Admit a Patient to Discharge (end-to-end)¶
This walkthrough runs an inpatient stay from admission to a settled discharge bill — inpatient, EMR/orders, pharmacy, and billing.
Screenshot: Bed board — TODO
1. Admit¶
Open Medical → IPD → Admissions (Inpatient) and admit the patient: assign a bed (the bed flips to Occupied on the bed board), set the admitting provider and admit date. Admissions can also flow straight in from an ED disposition of Admitted (IPD).
2. Treat during the stay¶
Throughout the admission, clinicians use the EMR on the inpatient encounter — vitals, progress notes, and orders (labs, imaging, medication). Lab/imaging results return via Laboratory / Radiology; drugs are issued by Pharmacy. Surgery, if any, runs through the Operation Theatre.
Each service posts a charge to the patient's account as it happens.
3. Generate the discharge bill¶
When the patient is ready to leave, open Medical → IPD → Discharge Bills (discharge bills):
- Generate the provisional bill — it aggregates all stay charges (drugs, procedures, bed-days, services) with VAT.
- Save Adjustments — apply a Discount and record any Deposit Paid.
- Mark Pharmacy Cleared — required before finalising.
- Finalise Bill (locks it), then settle.
No discharge without pharmacy clearance
The bill can't be finalised until pharmacy is cleared — this stops a patient leaving with open medication accounts.
4. Settle & free the bed¶
Record the payment (or raise an insurance claim) and Mark Settled. Mark the admission Discharged — the bed returns to Cleaning → Available on the board.
Done
The patient is admitted, treated, billed, settled, and discharged — and the bed is back in circulation.