Patient identity
Who the request is for. These fields come from the patient record and can be edited.
Some details are missing. Fix 1 field before you continue: ID Number.
Organization context. Al Raneem Hospital, license 10000000000457. Provider fields are pre-filled from Organization settings.
Identity
10 digits.
3-letter ISO 3166 alpha-3 country code
Enter the 10 digit ID Number.
3-letter ISO 3166 alpha-3 country code
Find in the hospital system
From Hospital information system| Patient | National ID | MRN | Born | |
|---|---|---|---|---|
| Noura Al HarbiLast visit 28 Sep 2026 | 1087654321 | MRN-004512 | 17 Apr 1991 | Selected |
Patient from the hospital system
From Hospital information systemReference MRN-004512, Refreshed 05 Oct 2026, 08:00
Refresh from source
RaneemHCP keeps the reference, not a second copy of the patient. Fields from the source are read-only. Change them in the hospital system.
Hospital system is not reachable. The hospital system did not answer. Showing the last known snapshot from 05 Oct 2026, 06:00. Lookups are paused until the connection is back.
Find in the hospital system
Not reachable
Find in the hospital system
Last known snapshot
Noura Al Harbi
Snapshot, not live
National ID 1087654321, MRN-004512, snapshot 05 Oct 2026, 06:00
Enter the patient by hand
Patients fallback: manual entry allowedManual entry is allowed. Details you type are flagged Not verified at the source and are checked when the connection is back.
10 digits.
3-letter ISO 3166 alpha-3 country code
If the fallback for this entity is blocked
Patients fallback: blockedManual entry is not allowed. Your facility blocks new requests for patients while the hospital system is down. The fields stay empty and Continue stays disabled until the connection is back. Ask the Super admin
Find in the hospital system
From Hospital information systemNo patient with this ID in the hospital system. The hospital system has no patient with National ID 1087654399. Check the number, or search by MRN or name.
Enter the patient by hand
Not verified at the sourceYou can continue by hand. Manual entry is allowed for patients. The request is flagged Not verified at the source until the patient exists in the hospital system.
10 digits.
3-letter ISO 3166 alpha-3 country code
If the fallback for this entity is blocked
Patients fallback: blockedManual entry is not allowed. Your facility does not allow patients that are missing from the hospital system. Ask the Super admin to add the patient there, then search again. Ask the Super admin
Contact and demographics
Optional: per NPHIES Patient Structure Definition