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Patient Registration System

The Hospital needs a registration system, which will utilize a central patient registration database that contains basic information on each patient. The patient registration database will serve as a Master Patient Index; it will support all other systems in patient identification. The main key of the patient record will be the mandatory identification card number, which is issued by the department of central statistics at the ministry of interior. The system should allow the search of a patient record by using any combination of fields.
The patient registration module is required by the Ministry of Public Health , where the patient identification is crucial for assessing eligibility as well as accessing the correct records in a multitude of settings.
The system must facilitate patient demographic and treatment data capture and provide the hospital with the ability to create and maintain a logical lifetime medical record for each patient.
The system must have proven safeguards and mechanisms which protect the system from duplication of patient data or the linking of erroneous data with a patient.

 
The following has been extracted from a recent RFP. I've included it here for your reference. It may prove useful for anyone preparing such a document.
Please feel free to comment on this list, and propose any items that you think should have been included in this list. 

Patient Registration System

Description
The Hospital needs a registration system, which will utilize a central patient registration database that contains basic information on each patient. The patient registration database will serve as a Master Patient Index; it will support all other systems in patient identification. The main key of the patient record will be the mandatory identification card number, which is issued by the department of central statistics at the ministry of interior. The system should allow the search of a patient record by using any combination of fields.
The patient registration module is required by the Ministry of Public Health , where the patient identification is crucial for assessing eligibility as well as accessing the correct records in a multitude of settings.
The system must facilitate patient demographic and treatment data capture and provide the hospital with the ability to create and maintain a logical lifetime medical record for each patient.
The system must have proven safeguards and mechanisms which protect the system from duplication of patient data or the linking of erroneous data with a patient.


>>> General
 
1   Support creation for MPI ; The MPI should have a capacity of at least 16 digits, including numbers and characters
2   Retrieve patient’s demographic data from most recent visit
3   Assign a unique medical record number and a visit sub-number
4   Make patients data available to all hospital departments
5   User modifiable registration process according to the needs of the hospital
6   Provide online pre-admission functions for gathering patient demographic, guarantor , insurance and other data

>>> Patient Registration Entry
 
7   Patient demographic data
8   Support temporary numbering , to become later on a permanent number , with the possibility to merge with previous data
9   Record other miscellaneous numbers ( ex: passport , ID card number) for the patient
10   Ability to hold details of a patient’s eligibility for treatment
11   Ability to show patient status as deceased , and possibility to reverse
12   Prohibit user defined entries to the patient file if the patient is recorded as deceased
13   Provide facility to merge patient records in the event of duplication
14   Patient demographic data to include :- Patient last, first and middle name , as well as aliases
15   Patient demographic data to include :- Father’s name
16   Patient demographic data to include :- Mother’s name , and Maiden name
17   Patient demographic data to include :- Social security number (Any other Ministry of Health or national number , ID number )
18   Patient demographic data to include :- Street address, city , kaza’a , muhafaza , country of residence ( Formatted address )
19   Patient demographic data to include :- Telephone , cellular phone , email
20   Patient demographic data to include :- Date of birth
21   Patient demographic data to include :- Sex
22   Patient demographic data to include :- Marital status
23   Patient demographic data to include :- Religion , sect
24   Patient demographic data to include :- Employer name and address
25   Patient demographic data to include :- Occupation
26   Patient demographic data to include :- Emergency contact name
27   Patient demographic data to include :- Emergency contact address and phone number
28   Patient demographic data to include :- Emergency contact relation ( at least two Next of Kin )
29   Patient guarantor data includes :- Name
30   Patient guarantor data includes :- Address and phone number
31   Referring doctor or institution
32   Referrer contact address , telephone number
33   Ability to maintain a history of patient visits to the hospital
34   Ability to maintain history of changes and updates to the MPI data for a patient

>>> Processing
 
35   Generate new patient numbers , with possibility of manual override
36   Generate a sub-number for each visit
37   Provide information about last update to a patient file
38   Print patient labels containing basic information demographic data
39   Support bar coded labels with patient name , ID number , consultant and birth date
40   Restrict patient registration to specific users ( ex: VIP patients )
41   Assign confidential status to a patient
42   Error corrections resulting from mishandling

>>> Registration Categories
 
43   Support registration and identification for RIS / PACS
44   Support Registration for Inpatients ( details in Inpatient module )
45   Support Registration for Outpatients ( details in Outpatient module )

>>> Emergency Room Registration
 
46   ER patient pre-registration and registration
47   Cancel patient activities and adjust statistics
48   Edit and view ER patient data
49   ER reports
50   Automatic transfer of a patient’s demographic and insurance data to inpatient or observation status

>>> Surgical Day Care Registration
 
51   Surgical Day Care schedule, pre-registration, and registration
52   Cancel patient reservation, activities and adjust statistics
53   Edit and view Surgical Day Care patient data
54   Surgical Day Care reports

>>> Observation Patients
The registration of observation patients, allowing the hospital to assign a room and bed to non-inpatients.
The system should collect and update demographic and insurance data for these patients;
With the possibility of changing inpatients to observation patients and vice versa
55   Observation Patient admission and discharge
56   Cancel patient activities and adjust statistics
57   Change observation patient to inpatient
58   Change inpatient to observation patient
59   View and print patient information
60   Observation patient census report

>>> Query
 
61   Carry out patient search on all the patient data held in the patient file
62   Easy Patient Index search , using ‘soundex’ facility
63   Support transliterated Arabic names ( ex: Mohammed , Mohamad , Muhamed )

>>> Integration
 
64   The MPI will be tightly coupled to Web based electronic patient record, so that all relevant patient data will be correctly filed.


Last Updated ( Tuesday, 28 October 2008 01:45 )  

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