ReferralNote

Referral Note

activeC-CDA Templates4.0.0logical20 key elements

A Referral Note communicates pertinent information from a provider who is requesting services of another provider of clinical or non-clinical services. The information in this document includes the reason for the referral and additional information that would augment decision making and care delivery.

Examples of referral situations are when a patient is referred from a family physician to a cardiologist for cardiac evaluation or when patient is sent by a cardiologist to an emergency department for angina or when a patient is referred by a nurse practitioner to an audiologist for hearing screening or when a patient is referred by a hospitalist to social services.

#### Document Sections Although document templates may contain any section, the following sections are specifically called out by this template:

Required Sections

  • AssessmentandPlanSection or both AssessmentSection and PlanofTreatmentSection
  • ProblemSection
  • AllergiesAndIntolerancesSection
  • MedicationsSection
  • ReasonforReferralSection

Recommended Sections

  • PlanofTreatmentSection
  • ResultsSection
  • FunctionalStatusSection
  • MentalStatusSection
  • NutritionSection

Additional Sections

  • AdvanceDirectivesSection
  • HistoryofPresentIllnessSection
  • FamilyHistorySection
  • ImmunizationsSection
  • ProceduresSection
  • ReviewofSystemsSection
  • SocialHistorySection
  • VitalSignsSection
  • PhysicalExamSection
  • MedicalEquipmentSection
  • PastMedicalHistory
  • GeneralStatusSection
  • PayersSection

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/cda/us/ccda/StructureDefinition/ReferralNote
ID
ReferralNote
Type
Base Definition
USRealmHeader
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
templateId
1+
:referral-note1..1
1+
templateId.root
1+
templateId.extension
1+
sdtcCategory.code
1+
sdtcCategory.codeSystem
1+
informationRecipient1..1
1+
informationRecipient.intendedRecipient.informationRecipient
1+
participant.associatedEntity.associatedPerson
1+
participant.associatedEntity.associatedPerson.name
http://hl7.org/cda/stds/core/StructureDefinition/PN
1+
participant.associatedEntity.id
1+
participant.associatedEntity.telecom
1+
participant.associatedEntity.associatedPerson
1+
participant.associatedEntity.associatedPerson.name
1+
component.structuredBody
1+
component.structuredBody.component
1+
:problem1..1
1+
:allergies1..1
1+
:medications1..1
1+
:reasonForReferral1..1
1+