> ## Documentation Index
> Fetch the complete documentation index at: https://docs.ndumed.co/llms.txt
> Use this file to discover all available pages before exploring further.

# Register, find and update patients

> Search for patients by name, MRN, phone or ID, register new patients, record allergies, upload documents and manage HMO enrollment in NduMed.

The **Patients** area is where reception registers new patients and where clinical staff find a patient's record. Each patient gets a unique medical record number (MRN) such as `MRN-2026-000001`.

> [!NOTE]
>
> Who can do what: Receptionists register and update patients and manage documents. Doctors can update patients and allergies. Nurses, Lab technicians, Pharmacists and Cashiers can search and view patients.

## Search for a patient

**1. Open Patients**

Select **Patients** in the menu.

**2. Search**

Type a name, MRN, phone number, national ID or previous record number (at least 2 characters) and search.

**3. Open the record**

Select the patient. Use **Next results** to see more matches, or **Start over** for a new search.

> [!NOTE]
>
> Every patient record you open is recorded in the audit log.

## Register a new patient

Search first to make sure the patient is not already registered, then select **Register patient**.

**1. Demographics**

Enter **Given name**, **Family name** and **Sex** (Male, Female, Other or Unknown). **Date of birth** is optional and cannot be in the future.

**2. Contact details**

Enter **Phone** (required). **Email**, **Address** and **National ID** are optional. Add an email if the patient wants appointment reminders.

**3. Next of kin (optional)**

Name, relationship and phone.

**4. HMO enrollment (optional)**

If the patient is covered by an HMO, choose the HMO and package and enter the member number and effective-from date. Fill in all of these or none.

**5. Save**

Select **Register patient**. You see "Patient registered with MRN …".

### Possible duplicate warning

If another patient already has the same phone number or national ID, NduMed warns: "A patient may already have this phone number or national ID". Check the existing record first. If this really is a different person (for example, family members sharing a phone), select **Register patient anyway**.

## The patient record

The top of the record shows the MRN, previous record number (if any), age and sex. A **Severe allergies** banner appears when the patient has a severe allergy recorded. Nurses and other ward staff see an **Admit** link.

The record has four tabs:

> [tab] Visits
>
> The patient's encounters (consultations, admissions, emergency visits), newest first.

> [tab] Allergies
>
> Select **Record allergy** and enter **Allergen / substance**, **Severity** (Severe, Moderate, Mild or Unknown) and an optional **Reaction / note** (up to 300 characters). Use **Edit** or **Delete** to change an entry.
>
> > [!WARNING]
> >
> > Severe allergies are checked when a doctor prescribes. Record the allergen name as clearly as possible (for example "Penicillin").

> [tab] Documents
>
> Select **Upload document** to attach a referral letter, scan or result. Allowed types: PDF, JPEG, PNG, GIF, plain text and CSV, up to 10 MB. Use **Download** to open a document and **Delete** to remove one.

> [tab] Billing
>
> The patient's HMO enrollment. Select **Add or change enrollment**, choose the HMO and package, enter the **Member number**, and select **Save enrollment**. Use **End coverage** when cover stops. **Enrollment history** lists past cover. Enrollment periods cannot overlap.

## Patient ID and MRN

Some forms (booking an appointment, opening an encounter) ask for the **Patient ID**. This is NduMed's internal number for the patient, which is different from the MRN. The easiest way to fill these forms is to start from the patient's record.

## Privacy

Phone numbers, national IDs and next-of-kin phone numbers are encrypted when stored.


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