HMS

Admissions, Discharges, Transfers

Version: 1.0
Effective Date: 24 / 04 / 2013

Document History
Prepared By Reviewed By Approved By
Use Case

Name Nagesh Nagesh

Designation Senior business Analyst Associate Product Manager
Signature

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Use Case

Contents
Document History........................................................................................................................................... 2
Revision History............................................................................................................................................. 2
1.1 Admission Advice............................................................................................................................. 9
1.2 Edit/Cancel/Confirm Admission Advice.......................................................................................... 12
1.3 Bed Reservation............................................................................................................................ 19
1.4 Edit/Cancel/View Reservation........................................................................................................ 24
1.5 Process Admission........................................................................................................................ 27
1.6 Edit/Cancel/View Admission.......................................................................................................... 36
1.7 Transfer Request........................................................................................................................... 40
1.8 Bed Transfers................................................................................................................................ 44
1.9 Cancel /View Bed Transfers........................................................................................................... 49
1.10 Discharge Advice........................................................................................................................... 52
1.11 Discharges..................................................................................................................................... 55
1.12 Edit / Cancel/View Discharge......................................................................................................... 61
1.13 Bed Status Management............................................................................................................... 65
1.14 Change Doctor Request................................................................................................................ 68
1.15 Edit / Cancel /ViewChange Doctor.................................................................................................70
1.16 Discharge Summary...................................................................................................................... 73
1.17 Edit / Cancel / Verify/Handover Discharge Summary/Print...........................................................79
1.18 Admission Output Generation........................................................................................................ 84
1.19 Swap patient Beds......................................................................................................................... 89
1.20 ADT Work Area.............................................................................................................................. 93

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Admission and Transfer Process

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Discharge Process

Doctor orders for

discharge

Discharge summary
Nurse raises discharge preparation, discharge check
notification list and Discharging of
patient is done through this
work list
Updates discharge
work list

Check whether
Discharge Clearance is given
Discharge Check
summary by Billing and
List is entered
preparation Pharmacy and
Nursing Station

Discharge patient

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Discharge Summary Process Flow

Consultant Data Entry Operator

Doctor Dictates Logs in

Summary Application

Selects the patent

from discharge
work list

Opens discharge
summary
Type the summary
in sections

Summary Summary saved

Reviewed by or review
Consultant

Summary Updated
Summary to be based on
corrected? corrections

Summary
Approved and
Ready for
distributon

End

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Site Map

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1.1 Admission Advice

Use Case ID: UC# FID_ARQ_0001_UC _ 001 Feature#: FID_ARQ_0001 PRD# :

Use Case Name: Admission Advice

User Story: Doctor after evaluation of the patient during the process of consultation,
suggeststhat the patient needs admission to the hospital for better care. To
initiate the process of admission, doctor raises the admission advice in the
system to provide information to the ADT and other concerned
department/stakeholders for planning and executing their respective
responsibilities.

Doctor explains to the plan of care and probable length of the stay in the
hospital and captures the same along with admission advice.

Created By: Latha Patel Last Updated By:

Date Created: Apr 25, 2013 Date Last Updated:

Actors: Primary: Physicians, Secondary: ADT staff

Description: This process allows the doctor to advice for admission of their patients,
captures the reason for admission, expected length of stay
Trigger: Admission advice screen is launched from CPOE and ADT
Preconditions:  The patient has either a valid appointment for consultationor is a
walk-in in the OP or Casualty / Emergency department
 D
emographic details of the patient as applicable to the type of
appointment / Admission are available (Patient Banner details are
populated on Page Load)
 The patient details are populated in the patient queue of the
concerned clinician
 All the masters required for Admission advice shall be available

Post conditions: Admission work list will be populated with admission advices
In case ADT staff raises request , it shall be displayed in Admission Work List
only after confirmation
Normal Flow: 1. Physician(Primary Actor): Enter Admission Advice details and clicks
Submit
2. System Response: updateAdmission Advices list.

Alternative Flows: 1. Physician (Primary Actor): writes the Admission Advice on paper
2. ADT staff (Secondary Actor): Enter admission request details in the
system, clicks Save
3. System Response:
4. a. Update Admission advice details in the Admission Advice list.
5. b. Update Admission advice details in Admissions Work List

Exceptions: NA
Includes: NA

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Use Case

Priority: Medium
Frequency of Use: Frequently used
Business Rules: 1. Admission requests can be made after the Registration only.
2. Once request is made, admission work list will be updated.
3. Admission advicecannot be cancelled after the admission
4. Patient category and provisional diagnosis is displayed if captured in
previous transactions .else/ needs to be captured here. If captured
previously further editing can be done here .
5. Patient category and provisional diagnosis captured for the current
encounter /episode are displayed
6. Sub service is populated based on the hospital service
7. Admission Advice for the same period shall not be allowed.

