ReferralsForReviewWorklistResponse

eRS-ReferralRequest-1

eRS-ReferralRequest-1

ReferralRequest
Definition

Used to record and send details about a request for referral

Control 0..*
Type ReferralRequest
Aliases ReferralRequest TransferOfCare Request
Comments
ReferralRequest.extension(eRSAppointment)
Definition

Reference to the current appointment associated with the Referral Request

Control 0..1
Type Extension
Comments
ReferralRequest.extension(clinicalInfoFirstSubmitted)
Definition

The date and time the clinical information was first submitted

Control 0..1
Type Extension
Comments
ReferralRequest.extension(clinicalInfoLastUpdated)
Definition

The date and time the clinical information was last updated

Control 0..1
Type Extension
Comments
ReferralRequest.status
Definition

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

Control 1..1
Binding

The status of the referral.

The codes SHALL be taken from http://fhir.nhs.net/ValueSet/referral-status-1

Type Code
Is Modifier True
Comments
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.

Control 0..1
Binding

Codes indicating the types of capability the referred to service provider must have.

The codes SHALL be taken from http://fhir.nhs.net/ValueSet/ers-specialty-1

Type CodeableConcept
Comments
ReferralRequest.specialty.coding
Definition

A reference to a code defined by a terminology system.

Control 1..1
Type Coding
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

ReferralRequest.specialty.coding.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control 1..1
Type Uri
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Fixed Value http://fhir.nhs.net/ValueSet/ers-specialty-1
ReferralRequest.specialty.coding.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Control 1..1
Type Code
Requirements

Need to refer to a particular code in the system.

Comments
Example DERMATOLOGY
ReferralRequest.specialty.coding.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control 1..1
Type String
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments
ReferralRequest.priority
Definition

An indication of the urgency of referral request

Control 1..1
Binding

Codes indicating the relative priority of the referral request

The codes SHALL be taken from http://fhir.nhs.net/ValueSet/ers-priority-1

Type CodeableConcept
Comments
ReferralRequest.priority.coding
Definition

A reference to a code defined by a terminology system.

Control 1..1
Type Coding
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

ReferralRequest.priority.coding.system
Definition

The identification of the code system that defines the meaning of the symbol in the code.

Control 1..1
Type Uri
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

Fixed Value http://fhir.nhs.net/ValueSet/ers-priority-1
ReferralRequest.priority.coding.code
Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Control 1..1
Type Code
Requirements

Need to refer to a particular code in the system.

Comments
Example ROUTINE
ReferralRequest.priority.coding.display
Definition

A representation of the meaning of the code in the system, following the rules of the system.

Control 1..1
Type String
Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments
Example Routine
ReferralRequest.patient
Definition

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

Control 1..1
Comments

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

ReferralRequest.patient.reference
Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Control 1..1 ?
Type String
Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

ReferralRequest.patient.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control 0..1
Type String
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

ReferralRequest.supportingInformation
Definition

Any additional (administrative, financial or clinical) information required to support request for referral. 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.

Control 0..*
Type Choice of:
Comments
ReferralRequest.supportingInformation.reference
Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Control 1..1 ?
Type String
Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

ReferralRequest.supportingInformation.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control 0..1
Type String
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.