Inpatients (IPD)

The inpatient half of a hospital: wards and beds, admission into a free bed, daily bed and procedure charges, transfers between beds, advances, and a discharge that bills everything unbilled and writes the summary. An OPD-only clinic leaves it off and sees none of it.

Switch: Settings > Hospital > Inpatients (IPD). Permissions: Manage Admissions, Post Ward Charges, Discharge & Bill.

Where it appears

Hospital shell: Inpatients (IPD) group - Bed Board, Active Admissions, Discharge History, Insurance Claims (TPA); Admit Patient in Quick Actions; Departments & Wards master. Reports: Inpatient Census, Bed Occupancy, Admissions & Discharges, Discharge Summary Pending.

Flow

flowchart TD
    A[Admit Patient] --> B[Patient · doctor · department
ward > free bed · charge/day snapshotted · diagnosis]
    B --> AD[(Stay opened)]
    AD --> ADV[Advance: Payment In on the patient]
    AD --> CH[Daily: bed days · procedures · consumables · doctor visits]
    CH --> AC[(Charges waiting to be billed)]
    AD --> TR[Bed transfer: new bed · new charge · reason]
    TR --> BT[(Bed move recorded)]
    AD --> RX[Prescriptions · vitals · lab orders during the stay]
    AD --> CL[Insurance pre-auth if cashless]
    AC --> DI[Discharge: type · summary]
    DI --> BILL[Discharge bill: all unbilled charges · less advances]
    BILL --> S[(Sale voucher · charges marked billed)]
    S --> AD2[(Stay closed · bed freed)]

Charges accumulate unbilled on the stay and are billed once at discharge (or as interim bills).

Screens

Bed Board - wards with their beds, occupied / free, who is in each and since when; occupancy is derived from the stays, so it cannot offer a bed somebody is in.
Admission form - offers only free beds (plus the one the stay already holds when editing); the per-day charge defaults from the ward and is then frozen on the stay.
Active Admissions - running stays with unbilled charges and advances; post charges, transfer, discharge from the row.
Discharge History - closed stays and their summaries.
Departments & Wards - departments, wards (class, default charge), beds.

Setting it up

flowchart LR
    A[Settings > Hospital
Inpatients on] --> B[Set up departments, wards and beds
with a charge per day]
    B --> C[Give staff the admission permissions]
    C --> D[Admit the first patient into a free bed]
    D --> E[Post charges as the stay runs]
    E --> F[Discharge: bill everything unbilled]

Switch it on, put the master behind it in place, then do the first one — in that order, or the first one will not have anything to pick.

Reports

Inpatient Census, Bed Occupancy, Admissions & Discharges, Discharge Summary Pending, Patient Dues, Department Revenue.

Switching off with open admissions warns at save.