All features In-patient & De-addiction
In-patient & De-addiction

In-patient care, wards & de-addiction, how it works

The in-patient module runs as a standalone environment with its own login layer, sharing patient and prescription data with the main clinic application. It supports a ward-terminal PIN login for nursing staff so quick access on a shared device doesn't compromise security. The de-addiction suite runs inside this module and is available as a plan add-on.

MHCA 2017 NDPS Act 1985 CIWA-Ar COWS India Pharmacy Act

Ward and bed management

Ward and bed structure

Wards are defined with a type (general, acute, ICU, de-addiction) and capacity. Each bed is individually tracked, available, occupied, or under maintenance. The bed board gives a real-time occupancy view across all wards.

Admissions and transfers

Each admission links a patient to a specific bed, admitting doctor, and admission diagnosis. Transfers between beds or wards create a new admission record linked to the original, preserving the full movement history without losing any clinical data.

State-specific compliance

Documentation rules and form requirements that vary by Indian state are configurable at the ward level. This allows a multi-state operator to maintain different form sets for different facilities from a single system.

Ward terminal PIN login

Nursing staff on a shared ward terminal can log in with a short PIN rather than a full username and password. PIN login is time-limited and audited, every PIN-authenticated session is recorded with the staff member's identity and the terminal used.

Clinical documentation

Progress notes

Any clinical team member, doctor, nurse, social worker, can add a progress note to an admission. Each note is signed with the author's identity and timestamp. Notes can be locked with an electronic signature; amendments after signing create a new version.

Nursing observation charts

Structured observation records (temperature, pulse, blood pressure, SpO₂, intake, output) are entered by nursing staff at configured intervals. Values outside the normal range are highlighted immediately. Charts render as a tabular timeline for clinical review.

Medication Administration Record (MAR)

Every medicine administered during an admission is recorded, drug, dose, route, scheduled time, actual time given, and administering nurse. Any deviation from the prescribed schedule requires a reason to be entered. The live MAR board updates every 30 seconds for real-time ward oversight.

Treatment plans and MDT meetings

Goal-based treatment plans support multi-disciplinary contributions. Multi-disciplinary team meeting records, attendees, decisions, next review date, are attached to the admission and available as PDFs for the patient file.

ECT session log

A dedicated register for electroconvulsive therapy sessions records stimulus parameters, seizure duration, anaesthetic details, and clinical response for each session. The register renders in the standard clinical format required for ECT programmes.

Safety, risk, and MHCA compliance

Risk assessments

Structured risk assessment forms for suicide risk, violence risk, ligature risk, and fall risk are built into the admission workflow. The ligature-point assessment follows the format recommended for psychiatric ward environments.

Seclusion and restraint records

Every episode of seclusion or physical restraint is documented with start and end time, authorising doctor, reason, nursing observations at required intervals, and confirmation that the patient's rights were explained, as required by the Mental Healthcare Act 2017.

Observation scheduler

Observation levels (one-to-one, 15-minute checks, hourly) are assigned to patients and generate a schedule that nursing staff sign off against. Incomplete observations raise a notification to the ward supervisor.

MHCA statutory forms

All Mental Healthcare Act 2017 statutory forms, including voluntary and involuntary admission forms, appeal forms, and state-specific variants, are built into the system as fillable templates. Once filled and reviewed, forms are electronically signed and stored as signed PDFs.

Multi-language MHCA forms

Statutory forms can be rendered in regional languages to meet the legal requirement that patients receive documentation in a language they understand. Translated versions are cached so repeated generation doesn't incur repeated translation costs.

Patient rights log

Every instance of a patient's rights being read to them, as required by the MHCA 2017, is recorded with the timestamp and the staff member present. This log is available for inspection.

Visitor log and leave passes

All visitor records (who visited, when, duration) and short-leave passes (escort, departure, expected and actual return) are logged against the admission for safeguarding and compliance purposes.

De-addiction suite (plan add-on)

Structured intake assessment

A comprehensive intake form captures substance use history, dependence severity using validated scores, physical and mental health comorbidities, and family background. The completed assessment is scored and attached to the admission.

Withdrawal monitoring, CIWA-Ar and COWS

Timed, scored withdrawal assessments using CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol, revised) for alcohol withdrawal and COWS (Clinical Opiate Withdrawal Scale) for opioid withdrawal are conducted at clinical intervals. Scores are charted over the withdrawal episode. A score crossing a severity threshold triggers an immediate clinical alert to the treating team.

OST dispensing and daily log

Each day's dispensing of opioid substitution therapy (buprenorphine/naloxone or methadone) is recorded, dose, time, administering staff, and patient observation at dispensing. Entries feed into the NDPS register automatically.

Take-home dose approval workflow

Patients who are stable on OST can request take-home doses. Requests go through a supervisor approval workflow before any take-home doses are dispensed and logged, the approval trail is maintained for regulatory purposes.

Urine drug screening

Urine tests are scheduled per patient and recorded with the substances tested, result per substance (positive/negative/dilute/invalid), collection time, and tester. Positive results trigger an immediate notification to the treating team.

NDPS register

The register required under India's NDPS Act 1985 for controlled substances used in treatment is maintained automatically. Every OST dispense creates an entry. The register renders in the format required for drug inspector visits and licence renewal submissions.

Craving tracker

Patients rate their cravings on a visual scale at defined intervals. Trend data is reviewed in MDT meetings and incorporated into the discharge summary.

Compliance dashboard

An aggregate programme view shows patients currently in treatment, UDS pass/fail rates, OST compliance rates, follow-up attendance, and dropout rates, exportable as PDF for licence renewal submissions and governance reporting.

Discharge and billing

Discharge summaries

A structured discharge summary is generated from the admission record, admitting diagnosis, treatment provided, medications on discharge, follow-up instructions. Available as a PDF for the patient and referring doctor.

In-patient billing

Daily ward charges (bed, nursing, procedures) accumulate throughout the admission and are reconciled with pharmacy dispenses and lab orders at discharge to produce the final bill, which feeds into the main billing module.

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