ReferralManagementRecord
The table is the primary table for referral information stored in system.
| Column Name | Type | Description |
|---|---|---|
| IsReferralAuthorizationCertification | VARCHAR | Indicates whether this referral is an auth/cert. Y indicates that this referral is an auth/cert. N indicates that this referral is not an auth/cert. |
| ParentalRespons | INTEGER | Indicates which entity has parental responsibility for the patient. |
| ReferralRequestPathwayUpgradeIndicator | VARCHAR | The request pathway upgrade flag for the referral. |
| ReferralZipCodeAreaClassification | INTEGER | In or out-of-area classification from ZIP code mapping. |
| OriginatingCommunicationPatientEncounterContactSerialNumber | NUMERIC | This item is part of a link to a communication from which the referral was created. This item contains the CSN of the contact which contains the communication. EMSG_COMM_JOB_ID (I RFL 18961) contains the communication job ID. |
| OutstandingAmount | NUMERIC | Specifies the outstanding amount. |
| ReferralMessageIdentifier | VARCHAR | The unique EOW ID associated with the referral. |
| TotalAmountOfClaimsPaid | NUMERIC | The amount of claims paid. |
| GeneratingPathwayElementIdentifier | NUMERIC | The pathway element which generated the current referral. |
| ConcurrentReviewTransitionedFromDelegateIndicator | VARCHAR | Indicates if the responsiblity for concurrent review of this authorization request has been transitioned from a delegate system to this UM system. |
| GenericReferralCategoryItem21 | INTEGER | This contains information from generic referral category item 21. |
| ReferredToVendorContractedStatusAtAuthorizationIndicator | VARCHAR | The contracted status of referred-to vendor on the referral as of the last decision or the current contracted status if the referral is pending. |
| ReferralDispositionValue | INTEGER | Whether the referral was accepted ("appointed") or refused ("denied") by the referred-to provider, department or facility. |
| ReferralReceiptDate | DATETIME | Indicates the date in which the referred to department acknowledged receipt of the referral. |
| GenericReferralCategory25 | INTEGER | This contains information from generic referral category item 25. |
| LastReferralAuthorizationReason | VARCHAR | This item holds the most recent non-empty authorization reason for the referral. If this item is null, it means the referral was never authorized. If value is added/updated to the authorization code (I RFL 73), same value is copied into this item. But if authorization code (I RFL 73) is cleared, then this item is not updated. |
| ReferralSchedulingStatus | INTEGER | Scheduling status of the referral to keep track of internally schedulable referrals. For category list use ZC_SCHED_STATUS. |
| ElectiveAdmissionPlannedDate | DATETIME | The date for the referral's elective admission. |
| GenericReferralDate1 | DATETIME | This contains information from generic referral date item 1. |
| ReferralOverriddenVisitCount | INTEGER | The number of visits approved for this referral, overridden by the user. |
| GenericReferralNumericItem10 | NUMERIC | This contains information from generic referral numeric item 10. |
| ReportReferredByContractedOverrideIndicator | VARCHAR | Stores an override value that indicates the referred by provider/location/department should be considered contracted or not for Medicare Advantage ODAG reporting. If NULL, system defined logic will be used. If Y, a user marked the provider as contracted (CP in ODAG). If N, a user marked the provider as non-contracted (NCP in ODAG). |
| PreauthorizationDeferralDate | DATETIME | Set by the user to indicate they don't want to see the record until that date on the preauthorization workqueue report. |
| GenericReferralDateSeven | DATETIME | This contains information from generic referral date item 7. |
| ReferralIdentification | NUMERIC | The unique identifier for the referral record. |
| ReferralCancellationReason | VARCHAR | Status reason explaining why a referral was canceled. |
| IsReferralAutoCreatedForAdmission | VARCHAR | This item is a flag that tells whether a referral was system generated due to an admission. |
| DentalTreatmentPlanWaitingListIdentifier | NUMERIC | The Waiting List ID when the external service provision referral was created from the Dental Treatment Plan. |
| ReferralSensitivityCategoryNumber | INTEGER | The sensitivity category number for the referral. |
| PrimaryReferralConditionGrouperIdentification | NUMERIC | Primary condition for which the patient is being referred as a Search Condition MAG record. |
| ReferredToContractedStatusAtLastDecisionIndicator | VARCHAR | The contracted status of referred-to entities on the referral as of the last decision. |
| ReferralOutsourcedServiceProviderAddress | VARCHAR | The service provider address for the financial commitment. |
| PatientAdministrativeCategoryIdentifier | INTEGER | The category ID for the patient NHS administrative category. |
| ReferralInstanceOwnerCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| ReferralPlaceOfServiceType | INTEGER | Contains the POS type stored on the referral in the POS type field (I RFL 42). This information is defaulted from the Referred To location record, or entered manually. |
