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Preregistration/Admission Planning: General Information ( RELNISHMED_463_VKG_050 )
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Preregistration/Admission Planning: General Information
Use
Preregistration
Preregistration is a way of planning inpatient admissions without cases.
- When you preregister a patient, you enter provisional patient master data for the patient. You must at least enter the patient's name - all other details are optional. You need this option of entering a minimum of data on a patient because when you preregister him or her, the patient data that you will have at your disposal will probably not be detailed or accurate enough to meet the strict standards of a patient data management system.
- You can search for a patient already stored in the system - but you do not have to.
- You can also enter the following data in a preregistration:
- Diagnosis
- Anamnesis
- Referring physician
- Family physician
- Comments, and so on
- You can book the admission appointment and the admitting care unit either when you create the preregistration, or at a later time.
- You do not specify a case when you create a preregistration - this means that the system only needs to assign case numbers for actual admissions. You should only create a case when the patient arrives in the clinic or hospital.
If you are unable to schedule an admission appointment, the preregistration is merely an item on a waiting list. The following lists are available for managing such preregistrations:
- The enhanced waiting list
- The preregistration list (IS-H*MED)
Admission Appointment
You can schedule an admission appointment for a specific day, plus you can enter an admission time manually.
The care unit that is to admit the patient acts as the resource for the admission appointment. You can
- Postpone/bring forward an inpatient admission appointment
- Reassign an inpatient admission appointment to other care units
- Cancel an inpatient admission appointment
A calendar is available to help you schedule admission appointments. Essentially, admission appointments are based on the daily quotas which the care units provide to the departmental organizational units (OUs).
IS-H*MED users can schedule both an admission appointment as well as an appointment for surgery or treatment.
As soon as an admission appointment is scheduled, the admitting care unit and the patient administration department are informed of this in the Arrivals view (in the Inpatient Admission transaction and in Care Unit Management).
Creating an Inpatient Admission From an Admission Appointment
The patient administration department does not create the admission for the preregistered patient until the patient actually comes to the hospital - by which time all of the necessary patient data is available. That is why patient identification is not carried out until this point in time. Various scenarios are conceivable here:
- Either the institution already has the patient master data in question
- Or the person creating the admission in the system has to enter the patient master data at the same time
If information relevant to the admission was entered in the preregistration, this data is defaulted for the admission.
When you save an admission, the system generates an inpatient case and creates a movement of the movement category admission for this case. This movement overrides the admission appointment, and the patient appears in the list of arrivals for the admitting care unit. When you create an admission, the admission appointment disappears from the Admission Appointments view on the initial screen of the admission transaction.
Preregistration or Planned Movement?
You can create a preregistration and admission appointment as an alternative to creating a planned admission by specifying a case and movement.
The advantages of the preregistration option are as follows:
- Simple, user-friendly means of entering a future admission without specifying a case
- Quota-oriented means of planning inpatient admissions
- The case is generated when the patient is actually admitted
If you use movements to create planned admissions, you can continue to do so. Neither of the alternatives (preregistration plus admission appointment, or planned admission by creating planned movement) interfere with each other. One thing to bear in mind, though, is that the system supports some preregistration scenarios that are not possible for planned movements.
Example:
- Scheduling an admission for a specific day
- List of admission appointments on the initial screen of the admission transaction
Whichever option you decide to use, you should try to make sure that you always stick to that option - since switching between options will also mean switching between different work processes!
Effects on Existing Data
Note for IS-H*MED users only:
If you use the preregistration option, you must migrate existing preregistrations when you upgrade to Release 4.63. For more information, refer to the IS-H*MED release note entitled IS-H*MED: Preregistration/Admission Planning - Migrating Preregistrations.
Effects on Data Transfer
Effects on System Administration
Effects on Customizing
Further Information
You will also find more information in the following release notes for IS-H-/IS-H*MED Release 4.63:
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