Admit Patients into Hospital

Authors: Sam Habiel. Thank you for the transcripts provided by Joanne Brougham for setting up ADT.

License: license

Last updated in May 2018.

If you have reached this point, it means that you have finished setting up the wards.

This is the last step for configuring a hospital. We will admit two patients to cardiology, and one patient to dermatology; and then show the display in CPRS. We will also show the printout of the Gains and Losses report tomorrow after the task we scheduled runs overnight.

We can register patients at the same time as admitting them; so that simplifies things somewhat. From the same ADT Manager Menu we visited before, we go to the Bed Control Menu. From there, we pick Admit a Patient. We will explain a few of the prompts later.

Select ADT Manager Menu  Option: Bed  Control Menu


          Admit a Patient
          Cancel a Scheduled Admission
          Check-in Lodger
          Delete Waiting List Entry
          Detailed Inpatient Inquiry
          Discharge a Patient
          DRG Calculation
          Extended Bed Control
          Lodger Check-out
          Provider Change
          Schedule an Admission
          Seriously Ill List Entry
          Switch Bed
          Transfer a Patient
          Treating Specialty Transfer
          Waiting List Entry/Edit

Select Bed Control Menu  Option: Admit  a Patient

Admit PATIENT: DUCK,DAFFY 
   ARE YOU ADDING 'DUCK,DAFFY' AS A NEW PATIENT (THE 2ND)? No// Y   (Yes)
   PATIENT SEX: M  MALE
   PATIENT DATE OF BIRTH: 11/11/78   (NOV 11, 1978)
   PATIENT SOCIAL SECURITY NUMBER: P   202111178P
   PATIENT PSEUDO SSN REASON: N  NO SSN ASSIGNED
   PATIENT TYPE: NON-VETERAN  (OTHER)
   PATIENT VETERAN (Y/N)?: N  NO
   PATIENT SERVICE CONNECTED?: N  NO
   PATIENT MULTIPLE BIRTH INDICATOR: N  NO

   ...searching for potential duplicates

   No potential duplicates have been identified.

   ...adding new patient...new patient added

Patient name components--
FAMILY (LAST) NAME: DUCK//<enter>
GIVEN (FIRST) NAME: DAFFY//<enter>
MIDDLE NAME:<enter>
PREFIX:<enter>
SUFFIX:<enter>
DEGREE:<enter>

NEW PATIENT!  WANT TO LOAD 10-10 DATA NOW? Yes// N   (No)

Means Test not required based on available information

Status      : PATIENT HAS NO INPATIENT OR LODGER ACTIVITY IN THE COMPUTER

Religion    :                          Marital Status :
Eligibility :  (NOT VERIFIED)

<C>ontinue, <M>ore, or <Q>uit?  CONTINUE// <enter>

Select ADMISSION DATE:  NOW//  <enter> (MAY 17,2018@14:27:36)

SURE YOU WANT TO ADD 'MAY 17,2018@14:27:36' AS A NEW ADMISSION DATE? // Y   (Yes)
DOES THE PATIENT WISH TO BE EXCLUDED FROM THE FACILITY DIRECTORY?: N   NO
ADMITTING REGULATION: ?? 
   When admitting a patient, you must choose an active ADMITTING REGULATION
   which best describes the category under which this patient is being
   admitted.


