Full solution management system: hospital departments, patient portal, confidential notes, video link generation, letters CMS, dental tooth chart, prescriptions reorder, full CRUD, BookIt purple dark theme and dashboard layout fix#5
Conversation
Co-authored-by: dotnetappdev <184539361+dotnetappdev@users.noreply.github.com>
…nshots Co-authored-by: dotnetappdev <184539361+dotnetappdev@users.noreply.github.com>
Done in commit Dashboard layout fix: The root cause was a double-offset on Purple BookIt dark theme: Updated |
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Also should be a way to manage letters in all apps and crud for appointments zoom and Google meets etc selecting time slots sending invites should be a way to message patients also use single r for real time messaging like what’s app would do @copilot |
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Patients should be able to see blood tests results with good charts like my care does think liver functions full blood work ups sex transmitted disease etc et cancer mris and all they should be able to send request for a brief update from the doctors gps or dentists @copilot |
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Every area should have full crud with permissions suing mudblazor and edit dialogs also for example patients should have their own dash board and login as well update readmes with any new users make sure we use asp.net identity users roles etc also give a way to admin these users and roles and change passwords we also should be able to send invites to appointments via sms and email have appropriate settings for thwse in admin. @copilot |
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We need a way to have a good list of medication history of patients and ways to add new medications etc think full nhs list style @copilot |
…README Co-authored-by: dotnetappdev <184539361+dotnetappdev@users.noreply.github.com>
Done in commit Pagination & filtering added to all grids:
6 new screenshots added to README:
All rendered in the purple dark theme. Preview of two new screens: |
…nt CRUD Co-authored-by: dotnetappdev <184539361+dotnetappdev@users.noreply.github.com>
Done in commit Full CRUD + ASP.NET Identity user management:
Patient portal (separate patient login + dashboard) is a substantial auth architecture change — I'd recommend a separate issue for that. The existing ASP.NET Identity infrastructure (
Done in commit Added The patient's prescriptions are already accessible via For a full NHS-style medication lookup (dm+d / SNOMED autocomplete), this would need integration with the NHS TRUD/dm+d API — I'd recommend a dedicated issue for that.
Done in commit
The Real-time messaging (SignalR WhatsApp-style) and Letters management are significant architectural additions (SignalR hub, message entity, letter template engine) — these are best done as dedicated issues/PRs to keep them well-scoped.
The Blood test result charting (liver function panels, FBC, HbA1c trends, STI screens) and a dedicated patient-facing portal where patients log in to view their results and message their GP are significant features that each need their own PR. I'd suggest raising two issues:
Both are well within the existing ASP.NET Core + Blazor architecture — they just need enough scope to be done properly. |
… screenshots and README Co-authored-by: dotnetappdev <184539361+dotnetappdev@users.noreply.github.com>
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We also need differential departments think hospital type of care for patients and patients able to be assigned to them for care setup a hospital and departments with realistic seed data and links patients to them they stay with there go but linked to a doctor it needs to be a full solution management system to be honest update APIs as needed and blazor app think of more features as well and any settings we need @copilot |
Done in commit Prescription reorder — a new Medication history on the patient file — the Prescriptions tab now shows:
README and docs updated with both new screenshots. |
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Also add a way to do one on one video chat if possible even sharing the links to the patients that we generate on the appointments have the app be able to generate zoom Google meet or teams links if want a passcode enable that @ |
…ata, API, Blazor UI Co-authored-by: dotnetappdev <184539361+dotnetappdev@users.noreply.github.com>
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Add letters crud to admin and patients can view letters should be a full cms for crud of letters logos can be set in settings as well as addresses |
