Inpatient Ward Chart — Orders & MAR

A ward order is only useful if it reaches the people who act on it. In EloHIMS a doctor's ward order for a test, a scan or a drug lands on the lab, imaging or pharmacy worklist and on the admission's bill, and the nurse charts each dose on the Medication Administration Record — one auditable loop from the order to the bedside.

A ward chart where every order goes somewhere

Orders that reach the lab, imaging and pharmacy — and the bill

The ward order form uses the same test and exam pickers as the OPD consult, and a drug picker from the pharmacy's product list so every medicine carries its price. A test goes to the laboratory worklist and an exam to the radiology worklist, each with a ward column so the department knows where the patient is.

Nothing is billed at a cash counter. Each order is charged to the admission as one line at the catalogue price, a dispensed ward prescription charges the admission and takes the stock out by batch, and all of it posts on the final bill.

Close the gap between the order and the dose

Doctors enter medications, investigations and instructions directly on the chart, so orders are captured cleanly at the source instead of being handwritten, transcribed and misread. Those orders flow to the nursing team, who chart each dose on the MAR as it is administered.

Every administration carries the time it was given and a stamp of who gave it — so ordered and given are linked in one legible chart, and nothing falls through the cracks between prescriber and bedside.

Blood requests, consent and the admission assessment on the chart

Request blood opens a request already filled with the patient, the blood group from their record and the admission as the source, one component per line. It appears in the blood bank's requests with the source shown — nobody types an admission number by hand.

Consent is recorded on the admission chart as a drawn signature, an uploaded scan, or a printed letterheaded form that counts once the signed copy is received. A hospital can limit itself to one method, and a withdrawn consent stops counting.

The nursing admission assessment — allergies confirmed, the Morse Fall Scale scored by the system (0–24 low, 25–44 moderate, 45+ high), belongings and who holds them, and the first ward vitals — sits on its own tab. When the hospital requires it, the chart shows an "assessment due" banner until it is done.

What happened in theatre is on the ward chart

A patient who comes back from surgery brings the operation with them. The Operations tab shows each theatre case on the admission — op note, drains and implants — so the ward team reads what the surgeon wrote instead of phoning theatre.

When the case is completed in operation theatre management, its post-op instructions and drains are turned into nursing orders on the admission, each traceable to the case — once, however many times the case is saved.

A complete, signed discharge record every time

Discharge is where the quality of an entire admission is judged — by the patient, the referring doctor and any hospital that sees them next. It starts with the doctor's discharge order: the discharge type, the home medicines (prefilled from the ward drug orders), the follow-up date and the advice.

The summary is a structured document — diagnosis, course in hospital, operations with their implants, medicines on discharge, follow-up — drafted, then signed and locked. The print carries a Medicines on Discharge table, the follow-up and the name of the doctor who signed it. The rest of the discharge checklist runs on the admission desk.