Patient identity
Who the claim is for. These fields come from the patient record and can be edited.
Some details are missing. Fix 1 field before you continue: Passport Country.
Organization context. Claims are sent as Al Raneem Hospital, Riyadh, licence 10000000000457. The organization type is set once in Organization settings.
Change in organization settings
Find in the hospital system
Pick a patient to fill the identity fields. They stay read-only and show where they come from.
| Name | National ID | MRN | Date of birth | Source | |
|---|---|---|---|---|---|
| Noura Saad Al Harbi | 1087654321 | MRN-004512 | 1991-04-17 | Hospital information system | Selected |
| Noura Khalid Al Harbi | 1090012233 | MRN-007731 | 1984-02-03 | Hospital information system | Use this patient |
Hospital information systemNoura Saad Al HarbiReference id HIS-884021
The portal keeps only a reference to this record. Nothing is copied here. Last read from the source at 08:00.
Hospital system unavailable. The hospital system is not answering since 08:12. Search is off. The last known data is from 08:00.
Manual entry is allowed. For Patients the fallback is set to Allow manual entry. Enter the patient by hand below. The record is flagged Not verified at the source until the system is back.
Find in the hospital system
Search is off while the source is down.
Last known snapshot (08:00): Noura Saad Al Harbi, national ID 1087654321, MRN-004512Use snapshot
If the fallback were Block new requests
Search and the fields stay off and Continue is disabled with the message "New claims need the hospital system. Try again later or ask your Super admin." Existing drafts stay readable from the last snapshot.
Not found in the hospital system. No patient with this ID in the hospital system. Check the number and search again, or enter the patient by hand. Entry by hand is allowed for Patients.
If this patient should exist, ask the Super admin: contact your Super admin
Find in the hospital system
0 results for "1087654321". Searched National ID, MRN and name.
Identity
10 digits.
3-letter ISO 3166 alpha-3 country code
Enter the country that issued the passport.
Identity
Hospital information systemReference id HIS-884021
From the hospital system.
10 digits.
Identity
Not verified at the source
10 digits.
Identity
Not verified at the source
10 digits.
Contact and demographics
Required unless the patient is a newborn.
Required unless the patient is a newborn.
Optional: per the NPHIES Patient structure definition.