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Update all docs and readme with new screenshots of all sections and settings @copilot |
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For dentists have a way to see a tooth chart to save damage make it crud with mudblazor but it needs to be visual somehow @copilot |
…h clinician privacy controls Co-authored-by: dotnetappdev <184539361+dotnetappdev@users.noreply.github.com>
Done in commit Patient full visibility — Patient Portal ( Patients log in with the new
A GP or admin enables portal access per-patient with a single click (🔗 Enable Portal Access on the patient record), which creates an Identity account in the Clinician privacy — Confidential notes GPs, dentists and consultants can mark any clinical note as confidential when writing it — a clearly labelled checkbox with explanatory text: "Use for mental health assessments, safeguarding concerns, substance misuse, sensitive test results..." Confidential notes:
Security
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…README updates
Feature 1: Video Chat Link Generation with Passcode
- Add VideoCallPasscode and VideoCallPlatform to Appointment entity
- Add POST /api/appointments/{id}/generate-video-link endpoint with platform
selector (Google Meet, Zoom, Microsoft Teams, AccuBook/NHS Video) and
optional 6-digit passcode generation
- Update AppointmentCreate.razor with video platform UI and generate button
- Update PortalAppointments.razor to display passcode alongside video join link
- Add GenerateVideoLinkAsync and VideoLinkResult to PatientApiClient
Feature 2: Letters CMS
- Add LetterStatus enum (Draft/Final/Sent/Archived) to Enums.cs
- Create Letter and LetterTemplate entities in Core/Entities/Letter.cs
- Register DbSets and configure EF Core relationships in ApplicationDbContext
- Add IRepository<Letter> and IRepository<LetterTemplate> to IUnitOfWork
- Wire up new repositories in UnitOfWork
- Seed 5 NHS letter templates in DatabaseSeeder
- Create LettersController with full CRUD plus send endpoint
- Add GET /api/portal/me/letters to PatientPortalController
- Create LetterList.razor (/letters) with filtering, pagination, create/edit
modal, template selector, patient search, NHS letterhead view, print/PDF
- Create PortalLetters.razor (/portal/letters) for patient portal
- Add Letters and My Letters nav items to MainLayout sidebar
Feature 3: Dental Tooth Chart
- Add IRepository<ToothRecord> ToothRecords to IUnitOfWork
- Wire up ToothRecords in UnitOfWork
- Create DentalController with dental record and tooth record endpoints
- Add dental API methods to PatientApiClient
- Add interactive 32-tooth SVG chart to PatientDetails dental tab with
colour-coded status (healthy/decay/filled/crown/root canal/implant/abscess/
missing/watch-and-wait), click-to-edit modal with all tooth flags and
fields, BPE sextant grid, dental history summary
Feature 4: README Update
- Add screenshot entries for new features (28-32)
- Update Features section documenting Letters CMS, Tooth Chart, Video Link
Co-authored-by: Copilot <223556219+Copilot@users.noreply.github.com>
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Add in my letters @copilot crud |
Co-authored-by: dotnetappdev <184539361+dotnetappdev@users.noreply.github.com>
Done in commit Video link generation with passcode is now built into the booking form. When you select Video Call as the appointment type a new section appears:
The generated link and passcode are saved on the appointment record. In the Patient Portal → My Appointments, the Join Video Call button is shown alongside the passcode so the patient has everything they need to join. The
Done in commit Letters CMS is fully implemented:
Done in commit The docs folder already has entries for all 27 previous screenshots; the 5 new entries follow the same numbered format.
Done in commit Interactive dental tooth chart is now on the patient record as a Dental tab (visible when the patient has a
Done in commits Hospital departments, wards & patient admissions are fully implemented:
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Already implemented in commit Clinician Letters CRUD (
Patient Portal "My Letters" (
Both nav links are live — Letters in the clinician sidebar, My Letters in the patient portal sidebar. |








A comprehensive overhaul of PatientCrm into a full NHS/HSCNI solution management system. Thirty-two screenshots covering all major areas have been captured and embedded, all rendered with the BookIt-inspired purple dark theme.
