An admission starts at the consult and ends when the bed is clean again. In EloHIMS the doctor's advice to admit fills the admission desk, the bed can be held, the deposit is quoted from the ward and the patient's welfare band, and discharge is a checklist that ends in a gate pass — all on one admission record.

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Admission desk

Advised for admission

Patient

Bilal Ahmed · MRN-04817

Advised by

Dr. S. Raza · OPD consult

Ward / Bed

Medical A · Bed 12 held

Admitting Dx

Acute pancreatitis

Deposit quote

Ward's usual deposit · welfare band rule applied

Filled from the consult — only the bed left to choose

One admission record, from the doctor's advice to the gate pass.

EloHIMS follows the inpatient journey in the order your desk and wards already work: the doctor advises admission on the consult, the desk holds a bed and quotes the deposit, the nurse completes the admission assessment, transfers move the patient and the bed charges with them, and discharge runs as a checklist — doctor's order, signed summary, pharmacy returns, bill cleared, gate pass, bed released. Every bed, ward and department movement is recorded, timestamped and attributed, and feeds the admission–discharge–transfer register.

What you get

Every step of the stay, on one admission

Admission advice from the consultThe doctor presses Admit on the consult; the desk sees the patient in an "Advised for admission" strip, with department, consultant and diagnosis already filled.

Reserved bedsHold a bed from an admission advice or a surgical booking. Only the patient it is held for can be admitted into it.

Deposit quote by ward and welfare bandThe admit form prefills the deposit: the amount the advice asked for, or the ward's usual deposit, then the patient's welfare band rule — none, a share or full.

Welfare-bed quotaWelfare patients take the ward's free beds while its quota lasts. Beyond it, only a user with the override right can admit them to a paying bed.

ER visit rolls into the admissionAn ER patient admitted to a ward brings the ER fee, orders and procedures onto the admission's charges, none of them billed twice.

Nursing admission assessmentAllergies confirmed, Morse fall score, belongings and who holds them, and the first ward vitals — one assessment per admission.

Admitting doctor and diagnosisThe responsible consultant and the admitting diagnosis are on the admission from the start, carried over from the consult when there is one.

Governed transfersMove patients between beds, wards and departments as a recorded transfer, not an informal edit. A transfer cannot take a bed held for someone else.

Bed charges by the hour on a transfer dayA day with a bed move is charged to each bed by its share of the hours, each to its own ward's revenue ledger.

Deposit-low alert and interim billWhen charges use up a set share of the deposit, the hospital's notification rules fire and the billing page shows a top-up banner and an interim bill print.

Discharge as a checklistDoctor's order, signed summary, pharmacy returns, bill cleared, gate pass, bed released. The hospital chooses which steps must be done before discharge.

Pharmacy returns creditedUnused medicines are credited to the bill at the charged rate and go back into the issuing store's stock at their batch.

Gate pass after the bill clearsThe gate pass prints only once the final bill is out and nothing is outstanding.

Housekeeping on dischargeDischarge sends the bed to cleaning and opens a housekeeping task; an isolation ward gets a terminal clean.

Death and mortuary stepsA death writes the mortality-register entry, then certification, police intimation for medico-legal deaths, and body release to a named relative.

Complete movement trailEvery admission, transfer and discharge is recorded with the time and the user, and feeds the ADT register.

Stamped into the 360° recordThe admission and every movement flow into the patient's unified history, visible across the whole system.

Audit-logged on every actionAdmissions, transfers, overrides and discharges are captured in the audit trail, with who did what and when.

Before the bed

The desk starts with what the doctor already decided

On the consult, the doctor's orders row offers Admit, Book OT and Send to ER. Admit saves an admission advice — department, consultant and primary diagnosis taken from the consult — and the admission desk opens it with every field filled except the bed. There is one pending advice per consult, advice is refused for a patient who is already admitted, and admitting closes every pending advice for that patient.

The desk can hold a bed against the advice or against a surgical booking. A held bed shows on the bed board, cannot be taken by a transfer or a manual edit, and is released when the patient is admitted elsewhere, the advice is dismissed or the booking is cancelled or completed. Holds that lapse expire overnight on the hospital's own clock.

1 · Advice from the consult

Department, consultant and diagnosis prefilled; the desk chooses only the bed.

2 · Bed held

Reserved for this patient from the advice or the surgical booking — nobody else is admitted into it.

3 · Deposit quoted

The advice's deposit, or the ward's usual one, then the welfare band rule: none, a percentage share, or full. The admit dialog explains which rule applied.

4 · Welfare bed or override

A welfare patient takes a free bed while the ward's quota lasts. When it is full, a user with the override right can place them on a paying bed — the band still applies and the override is recorded. Admissions from the ER are never blocked.