   Choose from:
   1            ACTIVE PSYCHOSIS                  17.33
   4            OBSERVATION & EXAMINATION         17.45
   5            ACTIVE SERVICE                    17.46(b)
   8            EMERGENCY FOR PUBLIC              17.46(c)(1)
   24           OTHER FEDERAL AGENCIES            17.46(b)
   25           ALLIED VETERANS                   17.46(b)
   26           INELIGIBLE/PRESUMED DISCHARGE     17.46(c)(2)
   27           VA EMPLOYEES/FAMILY               17.46(c)(3)
   28           SHARING AGREEMENT                 17.46(d)
   29           RESEARCH VOLUNTEERS (NONVET)      17.46(c)
   30           SC VET FOR ANY CONDITION          17.47(a)(1)
   31           RECEIPT/ELIGIBLE 38 USC 1151      17.47(a)(3)
   32           DISCHARGED FOR DISABILITY         17.47(a)(2)
   33           FORMER PRISONER OF WAR            17.47(a)(4)
   34           AO/IR/EC EXPOSURE                 17.47(a)(5)
   35           SAW, MB, & WW1                    17.47(a)(6)
   36           ELIGIBLE FOR STATE MEDICAID       17.48(d)(1)(i)
   37           IN RECEIPT OF VA PENSION          17.47(a)(7)
   38           CATEGORY A INCOME VETERANS        17.47(a)(7)
   41           CATEGORY C INCOME VETERANS        17.47(d)
   42           RESEARCH PATIENTS - VETERANS      17.47Z
   43           CZECH AND POLISH VETERANS         17.55
   44           NON-VA FOR SC DISABILITY          17.50b(a)(1)(i)
   45           NON-VA (DISABILITY DISCHARGED)    17.50b(a)(1)(ii)
   46           NON-VA FOR ADJUNCT CONDITION      17.50b(a)(1)(iv)
   47           NON-VA FOR VOCATIONAL REHAB       17.50b(a)(1)(v)
   48           NON-VA EMERGENCY (WHILE IN VA)    17.50b(a)(3)
   49           NON-VA FOR FEMALE VETERANS        17.50b(a)(4)
   52           NON-VA (AK,HA,VI,TERR)            17.50b(a)(6)
   53           NONVA EMERG DURING AUTH TRAVEL    17.50b(a)(8)
   54           NONVA INDEP VA OPT CLINICS        17.50b(a)(9)
   55           FEE SVC FOR OPT/NSC               17.50b(a)(2)(ii)
   56           FEE SVC FOR VETS 50% OR MORE      17.50b(a)(2)(i)
   57           FEE SVC FOR MB,WW1,A&A,HB         17.50b(a)(2)(iii)
   58           OPT DENTAL (POW >90 DAYS)         17.50(a)(7)
   59           NON-VA/UNAUTH FOR SC COND         17.80(a)(1)
   60           NONVA/UNAUTH (ADJUNCT COND)       17.80(a)(2)
   61           NONVA/UNAUTH (P&T DISABILITY)     17.80(a)(3)
   62           VOCATIONAL REHABILITATION         17.80(a)(4)
   63           STATE NH, DOM OR HOSP.            17.1666d
   67           DOMICILIARY CARE                  17.47(e)(1)
                                   to exit:<enter>
   68           COMMUNITY NURSING HOME CARE       17.51
   72           CHAMPVA                           17.54
   73           PRESUMPTION OF SC                 17.35(b)
   74           HOSP/NH IN PHILLIPINES (NONVA)    17.38
   75           NON-VA (P&T DISABILITY)           17.50b(a)(1)(iii)
   202          NON-VA FOR FEMALE VET+NEWBORN     17.38

ADMITTING REGULATION: 4   OBSERVATION & EXAMINATION  17.45
TYPE OF ADMISSION: ? 
     Enter the type of movement for this patient on the date/time entered.
     Transaction types must match and only allowable types can be chosen.
 Answer with FACILITY MOVEMENT TYPE NUMBER, or NAME, or PRINT NAME
 Do you want the entire FACILITY MOVEMENT TYPE List? Y  (Yes)
   Choose from:
   1            DIRECT     ADMISSION     ACTIVE
   2            OPT-NSC     ADMISSION     ACTIVE
   3            OPT-SC     ADMISSION     ACTIVE
   4            A/C     ADMISSION     ACTIVE
   5            TRANSFER IN     ADMISSION     ACTIVE
   6            NON-VETERAN     ADMISSION     ACTIVE
   7            WAITING LIST     ADMISSION     ACTIVE
   8            PBC     ADMISSION     ACTIVE

