| Global Profile (Differential) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Vocabulary | |||||
 RF1 | ||||||||||
  | 6 | 01142 | Originating Referral Identifier | SHALL | ||||||
| Global Profile (Snapshot) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
| RF1 | ||||||||||
| 1 | 01137 | Referral Status | MAY | [0..1] | repr: ReferralStatus (CD) hl7VS-referralStatus (VS) referralStatus (CS) | CWE Coded with Exceptions | |||
| 2 | 01138 | Referral Priority | MAY | [0..1] | ex.:ReferralPriority (CD) hl7VS-referralPriority (VS) referralPriority (CS) | CWE Coded with Exceptions | |||
| 3 | 01139 | Referral Type | MAY | [0..1] | ex.:ReferralType (CD) hl7VS-referralType (VS) referralType (CS) | CWE Coded with Exceptions | |||
| 4 | 01140 | Referral Disposition | MAY | [0..*] | repr: ReferralDisposition (CD) hl7VS-referralDisposition (VS) referralDisposition (CS) | CWE Coded with Exceptions | |||
| 5 | 01141 | Referral Category | MAY | [0..1] | repr: ReferralCategory (CD) hl7VS-referralCategory (VS) referralCategory (CS) | CWE Coded with Exceptions | |||
| 6 | 01142 | Originating Referral Identifier | SHALL | [1..1] | EI Entity Identifier | ||||
| 7 | 01143 | Effective Date | MAY | [0..1] | DTM Date/Time | ||||
| 8 | 01144 | Expiration Date | MAY | [0..1] | DTM Date/Time | ||||
| 9 | 01145 | Process Date | MAY | [0..1] | DTM Date/Time | ||||
| 10 | 01228 | Referral Reason | MAY | [0..*] | repr: ReferralReason (CD) hl7VS-referralReason (VS) referralReason (CS) | CWE Coded with Exceptions | |||
| 11 | 01300 | External Referral Identifier | MAY | [0..*] | EI Entity Identifier | ||||
| 12 | 02262 | Referral Documentation Completion Status | MAY | [0..1] | ReferralDocumentationCompletionStatus (CD) | CWE Coded with Exceptions | |||
| 13 | 03400 | Planned Treatment Stop Date | MAY | [0..1] | DTM Date/Time | ||||
| 14 | 03401 | Referral Reason Text | MAY | [0..1] | ST String Data | ||||
| 15 | 03402 | Number of Authorized Treatments/Units | MAY | [0..1] | CQ Composite Quantity with Units | ||||
| 16 | 03403 | Number of Used Treatments/Units | MAY | [0..1] | CQ Composite Quantity with Units | ||||
| 17 | 03404 | Number of Schedule Treatments/Units | MAY | [0..1] | CQ Composite Quantity with Units | ||||
| 18 | 03405 | Remaining Benefit Amount | MAY | [0..1] | MO Money | ||||
| 19 | 03406 | Authorized Provider | MAY | [0..1] | XON Extended Composite Name and Identification Number for Organizations | ||||
| 20 | 03407 | Authorized Health Professional | MAY | [0..1] | XCN Extended Composite ID Number and Name for Persons | ||||
| 21 | 03408 | Source Text | MAY | [0..1] | ST String Data | ||||
| 22 | 03409 | Source Date | MAY | [0..1] | DTM Date/Time | ||||
| 23 | 03410 | Source Phone | MAY | [0..1] | XTN Extended Telecommunication Number | ||||
| 24 | 03411 | Comment | MAY | [0..1] | ST String Data | ||||
 | 25 | 03412 | Action Code | MAY | [0..1] | univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS) | ID Coded Value for HL7 Defined Tables | |||
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