ARTIMUS Admissions v5

Admissions

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Total

—

Draft

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Overdue

👤Patient Identity

SA ID Number *

DOB and age auto-populate from ID. Leave blank if minor with birth certificate only.

Is patient a minor? (if no ID available)

No

Yes — under 18

Surname *

First name *

Gender *

Date of birth

Contact number (next of kin)

🚗Accident Details

Accident date *

Time

Accident type *

🚗 MVA

🚶 Pedestrian

🏍️ Motorcycle

Other

Accident location (add within 48hrs)

🏥Referring Facility *

Referring hospital patient no. (add within 48hrs)

📄Document Uploads

Accident report *

📷

Tap to upload or photographPolice / accident report

ID document or birth certificate *

🪪

Tap to uploadSA ID card, passport or birth certificate

✅Accident Report Checklist *

All five items must be confirmed before proceeding

✓

Report is legible

All text clearly readable

✓

Patient is listed on the report

Name appears on accident report

✓

Patient details are correct

Name, ID and DOB match patient file

✓

SAPS page 4 — completed, dated and signed

All fields on page 4 filled in

✓

SAPS stamp is legible

Station stamp clearly visible

Notes on accident report

🩹ICD-10 Codes *

Select all applicable codes. Tap × to remove.

Injury description *

⚡Classification

Priority *

P2 — Single / stable

P1 — Multiple / critical

P1 = multiple fractures, head injury, internal bleeding or combination

GCS Score (add within 48hrs if unknown)

15

14

13

12

11

10

9

≤8

Additional clinical flags

🧠 Head injury

🩸 Internal bleeding

🦴 Large bone #

🏥Receiving Facility *

👨‍⚕️Accepting Doctor *

Doctor status

✅ Accepted

⏳ Pending bed

🛏️Bed Confirmation *

⏳ Awaiting

✅ Confirmed

Authorisation Number

—

✅

AMA issued. 48-hour clock started. Upload required documents below.

📤Transfer Reasons *

No theatre

No specialist

No beds

No X-ray

No ICU

No high care

Other

👨‍⚕️Referring Doctor *

📎 Required Documents

48-hour deadline Calculating…

Transfer letter *

Upload from referring hospital — confirms reason for transfer

📄

Upload transfer letterFrom referring facility

Admission confirmation (within 48hrs)

🏥

Upload admission confirmationFrom receiving facility

Admission data sheet (within 48hrs)

📋

Upload admission data sheetFrom receiving facility

Hospital records (within 48hrs — optional)

📁

Upload hospital recordsFrom referring facility

✅

Admission recorded

Patient file created and AMA issued

AMA Number

File completeness

0% complete — outstanding items flagged as 48hr tasks