# 05 — Phase 2: IPD System Micro Tasks > **Prerequisite:** Phase 0 and Phase 1 must be complete. > **Goal:** Full in-patient workflow — Admission → Daily Rounds → Medication Chart → Lab → Billing. --- ## 2.1 Patient Admission ### MT-050.1.1 — Admission Migration & Model - [ ] Create migration: `create_admissions_table` - [ ] Create `app/Models/Admission.php` - [ ] Relationships: `belongsTo(Patient)`, `belongsTo(Doctor)`, `belongsTo(Bed)`, `belongsTo(Ward)`, `hasMany(IpdNote)`, `hasMany(IpdVital)`, `hasMany(IpdMedicationChart)`, `hasOne(DischargeSummary)` - [ ] Add `admission_number` auto-generation: `IPD-{YYYY}-{seq}` (e.g. `IPD-2026-0001`) - [ ] Add scope: `scopeActive()` → status = admitted --- ### MT-050.1.2 — Admission Form Livewire - [ ] Create `app/Livewire/IPD/AdmissionForm.php` - [ ] Step 1: Search and select patient (reuse `PatientSearch` component) - [ ] Step 2: Select admitting doctor - [ ] Step 3: Select ward → then select available bed (filtered by ward) - [ ] Additional: Admission date/time, reason for admission, chief complaints - [ ] Admission notes (free text) - [ ] On submit: mark bed as `occupied`, create admission record, redirect to IPD patient view --- ### MT-050.1.3 — Admission Service - [ ] Create `app/Services/AdmissionService.php` - [ ] Methods: `admit(Patient $patient, Doctor $doctor, Bed $bed, array $data)`, `discharge(Admission $admission, array $dischargeData)`, `transferBed(Admission $admission, Bed $newBed)`, `getActive()`, `getForPatient(Patient $patient)` - [ ] In `admit()`: wrap in DB transaction, use `BedService::allocate()` - [ ] In `discharge()`: release bed, set discharge date, update status --- ## 2.2 Bed and Ward Management ### MT-050.2.1 — Ward and Bed Migration & Models - [ ] Create migration: `create_wards_table` - [ ] Create migration: `create_beds_table` - [ ] Model `Ward.php`: `hasMany(Bed)` - [ ] Model `Bed.php`: `belongsTo(Ward)`, `hasOne(Admission)` (active) - [ ] Add scope: `Bed::scopeAvailable()` — status = available --- ### MT-050.2.2 — Ward/Bed Manager Livewire - [ ] Create `app/Livewire/Master/WardBedManager.php` - [ ] Show all wards with expandable bed list - [ ] Color-coded beds: green = available, red = occupied, yellow = maintenance - [ ] Add ward form (name, type, charge per day) - [ ] Add beds to ward (bed number, add multiple at once) - [ ] Toggle bed status (maintenance/available) - [ ] Click occupied bed → show patient info in tooltip/modal --- ### MT-050.2.3 — Bed Selector Component - [ ] Create `app/Livewire/IPD/BedSelector.php` - [ ] Filter by ward → show available beds only - [ ] Display bed grid/list with status colors - [ ] Click to select, confirm selection --- ### MT-050.2.4 — Bed Service - [ ] Create `app/Services/BedService.php` - [ ] Methods: `allocate(Bed $bed, Admission $admission)`, `release(Bed $bed)`, `getAvailable(Ward $ward = null)`, `getOccupancyRate()` --- ## 2.3 IPD Patient Dashboard ### MT-050.3.1 — IPD Patient View - [ ] Create a dedicated IPD patient page: `/ipd/{admission}/` - [ ] Show: Patient demographics, admission details (ward, bed, doctor, date) - [ ] Tabs: Overview, Doctor Notes, Nursing Notes, Vitals, Medication Chart, Lab Orders, Billing - [ ] Each tab is a separate Livewire component (lazy loaded) - [ ] Header: Status badge (Admitted/Discharged), Quick actions: Add Note, Record Vitals, order Lab --- ### MT-050.3.2 — Active IPD List Livewire - [ ] Create `app/Livewire/IPD/ActiveAdmissionList.php` - [ ] Table: Patient name, UHID, Ward/Bed, Doctor, Admission date, Days admitted - [ ] Filter by ward, doctor - [ ] Search by patient name or UHID - [ ] Action: View IPD chart, Initiate Discharge --- ## 2.4 IPD Case Sheet (Daily Records) ### MT-050.4.1 — IPD Notes Migration & Model - [ ] Create migration: `create_ipd_notes_table` - [ ] Create `app/Models/IpdNote.php` - [ ] Relationships: `belongsTo(Admission)`, `belongsTo(User, 'created_by')` - [ ] Types: `doctor`, `nurse`, `procedure` --- ### MT-050.4.2 — Doctor Notes Livewire - [ ] Create `app/Livewire/IPD/IpdNoteEntry.php` - [ ] Date/time stamp on each note (auto-filled, editable) - [ ] Rich text area for note content - [ ] Type selector: Doctor Note / Procedure Note - [ ] Show all past notes in reverse chronological order - [ ] Notes read-only after 24 hours (configurable setting) - [ ] Role guard: only doctor or doctor_owner can add doctor notes --- ### MT-050.4.3 — Nursing Notes Livewire - [ ] Reuse `IpdNoteEntry.php` or create `NursingNoteEntry.php` - [ ] Quick text buttons: "Patient comfortable", "BP recorded", etc. - [ ] Role guard: nurse or doctor_owner --- ### MT-050.4.4 — IPD Note Service - [ ] Create `app/Services/IpdNoteService.php` - [ ] Methods: `addNote(Admission $admission, string $type, string $content, User $by)`, `getDoctorNotes(Admission $admission)`, `getNursingNotes(Admission $admission)`, `isEditable(IpdNote $note)` --- ## 2.5 IPD Vitals Tracking ### MT-050.5.1 — IPD Vitals Migration & Model - [ ] Create migration: `create_ipd_vitals_table` - [ ] Create `app/Models/IpdVital.php` - [ ] Relationships: `belongsTo(Admission)` --- ### MT-050.5.2 — IPD Vitals Livewire - [ ] Create `app/Livewire/IPD/IpdVitals.php` - [ ] Quick entry form: BP, Pulse, Temp, SPO2, Weight, Resp Rate - [ ] Show vitals history as table: date/time, all values, recorded by - [ ] Optionally: simple trend display (last 3 readings inline) - [ ] Role guard: nurse or doctor_owner can record --- ## 2.6 IPD Medication Chart ### MT-050.6.1 — Medication Chart Migration & Model - [ ] Create migration: `create_ipd_medication_charts_table` - [ ] Create `app/Models/IpdMedicationChart.php` - [ ] Relationships: `belongsTo(Admission)`, `belongsTo(Medicine)`, `belongsTo(User, 'prescribed_by')` --- ### MT-050.6.2 — Medication Chart Livewire - [ ] Create `app/Livewire/IPD/MedicationChart.php` - [ ] Add medicine: search by name, dosage, frequency, route, start/end dates - [ ] Show active medications as a table - [ ] Toggle: stop a medication (`is_active = false`) - [ ] Role guard: only doctor or doctor_owner can add/stop medicines - [ ] Nurse can mark administered (future enhancement — flag for now) --- ## 2.7 IPD Lab Orders ### MT-050.7.1 — IPD Lab Order Livewire - [ ] Create `app/Livewire/IPD/IpdLabOrder.php` - [ ] Reuse `LabOrderService` — pass `admission_id` and source = `ipd` - [ ] Show all existing lab orders for this admission - [ ] Status: ordered → sample collected → processing → completed --- ## 2.8 IPD Billing ### MT-050.8.1 — IPD Billing Livewire - [ ] Create `app/Livewire/IPD/IpdBilling.php` - [ ] Auto-calculate bed charges: `days_admitted × ward.charge_per_day` - [ ] Add doctor visit charges (services master) - [ ] Add lab charges (from lab orders for this admission) - [ ] Add pharmacy charges (from dispenses for this admission) - [ ] Add procedure charges - [ ] Allow manual additions - [ ] Partial payment tracking - [ ] Final bill: generate invoice → print --- ### MT-050.8.2 — IPD Invoice Service - [ ] Extend `InvoiceService.php` - [ ] Add `createIpdInvoice(Admission $admission)` — auto-populate all charges - [ ] Compute bed days: `carbon diff` between admission date and discharge date - [ ] Aggregate lab orders, pharmacy dispenses linked to this admission --- ## Phase 2 Checklist Summary | Task Group | Items | Est. Hours | |---|---|---| | Admission | 3 tasks | 12h | | Bed & Ward | 4 tasks | 8h | | IPD Dashboard | 2 tasks | 6h | | IPD Daily Notes | 4 tasks | 10h | | Vitals Tracking | 2 tasks | 4h | | Medication Chart | 2 tasks | 8h | | IPD Lab Orders | 1 task | 4h | | IPD Billing | 2 tasks | 10h | | **Total Phase 2** | **20 tasks** | **~62h** |