TYPE OF ADMISSION: 1   DIRECT     ADMISSION     ACTIVE
DIAGNOSIS [SHORT]: Hates Bugs Bunny! 
WARD LOCATION: ? 
        Enter the ward on which the patient was placed.
        Don't allow an inactive ward or one not on bed census
    Answer with WARD LOCATION NAME, or SERVICE, or NSERV, or SYNONYM
   Choose from:
   3 EAST
   3 WEST

WARD LOCATION: 3 WEST 
ROOM-BED: ? 
     Enter the ROOM-BED to which this patient is assigned.
     Only those unoccupied beds on ward selected


CHOOSE FROM

   301-A             301-B             302-A             302-B
   303-S

Select from the above listing the bed you wish to assign this patient.
Enter two question marks for a more detailed list of available beds.
ROOM-BED: 301-A 
FACILITY TREATING SPECIALTY: ? 
     Enter the TREATING SPECIALTY assigned to this patient with this movement.
     This must be an active treating specialty.
     Allows only active treating specialties.
 Answer with FACILITY TREATING SPECIALTY NAME
 Do you want the entire FACILITY TREATING SPECIALTY List? Y   (Yes)
   Choose from:
   ANESTHESIOLOGY        ANESTHESIOLOGY
   CARDIOLOGY        CARDIOLOGY     CARD
   DERMATOLOGY        DERMATOLOGY     DERM
   DOMICILIARY CHV        DOMICILIARY CHV
   ED OBSERVATION        ED OBSERVATION
   HOSPICE FOR ACUTE CARE        HOSPICE FOR ACUTE CARE
   MEDICAL OBSERVATION        MEDICAL OBSERVATION
   MEDICAL STEP DOWN        MEDICAL STEP DOWN
   NEUROLOGY OBSERVATION        NEUROLOGY OBSERVATION
   NH HOSPICE        NH HOSPICE
   NH LONG STAY DEMENTIA CARE        NH LONG STAY DEMENTIA CARE
   NH LONG STAY SPINAL CORD INJ        NH LONG STAY SPINAL CORD INJ
   NH LONG-STAY CONTINUING CARE        NH LONG-STAY CONTINUING CARE
   NH LONG-STAY MH RECOVERY        NH LONG-STAY MH RECOVERY
   NH RESPITE CARE (NHCU)        NH RESPITE CARE (NHCU)
   NH SHORT STAY DEMENTIA CARE        NH SHORT STAY DEMENTIA CARE
   NH SHORT STAY REHABILITATION        NH SHORT STAY REHABILITATION
   NH SHORT STAY RESTORATIVE        NH SHORT STAY RESTORATIVE
   NH SHORT STAY SKILLED NURSING        NH SHORT STAY SKILLED NURSING
   NH SHORT-STAY CONTINUING CARE        NH SHORT-STAY CONTINUING CARE
                                   to exit: ^ 

FACILITY TREATING SPECIALTY: CARDIOLOGY        CARDIOLOGY     CARD
PRIMARY PHYSICIAN: CPRS,USER        UC
ATTENDING PHYSICIAN: CPRS,USER        UC
DIAGNOSIS:
Hates Bugs Bunny!

  Edit? NO//<enter>
SOURCE OF ADMISSION: ?? 
   This field contains the source of admission of the veteran, or
   where he was admitted to the hospital from, i.e. community, other
   facility, etc.