| ReferralFirstPatientEncounterContactSerialNumber | NUMERIC | Ths CSN of the encounter linked to the referral or auth/cert with the earliest encounter instant. |
| ReferredByLocationNetworkLevelCategory | VARCHAR | The network status of the referred-by location on the referral. |
| FinancialCommitmentFirstTreatmentDate | DATETIME | The date of first treatment for the financial commitment. |
| ReferralInsuranceCarrierIdentification | VARCHAR | The ID number of the carrier associated with the referral. |
| ReferralDirectionCategory | VARCHAR | The referral direction, as calculated by logic for transitions of care |
| ReferralSourceInstanceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| FinancialCommitmentCompletionDate | DATETIME | The date the financial commitment was resolved. |
| ReferralMedicalRecordTransferConsentStatus | INTEGER | Indicates the status of obtaining the patient's consent in connection with the referral's transfer of medical record information. |
| ReferredToLinkProviderIndicator | VARCHAR | Is the referred to provider an EpicCare Link provider |
| ReferralRightToHealthcare | INTEGER | Right to healthcare for a referral. |
| ReferralTriageAppointmentChangeComment | VARCHAR | The appointment change comments for the referral record. |
| ReferralServiceTypeCode | INTEGER | Specifies the service type that applies to the entire referral. |
| ReferralGuidelineDays | NUMERIC | Guideline days for this referral. |
| ReferralGenericString3 | VARCHAR | This contains information from generic referral string item 3. |
| AuthorizingLocationIdentifier | NUMERIC | Location authorizing the outsourced service. |
| GenericReferralCategoryItem23 | INTEGER | This contains information from generic referral category item 23. |
| ReferralPreauthorizationNotCollectedReason | INTEGER | Reason indicating why the preauth number will not be collected for this referral. |
| ReferralRequestedPeriodType | INTEGER | The requested period type on the referral. |
| ReferredToServiceAreaIdentifier | NUMERIC | Referred to service area on a referral. Calculated from the appointment linked to the referral, referred to location or referred to department |
| ReferredToDeploymentIdentifier | VARCHAR | Used by Chart Sync to determine the referred to deployment. |
| ReferralCreationVersion | VARCHAR | Contains the version in which the referral was created. |
| RequestedVisitsPerPeriod | INTEGER | The requested visits per period on the referral. |
| ReferralGenericString14 | VARCHAR | Referral-level generic string for general use. |
| ReferredByProviderNetworkLevel | VARCHAR | The network status of the referred-by provider on the referral. |
| FinnishArchivedDocumentIdentifier | NUMERIC | The document generated and sent for archiving in Kanta. |
| AuditReferringDepartmentSpecialty | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referring department specialty. |
| FacilityResponsibilityAmount | NUMERIC | The portion of the total price for which your facility is responsible. |
| ReferralAdmissionSource | INTEGER | The source from which the paitent is being admitted or referred. Only available in UM referrals. |
| ReferralPathwayElementUniqueIdentifier | VARCHAR | UUID of the pathway element which the current referral was generated from. The UUID is passed in or imported from the interface. |
| ReportReferredByLocationContractedOverrideIndicator | VARCHAR | The user override for the contracted status of the referred-by location on the referral. |
| ReplacedReferralIdentifier | NUMERIC | Stores the referral that this referral replaced. |
| ReferredToDepartmentIdentifier | NUMERIC | The ID number of the department the referral was referred to. |
| CareEverywhereSentIndicator | VARCHAR | Indicates whether this referral was sent using Care Everywhere. |
| ReferralAdjudicationMemberGroupId | VARCHAR | Adjudication member group. |
| GenericReferralCategoryItem11 | INTEGER | This contains information from generic referral category item 11. |
| ReferralExternalIdentificationNumber | VARCHAR | The external identification number used on the referral. |
| AuthorizedNumberOfVisits | NUMERIC | The number of visits authorized for this referral. |
| LastAdjudicatingUserIdentifier | VARCHAR | Contains EMP ID of the user who last caused adjudication information to be updated. |
| ReferralGenericString23 | VARCHAR | Referral-level generic string for general use. |
| TotalConvertedDaysForReferral | NUMERIC | The total number of converted days on the referral. |
| GenericReferralString4 | VARCHAR | This contains information from generic referral string item 4. |
| ReferredByProviderServiceContractedOverrideIndicator | VARCHAR | The user override for the contracted status of the referred-by provider on the referral. |
| CurrentAuthorizationHistoryEventNumber | INTEGER | The current event no for the authorization history. |
| AdjudicationNetworkStatus | VARCHAR | Adjudication network status. |
| ReferralGenericString16 | VARCHAR | Referral-level generic string for general use. |
