The "Referrals" tab is used to issue referrals and certificates for the patient. In the tab, there are three forms:

• referral to a specialist
• referral to hospital
• referral to spa treatment
• order for device

as well as other forms and other printed documents defined using the functionality described in the section "Document templates".

By default, in the "Referrals" tab there are displayed dark bars with the names of the available types of referrals and other printed forms. To display the form for the type of referrals or other print form just click on the right bar and then will develop the appropriate form to fill out.

To issue a referral to a specialist, a form have to be completed indicating at least the type of clinic and ICD-10 code of diagnosis / codes of diagnosis. At entering the type of clinic (specialty of department to which the patient is directed) there is displayed a list of hints - the correct option should be selected from a list of suggestions. Clinic name is filled by default with the selected type of clinic but it can be changet – if it is no empty, it appears on referral printout instead of referral type. By default, the "Diagnosis codes (ICD-10)" field is filled with codes entered by the doctor in the "ICD9 / ICD10" tab and separated by commas. However, these codes can be deleted, modified or user can add additional codes (each additional code should append after comma, then while entering the system displays a list of hints). If the issued referral is referral to surgery realized internally in a healthcare institution supported by the jHIS system, then check the "Referral to surgery" box. After checking this box will develop a list of additional options to select which documents the patient before surgery will have to sign (documents in the patient's language are additionally bolded) and to determine which set of tools and the patient should be used to perform the surgery. Sets of tools and patient can be created in three ways:

• by selecting one of the already defined sets - the name of the set and tools from such a set will automatically appear in the form of referral’s data
• by manually creating sets - for this purpose, enter the name of the set and then use the buttons "More tools" and "More Information" to view any number of fields for entering tools / materials by selecting from a dictionary (the "More tools" button), and any number of text fields to enter the types of tools / materials (the "More information" button)
• by combining the above two methods, so selecting one of the already defined sets and supplement it with additional tools / materials, using the "More tools" and "More Information" buttons.

Fields of tools / materials that will not be filled, will be ignored when saving data of referral. After completing the form it has to be confirmed with "Referral to a specialist" or "Print" button (it depends on system configuration). Then a referral will be created and in the upper part of the "Referral" tab will appear the "Print referral" link to download and print the referral (referrals to specialists are printed on paper in the format of prescription) – if for issue of referral was used the "Print" button then it automatically opens the file with referral to print. In addition, data from created referral will appear in the "Referrals" tab of patient card.

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To issue a referral to hospital the form should be completed indicating at least the type of referral, name of the unit and ICD-10 code of diagnosis / codes of diagnosis. At entering the type of referral (specialty of department to which the patient is directed) there is displayed a list of hints - the correct option should be selected from a list of suggestions. At entering the name of the unit, the system displays a list of suggestions created on the basis of the units inserted at issuing earlier referrals to hospital (instead of typing the full name of the unit, you can select it from the list of hints). By default, the "Diagnosis codes (ICD-10)" field is filled with codes entered by the doctor in the "ICD9 / ICD10" tab and separated by commas. However, these codes can be deleted, modified or user can add additional codes (each additional code should append after comma, then while entering the system displays a list of hints). If the issued referral is a referral for the surgery realized internally in a healthcare institution supported by the jHIS system, then check the "Referral for surgery" box. After checking this box there will develop a list of additional options to select which documents the patient for surgery will have to sign (documents in the patient's language are additionally bolded) and to determine which sets of tools and patient should be used for the surgery. Sets of tools and patient are created in the same way as in the case of referrals to specialists. Fields tools / materials that will not be filled, will be ignored at saving data of referral. After completing the form it has to be confirmed with "Referral to hospital" button. Then a referral will be created and in the upper part of the "Referral" tab will appear the "Print referral" link to download and print a referral (referrals to hospital are printed on paper in the format of prescription). In addition, data from created referral will appear in the "Referrals" tab of patient card.

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To issue a referral to spa treatment you should click the „Referral to spa treatment” button.

Then, a form opens in the new window, which has to be filled and confirmed with "Generate referral" button.

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Then, a referral will be created, the form will disappear and in the upper part of the "Referral" tab will appear the "Print referral" link to download and print a referral. Referrals to spa treatment are printed on A4 paper.

To issue order for device one has to fill order form and click the button “Issue”. After completing the form it has to be confirmed with "Issue" button. Then an order will be created and in the upper part of the "Referral" tab will appear the "Print order" link to download and print a order (orders are printed on paper in the A4 format).

If using the functionality described in the "Document templates" section was created a template of "Referral / prints for the patient" type, form that allows for then fill out such a document is also available in the "Referrals" tab. The text fields in such form have a built-in content filling control indicator: if the content entered in the text field takes up less than 90% of the space allocated to it in the document template, then the background of the text field is white, if it takes 90% to 95% of the space - the background changes to yellow, if it occupies between 95% and 100% space - the background changes to orange, if it takes more than 100% space - the background changes to red. After completing the form it has to be confirmed with a button with name identical to the name of the document template. Then print will be created and in the upper part of the "Referral" tab will appear the "Download form" link that allows to download and print the document (documents are printed on paper in the format of prescription).

The "Back" and "Next" buttons visible at the bottom of the tab allow you to switch accordingly to previous and next tabs in the visit card.