AS 4700.6:2013 pdf free download.Implementation of Health Level Seven (HL7) Version 2.5 Part 6: Referral, discharge and health record messaging.
4 DEFINITIONS
For the purpose of this Standard, the definitions below apply.
4.1 Discharge
The relinquishing of patient care in whole or in part by a healthcare provider or organization.
4.2 Discharge Referral
A referral occurring in the context of discharge.
4.3 Discharge Summary
A collection of information about events during care by a provider or organization.
NOTE: A Discharge Summary does not necessarily represent or enable transfer of care, nor is it necessarily intended for any particular provider or organization. Such a summary may form part of a Discharge Referral. If a Discharge Summary is intended to take on the role of Discharge Referral then additional constraints are applicable on content, and the full referral information and encapsulating message should be used.
4.4 Health record
A general concept used to describe patient care and treatment.
4.5 Order
A request for diagnostic services for a specified patient.
4.6 Referral
The communication, with the intention of initiating care transfer, from the provider making the referral to the receiver.
NOTE: The essential components of referral are the intent and facilitation of transferring patient care in whole or in part from one healthcare provider or organization to another provider or organization. Self referral is also possible: a person, the subject of care, may be the referrer or the referee. Referral is normally accompanied by clinical information to responsibly enable takeover of such care by the referee.
Referral can take several forms, most notably the following:
(a) Request for management of a problem or provision of a service, e.g. a request for an investigation, intervention, or treatment.
(b) Notification of a problem with hope, expectation, or imposition of its management e.g. a Discharge Summary in a setting that imposes care responsibility on the recipient.
The common factors in all of these is a communication whose intent is the transfer of care.
In the messaging environment of HL7, these different situations will mandate different sender—receiver application roles and responsibilities. The request scenario will be taken as the basis for this Referral message.
4.7 Trigger event
Action that takes place in an application, based on some predefined condition such as an admission, ward transfer, or placement of an order and the like. The action usually results in the compilation and transmission of a data message.AS 4700.6 pdf download.