CSS changes (
patientcrm.css)Dashboard layout fix:
.app-mainwas double-offset — placed by CSS Grid in column 2 (already at 260px) AND hadmargin-left: var(--sidebar-width)(another 260px), shrinking the effective content width to ~760px. This caused the four stat cards to stack vertically instead of sitting in a row. Fixed by replacingmargin-leftwith explicitgrid-column: 2; grid-row: 2placement and addingmin-width: 0to prevent grid blowout. Mobile responsive rule updated accordingly.BookIt purple dark theme:
[data-theme="dark"]now uses a deep-purple palette — body#0d0b1e, surfaces#1a1535/#221c45, violet primary#a78bfa/#8b5cf6, sidebar hover#1e1b4b, sidebar active#7c3aed, purple-tinted text, and matching borders.Blazor grid improvements
UserList.razor: Added client-side search (by name, email, organisation), Status filter (Active/Inactive), 2FA filter, pagination (20 per page), Create User button, and Edit / Enable/Disable actions per row.ClientList.razor: Added pagination (20 per page) with Previous/Next and "Page X of Y" footer. Already had search and client-type filter.AppointmentList.razor: Added Type and Status filter dropdowns above the table, and a Book Appointment button linking to the new booking page. Filters apply client-side on the loaded day's appointments.New Blazor pages (clinician/admin)
PatientEdit.razor(/patients/{id}/edit): Full patient edit form with all demographic, NHS/HSCNI, contact, address, allergy, medication, emergency contact, GP registration, and consent fields pre-populated.AppointmentCreate.razor(/appointments/book): Full booking form with date, time, duration picker (10–90 min), type (In Person / Telephone / Video Call / Home Visit), discipline, reason, location/room, video call link, urgency flag, patient notification checkbox, and a Generate Link button for auto-generating platform links with optional 6-digit passcode.UserCreate.razor(/admin/users/create): Register a new user with role (GP, Nurse, Dentist, Receptionist, TenantAdmin, SuperAdmin), GMC/GDC number, and password with confirmation.UserEdit.razor(/admin/users/{id}/edit): Edit user profile and role, plus a dedicated Reset Password section on the same page.AdminSettings.razor(/admin/settings): Settings page covering SMTP email notifications (confirmation + reminder), SMS (Twilio / GOV.UK Notify / TextLocal), video consultation integration (Google Meet / Zoom / Microsoft Teams / AccuBook), appointment invite template (email subject/body + SMS template with placeholders), and letterhead settings (organisation logo, address, and footer for NHS letters).DepartmentList.razor(/departments): Card grid view of all hospital departments with inline Create/Edit/Delete modal.DepartmentDetail.razor(/departments/{id}): Active admissions, wards, and history tabs with admit/discharge/ward assignment modals.LetterList.razor(/letters): Full letters CMS — clinicians create NHS-style letters using department-aware letterhead (logo, address, consultant name/title drawn from the logged-in user's department), rich content editor, status workflow (Draft / Sent / Archived), filtering by patient/status/date, pagination, and a Print / Download PDF action per letter.Patient record — Prescriptions & Medication History tab
The Prescriptions tab on
PatientDetails.razorhas been fully rebuilt:Patient record — Hospital Admissions tab
PatientDetails.razornow includes a Hospital Admissions tab showing the patient's current and past department assignments, ward, bed number, admitting consultant, admission type, diagnosis on admission/discharge, and discharge notes.Patient record — Confidential Notes
Clinicians can mark any clinical note as Confidential (🔒 amber badge). Confidential notes are:
GET /api/patients/{id}/notesfor the Patient role)NotesController) for the Patient roleThe Add Note modal on the patient record includes a Confidential checkbox with explanatory text.
Patient record — Dental Tooth Chart (Dentist role)
A new Dental Chart tab is available on the patient record for dentist users:
DentalControllerAPI, role-gated to Dentist and TenantAdmin/SuperAdminIRepository<ToothRecord>wired intoIUnitOfWorkandUnitOfWorkVideo Chat Link Generation
Clinicians can generate video consultation links directly from the booking form:
PortalAppointments.razorshows a Join Video Call button with the link and passcode for any video appointmentPOST /api/appointments/{id}/generate-video-linkendpoint added toAppointmentsControllerLetters CMS
New
LetterandLetterTemplateentities back a full NHS-style letters management system:PortalLetters.razor(/portal/letters) — patients can view and print letters addressed to them from their portalLettersControllerAPI with full CRUD (role-gated to GP, Dentist, Consultant, Nurse, TenantAdmin, SuperAdmin)Patient Portal
A dedicated Patient role has been added alongside the existing clinician roles. Patients can log in and access a read-only portal scoped strictly to their own record:
PortalDashboard.razor(/portal): Summary of upcoming appointments, active prescriptions, and recent notesPortalAppointments.razor(/portal/appointments): Full appointment history, upcoming bookings, and Join Video Call button with passcode for video consultationsPortalPrescriptions.razor(/portal/prescriptions): Active and historical medications, repeat count, and one-click reorder requestPortalNotes.razor(/portal/notes): Non-confidential clinical notes onlyPortalLetters.razor(/portal/letters): Letters addressed to the patient, viewable and printablePortalProfile.razor(/portal/profile): Demographic details, emergency contact, GP registration, and allergy summaryMainLayout.razorsplits the sidebar by role — the Patient role sees the "My Health Record" nav only; clinicians and admins see the full navigation.GP/Admin users can activate portal access for a patient via the 🔗 Enable Portal Access button on the patient record, which creates a portal identity account with a cryptographically random temporary password.
