User Role (RBAC Code)	Core Privileges	Key Responsibilities
Clinical Practitioner (R8000)	Full access to clinical notes, medication history, and diagnostic data. Ability to modify records and update care paths.	Ensure clinical details are complete and strictly accurate. Prevent sharing physical Smartcards or passwords with other staff.
Nurse (R8001)	Full read/write access to clinical and ward monitoring metrics. Access to treatment logs and drug prescription fields.	Maintain accurate, shift-specific patient records. Actively share data across the immediate care team to support safety.
Health Professional (R8003)	Read/write privileges tailored to Allied Health workflows (e.g., physiotherapy, pharmacy).	Limit records access strictly to patients directly under their immediate care.
Health Care Student (R8004)	Read-only or highly supervised write-access to clinical applications.	Maintain absolute data confidentiality while under educational supervision.

User Role (RBAC Code)	Core Privileges	Key Responsibilities
Medical Secretary (R8006)	Edit, upload, download, or remove clinical correspondence. Manage demographic registers.	Coordinate communication pathways between departments. Maintain clean file directories by sorting pending paperwork.
Admin or Clinical Support (R8008)	Manage structural administrative documentation. Upload scanned paperwork into patient records.	Enforce least-privilege protocols across the local operational unit.
Receptionist (R8009)	View, schedule, and change patient appointments. View basic demographics and pointer files.	Validate patient identities upon check-in. Protect visible monitors from public view at front desks.
Information Officer / Systems Support (R8012 / R8015)	System-level monitoring, infrastructure adjustments, and audit trail viewing.	Ensure maximum system uptime. Report unauthorized data views (prying or gossiping) immediately.

System One Care — Operational Command Center

Unified healthcare management network: Personal Demographics Spine, 999 CAD, Manchester Triage, SystmOne Primary Care, and Acute PAS.

Registered Citizens

6

System One Spine Verified

Active 999 Incidents

Category 1 & 2 Active

A&E Waiting Standard

94.6% within 4-Hr Standard

EPS Tokens Issued

Electronic Prescribing v4

Active 999 Ambulance CAD & Pathways Dispatches Full CAD Console

Call Time	Category	Chief Complaint	Ambulance	Status
19:48	Category 1 (Immediate)	High-velocity polytrauma referral for urgent neurosurgical & trauma ICU stabilization The Narrows Marine Corridor (Inter-Island Medevac)	SKN-Medevac-01 (The Narrows Sea Bridge Transit)	Maritime Transit En Route JNF
15:30	Category 3 (Urgent)	Severe lower abdominal pain, vomiting, fever 38.9C Main Street, Sandy Point Town, St. Kitts	SKEMS-Bravo-03 (Pogson / Sandy Point Unit)	Handed Over
16:10	Category 2 (Emergency)	Acute facial droop, left arm weakness, slurred speech (FAST Positive) Main Street, Charlestown, Nevis	NIA-Medic-02 (Charlestown Ambulance Station)	Transporting
16:30	Category 1 (Immediate)	Sudden collapse, unresponsive, gasping respirations Bay Road, Basseterre, St. Kitts	SKEMS-Echo-01 (Basseterre Rapid Response)	En Route Hospital

A&E Manchester Triage (MTS) & NEWS2 Scores Full A&E Board

Patient	MTS Acuity	NEWS2	Presenting Complaint	Status
Arthur William Bell 602 918 4201	RED	Score: 0	in panin	Admitted to Ward
Eleanor Margaret Davies 485 772 3912	RED - IMMEDIATE	Score: 6	Acute neurological deficit, left hemiplegia, NIHSS 14	Triaged
Amara Zainab Khan 319 804 5521	YELLOW - URGENT	Score: 5	Severe right iliac fossa abdominal pain, guarding, febrile	Admitted to Ward
Oliver Smith-Warner 943 218 7055	ORANGE - VERY URGENT	Score: 4	Crushing central chest pain radiating to left jaw, diaphoresis	In Doctor Assessment

System One Care Acute Wards & Inpatient Bed Status (PAS / EPR) Manage Beds