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Inpatient Admission → Discharge ​

User Story ​

As a physician, I want to admit, manage, and discharge inpatients so that bed occupancy, daily charges, and medications are tracked.

Entry Point ​

Patient Encounter > Admission Order → Treatment Counselling

Steps ​

  1. Treatment counselling (pre-admission)

    • User action: Create from IP order in encounter
    • API: inpatient_record.create_treatment_counselling(ip_order)
    • Data changed: Treatment Counselling record

  2. Schedule admission

    • API: inpatient_record.schedule_inpatient(admission_order)
    • Data changed: Inpatient Record created (status: Admission Scheduled)

  3. Admit patient

    • User action: Assign bed/ward and check-in
    • API: inpatient_record.admit(service_unit, check_in, expected_discharge, currency, price_list) (instance)
    • Data changed: Inpatient Record status → Admitted, Inpatient Occupancy created

  4. Daily billing (automatic)

    • Scheduler: add_occupied_service_unit_in_ip_to_billables runs daily
    • Data changed: Service unit rent added to Inpatient Record billable items

  5. Medication orders

  6. Transfer (if bed change needed)

    • API: inpatient_record.transfer(new_service_unit, check_in, leave_from) (instance)
    • Data changed: New Inpatient Occupancy entry, previous one closed

  7. Discharge

    • API: inpatient_record.discharge() (instance)
    • Data changed: Inpatient Record status → Discharged

  8. Discharge summary

    • API: inpatient_record.make_discharge_summary(source_name)
    • Data changed: Discharge Summary document created

  9. Create insurance coverage (if insured)

    • API: inpatient_record.create_insurance_coverage() (instance)
    • Data changed: Patient Insurance Coverage record

Error States ​

  • No available beds → service unit occupancy check fails
  • Cancel admission → set_ip_order_cancelled(inpatient_record, reason)

Permissions ​

  • Healthcare Administrator: Full IP access
  • Physician: Admit, discharge, transfer
  • Nursing User: View occupancy, medication tasks
  • Backend: healthcare/healthcare/doctype/inpatient_record/inpatient_record.py (13 methods)
  • Treatment: healthcare/healthcare/doctype/treatment_counselling/treatment_counselling.py
  • Discharge: healthcare/healthcare/doctype/discharge_summary/discharge_summary.py