   Choose from:
   1D        VA NURSING HOME CARE UNIT     HOSPITAL
   1E        VA DOMICILLARY     HOSPITAL
   1G        CONTRACT CNH (UNDER VA AUSPICES)     HOSPITAL
   1H        COMMUNITY NURSING HOME NOT UNDER VA AUSPICES     HOSPITAL
   1J        GOVNT(NON FED) MENTAL HOSP NOT UNDER VA AUSPICES     HOSPITAL
   1K        ALL OTHER NON VA HOSP NOT UNDER VA AUSPICES     HOSPITAL
   1L        STATE HOME (DOM OR NHC)     HOSPITAL
   1M        OTHER DIRECT     HOSPITAL
   1P        OUTPATIENT TREATMENT     HOSPITAL
   1R        RESEARCH - VETERAN     HOSPITAL
   1S        RESEARCH NON-VETERAN     HOSPITAL
   1T        OBSERVATION AND EXAMINATION     HOSPITAL
   2A        NON-VETERAN OTHER THAN MILITARY     HOSPITAL
   2B        MILITARY PERS NOT DIRECTLY FROM MILT HOSP     HOSPITAL
   2C        MILITARY PERS BY TRANSFER FROM A MILT HOSP     HOSPITAL
   3A        TRANSFER IN FROM ANOTHER VA HOSPITAL     HOSPITAL
   3B        TRANSFER IN FROM OTH FED HOSP UNDER VA AUSP     HOSPITAL
   3C        TRANS IN FROM ANY OTHER NON-VA HOSP UNDER VA AUSP     HOSPITAL
   3D        TRANS FROM VAMC TO MILITARY FAC. UNDER VA AUSP     MILITARY HOSPITAL
                                   to exit:<enter>
   3E        TRANS FROM VAH-VAH-CONT HOS SINCE 7/1/86 OR PRIOR     HOSPITAL
   4A        FROM VA HOSPITAL     DOMICILIARY
   4B        FROM VA HOSPITAL ON NON-BED-CARE     DOMICILIARY
   4C        FROM VA NURSING HOME CARE UNIT     DOMICILIARY
   4D        FROM ANOTHER VA DOM     DOMICILIARY
   4F        FROM COMMUNITY HOSPITAL UNDER VA AUSPICES     DOMICILIARY
   4G        FROM COMMUNITY HOSPITAL NOT UNDER VA AUSPICES     DOMICILIARY
   4H        FROM COMMUNITY NURSING HOME UNDER VA AUSPICES     DOMICILIARY
   4J        FROM COMMUNITY NURSING HOME NOT UNDER VA AUSPICES     DOMICILIARY
   4K        FROM STATE HOME DOM     DOMICILIARY
   4L        FROM STATE NURSING HOME CARE     DOMICILIARY
   4M        FROM MILITARY HOSP     DOMICILIARY
   4N        FROM OTHER FEDERAL HOSP UNDER VA AUSP     DOMICILIARY
   4P        FROM OTHER FEDERAL HOSP NOT UNDER VA AUSPICES     DOMICILIARY
   4Q        FROM OTHER GOV HOSP(NON FED) NOT UNDER VA AUSP     DOMICILIARY
   4R        OTHER GOVERNMENT HOSP(NON FED) UNDER VA AUSPICES     DOMICILIARY
   4S        REFERRED BY OUTPATIENT CLINIC     DOMICILIARY
   4T        REFERRED BY WELFARE AGENCY(LOCAL OR REGIONAL)     DOMICILIARY
   4U        REFERRED BY NATIONAL SERV ORGAN (LOCAL OR REG)     DOMICILIARY
   4W        SELF-WALKIN     DOMICILIARY
   4Y        ALL OTHER SOURCES, UNKNOWN OR NO INFO     DOMICILIARY
   5A        VA MEDICAL CENTER     NHCU
                                   to exit:<enter>
   5B        NON-VA HOSPITAL UNDER VA AUSPICES     NHCU
   5C        VA DOMICILLARY     NHCU
   5E        TRANSFER IN FROM ANOTHER VA NHCU     NHCU
   5F        TRANSFER IN FROM COMMUNITY HOME UNDER VA AUSPICES     NHCU
   5G        DIRECT ADMISSION FROM ALL OTHER SOURCES     NHCU
   6A        DIRECT ADMISSION FROM A VA HOSPITAL     CNH
   6B        TRANSFER IN FROM A VA NHCU     CNH
   6C        TRANS IN FROM ANOTHER CNH UNDER VA AUSPICES     CNH
   6D        DIRECT ADMISSION FROM ALL OTHER SOURCES     CNH
   7B        DIRECT ADM OF ACTIVE DUTY PERS FROM MILT HOSP     CNH

SOURCE OF ADMISSION: 1T        OBSERVATION AND EXAMINATION     HOSPITAL
Patient Admitted


CONDITION: SERIOUSLY ILL// <enter>  SERIOUSLY ILL

**** New Admission Message Transmitted to MIS ****

Updating PTF Record #1...

