The Hospital Reference Letter serves as a crucial communication tool within the Indonesian healthcare system, enabling proper patient transfers and specialist referrals between medical facilities. This document is required when a patient needs to be referred to another healthcare provider for specialized care, second opinions, or specific treatments not available at the current facility. The letter must comply with Indonesian healthcare regulations, including Law No. 36 of 2009 on Health and Law No. 44 of 2009 on Hospitals, ensuring proper documentation of patient information, medical history, and transfer details. Hospital Reference Letters are essential for maintaining continuity of care, protecting patient safety, and facilitating effective communication between healthcare providers while adhering to data protection requirements under Indonesian law.
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1. Hospital Header Information: Official letterhead including hospital name, address, contact details, and any relevant registration numbers
2. Date and Reference Number: Current date and unique reference number for the letter
3. Patient Information: Complete patient details including full name, date of birth, medical record number, address, and contact information
4. Referring Doctor Information: Name, registration number, and specialty of the referring physician
5. Primary Diagnosis: Current medical condition and primary diagnosis requiring referral
6. Reason for Referral: Clear explanation of why the patient is being referred
7. Current Medical Status: Summary of patient's current condition and vital signs
8. Treatment History: Brief summary of relevant treatments already provided
9. Referral Destination: Name of receiving hospital/specialist and department
10. Urgency Level: Indication of the urgency of the referral (emergency, urgent, routine)
11. Authentication: Referring doctor's signature, stamp, and date
1. Insurance Information: Details of patient's insurance coverage, to be included when referral requires insurance processing
2. Special Care Requirements: Any specific care needs during transfer, included for patients requiring special attention
3. Previous Investigations: List of relevant tests and investigations already performed, included when significant for the referral
4. Current Medications: List of current medications, included when patient is on ongoing treatment
5. Social History: Relevant social circumstances, included when they impact care requirements
6. Family History: Relevant family medical history, included when pertinent to current condition
1. Recent Laboratory Results: Copies of relevant recent laboratory test results
2. Imaging Reports: Copies of relevant imaging studies and their reports
3. Previous Medical Records: Relevant excerpts from patient's medical records
4. Medication List: Detailed list of current medications including dosages and schedules
5. Care Instructions: Specific instructions for patient care during transfer or at receiving facility
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Medical Services
Hospital Administration
Insurance
Emergency Services
Specialist Medical Care
Primary Healthcare
Public Health
Relevant Teams
Medical Records
Quality Assurance
Patient Administration
Legal and Compliance
Emergency Department
Clinical Operations
Insurance Coordination
Patient Services
Healthcare Documentation
Medical Affairs
Relevant Roles
Medical Director
Hospital Administrator
Chief Medical Officer
Physician
Specialist Doctor
General Practitioner
Head of Medical Records
Medical Records Officer
Hospital Compliance Officer
Quality Assurance Manager
Patient Care Coordinator
Admissions Manager
Emergency Department Director
Healthcare Legal Counsel
Insurance Coordinator
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