The Health Care Reference Letter serves as a critical communication tool in Singapore's healthcare ecosystem, enabling the secure and professional transfer of patient medical information between healthcare providers. This document is typically used when a patient requires specialist consultation, is transferring care providers, or needs their medical history documented for specific purposes. The letter must comply with Singapore's healthcare regulations, including the SMC Ethical Guidelines and PDPA requirements, while providing comprehensive medical information, current health status, and professional recommendations. It represents a formal medical record that can be used for various healthcare purposes while maintaining patient confidentiality and professional standards.
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1. Recipient Information: Full details of the organization/person to whom the reference is addressed, including name, title, organization, and address
2. Patient Identification: Essential identifying information about the patient including full name, ID/passport number, date of birth (with patient consent)
3. Treatment History: Relevant medical history, treatments provided, dates of consultation, and significant medical events
4. Current Medical Status: Present health condition, ongoing treatment requirements, and current medications
5. Professional Opinion: Medical assessment, recommendations, and professional judgment regarding the patient's condition
1. Specialist Referrals: Details of other healthcare providers involved in patient care, included when multiple specialists have been consulted
2. Treatment Compliance: Patient's adherence to prescribed treatment plans and medications, included when relevant to ongoing care
3. Future Care Plan: Recommended future treatment approach and follow-up care, included for complex cases requiring ongoing management
1. Medical Test Results: Relevant diagnostic reports, laboratory results, and imaging findings
2. Treatment Records: Detailed medical records including consultation notes and treatment summaries
3. Consent Forms: Patient's written consent for information disclosure and release of medical information
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