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:
- Discharge summary (AI-drafted from the admission’s notes + orders
- labs; provider reviews + signs).
- Discharge medications (Surescripts NewRx, including any new prescriptions on top of the home med list).
- Discharge instructions (patient-friendly summary + follow-up appointment scheduling).
- 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.