FOMEMA — foreign worker examinations

Three counts, and they separate whose move it is. The six cases waiting for the clinic to send are the ones somebody can finish this afternoon.

Nothing here is sent to FOMEMA. The FOMEMA portal has no connection for other software, so the findings go into the portal exactly as they always have. What this screen gives you is the record on your side, and the answer to a question that has no answer today: which of my open cases is stuck, and on whom.

The rule the whole thing turns on

FOMEMA decides whether a worker is suitable — not the clinic, and not the examining doctor. FOMEMA applies criteria set by the Ministry of Health and sends its result to the Immigration Department. What Klinira records is what you found, and what FOMEMA answered. It never works one out from the other, and there is no button anywhere that would.

The five stages

Stage	What it means	Waiting on
Registered, not yet seen	The employer has paid and the form exists	The worker
Examined, not yet transmitted	You have examined; the findings are in a tray	You
Sent to FOMEMA	Keyed into the portal	FOMEMA
Result returned	FOMEMA has answered	Nobody
Closed without a result	The worker never came, or the employer withdrew	Nobody

The second one is why the board exists. It is the only place in the chain where the delay is yours, and it is invisible on paper — the file is in a tray, somebody means to key it in this evening, and nobody counts how many trays there are. The board counts them and puts them at the top.

Opening a case

1The worker arrives with a printed FOMEMA form and their original passport. Go to FOMEMA and press Open a case.
2Find the worker. If they are not a patient yet, register them first as you would anybody else.
3Type the FOMEMA reference exactly as it is printed on the form.
4If the form shows the day the employer paid, put it in. This is the one worth chasing — see below.
5Type the passport number from the form, and the employer.

The passport is the mistake that matters

The examination. Height, weight, blood pressure, pulse; the body mass index is worked out for you.

If the passport number on the FOMEMA form is not the same as the one on the patient's record, the board says so in red on that row and counts it in the summary. Nothing is blocked. It is not blocked because a block cannot fix it: you are holding the original passport and the worker is standing in front of you, and that is the only moment it can be settled. A result attached to the wrong worker's permit is not something anybody can put right afterwards.

The two clocks

The registration lapses thirty days after the employer paid. Past that the employer pays for a second form — which is the most expensive thing that can go quietly wrong here. The board shows the days left and turns them red when they run out.
A result FOMEMA has certified stays available to Immigration for a hundred and eighty days from the examination.
If nobody keyed in the day the employer paid, the screen says “No date recorded” rather than guessing. Guessing would tell you that you have thirty days when you may have four.

Recording the examination

The Examination tab is the medical record: height, weight, blood pressure, pulse, and the general and systemic examination in your own words. The body mass index is worked out as you type and is never typed. There is no fitness box on this page and there is not meant to be.

Record which panel laboratory the specimens went to and which X-ray centre the worker attended. Neither sends anything back to you — they transmit to FOMEMA — so this is there for one reason: when a case is stuck, you know who to telephone.

Correcting the findings keeps the original. Type why it was wrong, and both versions stay readable — the same rule as every other clinical record in Klinira. Nothing is overwritten.

Moving the case on

Key the findings into the FOMEMA portal first, then record the step here. The line above the button says so.

Once the findings are in the FOMEMA portal, move the case to “Sent to FOMEMA”.
When FOMEMA answers, move it to “Result returned” and record what came back — suitable or unsuitable, in FOMEMA's own words.
A case that went nowhere is closed with a reason. The worker never came, the employer withdrew, the registration lapsed — the employer will ask, and the register keeps the answer.
A case only moves forward. If one was ticked on by mistake, correct it on the Case and paperwork tab and say what happened.

You can skip a stage. A clinic keying in a fortnight of paper on a Tuesday afternoon goes from Registered straight to Sent, and nothing objects — what is refused is going backwards, because a case that has been sent to FOMEMA cannot become one that has not.

The register, and reporting by employer

Every case, closed ones included, with the counts by employer above them.

Filter by employer and by month, and print it. The printed register is landscape, closed cases are struck through, and their reasons are listed underneath.
“By employer” answers the call you actually get: how is this employer's batch getting on. Total, still open, suitable, unsuitable.
The printed register says in plain words that FOMEMA certifies and that the register states no opinion about anybody's suitability. It is on the paper because a register on a clinic's letterhead reads as a document that says something.

Who may do what

The counter can open cases, chase employers and tick cases on — that is front-desk work and none of it is clinical. What the counter cannot do is record the examination, and what they cannot see is what was found: a counter clerk with the board open sees the worker, the reference, the employer, the stage and the deadline, and nothing about the person's health at all.

What Klinira does not do

It does not transmit to FOMEMA, appeal a result, or re-register a worker. All three are the FOMEMA portal, and a button that looked like any of them would be worse than nothing.
It does not hold the laboratory results or the X-ray. Those go to FOMEMA, not back to you. If you want to keep a worker's blood results, file them the ordinary way in Laboratory.
It does not print a FOMEMA certificate. FOMEMA certifies. What prints here is your own register.
It does not show the fee or your annual quota. Both are FOMEMA's, both change, and a figure we printed beside your income would be believed.