Health Inpatient, Nursing, And Theatre

Inpatient and theatre workflows extend the same patient, encounter, order, stock, billing, and audit primitives used by OPD and diagnostics.

ADT

ADT covers admission, transfer, leave, discharge, and bed assignment.

Record	Purpose
Admission	Creates inpatient context and links patient, encounter, facility, ward, provider, payer, and admission reason.
Bed assignment	Links patient to ward, room, and bed operational location or resource.
Patient movement	Tracks transfers between wards, beds, theatre, imaging, or temporary locations.
Discharge	Captures discharge disposition, clinical summary, follow-up, medication plan, and closure readiness.

Admission, discharge, and bed assignment numbers should be system-generated from the configured numbering templates.

Ward And Bed Board

The bed board should use operational locations and resource capacity, not hardcoded ward UI rows.

Expected board views:

• ward occupancy by unit
• bed status by room
• reserved, occupied, cleaning, blocked, and available beds
• patient movement timeline
• expected discharge and transfer alerts
• bed-night billing readiness

Nursing

Nursing workspaces should cover:

• nursing assessments
• care plans
• nursing tasks
• flowsheets
• medication administration support
• handovers
• safety events
• inpatient observations

Flowsheets should use coded concepts and value sets so they can feed chart graphs, reports, HMIS indicators, and audit.

Theatre And Procedures

Theatre covers:

• procedure orders
• theatre cases
• team assignment
• consent readiness
• safety checklists
• anaesthesia records
• intra-operative events
• operative notes
• consumables and implants
• PACU recovery
• critical events

Consumables and implants must create or enforce linked Inventory movements. Theatre and procedure charges must flow into Health visit-charge traces, then Billing invoices.

Inpatient Charging

Inpatient charges can be event-based, daily, hourly, scheduled, or manually reviewed.

Charge type	Trigger
Admission fee	Admission creation or approval.
Bed-night fee	Scheduled daily billing cycle or discharge closeout.
Hourly observation or room fee	Time-based billing cycle using admission/location timestamps.
Nursing/procedure fee	Completed service event, order fulfilment, or procedure case.
Consumables and implants	Inventory movement or theatre consumption record.
Discharge package	Discharge completion where configured.

Health creates charge traces. Billing creates invoices and credit notes. Payments collect. GL posts through Billing, Payment, POS, and Stock rules.

Related Guides

• Billing, Cashier, Claims, And GL
• Patient Chart And Visits
• Inventory Operations