Data class

Adult Social Care Digital Social Care Record: Minimum Operational Data Standard (MODS)Referral

A request for a care service, other than a specific diagnostic investigation or diagnostic procedure, to be provided for a Subject of care. This includes Subject of care self-referrals for an appointment to see or be in contact with a Care Worker of an Organisation.

If there is a verbal request this would normally be confirmed by written request, and these should be processed as one referral. An electronic message is treated as a written referral

Relationships

Parents: Activity

Children

Clinical urgency of referral
Referral to

Also used in these standards: Adult Social Care Digital Social Care Record: Minimum Operational Data Standard (MODS)

Subclasses

Filters (0)

Data class name

Name	Description
Referral to	Details of where the referral is to be sent.
Reason for referral	Description: The reason for the referral, e.g. diagnosis, treatment, transfer of care due to relocation, investigation, second opinion, management of the patient (e.g. palliative care), or carer's concerns. Conformance: R Cardinality: 0 … 1 Value set: Free text Type: Group Parent Concept: Referral details record entry
Clinical urgency of referral	The details of the clinical urgency of referral

Elements

Filters (0)

Data element name

Name	Description	Type	Occurs
Subject of care	Subject of care who is the focus of the record.	Lookup	Must occur once
Date	The date, month, year and century, or any combination of these elements, of an EVENT. This could be the date an observation was made, the date of an assessment or the date an action has been performed.	Date	Must occur once
Location	The location of the event. In the case of an observation, where the observation was made or in the case of an activity, where the activity was performed or in the case of a statement, where the statement was made.	Lookup	Could occur once
Medium	The channel of communication in which a referral is sent and received. This may be a letter, email, transcript of a telephone conversation, Choose and Book, in person (self-referral) etc.	Lookup	Could occur once
Referral criteria	Records whether specific criteria required for referral, to a particular service, have been met (may be nationally or locally determined). This field is used to outline which criteria have been met where a service has indicated specific criteria and to explain the rationale for referral where criteria have not been met.	Text	Could occur once
Return response to	Care worker to be communicated with, if not the referrer	Lookup	Could occur once
Referrer details	Details of the referrer that is making the referral or the transfer.	Lookup	Could occur once
Care actor	Care actor who will perform the activity or performed the action or made the observation.	Lookup	Could occur once or more
Time	The time, of an EVENT. This could be the time an observation was made, the time of an assessment or the time an action has been performed.	Time	Could occur once