5 · ER charges come with the patient

Admitting from the ER moves the visit's running bill onto the admission, keeping its ER trail. See emergency department management.

Morse Fall Scale · scored by the system

0–24 · low risk

25–44 · moderate risk

45+ · high risk — shown on the bed tile

A newly found allergy goes onto the patient's alerts

On the ward

Nursing admission assessment, required where you want it

Once the patient is in the bed, the nurse records the admission assessment: allergies confirmed, the Morse Fall Scale items (the score and band are worked out by the system), belongings with who holds each one, and the first ward vitals — typed in, or taken from the latest set recorded since admission. There is one assessment per admission, and it can be corrected while the patient is in.

Turn on the rule and the assessment becomes a required step: the chart shows an "assessment due" banner, the bed board tile shows "Assessment due" or the fall score, and discharge is refused until it is done. A death is never held up by it.

During the stay

Transfers move the patient — and the bed charge follows the hours

A step-up to a higher-acuity ward, a move to a quieter room, a transfer to another department — each is a recorded transfer, timestamped and attributed. On a day with a bed move, the nightly bed charge splits the day between the beds by hours, each line going to its own ward's revenue ledger. The admission day is charged over the hours since admission, a same-day discharge up to the discharge, and a package counts a split day as one bed-day.

After the nightly charges, a stay whose unbilled charges have used a set share of the deposit — 80% by default, adjustable by the hospital, or switched off — raises a "deposit low" event at most once a day while it stays low. It goes out through the hospital's own notification rules, and the billing page shows a "Deposit running low" banner with a top-up button and an interim bill print. Panel and insured stays, welfare free beds and settled stays are exempt.

Movement trail · bed charges

Admitted · Medical A · Bed 12 · Mon 21:40

Step-up transfer · HDU · Bed 4 · Tue 12:00

Tue bed charge · Bed 12 — 12h of 24h · Bed 4 — 12h of 24h

Deposit running low · top-up or print interim bill

Doctor's orderDischarge type, home medicines prefilled from the ward drug orders, follow-up and advice.

Summary signedDrafted, then signed and locked; the print carries medicines on discharge, follow-up and the signer.

Pharmacy returnsCredited at the charged rate and restocked to the issuing store — or marked "nothing to return".

Bill clearedThe final bill is out and nothing is outstanding.

Gate passNumbered and printed — only once the bill is cleared.

Bed releasedStamped at discharge; the bed goes to cleaning with a housekeeping task.

Discharge

Discharge as a checklist, ending in a gate pass

Discharge is six steps on one screen. The hospital ticks which of them are required on its Wards & Beds settings, and the discharge is refused — naming what is missing — until those steps are done. A death is exempt. The discharge uses the type the doctor ordered and never overwrites a written or signed summary with a blank one.

When the patient leaves, the bed goes to cleaning and a housekeeping task opens; an isolation ward gets a terminal clean. Marking the task done makes the bed available again on the bed board, which shows how long each bed has been in cleaning.

Death & mortuary

When a patient dies, three recorded steps per body

Discharging an admission as expired writes the death record and its mortality-register entry, with the timing band. The Deaths & Mortuary page then takes each body through three steps: the death certificate with its (a)/(b)/(c) and Part II cause chain, also written to the register; police intimation when the death is medico-legal; and release of the body.

A death counts as medico-legal when its ER visit was an MLC or the patient carries an MLC alert, and an unnatural manner of death on a non-MLC case is stopped. The body is released to a named person with relation and CNIC — after certification for a non-MLC death, and after police intimation for an MLC death. The registers are described on hospital registers.

Deaths & Mortuary

Mortality register · entry written at the expired discharge

1 · Certificate · cause chain (a)/(b)/(c) + Part II, printed

2 · Police intimation · MLC deaths, printed

3 · Body release · named person, relation, CNIC

The outcome

Every admission arrives with the doctor's advice, a held bed and the right deposit; every stay is charged by the hours actually spent in each bed; and every discharge ends with the bill cleared, the medicines returned and the bed back in service.

Continue the inpatient journey

Bed ManagementA live bed board with held beds, cleaning times, welfare-bed quotas and fall risk.

Inpatient Ward ChartWard orders that reach the lab, imaging and pharmacy, and the admission's bill.

Hospital BillingDeposits, interim and final bills, refunds and payer price lists on the same admission.

Emergency DepartmentER visits whose running bill rolls into the admission.

Operation Theatre ManagementSurgical bookings that hold a bed and send post-op orders to the ward.

Charity & Trust HospitalsWelfare bands, free-bed quotas and funding plans for subsidised admissions.

See EloHIMS run your admissions desk.

From the doctor's advice to the gate pass — held beds, deposit quotes, nursing assessment, hourly bed charges and a discharge checklist on one admission.

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