the provider confirms payment to our server. A one-time setup fee is invoiced from the facility's plan and paid separately; it never adds wallet balance, and paying it online uses the same switched-off Paystack checkout.