RF1
Referral Information
This segment represents information that may be useful when sending referrals from the referring provider to the referred-to provider.
RRequiredOOptionalCConditionalWWithdrawn|#Date/Time*Backward compat.+Filler
12
| C.Len | Element | v2.6 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | - | - | CWE | O | 1 | 0283 | 01137 | RF1-1 | Referral Status | Length |
| 2 | - | - | CWE | O | 1 | 0280 | 01138 | RF1-2 | Referral Priority | Length |
| 3 | - | - | CWE | O | 1 | 0281 | 01139 | RF1-3 | Referral Type | Length |
| 4 | - | - | CWE | O | * | 0282 | 01140 | RF1-4 | Referral Disposition | Length |
| 5 | - | - | CWE | O | 1 | 0284 | 01141 | RF1-5 | Referral Category | Length |
| 6 | - | - | EI | R | 1 | - | 01142 | RF1-6 | Originating Referral Identifier | Length |
| 7 | - | - | DTM | O | 1 | - | 01143 | RF1-7 | Effective Date | Length |
| 8 | - | - | DTM | O | 1 | - | 01144 | RF1-8 | Expiration Date | Length |
| 9 | - | - | DTM | O | 1 | - | 01145 | RF1-9 | Process Date | Length |
| 10 | - | - | CWE | O | * | 0336 | 01228 | RF1-10 | Referral Reason | Length |
| 11 | - | - | EI | O | * | - | 01300 | RF1-11 | External Referral Identifier | Length |
| 12 | - | - | CWE | O | 1 | 0865 | 02262 | RF1-12 | Referral Documentation Completion Status | Length |
10