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Inpatient ADT

Inpatient ADT (Admit / Discharge / Transfer)

Hospital-style census + bed-board for tenants that run inpatient units. Lives at /admin/adt.

Census board

Real-time view of every admitted patient, grouped by unit + bed. Per-row: patient, attending, admit date, expected discharge, primary Dx, code status. Click any patient to jump to their chart.

Admit a patient

  • From a registered patient: Admit → pick unit + bed + attending
    • admit-Dx.
  • From a new patient: register-then-admit flow.

Admit creates a FHIR Encounter with class=IMP (inpatient) and opens a continuous chart context — every order, note, and medication administration accrues to the admission until discharge.

Transfer

Move a patient between units / beds. Optionally change attending. Persists as an Encounter.location update; the discharge summary reflects every location change.

Discharge

The discharge workflow:

  1. Discharge summary (AI-drafted from the admission’s notes + orders
    • labs; provider reviews + signs).
  2. Discharge medications (Surescripts NewRx, including any new prescriptions on top of the home med list).
  3. Discharge instructions (patient-friendly summary + follow-up appointment scheduling).
  4. Bed status flips to “cleaning” → “ready”.

HL7 v2 ADT

For tenants that also have a separate ADT feed from a legacy system (e.g., HIS), inbound ADT^A01 (admit), ADT^A02 (transfer), ADT^A03 (discharge), ADT^A04 (register), ADT^A08 (update) messages are parsed and reflected in Pollen8’s census.

The MLLP inbound is configured in Integrations.

MAR

Medication Administration Record lives inside the admitted-patient chart. Nurses + techs sign meds as they administer; the MAR feeds the discharge med rec and the inpatient billing roll-up.