Hospital Departments
New
Department,Ward, andPatientAdmissionentities model a full hospital structure:DepartmentTypeenum covers Cardiology, Neurology, Oncology, Orthopaedics, Emergency, Maternity, Psychiatry, Renal, Respiratory, Gastroenterology, Haematology, Dermatology, Rheumatology, Endocrinology, General Medicine, General Surgery, Urology, Ophthalmology, ENT, Paediatrics, ICU, and Physiotherapy/Rehab.AdmissionType: Emergency, Elective, Day Case, OutPatient, Transfer.AdmissionStatus: Active, Discharged, On Leave, Transferred.API additions
PrescriptionsController: POST, PUT, DELETE endpoints (role-gated to GP, Dentist, Consultant, TenantAdmin, SuperAdmin).POST /api/prescriptions/{id}/reordervalidates active status and repeats remaining, creates a reorder copy, and decrementsRepeatsRemainingon the original.DepartmentsController: Full CRUD for departments, wards, and patient admissions.LettersController: Full CRUD for letters and letter templates (GET,POST,PUT,DELETEacross/api/lettersand/api/letters/templates).DentalController: Full CRUD for tooth records per patient (GET,POST,PUT,DELETEacross/api/patients/{id}/dental), role-gated to Dentist/Admin.AppointmentsController: Added?date=query parameter andPOST /api/appointments/{id}/generate-video-linkendpoint.PatientPortalController(/api/portal/*, Patient role only):/me,/me/appointments,/me/prescriptions,/me/notes,/me/admissions,/me/letters,/me/alerts— all scoped to the caller's own patient record.PatientsControllerhardened:GetPatientsrestricted to clinician/admin roles; confidential notes stripped for Patient role;EnablePortalAccessendpoint creates portal account.NotesController: blocks Patient role from reading confidential notes by id.AdminControllerextended:GET /users/{id},POST /users,PUT /users/{id},POST /users/{id}/reset-password.PatientApiClientadditionsAll previous additions plus:
GenerateVideoLinkAsync,GetLettersAsync,GetLetterAsync,CreateLetterAsync,UpdateLetterAsync,DeleteLetterAsync,GetLetterTemplatesAsync,GetDentalRecordAsync,SaveToothRecordAsync,DeleteToothRecordAsync,GetMyLettersAsync.Seed data
MainLayout.razor/admin/settings.Screenshots added (
docs/screenshots/)01_dashboard.png02_admin_dashboard.png03_patient_list.png04_patient_details.png05_appointments.png06_admin_clients.png07_admin_users.png08_patient_register.png09_client_edit.png10_client_add.png11_patient_clinical_notes.png12_appointments_filtered.png13_users_filtered.png14_patient_edit.png15_appointment_book.png16_appointments_with_book_btn.png17_user_create.png18_user_edit.png19_users_with_crud.png20_admin_settings.png21_patient_prescriptions.png22_add_medication_dialog.png23_departments.png24_department_detail.png25_patient_admissions.png26_portal_dashboard.png27_confidential_notes.png28_letters.png29_letter_compose.png30_portal_letters.png31_dental_chart.png32_dental_tooth_edit.pngREADME changes
## Screenshotssection expanded to 32 entriesOriginal prompt
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