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This
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part
of
the
FHIR
Specification
(v0.0.82:
DSTU
1).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
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full
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available
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see
the
Directory
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Page
versions:
R3
R2
Content
Examples
Detailed
Descriptions
Mappings
Profiles
4.8.6
Resource
ReferralRequest
-
Detailed
Descriptions
Detailed
Descriptions
for
the
elements
in
the
ReferralRequest
resource.
ReferralRequest
Definition
Used
to
record
and
send
details
about
a
request
for
referral
service
or
transfer
of
a
patient
to
the
care
of
another
provider
or
provider
organisation.
Control
1..1
Alternate
Names
ReferralRequest
TransferOfCare
Request
ReferralRequest.status
Definition
The
workflow
status
of
the
referral
or
transfer
of
care
request.
Control
1..1
Binding
ReferralStatus:
Required
:
http://hl7.org/fhir/referralstatus
(The
status
of
the
referral)
Type
code
Is
Modifier
true
Summary
true
ReferralRequest.identifier
Definition
Business
Id
that
uniquely
identifies
the
referral/care
transfer
request
instance.
Note
This
is
a
business
identifer,
not
a
resource
identifier
(see
discussion
)
Control
0..*
Type
Identifier
ReferralRequest.type
Definition
An
indication
of
the
type
of
referral
(or
where
applicable
the
type
of
transfer
of
care)
request.
Control
0..1
Type
CodeableConcept
Summary
true
Comments
Examples
of
referral
type:
-
consultation;
second
opinion;
third
opinion
-
Assume
management
-
Request
for
procedure(s)
HL7
v2.8
Example
-
Table
0336:
S
=
second
opinion
p
=
patient
preference
o
=
provider
ordered
w
=
work
load.
ReferralRequest.specialty
Definition
Indication
of
the
clinical
domain
or
discipline
to
which
the
referral
or
transfer
of
care
request
is
sent.
Control
0..1
Type
CodeableConcept
Comments
Examples:
Cardiology
Gastroenterology
Diabetology.
ReferralRequest.priority
Definition
An
indication
of
the
urgency
of
referral
(or
where
applicable
the
type
of
transfer
of
care)
request.
Control
0..1
Type
CodeableConcept
Summary
true
ReferralRequest.patient
Definition
The
patient
who
is
the
subject
of
a
referral
or
transfer
of
care
request.
Control
0..1
Type
Reference
(
Patient
)
Summary
true
Comments
Referral
of
family,
group
or
community
is
to
be
catered
for
by
profiles.
ReferralRequest.requester
Definition
The
healthcare
provider
or
provider
organization
who/which
initaited
the
referral/transfer
of
care
request.
Can
also
be
Patient
(a
self
referral).
Control
0..1
Type
Reference
(
Practitioner
|
Organization
|
Patient
)
Summary
true
ReferralRequest.recipient
Definition
The
healthcare
provider(s)
or
provider
organization(s)
who/which
is
to
receive
the
referral/transfer
of
care
request.
Control
0..*
Type
Reference
(
Practitioner
|
Organization
)
Summary
true
Comments
There
will
be
a
primary
receiver.
But
the
request
can
be
received
by
any
number
of
&quot;copied
to&quot;
providers
or
organisations.
ReferralRequest.encounter
Definition
The
encounter
at
which
the
request
for
referral
or
transfer
of
care
is
initiated.
Control
0..1
Type
Reference
(
Encounter
)
ReferralRequest.dateSent
Definition
Date/DateTime
the
request
for
referral
or
transfer
of
care
is
sent
by
the
author.
Control
0..1
Type
dateTime
Summary
true
ReferralRequest.reason
Definition
Description
of
clinical
condition
indicating
why
referral/transfer
of
care
is
requested.
Control
0..1
Type
CodeableConcept
Summary
true
Comments
Examples:
&quot;2nd
degree
AV
block&quot;
Oral
Health
example
ReferralReasonCode:
01
=
Pathological
Anomalies
02
=
Disabled
(physical
or
mental)
03
=
Complexity
of
Treatment
04
=
Seizure
Disorders
05
=
Extensive
Surgery
06
=
Surgical
Complexity
07
=
Rampant
decay
08
=
Medical
History
(to
provide
details
upon
request)
09
=
Temporal
Mandibular
Joint
Anomalies
10
=
Accidental
Injury
11
=
Anaesthesia
complications
(local
or
general)
12
=
Developmental
Anomalies
13
=
Behavioral
Management.
ReferralRequest.description
Definition
The
reason
gives
a
short
description
of
why
the
referral
is
being
made,
the
description
expands
on
this
to
support
a
more
complete
clinical
summary.
Control
0..1
Type
string
Comments
This
would
be
a
good
candidate
for
a
'markdown'
data
type.
ReferralRequest.serviceRequested
Definition
The
service(s)
that
is/are
requested
to
be
provided
to
the
patient.
Control
0..*
Type
CodeableConcept
Summary
true
Comments
Examples:
&quot;cardiac
pacemaker
insertion&quot;
HL7
v3
Concept
domain
-
ReferralReasonCode
examples:
-
Specialized
medical
assistance
-
Other
care
requirement.
ReferralRequest.supportingInformation
Definition
Any
additional
(administrative,
financial
or
clinical)
information
required
to
support
request
for
referral
or
transfer
of
care.
Control
0..*
Type
Reference
(
Any
)
Summary
true
Comments
Examples
include:
Presenting
problems/chief
complaints
Medical
History
Family
History
Alerts
Allergy/Intolerance
and
Adverse
Reactions
Medications
Observations/Assessments
(may
include
cognitive
and
fundtional
assessments)
Diagnostic
Reports
Care
Plan.
ReferralRequest.fulfillmentTime
Definition
The
period
of
time
within
which
the
services
identified
in
the
referral/transfer
of
care
is
specified
or
required
to
occur.
Control
0..1
Type
Period
Requirements
Use
cases:
(1)
to
indicate
that
the
requested
service
is
not
to
happen
before
a
specified
date
(2)
to
indicate
that
the
requested
service
must
happen
before
a
specified
date
(3)
to
indicate
that
the
requested
service
must
happen
during
the
specified
dates
(&quot;low&quot;
and
&quot;high&quot;
values).
Alternate
Names
EffectiveTime
Summary
true
©
HL7.org
2011+.
FHIR
DSTU
(v0.4.0-4902)
generated
on
Fri,
Mar
27,
2015
00:23+1100.
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