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Referrer Details Section

Gives information about the Referrer Details section

Referrer Details Section Content

The Referral details section carries a narrative summary of the referrer details, where possible. PRSB Elements should be formatted as subheadings in any HTML sent.

REFERRER DETAILS          
Data Item Description Cardinality Values Mandatory/required/ optional FHIR Target
Referral Record Indicates an active referral in the system   Active / Inactive Mandatory Composition.section.text
Referrer Provider Name Name of the referring organisation processing the referral   Format defined by the referring organisation - no local interpretation Mandatory ReferralRequest.requester.onBehalfOf > Organization
Referrer Provider Address Address of the referring organisation processing the referral   Format defined by the referring organisation - no local interpretation Mandatory Organization.address
Referrer Provider ODS Code ODS code for the referring organisation   Format defined by the referring organisation - no local interpretation Mandatory Organization.identifier
Sys ID (IT system reference code) IT system reference code for the identified referral     Mandatory  
Provision Date Time Date that the referral was made by the referring organisation   Standardised format dd/mm/yyyy ( e.g. 06/05/2020) Mandatory ReferralRequest.authoredOn
Initials [Anonymised] (of Patient being referred) Initials of the Patient for whom the referral is being made   Full Name captured by the system Mandatory Composition.section.text
Referrer Case ID The Case ID from the referring organisation   Format defined by the referring organisation - no local interpretation Mandatory ReferralRequest.identifier
Referrer Case Ref The case reference number from the referring organisation   Format defined by the referring organisation - no local interpretation Mandatory ReferralRequest.identifier
Referrer Name OR ReferrerName [Anonymised] Name (Anonymised) of the referring organisation employee making the referral   Full Name captured by the system Mandatory ReferralRequest.requester.agent > Practitioner (practitioner.name)
Referrer Role Role of the referring organisation employee making the referral   Format defined by the referring organisation - no local interpretation Mandatory Composition.section.text
Disposition Code Dx code from the 111 system resulting from the Clinical Pathways assessment   Standardised naming convention taken from the Clinical Pathways system Mandatory ReferralRequest.reasonCode (code)
Disposition Description Description of the Dx code taken from the 111 system resulting from the Clinical Pathways assessment   Standardised naming convention taken from the Clinical Pathways system Mandatory ReferralRequest.reasonCode (display)
Referral Status Shows the current status of the referral at the time of reporting   Options drop down menu (see notes) Mandatory ReferralRequest.status
Referral History Shows the history with dates and times when referrals status changed     Mandatory ReferralRequest.note
Signposting Reason Reason for signposting   Free text data entry Mandatory ReferralRequest.reasonCode This is the second use of reason code – the 2 uses (disposition code & signposting reason) will need separate systems.
Escalation Reason Reason for escalating   Free text data entry Mandatory ReferralRequest.priority

Example Referrer Details Section

<!--<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>-->
Tags: fhir

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