HOSPITALISATION AT EMERGENCY?

where is the coding for regular hospitalisation - im trying to make it work at emergency department - for basic er diagnosis. ive only be able to to insert it into the departments file along with the observation into other departments - it sort works with out the coding -but it rarely happens.

Hi, emergency is a basically a big set of special rules (mostly set directly in code, so changes would require some dll hacking), from distributing patients to other departments to handling observation and trauma center and accepting patients delivered by ambulances.

A couple of rules that you probably see on your side when it comes to hospitalization:
- Observation gets triggered after examinations with higher priority are done (the priority is set in the XMLs, observation itself acts as if it had priority 30), but only when the patient potentially has any dangerous symptoms
- Normal/HDU hospitalizations usually get triggered by transferring the patient from observation to a specialized department or if a treatment requires certain hospitalization type (set in XML)
- Collapsed patients get hospitalized according to the hazard of their symptoms, critical patients with a diagnosis go to the ICU, without a diagnosis to the Trauma Center

I hope these at least make it a bit more clear when it comes to how the rules work internally.

well ok - it would easier if just show me the codes. thank you