DSTU2

This page is part of the FHIR Specification (v1.0.2: DSTU 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R3 R2

4.7.6 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 organization.

Control1..1
Alternate NamesReferralRequest TransferOfCare Request
ReferralRequest.status
Definition

The workflow status of the referral or transfer of care request.

Control1..1
BindingReferralStatus: The status of the referral. (Required)
Typecode
Is Modifiertrue
Summarytrue
ReferralRequest.identifier
Definition

Business identifier that uniquely identifies the referral/care transfer request instance.

NoteThis is a business identifer, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
ReferralRequest.date
Definition

Date/DateTime of creation for draft requests and date of activation for active requests.

Control0..1
TypedateTime
Summarytrue
ReferralRequest.type
Definition

An indication of the type of referral (or where applicable the type of transfer of care) request.

Control0..1
BindingReferralType: Codes for types of referral; e.g. consult, transfer, temporary transfer.
TypeCodeableConcept
Summarytrue
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. For example: Cardiology Gastroenterology Diabetology.

Control0..1
BindingPractitionerSpecialty: Codes indicating the types of capability the referred to service provider must have. (Example)
TypeCodeableConcept
ReferralRequest.priority
Definition

An indication of the urgency of referral (or where applicable the type of transfer of care) request.

Control0..1
BindingDiagnosticOrderPriority: Codes indicating the relative priority of the referral. (Example)
TypeCodeableConcept
Summarytrue
ReferralRequest.patient
Definition

The patient who is the subject of a referral or transfer of care request.

Control0..1
TypeReference(Patient)
Summarytrue
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 initiated the referral/transfer of care request. Can also be Patient (a self referral).

Control0..1
TypeReference(Practitioner | Organization | Patient)
Summarytrue
ReferralRequest.recipient
Definition

The healthcare provider(s) or provider organization(s) who/which is to receive the referral/transfer of care request.

Control0..*
TypeReference(Practitioner | Organization)
Summarytrue
Comments

There will be a primary receiver. But the request can be received by any number of "copied to" providers or organizations.

ReferralRequest.encounter
Definition

The encounter at which the request for referral or transfer of care is initiated.

Control0..1
TypeReference(Encounter)
ReferralRequest.dateSent
Definition

Date/DateTime the request for referral or transfer of care is sent by the author.

Control0..1
TypedateTime
Summarytrue
ReferralRequest.reason
Definition

Description of clinical condition indicating why referral/transfer of care is requested. For example: Pathological Anomalies, Disabled (physical or mental), Behavioral Management.

Control0..1
BindingReferralReason: Codes indicating why the referral is being requested.
TypeCodeableConcept
Summarytrue
ReferralRequest.description
Definition

The 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.

Control0..1
Typestring
To DoThis 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. For example: cardiac pacemaker insertion.

Control0..*
BindingPractice Setting Code Value Set: Codes indicating the types of services that might be requested as part of a referral. (Example)
TypeCodeableConcept
Summarytrue
ReferralRequest.supportingInformation
Definition

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.

Control0..*
TypeReference(Any)
Summarytrue
ReferralRequest.fulfillmentTime
Definition

The period of time within which the services identified in the referral/transfer of care is specified or required to occur.

Control0..1
TypePeriod
Requirements

Use cases: (1) to indicate that the requested service is not to happen before a specified date, and saving the start date in Period.start; (2) to indicate that the requested service must happen before a specified date, and saving the end date in Period.end; (3) to indicate that the requested service must happen during the specified dates ("start" and "end" values).

Alternate NamesEffectiveTime
Summarytrue