Roles and permissions - PHB Docs

There are three kinds of permission on PHB:

Your role at a facility, such as nurse or cashier. It is set by the facility’s owner or admin.
Your licence, such as MDCN for doctors. Some actions need it on top of the role.
Access to a patient’s record. Even with the right role and licence, a clinician needs a basis to open a record.

The matrix

User	Role	Signs in at	Lands on	Can	Can’t
Patient	`patient`	`/login`	`/home`	See and manage their own record, consent, family, wallet, bookings, prescriptions	See anyone else’s record
Guardian	A patient with a linked dependent	`/login`	`/home` → Family	See and manage a child’s record. View-only after the child turns 18	Act for an adult who hasn’t agreed
Front desk	`receptionist`	`/hospital/login`	`/hospital`	Find, register, check in, walk-ins, coverage, They already have PHB	See clinical records, manage staff or prices
Cashier	`cashier`	`/hospital/login`	`/hospital`	Invoices, payments, registration fees	Change prices, approve large refunds, see clinical records
Finance	`finance`	`/hospital/login`	`/hospital`	Claims, reconciliation, tariffs, payout account, co-sign	Manage staff, see clinical records
Medical director	`medical_director`	`/hospital/login`	`/hospital`	Co-sign tariffs and payouts, audit log, on-call rota	Use the clinical workspace without the `clinician` role and MDCN
Owner, admin	`owner`, `admin`	`/hospital/login`	`/hospital`	Setup, staff, configuration, wards and beds, audit log	Approve a big price change alone
Nurse	`nurse` + NMCN	`/hospital/login`	`/nursing/triage`	Triage, vitals, notes, ward board, handover, tasks	Prescribe, use the doctor workspace
Doctor	`clinician` + MDCN	`/clinical/login`	`/clinical/today`	Patients, encounters, prescribing, lab orders, referrals, admissions	Open a record without a basis
Pharmacist	`pharmacist` + PCN	`/pharmacy/login`	`/pharmacy`	Dispense, record sales, register patients, stock, ADR reports	Prescribe
Lab scientist	`lab_tech` (+ MLSCN to release)	`/lab/login`	`/lab/orders`	Receive specimens, enter results, release with MLSCN	Change the test catalogue

Why can’t I see this patient?

You can find a patient, but their record stays closed until you have a basis. This is on purpose.

Your situation	Why	What to do
You’re a doctor and the record is closed	You have no basis yet.	Ask for consent, open a treatment basis while the patient is with you, or in a real emergency use the emergency override. See Getting access to a record.
You’re a doctor on a treatment basis and some items are hidden	A treatment basis shows this visit and a non-sensitive summary only.	Ask for consent to see more.
A nurse triaged the patient but you still can’t see the chart	Access belongs to the person who opened it.	Open your own basis.
You’re front desk or cashier	Clinical content is never shown at the desk.	That’s expected.
You’re on the Care Line	The Care Line never sees clinical records.	That’s expected.
A patient can’t see a lab result	Some results are held until the doctor releases them.	The patient should ask their doctor.
The patient’s access expired	Treatment and emergency access end by themselves. Patients can also revoke consent.	Ask again.