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.

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

A protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.

Indicates any plans, proposals or orders that this request is intended to satisfy - in whole or in part.

Completed or terminated request(s) whose function is taken by this new request.

Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.

The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.

The business identifier of the logical "grouping" request/order that this referral is a part of.

Allows multiple orders to be collected as part of a single requisition.

The status of the authorization/intention reflected by the referral request record.

Workflow status is handled by the Task resource.

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Distinguishes the "level" of authorization/demand implicit in this request.

The same resource structure is used when capturing proposals/recommendations, plans and actual requests.

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

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

The service(s) that is/are requested to be provided to the patient. For example: cardiac pacemaker insertion.

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

Referral of family, group or community is to be catered for by profiles.

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

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

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).

When the occurrenceDateTime is used, then it is indicating that the requested service must happen before the specified date.

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

The individual who initiated the request and has responsibility for its activation.

The device, practitioner, etc. who initiated the request.

The organization the device or practitioner was acting on behalf of.

Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request.

Indication of the clinical domain or discipline to which the referral or transfer of care request is sent. For example: Cardiology Gastroenterology Diabetology.

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

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

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

Indicates another resource whose existence justifies this request.

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.

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.

Comments made about the referral request by any of the participants.

Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.

This element does not point to the Provenance associated with the current version of the resource - as it would be created after this version existed. The Provenance for the current version can be retrieved with a _revinclude.