- A request for referral or transfer of care Profile of ReferralRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
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Key: = Must support, = QICore-defined extension, = Is-Modifier
Field Card. Type and Description 
date 0..1DateTimeDate/DateTime of creation for draft requests and date of activation for active requests.dateSent 0..1DateTimeDate/DateTime the request for referral or transfer of care is sent by the author.description 0..1StringThe reason element gives a short description of why the referral is being made, the description expands on this to support a more complete clinical summary.encounter 0..1EncounterThe encounter at which the request for referral or transfer of care is initiated.fulfillmentTime 0..1interval<DateTime>The period of time within which the services identified in the referral/transfer of care is specified or required to occur.identifier 0..*List<Identifier>Business identifier that uniquely identifies the referral/care transfer request instance.patient 0..1PatientThe patient who is the subject of a referral or transfer of care request.priority 0..1ConceptAn indication of the urgency of referral (or where applicable the type of transfer of care) request.Binding: SNOMED CT Priorities Codes (Preferred)
reason 0..1ConceptDescription of clinical condition indicating why referral/transfer of care is requested. For example: Pathological Anomalies, Disabled (physical or mental), Behavioral Management.(Example)
recipient 0..*List<Practitioner | Organization>The healthcare provider(s) or provider organization(s) who/which is to receive the referral/transfer of care request.refusalReason 0..1ConceptThe reason the referral request was refused. Only applicable when status = refused.Binding: Reasons for rejecting a referral request (Example)
requester 0..1Practitioner | Organization | PatientThe healthcare provider or provider organization who/which initiated the referral/transfer of care request. Can also be Patient (a self referral).serviceRequested 0..*List<Concept>The service(s) that is/are requested to be provided to the patient. For example: cardiac pacemaker insertion.Binding: Practice Setting Code Value Set (Example)
specialty 0..1ConceptIndication of the clinical domain or discipline to which the referral or transfer of care request is sent. For example: Cardiology Gastroenterology Diabetology.Binding: PractitionerSpecialty (Example)
status 1..1codeThe workflow status of the referral or transfer of care request.Binding: ReferralStatus (Required)
supportingInformation 0..*List<Resource>Any additional (administrative, financial or clinical) information required to support request for referral or transfer of care. For example: 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.type 0..1ConceptAn indication of the type of referral (or where applicable the type of transfer of care) request.(Example)
Key: = Must support, = QICore-defined extension, = Is-Modifier
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