Now updating ward MPCR information...completed.

Updating automated team lists...completed.
Executing HL7 ADT Messaging
Executing HL7 ADT Messaging (RAI/MDS)

Updating claims tracking ... no action taken.

...Inpatient Medications check...
...discontinuing Inpatient Medication orders....done...
Entering a request in the HINQ suspense file...
No HINQ string created entry not entered.completed.

Updating visit status...completed.

Admit PATIENT: RUNNER,ROAD 
 ARE YOU ADDING 'RUNNER,ROAD' AS A NEW PATIENT (THE 3RD)? No// Y   (Yes)
 PATIENT SEX: F  FEMALE
 PATIENT DATE OF BIRTH: 11/11/22   (NOV 11, 1922)
 PATIENT SOCIAL SECURITY NUMBER: P   606111122P
 PATIENT PSEUDO SSN REASON: N  NO SSN ASSIGNED
 PATIENT TYPE: NON-VETERAN  (OTHER)
 PATIENT VETERAN (Y/N)?: N  NO
 PATIENT SERVICE CONNECTED?: N  NO
 PATIENT MULTIPLE BIRTH INDICATOR: N  NO

 ...searching for potential duplicates

 No potential duplicates have been identified.

 ...adding new patient...new patient added

Patient name components--
FAMILY (LAST) NAME: RUNNER//<enter>
GIVEN (FIRST) NAME: ROAD//<enter>
MIDDLE NAME:<enter>
PREFIX:<enter>
SUFFIX:<enter>
DEGREE:<enter>

NEW PATIENT!  WANT TO LOAD 10-10 DATA NOW? Yes// <enter>  (Yes)
              PATIENT DEMOGRAPHIC DATA, SCREEN <1>
RUNNER,ROAD;    606-11-1122P                                NON-VETERAN (OTHER)
===============================================================================

[1]    Name: RUNNER,ROAD                    SS: 606-11-1122P
        DOB: NOV 11,1922           PSSN Reason: No SSN Assigned
     Family: RUNNER                  Birth Sex: FEMALE  MBI: NO
      Given: ROAD                    [2] Alias: < No alias entries on file >
     Middle:
     Prefix:
     Suffix:
     Degree:
     Self-Identified Gender Identity: UNANSWERED
[3] Remarks: NO REMARKS ENTERED FOR THIS PATIENT
[4] Permanent Mailing Address:                  [5] Temporary Mailing Address:
         STREET ADDRESS UNKNOWN                 NO TEMPORARY ADDRESS
         UNK. CITY/STATE

   County: UNANSWERED                      County: NOT APPLICABLE
    Phone: UNANSWERED                       Phone: NOT APPLICABLE
   Office: UNANSWERED                     From/To: NOT APPLICABLE
 Bad Addr:
 to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: ^ 

CONSISTENCY CHECKER TURNED OFF!!
Patient is exempt from Copay.

Means Test not required based on available information

Status      : PATIENT HAS NO INPATIENT OR LODGER ACTIVITY IN THE COMPUTER

Religion    :                          Marital Status :
Eligibility :  (NOT VERIFIED)

<C>ontinue, <M>ore, or <Q>uit?  CONTINUE// <enter>

Select ADMISSION DATE:  NOW// <enter>  (MAY 17,2018@17:03:32)

SURE YOU WANT TO ADD 'MAY 17,2018@17:03:32' AS A NEW ADMISSION DATE? // Y   (Yes)
DOES THE PATIENT WISH TO BE EXCLUDED FROM THE FACILITY DIRECTORY?: N   NO
ADMITTING REGULATION: 4   OBSERVATION & EXAMINATION  17.45
TYPE OF ADMISSION: 1   DIRECT     ADMISSION     ACTIVE
DIAGNOSIS [SHORT]: TIRED  OF RUNNING
WARD LOCATION: 3 WEST 
ROOM-BED: ? 
     Enter the ROOM-BED to which this patient is assigned.
     Only those unoccupied beds on ward selected


