Gives information about the Referrer 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/

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

Note: These examples have not been clinically assured against Digital Medicines use cases.
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>-->

Tags: fhir