Patient Journey · Baan Jai Sai

New patient intake form

Duplicate check active

Personal information

HIPAA-protected

Legal first name *

Legal last name *

Preferred name

Date of birth *

Gender identity

Nationality

Contact information

Backup contact required

Primary phone *

Intl. format detected · Morocco

Email *

✓ Domain accepted

Mailing address

Backup contact phone

Emergency contact

Consent to notify

Full name *

Relationship *

Phone *

Consent to notify in emergencies

Medical history

Encrypted at rest

Prior diagnoses

Prior surgeries

Current medications

Allergies

Genetic / molecular markers

Optional · if known

BRCA1/2

HER2

EGFR

KRAS

MSI status

PD-L1 expression

Insurance

Auto-routed to verification

Provider

Member ID *

✓ Format matches Cigna Global

Policy holder

Pre-authorization status

Legal & consent

e-Sign capture

Treatment consent (general)

Signed

Data sharing — referring oncologist

Signed

Research / biobank participation

Pending

Photography & clinical imaging

Signed

Next-of-kin & Power of Attorney

Signed

Care preferences

Hospitality

Language preference

Interpreter required (Arabic + French handoff)

Accessibility needs

Dietary restrictions

Villa accommodation

Companion staying with patient

Validation status

All mandatory fields complete (24/24)
Email format & domain whitelist
Phone in E.164 format
Insurance ID regex (Cigna Global)
No MRN duplicate match (fuzzy: 0.07)
2 of 5 consents pending e-signature

Auto-routing on save

1
Generate MRN
Format SOL-YYYY-NNNN
2
Create insurance verification task
→ Finance queue
3
Apply triage algorithm
Symptom + stage input
4
Place villa hold (if LOS > 2 nights)
→ Hospitality
5
Issue welcome email + portal credentials
French template

Existing record check

No exact match found.

Closest fuzzy hit: MRN-08812 · R. Bennani · 1971 · MA — manually reviewed and rejected by intake nurse.

Live patient pipeline

Amélie Laurent · MRN-08821
In journey 12 days
amberschedule
Hiroshi Tanaka · MRN-08823
In journey 59 days
greenwayfind
Mariana Costa · MRN-08825
In journey 104 days
greendischarge
David Cohen · MRN-08827
In journey 1 day
redtriage
Fatima Al-Rashid · MRN-08828
In journey 3 days
amberinsurance
Lukas Weber · MRN-08830
In journey 40 days
greencheckin
Rachid Bennani · NEW-00114
In journey 2 hours
amberintake

Audit trail (HIPAA · last 10 events)

14:22Triage RED reacknowledged · CohenNurse Reyes
14:18Welcome package shipment created · CostaSystem
14:11Insurance pre-auth signed · BennaniDr. Singh
14:02Symptom log submitted via app · Al-RashidPatient
13:55Villa V-301 released to housekeepingConcierge Lin
13:40SMS sent (T-2h) · Laurent · hash 8af3…System
13:31New record created · Bennani · MRN issuedIntake Maya
13:30Duplicate check passed for BennaniSystem
13:22QR check-in · WeberPatient
13:14Villa hold placed · LOS 18 nights · Bennani family suiteSystem