Inpatient Ward Journey

import { Steps } from ‘@astrojs/starlight/components’;

Who / when: a Ward Consultant, Ward Nurse and Clinician caring for an admitted inpatient from admission through discharge.

EWS = Early Warning Score (a vitals-derived risk score). MAR = Medication Administration Record. DDI = Drug-Drug Interaction check. ICD-11 = the diagnosis coding standard.

1. Ward Consultant — open Ward → Admit Patient (/ward/admit). Pick the patient (by UHID), the ward and a free bed. The admission persists on the Ward Board (/ward) and the bed state becomes Occupied.
2. Ward Nurse — open Ward → Observations (/ward/obs). Record temperature, heart rate, blood pressure, SpO₂ and respiratory rate; a scored EWS pill appears.
3. Clinician — open Chart → New Order (/chart/order) and prescribe a drug. The order uses the single formulary and the DDI check fires (physician-first). A due dose is minted on the converged MAR line.
4. Ward Nurse — open Ward → Medication Administration (/ward/mar). Administer the due dose; it moves to Given, signed by the nurse.
5. Ward Physician — open Ward → Discharge (/ward/discharge). Enter ICD-11 diagnoses, a summary and disposition, then Confirm discharge. A discharge-summary PDF is rendered and encrypted-stored; the bed is freed.
6. Patient — open the Patient Portal, download the discharge summary, and view the final bill.

What happens next: on discharge, Veona Bill settles all open charges into one invoice (idempotently). The portal release of the discharge summary is a staff PHI-release action.

Note

Module detail: see Ward, Chart, Rx, Bill and Portal module pages. Prescribing with a DDI override is detailed in Prescribe, Dispense and Stock Draw-Down; billing in Billing — Charges to Claim to Remittance.