Monash hospital treats patients who are identified by a unique patient id. When a patient is admitted to the hospital, the hospital records the patients first and last name, address, date of birth and emergency contact number (if they are not already on the system). They also record the date and time of admission. The system needs to maintain a record of all admissions for a particular patient. When a patient is discharged, the date and time of their discharge for this admission is recorded.
While in the hospital patients are located in a ward. The ward is identified by a ward code. Monash Hospital wishes to record the total number of beds in each ward and the number of currently available (empty) beds. Beds located in a ward are assigned a bed number within that ward – thus, for example, each ward has a bed number 1. The bedside telephone number and bed type are also recorded. Beds are classified (their bed type) as either fixed or adjustable. Not all beds are supplied with a bedside telephone.
During a patient’s admission, they may need to be moved from one bed to another, possibly in a different ward. If this occurs the date and time the patient is assigned to the new bed/ward are recorded (a history of all such bed assignments during admission is required).
While in the hospital each patient is assigned one doctor (identified by a doctor id) as their supervising doctor. A patient’s supervising doctor may be in charge of many admissions. The hospital records each doctor’s first and last names and phone number. A doctor may have one or more specialisations (eg. Orthopaedic, Renal, etc), but not all doctors who work at the hospital have a specialisation.
During their admission, patients are prescribed procedures as part of their care by doctors. Procedures consist of tests such as “X-Rays”, “Blood Tests” etc, they also include medical procedures which might be required such as “Shoulder Replacement”. A patient may have procedures prescribed by their supervising doctor or any other doctor working in the hospital.
A procedure is identified by a procedure code. Each procedure has a name (such as “Wrist X-Ray”) and includes a description of what the procedure involves, the time required for the procedure and the current standard patient cost for this procedure. When a particular procedure is prescribed during a patient’s admission, the date and time when the procedure is carried out is also recorded. A particular procedure is completed before any further procedures are run (two procedures cannot occur simultaneously). Some procedures, such as blood tests are carried out by technicians, more complex procedure may require a doctor to perform the procedure.
If a procedure is carried out by a technician the hospital does not record the details of the technician who completed the procedure.
If a doctor carries out the procedure, the doctor who completes the procedure is recorded (the doctor who completes the procedure may be different from the doctor who prescribes it). Even if a team of doctors is involved in the procedure, only one doctor (the doctor in charge) is recorded as completing the procedure.
Monash Hospital only record the details of a procedure carried out on an admission after the procedure has been completed.
Not all admissions require a procedure to be carried out.
Procedures may require “extra” items such as syringes or swabs. Each item held in stock is assigned an item code. The item description, current stock and price are recorded. For accounting purposes, each item is assigned to a unique cost centre, such as Pharmacy, Radiography or Patient Aids. A cost centre is identified by a cost centre code and has recorded the cost centre title and managers name. The quantity of each item used in a particular procedure is recorded.
Patients are billed for the cost for the procedure itself and also any “extra” items which are used as part of a procedure. The billed charge is based on the procedure/item cost at the date and time of the procedure.
Monash Hospital also records details of its nursing staff and their allocation to work in the wards. A nurse cannot work in (be assigned to) different wards on any given day.
A nurse is identified by a unique numeric nurse id. The hospital also records the nurses first and last name. The initial date a nurse is assigned to work in a ward is recorded.
Nurses may be moved between wards as staffing requirements change. When a nurse finishes an allocation with a particular ward the date they finished is also recorded. Within these changes, a nurse may return to a ward they previously worked in, if they do so, a new allocation is recorded.
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You are free to make assumptions if needed however they must align with the details here and in the assignment forums and must be clearly documented (see the required submission files).
