Veona Dialysis

What this is

Veona Dialysis (the renal module) runs the renal-replacement episode end to end: it enrols a kidney patient onto the programme, holds the nephrologist’s prescription, keeps the vascular-access register, schedules chairs (the dialysis stations) per shift, and records each session with its pre / intra / post observations and adequacy results. When a session is signed it bills automatically and draws its consumables from stock — so the renal unit’s clinical record and the facility’s books stay in step without re-keying.

Dialysis is renal-replacement therapy: a machine does the kidneys’ job of cleaning the blood. Veona supports three modalities — HD (haemodialysis), HDF (haemodiafiltration) and PD (peritoneal dialysis).

Key terms used on this page:

Enrolment — a patient’s place on the renal programme, either Chronic (ESRD) (long-running end-stage renal disease) or Acute. One active enrolment per patient.
Nephrologist — the kidney physician who enrols the patient and writes the prescription (the order side).
Prescription — the nephrologist’s order for how dialysis is run: the dialyser (the artificial-kidney filter cartridge the blood passes through), target ultrafiltration (UF — the fluid volume to remove), blood and dialysate flow rates, anticoagulation, sessions per week and session duration. A patient has at most one active prescription at a time.
Vascular access — the surgically prepared point where blood leaves and re-enters the body: an arteriovenous fistula (AVF), graft (AVG), tunnelled or non-tunnelled catheter, or a PD catheter.
Chair (station) — a dialysis chair/bay and its machine. The unit’s physical capacity; a session is run on one.
Session — one treatment run. It carries the pre/intra/post weights and vitals, the achieved UF, the consumables used, and the adequacy results (Kt/V and URR — the two standard measures of how well the blood was cleaned).

Who uses it

The renal roles below are the canonical dialysis roles. The boundary is the same order-vs-fulfil split Veona uses everywhere — the physician orders, the unit fulfils:

Nephrologist — enrols the patient, writes and revises the prescription (the order side), and reviews the access register, schedule and sessions. Can also record and sign a session when running one. Can do everything in the renal record.
Dialysis Nurse — fulfils the prescription: maintains the vascular-access register, schedules the chair/machine, and runs and eSigns sessions. Does not author the prescription or enrol patients.
Referring clinician / nurse — any clinician or nurse who referred a patient gets read-only access to the renal record so they can follow the patient they sent over. They do not run the episode.

An Administrator can do everything in the module.

Editions

Veona Dialysis is a paid clinical add-on (≈ ₦120,000 / month). It is bundled into the Hospital, Network and Veona Enterprise editions. It is not an always-on base module and is not auto-entailed by any clinical module, so if a facility’s edition does not include it, the module simply does not appear and its screens are unavailable.

Screens

The Veona Dialysis work surfaces. In the left navigation the module sits under Clinical → Dialysis:

Dialysis → Dialysis Patients — the renal programme register. Each row shows the enrolment, its source (Chart or Direct), the patient, care type, modality, nephrologist and status. Clicking a row opens the Renal Record (prescriptions, vascular access, sessions and the adequacy trend) — there is no separate “detail” menu entry.
Dialysis → Chair Schedule — the chair schedule board: scheduled and running sessions on top, recently completed/cancelled below. Clicking a session opens the session record.
Dialysis → Chairs & Machines — the dialysis stations and their machines, with a live status (Available · Occupied · Maintenance · Closed).

The renal programme register

Dialysis Patients is the module’s landing screen — the renal programme register. Each row shows the enrolment, its source (Chart or Direct), the patient, care type, modality, nephrologist, and status.

Select a row to open the Renal Record — prescriptions, vascular access, sessions, and the adequacy trend — in a panel.
To add a patient (nephrologist role), select Enrol Patient and choose the patient, care type (Chronic/ESRD or Acute), modality (haemodialysis, haemodiafiltration, or peritoneal dialysis), the nephrologist, an optional renal diagnosis, and a dry weight, then Enrol.

The chair schedule

Chair Schedule is the treatment board: scheduled and running sessions at the top, recently completed and cancelled below. Each row shows the session, patient, scheduled time, chair, status, and whether it is signed.

To book a session (dialysis-nurse role), select Schedule Session and choose an enrolled patient, a time, and optionally a chair.
Select a session to open its record. While it runs you record the pre/post weights, achieved ultrafiltration, blood flow, the adequacy results (Kt/V and URR), and any intradialytic events, and move it Start Session → Mark Complete.
To close it, enter your eSign PIN and select Sign & Bill — this locks the record and raises the session charge plus any consumables.

How a session bills and draws stock

A dialysis session is the billable + stock-consuming event, and it only settles once it is signed (“unsigned = unbilled”):

While a session is recorded, every consumable that carries a stock item draws the one inventory ledger down immediately (FEFO lot pick, in the same transaction) — Dr COGS / Cr Stock-in-Hand at weighted-average cost.
When the running clinician eSigns the session (6-digit PIN), the session is locked and the charges emit: the Dialysis Session facility fee plus one charge per logged consumable, raised through the central billing path (priced from the tenant tariff) → the patient’s AR → the General Ledger, on the session’s renal Encounter cost-centre.
Charge emission is idempotent and best-effort: a billing or stock hiccup is logged and never unwinds the signed clinical record.

How it feeds Veona Pulse

The renal unit reports into Veona Pulse through four real metric sources:

Dialysis Sessions Delivered — count of completed sessions (scalar + trend).
Dialysis Adequacy — the percentage of sessions meeting the Kt/V ≥ 1.2 target (KDOQI).
Dialysis Missed Or Shortened — the rate of missed or materially shortened sessions.
Dialysis Revenue — the captured Dialysis Session revenue, in tenant base-currency.

Integration

Chart → Dialysis — a clinician’s chart referral whose specialty is renal (Renal / Nephrology / Dialysis / Renal Medicine, matched case-insensitively) auto-mints a dialysis enrolment marked source = Chart, so the patient lands on the renal worklist with no re-keying. See Receive a Renal Referral From the Chart.
eSign — a session is locked by the one central signing layer; a signed session is never silently overwritten.
Bill / Finance — signed sessions raise charges into AR and the General Ledger; consumables post COGS against stock. See Bill a Dialysis Session and Feed Pulse.
Stock — consumables and dialysers draw the shared inventory ledger down at WAC.
Pulse — the four metric sources above surface in the Pulse catalogue for dashboards and scheduled reports.

Dialysis settings

Settings holds the module’s session defaults and scheduling policy — the default session duration and whether an active prescription is required before a session can be scheduled. Each change saves as you make it.