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Table of Contents

A8.1 Purpose

The purpose of this simplified REF profile is to enable widespread messaging by compliant implementations through reducing the requirements on implementers by specifying a smaller constrained subset of the patient referral message.

A8.2 Conformance

A8.2.1 Conformance Levels

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This profile defines 2 levels of conformance.

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Where receiving implementations have inbox categories such as "Pathology", "Radiology" and "Clinical"/"Other" in their systems, implementers must refer to HL7 Table 0074 - Diagnostic service section ID and direct data to these appropriate inboxes. Here is an example mapping for such a scenario (informative only).

An example mapping of HL7 Table 0074 - Diagnostic service section ID where a system might have bins for "Pathology" / "Radiology" and "Other" is provided below - This is Informative

Value
Description
Pathology / Radiology / Other
AUAudiologyOther
BGBlood GasesPathology
BLBBlood BankPathology
CGCytogeneticsOther
CUSCardiac UltrasoundRadiology
CTHCardiac CatheterizationOther
CTCAT ScanRadiology
CHChemistryPathology
CPCytopathologyPathology
EC

Electrocardiac (e.g. ECG, EEC, Holter)

Other
ENElectroneuroOther
GE †GeneticsOther
HMHaematologyPathology
ICUBedside ICU MonitoringOther
IMMImmunologyPathology
LAB

Regional laboratory (departments not distinguishable)

Pathology
MBMicrobiologyPathology
MCBMycobacteriologyPathology
MYCMycologyPathology
NMRNuclear Magnetic ResonanceRadiology
NMSNuclear Medicine ScanRadiology
NRS

Nursing Services Measures

Other
OUSOB UltrasoundRadiology

OT

Occupational TherapyOther
OTHOtherOther
OSLOutside LabPathology
PHRPharmacyOther
PTPhysical TherapyOther
PHY

Physician (Hx. Dx, admission note, etc)

Other
PFPulmonary FunctionOther
RADRadiologyRadiology
RUSRadiology UltrasoundRadiology
RC

Respiratory Care (therapy)

Other
RTRadiation TherapyOther
RXRadiographRadiology
SRSerologyPathology
SP

Histology and Anatomical Pathology

Pathology
TXToxicologyPathology
VUSVascular UltrasoundRadiology
VRVirologyPathology
XRCCineradiographOther

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Senders must be capable of receiving and processing an RRI^I12 message. See HL7au:00045.5

Senders must publish their ability to receive a RRI in the provider directory. See HL7au:00045.6
Before sending a referral message, Secure Messaging agents must validate that there is a valid referral response RRI entry in the provider directory. See HL7au:00045.7