VPRS 7680 Register of Patients

Register of PatientsFrom at least 1845 and the proclamation of An Act for the Regulation of the Care and Treatment of Lunatics (8 & 9 Vic c.100), public asylums and licensed houses were required to maintain a Register of Patients. Initially the register maintained by licensed houses was officially known as the Book of Admissions. In some institutions the Register was also known as an Admissions Register or as an Admission and Discharge Register and these terms were sometimes stamped on the volumes.Immediately upon the admission of a person to an asylum, the clerk of the asylum was required to make an entry in the Register of Patients. Details recorded included:- patient's name- date of admission- admission number- date of last previous admission- age- marital status- occupation- previous place of abode- religion, and- once examined by a medical officer, the form of mental disorder and state of physical health.Further details were entered in the register on the death, transfer or discharge of a patient. Institutions were also required to maintain a separate Register of Discharges, Removals and Deaths, usually known as a Discharge Register.The format of the Register of Patients which was specified in a schedule to the Lunacy Statute and succeeding legislation, changed little until the proclamation of the Mental Health Act 1959 in 1962.The record then became officially known as the Register of Patients and Discharge Register and included information about the types of admission. The following five types of admission were specified under sections 41 to 49 of the Mental Health Act 1959.- Voluntary Boarders (V) were those who entered the hospital at their own request or, if under the age of 16 at the request of a parent or guardian and on the opinion of a medical practitioner.- Recommended (R) and Approved (A) Patients. A person could be admitted upon the recommendation set out in a prescribed form, of a medical practitioner who had examined the person. As soon as possible after admission the superintendent of the hospital was required to examine the patient and either approve the recommended admission or discharge the patient.- Judicial Admissions (J). Upon information provided on oath before a justice that a mentally ill person was not receiving proper care, or could not support himself/herself or had committed an offence, and after examination by two medical practitioners, an order could be made for the person to be admitted to or detained in a mental hospital.- Security Patients (S) were those who had been detained in a gaol but were transferred to a mental hospital upon being determined to be mentally ill.The post 1962 Registers of Patients also included information previously recorded in a separate Discharge Register, e.g. institution to which the patient was transferred, assigned cause of death where applicable. However some institutions continued to maintain a separate Discharge Register.Register of Patients - Kew AsylumThe admission dates can also be used to locate the entries of patient histories in the Kew Asylum case books, VPRS 7397 (female patients) and VPRS 7398 (male patients).

患者登记册
自至少1845年《疯人照护与治疗监管法案》（8 & 9 Vic c.100）颁布起，公立精神病院及许可机构需维持一份患者登记册。最初，许可机构所维护的登记册官方名称为《入院登记簿》（Book of Admissions）。在部分机构中，该登记册亦被称为入院登记册或入院出院登记册，这些术语有时会加盖于册页之上。

患者入院后，精神病院书记员需立即在患者登记册中录入信息。所记录的详情包括：
- 患者姓名
- 入院日期
- 入院编号
- 末次入院日期（若有）
- 年龄
- 婚姻状况
- 职业
- 既往住址
- 宗教信仰
- 经医务人员检查后记录的精神障碍类型及身体健康状况

患者死亡、转院或出院时，登记册需补充录入更多详情。机构还需单独维护一份《出院、转院及死亡登记册》，通常简称为出院登记册。

《疯人法案》及其后续立法附表中规定的患者登记册格式，直至1962年《1959年精神健康法案》颁布前几乎未变。此后，该记录的官方名称变更为《患者及出院登记册》，并纳入了入院类型相关信息。《1959年精神健康法案》第41至49条规定了以下五种入院类型：
- 自愿寄宿者（V）：指自行要求入院者；若年龄未满16岁，则需基于父母或监护人的请求及执业医师的意见入院。
- 推荐（R）与核准（A）患者：经执业医师检查后，可根据其按规定格式出具的推荐意见入院。入院后，医院院长需尽快对患者进行检查，要么核准该推荐入院，要么将患者出院。
- 司法入院者（J）：当有人在法官面前宣誓作证，证明某精神疾病患者未得到妥善照护、无法自立或曾犯罪，且经两名执业医师检查后，可下令将该患者送入或拘留在精神病院。
- 安保患者（S）：指曾被监禁，但经确诊为精神疾病后转至精神病院的患者。

1962年后的患者登记册还纳入了此前单独出院登记册中记录的信息，例如患者转至的机构、适用情况下的指定死因等。不过，部分机构仍继续维护单独的出院登记册。

患者登记册——邱精神病院
入院日期还可用于查找邱精神病院病例簿（VPRS 7397，女性患者；VPRS 7398，男性患者）中的患者病史条目。