Inpatient EHR Discharge Medications - hmislk/hmis GitHub Wiki

Inpatient EHR — Discharge Medications

Page: /inward/inward_assessment_discharge_medicines.xhtml Reached from: Clinical Assessment capture page → Discharge Medicines button, or from the Clinical Discharge page. Privilege: InpatientClinicalAssessment

Discharge medications are the prescription the patient leaves the hospital with — what they should take at home for the next N days. They are recorded separately from Ward Medications because:

  • Ward meds are what the patient gets while still in the ward.
  • Discharge meds are what the patient picks up from the discharge pharmacy and takes home.

The two lists usually overlap (continue some ward meds at home) but not always (stop antibiotics on discharge, start a new step-down drug).

Pre-conditions

You can record discharge medications only when:

  • The clinical assessment (or clinical discharge record) has been saved at least once — the page needs an existing parent record to attach the medications to. The button is disabled with a tooltip until you save.
  • The user has InpatientClinicalAssessment privilege.

Add a discharge medication

Same fields as ward medications:

Field Notes
Medicine Autocomplete (pharmaceuticalItemController.completeItem).
Dose / Dose unit Numeric + unit (mg, ml, tablet, drop, …).
Route Oral / IV / IM / SC / PR / Inhaled / etc.
Frequency bd / tds / qid / prn / specific times.
Duration / Quantity Often differs from ward orders — typically the take-home supply in days.
Comments "After meals", "complete the course", etc.

Press Add to append the row.

Header buttons

Button Goes to
Back to Assessment The clinical assessment that owns the discharge meds.
Assessment List The list of all assessments for this BHT.
Inpatient Dashboard BHT dashboard.
Inward Medicines The matching Ward Medications page (so you can cross-reference).

Pharmacy fulfilment

Recording the discharge prescription on this page does not automatically issue anything from pharmacy. To actually issue the discharge supply:

  • Use the standard pharmacy retail / direct-issue page against the patient and BHT.
  • The cost flows to the inward final bill in the usual way.

See Direct Issue to BHTs from Pharmacy for the issue flow.

Printing

Discharge medications are included on the discharge summary and on the diagnosis card — see Inpatient — Discharge Summary and Diagnosis Card.

See also