Gives information about the Referral Details section
Important: This specification is based on the Professional Records Standards Body's Pharmacy information flows standard which provides further information on document headings and content: https://theprsb.org/standards/pharmacyinformationflows1and2/
Referral Details Section Content
The Referral details section carries a narrative summary of the episode, where possible, very brief. PRSB Elements should be formatted as subheadings in any HTML sent.
REFERRAL DETAILS | |||||
---|---|---|---|---|---|
Data Item | Description | Cardinality | Values | Mandatory/required/ optional | FHIR Target |
Referral to | Name, designation and organisation. If not an individual, this could be a service, e.g. GP surgery, department, specialty, subspecialty, educational institution, mental health etc. | 0 TO 1 | Free text | Required | Composition.section.text |
Clinical urgency of referral | Referrer’s assessment of urgency (e.g. urgent/ soon/ routine). May include reason if other than routine. Eg two data items:* level of urgency* reason. | 0 TO 1 | PRIORITY TYPE (NHS Data Dictionary) https://www.datadictionary.nhs.uk/ data_dictionary/attributes/ p/prio/priority_type_de.asp? shownav=1 Free text reason | Required | Composition.section.text |
Expectation of referral | A clear statement of the expectations of the person making the referral as to the management of the patient eg advice only, diagnosis, treatment, etc. To include any specific patient expectation. | 0 TO MANY | Free text | Required | Composition.section.text |
Reason for referral | A clear statement of the purpose of the person making the referral e.g. diagnosis, treatment, transfer of care due to relocation, investigation, second opinion, management of the patient (e.g. palliative care), provide referrer with advice / guidance. This may include referral because of carers’ concerns. | 0 TO 1 | Free text | Required | Composition.section.text |
Example Referral Details Section
Note: These examples have not been clinically assured against Digital Medicines use cases.
Examples are illustrative only.
Examples are illustrative only.
<!--<xml>-->
<!-- Referral details-->
<section>
<title value="Referral details"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886721000000107"/>
<display value="Referral details"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Referral details</th>
<td><p>Self referral.</p></td>
</tr>
<tr>
<th>Referral to</th>
<td><p>GP surgery</p></td>
</tr>
<tr>
<th>Clinical urgency of referral</th>
<td>urgent</td>
</tr>
<tr>
<th>Expectation of referral</th>
<td>A clear statement of the expectations of the person making the referral as to the management of the patient eg advice only, diagnosis, treatment, etc. To include any specific patient expectation.</td>
</tr>
<tr>
<th>Reason for referral</th>
<td>A clear statement of the purpose of the person making the referral e.g. diagnosis, treatment, transfer of care due to relocation, investigation, second opinion, management of the patient (e.g. palliative care), provide referrer with advice / guidance. This may include referral because of carers' concerns.</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--</xml>-->