| 1 |
On
the Biodata tab,
in the Referral Source
section, enter the details as described in the following table.
 |
|
Note |
| |
The
Referral Source
section records the information pertaining to the
hospital/organization where the patient has initially
obtained treatment and is creating a referral for
further follow up. |
Field
Name |
Description |
| *Referral Source |
Name
of the referring hospital or institution.
By default, the organization that is selected after
logging in to IRMS is populated. If you want to change
to another hospital as referral source, you can change
it from the menu on the top-right corner of the page. |
| *Referral Type |
Type
of Referral.
Default value: E-Referral. |
| *Date of Referral Submission |
Date
when the referral was submitted by the referral source.
This field is auto-populated when the referral
is submitted. |
| *Date of Referral Creation |
Date
when the referral is created by the referral source.
This field is auto-populated when the referral
is created. |
| Admission Date |
Date
when the patient is admitted to the referral
source. |
| Date of Discharge |
Date
when the patient was discharged from the referral
source. |
| *Ward/Clinic |
Patient’s
ward or clinic number at the referral source. |
| Bed |
Patient’s
bed number at
the referral source. |
| Speciality / Discipline |
Speciality
or discipline under which the patient has received
treatment. |
| *Telephone No |
Telephone
number at the referring institution to contact. |
| Ward/Clinic Fax |
Ward
or clinic FAX details of the referring institution. |
| Class of Stay |
Class
of stay chosen by the patient at the referral source. |
|
| 2 |
In
the Patient Biodata
section, enter the patient information as described in the
following table:
Field
Name |
Description |
| Case No. |
Patient’s
case number at the referral source.
When you create referral using case number (search
by Case number),
it is auto-populated under the referral section, in
the biodata page.
Also, it is a key field for searching patient biodata. |
*Race |
Patient’s
ethnic group. |
| *Name
|
Patient’s
name. |
| *Citizenship |
Patient’s
citizenship.
If the citizenship is not the same as mentioned in
the list, you can select Others
and type the citizenship accordingly. |
| *NRIC |
Patient’s
NRIC number.
By default, the NRIC number
provided when creating a referral (Create
Referral
tab) is displayed. It is a key field for searching
the patient biodata. |
*Religion |
Patient’s
religion. |
*Date of Birth (dd/mm/yyyy) |
Date
of birth of the patient in the dd/mm/yyyy format. |
Age |
Age
is auto-populated on entering the patient's date of
birth. |
| *Marital
Status |
Patient’s
marital status. |
| *Gender |
Patient's
gender. |
Telephone1 /
Telephone2 |
Patient’s
telephone number available for communication. The
telephone number should be of length eight digits.
If the patient has an alternative number, you can provide
that in the Telephone
2 text box. |
Language
Dialects |
Languages
and dialects known to the patient. |
|
| 3 |
In
the Patient’s NRIC Address section, in the *Block/Lot,
*Street, *Level,
*Unit and *Postal
Code text boxes, type
the patient’s NRIC address. |
| 4 |
In
the Other Information
section, select the *Living
Arrangement (for example, with relatives) and *Lift Landing accordingly. |
| 5 |
In
the Last Known Accommodation
Prior to this Application section, select the patient’s
residential *Status
and *Type accordingly. |
| 6 |
In
the Discharge Destination
section, select one of the following options for *Address:
- NA
-- If not applicable, you are not required to provide
further details.
- NRIC
Address – If the discharge address is same as the
NRIC address. Selecting this
option, copies the address from
the
Patient's NRIC Address
section to the Discharge
Destination section.
- Non
NRIC Address --
If the discharge address is different from the
NRIC address. Enter the *Block/Lot,
*Street, *Level, *Unit, *Postal Code and *Telephone number,
accordingly.
|
| 7 |
Under
the Contact Person and/or
Caregiver Information section, select one of the following:
a. The applicant
is a destitute or person with no relative -- The caregiver
related information will be hidden. Referral source cannot
enter any details.
b. *Has
Carer been identified, select one of the following:
- Yes – Allows
you to select the carer from the options displayed.
- No – No carer
is identified.
c. In the Contact Person
and/or Caregiver Information section,
enter the fields as described in the table:
Field
Name |
Description |
*Name |
The
name of the contact person or caregiver. |
Address
Address Line 1
Address Line 2 |
Patient’s
contact person or caregiver’s address.
You can select
the patient’s address same as the NRIC
or discharge address. |
Hand Phone /
Home Phone /
Office Phone |
Patient’s contact person
or caregiver’s phone number. You must provide at least
one telephone number. |
| Email |
Patient’s
contact person or caregiver’s e-mail id. |
| *Relationship |
Caregiver’s
relationship with the patient. |
Decision Maker |
Selects
patient’s contact person or caregiver as decision
maker. |
Carer |
Selects
patient’s contact person or caregiver as carer. |
|
|
Note |
| |
If
you want to provide any other information pertaining
to the caregiver, you can enter it in the Remarks
textarea. |
|
| 8 |
To
add the contact person and/or caregiver information, click
Add.
The contact person or caregivers record is
added and displayed in the table.
|
|
Note |
| |
In
the record displayed, you can revisit to select the
caregiver as Decision
Maker or
Carer.
Also, you can Delete
or Modify,
as required. |
|
| 9 |
After
completing the biodata, in the
Completed By section,
by default, the information of the user logged into IRMS is
auto-populated. You can update the name, designation,
telephone, email and date, if required.
|
|
Note |
| |
The information
(name, telephone number and so on) is based on the
details available in the logged-in user’s profile. |
|
| 10 |
When
the biodata page is ready, you
can do one of the following:
- Save – to save
the service application as draft.
You may want to use the save option, if the page is partially
completed or you do not want to submit it immediately.
- Ready – to
save and mark the draft as ready to submit (indicated
by flag in orange).
|
|
Note |
| |
The
mandatory fields that are not entered properly are
indicated with asterisks (**). A message is displayed
on the top of the page to enter the required fields.
You cannot submit the page without completing the mandatory
fields. Once the page is submitted (indicated
by flag in green), you cannot modify the details. |
|