CHOOSE FROM

   301-B             302-A             302-B             303-S

Select from the above listing the bed you wish to assign this patient.
Enter two question marks for a more detailed list of available beds.
ROOM-BED: 303-S 
FACILITY TREATING SPECIALTY: CARDIOLOGY        CARDIOLOGY     CARD
PRIMARY PHYSICIAN:  ?? 
     Enter the PROVIDER assigned to this patient with this movement.
     Select active providers only.


   Choose from:
   CPRS,USER      CPRS,USER     UC

PRIMARY PHYSICIAN: CPRS,USER        UC
ATTENDING PHYSICIAN:    CPRS,USER      UC
DIAGNOSIS:
TIRED OF RUNNING

  Edit? NO//<enter>
SOURCE OF ADMISSION: 1T        OBSERVATION AND EXAMINATION     HOSPITAL
Patient Admitted


CONDITION: SERIOUSLY ILL// @ 

**** New Admission Message Transmitted to MIS ****

Updating PTF Record #2...

Now updating ward MPCR information...completed.

Updating automated team lists...completed.
Executing HL7 ADT Messaging
Executing HL7 ADT Messaging (RAI/MDS)

Updating claims tracking ... no action taken.

...Inpatient Medications check...
...discontinuing Inpatient Medication orders....done...
Entering a request in the HINQ suspense file...
No HINQ string created entry not entered.completed.

Updating visit status...completed.

Admit PATIENT: COYOTE,WILEY 
 ARE YOU ADDING 'COYOTE,WILEY' AS A NEW PATIENT (THE 4TH)? No// Y   (Yes)
 PATIENT SEX: M  MALE
 PATIENT DATE OF BIRTH: 11/11/87   (NOV 11, 1987)
 PATIENT SOCIAL SECURITY NUMBER: P   801111187P
 PATIENT PSEUDO SSN REASON: N NO SSN ASSIGNED
 PATIENT TYPE: NON-VETERAN (OTHER)
 PATIENT VETERAN (Y/N)?: N NO
 PATIENT SERVICE CONNECTED?: N NO
 PATIENT MULTIPLE BIRTH INDICATOR: N NO

 ...searching for potential duplicates

 No potential duplicates have been identified.

 ...adding new patient...new patient added

Patient name components--
FAMILY (LAST) NAME: COYOTE//<enter>
GIVEN (FIRST) NAME: WILEY//<enter>
MIDDLE NAME:<enter>
PREFIX:<enter>
SUFFIX:<enter>
DEGREE:<enter>

NEW PATIENT!  WANT TO LOAD 10-10 DATA NOW? Yes// N   (No)

Means Test not required based on available information

Status      : PATIENT HAS NO INPATIENT OR LODGER ACTIVITY IN THE COMPUTER

Religion    :                          Marital Status :
Eligibility :  (NOT VERIFIED)

<C>ontinue, <M>ore, or <Q>uit?  CONTINUE// <enter>

Select ADMISSION DATE:  NOW// <enter>  (MAY 17,2018@17:10:14)

SURE YOU WANT TO ADD 'MAY 17,2018@17:10:14' AS A NEW ADMISSION DATE? // Y  (Yes)
DOES THE PATIENT WISH TO BE EXCLUDED FROM THE FACILITY DIRECTORY?: N  NO
ADMITTING REGULATION: 4  OBSERVATION & EXAMINATION  17.45
TYPE OF ADMISSION: 1  DIRECT     ADMISSION     ACTIVE
DIAGNOSIS [SHORT]: Burned by Road Runner 
WARD LOCATION: 3 EAST 
ROOM-BED: ? 
     Enter the ROOM-BED to which this patient is assigned.
     Only those unoccupied beds on ward selected