Special Requirements: New Mode : Editable or Non Editable Fields

Admitting Doctor –Combo - Selection from masters

Specialty –Combo Displayed based on doctor
Admission Type – Combo - Selection from masters
Patient Category – Combo - Selection from masters
Hospital Services –Combo - Selection from masters
Sub Service –Combo - populated based on Hospital service (If service is
selected then sub service is mandatory )
Provisional Diagnosis –Search Screen - Selection from masters
Expected Date and Time of Admission –Date and Time picker – By default
current date / time . It should not be lesser than current date
Expected length of stay – Entry
Bed Reservation Required – Check box Selection
Remarks –Text Area - Entry

Assumptions: NA
Notes and Issues:
(NFR #List) Non-functional NA
Requirements
Screen Name with Pattern Admission Advice – UIP 13 and Patient Search UIP04
Mapping
Messages (Error / Status Status Messages – On Save - Record inserted /updated successfully
Messages )
Error Messages –on Save - Record Not inserted /updated

“ Expected Date /Time of admission shall not be lesser than current date “

Break crumb Details Home - ADT – Admission Advice

Collapsible Panels NA

Configurable Fields NA
(Display / Not to Display)

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1.2 Edit/Cancel/Confirm Admission Advice

Use Case ID: UC# FID_ARQ_0001_UC _ 002 Feature#: FID_ARQ_0001 PRD# :

Use Case Name: Edit / Cancel/Confirm

User Story: Doctor wants to confirm the admission request raised by ADT staff

Created By: Nagesh Last Updated By:

Date Created: Apr 25, 2013 Date Last Updated:

Actors: Primary: Doctor; Secondary: ADT Staff

Description: This process is used edit / cancel /confirm the admission advice
Trigger: Admission Advice List is launched from top panel
Preconditions: Admission advice should have been done
Post conditions: Admission advice shall be updated and displayed in the Admission work list
And also in the Admission Advice List
Normal Flow: ADT Staff (Secondary Actor): Selects the patient and raises the admission
advice on doctor’s behalf
This advice has to be authorized by the doctor
Alternative Flows:
Exceptions: NA
Includes: NA
Priority: High
Frequency of Use: Frequently used
Business Rules:  List shall display only the current day advices on page load

 Selection of the row and click on the Edit button shall allow to edit the
advice details. Refer the screen Admission Advice – Edit
 Selection of the row in the list and click on the view shall display the
captured details. Refer the screen Admission Advice – View
 Selection of the row in the list and click on the Cancel shall display
the screen in cancel mode to capture the Reason for Cancellation,
(Cancellation indicated by different colour code-complete row).
 If the details are updated, the pop up message “Advice Details of
<<Patient Name>> updated successfully”.
 If advice is raised by ADT staff , it has to be confirmed by the doctor
 If the advice raised by doctor , then advice need not be confirmed
 The system shall not allow cancellation of advice once admission is
done against that advice.
 User shall not be allowed to edit details through the Advice List once
the patient is admitted.
 Realization of Advice is indicated through the change in status / colour
in the list.
 Notification shall be sent to the doctor if any changes/cancellation of
advice done by the ADT staff
 After confirmation user can edit/cancel admission advice
 After admission the status of the record in the admission list shall be
updated to “Admitted”
 The status are Pending/Cancelled/Confirmation / Admitted

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Special Requirements: Edit Mode – Patient Banner Details shall not be editable

Other fields can be edited

Cancel Mode:
All the fields are Non Editable
User needs to capture Reason For Cancellation

View Mode – All fields re non editable . If user selects Cancelled record ,
cancellation reason shall be shown

Confirm – All the fields are Non Editable

Assumptions: NA
Notes and Issues:
(NFR #List) Non-functional NA
Requirements
Screen Name with Pattern Admission Advice List – UIP08and Patient Search UIP04
Mapping
Admission Advice in Edit Mode – UIP13

Admission Advice in Cancel Mode – UIP13

Admission Advice in View Mode – UIP13

Admission Advice in Confirm Mode – UIP13

Messages (Error / Status Status Messages – On Save - Record inserted /updated successfully
Messages )
Error Messages –on Save - Record Not inserted /updated

“ Expected Date /Time of admission shall not be lesser than current date “

Break crumb Details Home - ADT – Admission Advice List

Home – CPOE – Admission Advice List

Collapsible Panels NA

Configurable Fields NA
(Display / Not to Display)

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Fig : Admission Advice List

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Figure : Admission Advice – Edit

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Figure : Admission Advice – Cancel Mode

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Figure : Admission Advice – View

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Fig : Admission Advice – Admission

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