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On Admission Death
On Admission Death (OAD) is a special admission flag used when a patient arrives at the facility already deceased, or dies before their registration can be formally completed. Despite the death, an admission record must still be created for legal, statistical, audit, and (where applicable) billing purposes.
The system handles this by allowing staff to save the admission with an On Admission Death flag rather than the standard "Admit" action. The flag is recorded on the admission encounter, and — if this is a new patient not previously in the system — also on the patient record itself.
Use the On Admission Death workflow when:
- A patient is brought to the facility in a deceased state (Dead on Arrival / DOA)
- A patient dies in the admissions area before the normal admission process is completed
- The admission needs to be formally registered for medico-legal or statistical reporting
Do not use this for patients who die after a normal admission has already been saved — in that case the admission record already exists and the clinical event of death is recorded separately.
Path: Main Menu → Inward → Admit a Patient
- Open the admission form as normal
- Search for the patient or enter new patient details
- Fill in the required admission details (consultant, date/time, ward, payment method)
- Instead of clicking the primary Admit button, locate the secondary "On Admission Death" button (positioned separately from the Admit button to prevent accidental clicks)
- Click On Admission Death
- The admission is saved with the OAD flag
The primary Admit button is unaffected — clicking it produces a standard admission as normal.
The encounterRegistrationFlag field is set to ON_ADMISSION_DEATH on the admission record. A badge reading "On Admission Death" is displayed on the admission profile page.
| Situation | What happens to the Patient |
|---|---|
| Patient is new (not previously in the system) |
registrationSource is set to ON_ADMISSION_DEATH
|
| Patient already existed in the system |
registrationSource is left unchanged — the patient's original registration channel is preserved |
This means that if a previously registered walk-in patient is later recorded as an OAD on a subsequent admission, their patient record continues to show "Walk-in" as the registration source, which is correct. The OAD fact is captured at the encounter level.
A clearly visible "On Admission Death" label is shown in the patient summary panel at the top of the admission profile.
The OAD flag is visible as a badge in the admissions search results list, allowing supervisors and administrators to identify and filter OAD admissions.
If the patient was newly registered as an OAD case, the Patient Registration Source badge on the patient profile will read "On Admission Death".
- The
encounterRegistrationFlagfield is stored on thepatientencountertable as a string enum value (ON_ADMISSION_DEATH) - The enum class is
com.divudi.core.data.inward.EncounterRegistrationFlag - Standard admissions do not carry any flag value (
STANDARD) and display no badge, keeping the UI clean for the majority of records - No configuration key is required — the feature is always available