CHOOSE FROM

   311-A             311-B             312-A             312-B
   313-S

Select from the above listing the bed you wish to assign this patient.
Enter two question marks for a more detailed list of available beds.
ROOM-BED: 313-S 
FACILITY TREATING SPECIALTY: DERMATOLOGY        DERMATOLOGY     DERM
PRIMARY PHYSICIAN: <spacebar><enter>   CPRS,USER     UC
ATTENDING PHYSICIAN: <spacebar><enter>   CPRS,USER     UC
DIAGNOSIS:
Burned by Road Runner

  Edit? NO//<enter>
SOURCE OF ADMISSION: 1T        OBSERVATION AND EXAMINATION     HOSPITAL
Patient Admitted


CONDITION: SERIOUSLY ILL// @ 

**** New Admission Message Transmitted to MIS ****

Updating PTF Record #3...

Now updating ward MPCR information...completed.

Updating automated team lists...completed.
Executing HL7 ADT Messaging
Executing HL7 ADT Messaging (RAI/MDS)

Updating claims tracking ... entry added.

...Inpatient Medications check...
...discontinuing Inpatient Medication orders....done...
Entering a request in the HINQ suspense file...
No HINQ string created entry not entered.completed.

Updating visit status...completed.

Now, if we open CPRS, we can now see the wards:

Let's discuss some the prompts:

ADMITTING REGULATION: ?? 
   When admitting a patient, you must choose an active ADMITTING REGULATION
   which best describes the category under which this patient is being
   admitted.


   Choose from:
   1            ACTIVE PSYCHOSIS                  17.33
   4            OBSERVATION & EXAMINATION         17.45
   5            ACTIVE SERVICE                    17.46(b)
   8            EMERGENCY FOR PUBLIC              17.46(c)(1)
   ...

That brings up a large amount of items to choose from; these are found in file 43.4. This list is not customizable without some programming.

TYPE OF ADMISSION: ? 
     Enter the type of movement for this patient on the date/time entered.
     Transaction types must match and only allowable types can be chosen.
 Answer with FACILITY MOVEMENT TYPE NUMBER, or NAME, or PRINT NAME
 Do you want the entire FACILITY MOVEMENT TYPE List? Y  (Yes)
   Choose from:
   1            DIRECT     ADMISSION     ACTIVE
   2            OPT-NSC     ADMISSION     ACTIVE
   3            OPT-SC     ADMISSION     ACTIVE
   4            A/C     ADMISSION     ACTIVE
   5            TRANSFER IN     ADMISSION     ACTIVE
   6            NON-VETERAN     ADMISSION     ACTIVE
   7            WAITING LIST     ADMISSION     ACTIVE
   8            PBC     ADMISSION     ACTIVE

This list is customizable from menu option "Edit Bed Control Movement Types" in "ADT System Definition Menu". It is stored in File 405.1.

SOURCE OF ADMISSION: ?? 
   This field contains the source of admission of the veteran, or
   where he was admitted to the hospital from, i.e. community, other
   facility, etc.


   Choose from:
   1D        VA NURSING HOME CARE UNIT     HOSPITAL
   1E        VA DOMICILLARY     HOSPITAL
   1G        CONTRACT CNH (UNDER VA AUSPICES)     HOSPITAL
   1H        COMMUNITY NURSING HOME NOT UNDER VA AUSPICES     HOSPITAL

This list is not customizable either without some programming. It's stored in File 45.1.

People who adopt VistA outside of the VA either customize these lists by editing the files directly; or they make front ends that hide the complexity from the users.

Lastly, before we end this topic, let's display some reports after we admitted the patients.

If you go back one level up and go to the ADT Manager Menu, then navigate to ADT Output Reports, you will see a large amount of reports. I ran the Gains and Losses report again after a day has elapsed to show you what the new Gains and Losses report looks like:

If you go to the Inpatient/Lodger Report Menu..., you can run the Inpatient Listing and Inpatient Roster reports. The reports are similar; the Roster is more compact though.

First, the Inpatient Listing:

Inpatient Roster:

This is the end of how to configure a hospital. Go back to Projects to choose another topic.