Specialist sends summary care information back to referring provider
: A specialist sending a care summary back to the referring provider.
: The specialist has made the determination that it is clinically and legally appropriate to send a referral and summary of care information to the referring provider.
: The specialist receives an inbound referral. He responds to the referral and may attach documents to the referral for context.
The referring provider later sees the referral response in her inbox. The response has been correlated with the original referral automatically, and the contents of the referral have been associated with the patient's chart.
The PCP and Specialist
The Specialist's EHR
The PCP's EHR
There are potential hidden actors, such as potential HISPs between Source and Destination.
Data Exchanged (This section is non-normative)
The transmitted data in this case can and will vary, but some example cases are provided below:
In the simplest case, only a textual description of the referral may be transmitted
The textual description may be semi-structured as an HL7 MDM transcription document
The minimal IFR case will consist of a textual referral description with an attached summary of care (CCD or CCR)
The ideally structured case will consist of a structured referral response message or document (e.g., HL7 V2.5.1 RRI I12 message) and an IFR-compliant summary of care document (such as a C32 CCD or a CCR)
Optional attachments to any of these cases will include PDFs, images of various types (jpg, tiff, DICOM), and Office documents, such as word processing documents and spreadsheets (e.g., containing glucose logs, seizure diaries and the like).
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