| CaseManagementCreationMessageIdentification | VARCHAR | Specifies the case management creation message. |
| CoverageLastRefreshedDate | DATETIME | Coverage refresh date. |
| ReferralExternalServiceType | INTEGER | Determines the type of external service this referral is authorizing. |
| ReferralFinancialAuthorizationLocationIdentifier | NUMERIC | The authorized location for the outsourced service event. |
| CalculatedServiceLevelAuthorizationCount | INTEGER | The calculated number of service level authorizations counts, based on the service level authorizations collected. |
| ReferralPrimaryCareProviderIdentification | VARCHAR | The unique ID of the patient's primary care provider at the time the referral was created. |
| ReferralLineOfBusinessIdentifier | VARCHAR | ID of the Line of Business (LOB) assigned to the referral. |
| ReferredToProviderAddressIdentifierAudit</caption> | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referred-to provider address ID. |
| GenericReferralCategoryItem22 | INTEGER | This contains information from generic referral category item 22. |
| AuthorizedVisitsPerPeriod | INTEGER | The number of authorized visits in each visit period. |
| ReferralGenericString11 | VARCHAR | Referral-level generic string for general use. |
| ReferredToContractedAtAuthorizationIndicator | VARCHAR | The contracted status of referred-to entities on the referral as of the last decision or the current contracted status if the referral is pending. |
| GenericReferralNumericItem9 | NUMERIC | This contains information from generic referral numeric item 9. |
| ReferredToLocationAuditIdentifier | NUMERIC | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referred-to location ID. |
| FinancialCommitmentStatus | INTEGER | The overall status of the financial commitment. |
| Bed | NUMERIC | This item stores the additional information request that is associated with the bed days on this referral. |
| OriginalReferralTypeText | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referral type. |
| ReferralEntrySourceTypeCategoryIdentifier | INTEGER | The entry source type category ID indicating the method used to enter the referral record into the system. |
| ReferralGenericString17 | VARCHAR | Referral-level generic string for general use. |
| ReferralPrimaryDiagnosisIdentification | NUMERIC | Holds the primary coded diagnosis for the referral. |
| ReferringProviderAddressIdentifier | VARCHAR | This stores the address ID of the referring provider. The format is as follows: ProvID-AddressID. AddressID is the line number of the multiple response address items in the SER masterfile. To use this column, join to CLARITY_SER_ADDR on REFERRAL.REF_BY_PROV_ADDR_ID = CLARITY_SER_ADDR.ADDR_UNIQUE_ID. If you use IntraConnect, also join on REFERRAL.REFERRAL_PROV_ID = CLARITY_SER_ADDR.PROV_ID. |
| ReferralChronicConfirmationAmount | NUMERIC | The amount of the confirmation if the confirmation is chronic. |
| AttendingProviderAddressIdentifier | VARCHAR | This item stores the address ID of the attending provider. The format is as follows: SerID-AddressID. AddressID is the line number of the multiple response address items in the Provider (SER) master file. It can be used to print the correct address in a report or letter, for example. |
| ReferralGenericString12 | VARCHAR | Referral-level generic string for general use. |
| ReferralIsLeakedIndicator | VARCHAR | Holds whether the referral is considered leaked |
| AuthorizedLengthOfStayInDays | INTEGER | The authorized length of stay if the patient is being admitted. |
| ReferralAuditDate | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the referred-on date. |
| PhysicalDeploymentOwnerIdentifier | VARCHAR | ID of the physical deployment owner for this record. Physical owners will be where the data is hosted, either on the cross-over server or the owner deployment. |
| ReferralCaseRateOverride | INTEGER | Specifies the case rate override. |
| ReferralConfirmationMedicationAmount | NUMERIC | The amount of the confirmation if the confirmation is an acute medication that was suggested by the pharmacist or over-the-counter medication. |
| FinancialCommitmentInternalMessage | VARCHAR | An internal message captured when entering a financial commitment. |
| ForwardedFacilityIdentification | NUMERIC | The unique id of the facility to which the referral was forwarded. |
| ReferralConvertedForUbcRevenueCodeFlag | VARCHAR | Referral converted for UBC revenue code flag |
| ReferralGenericCategoryThree | INTEGER | This contains information from generic referral category item 3. |
| ReferralGenericCategory15 | INTEGER | This contains information from generic referral category item 15. |
| GenericReferralStringEight | VARCHAR | This contains information from generic referral string item 8. |
| IncurredButNotReportedClaimPaymentEndDate | DATETIME | The date up to which your facility will pay claims for the procedures approved on this referral. |
| LastAnsi278NotificationSentDateTime | DATETIME | This is the most recent instant at which an outgoing 278 notification was generated using this referral. This can be one of the criteria used when reconciling the messages sent from this system with the ones received by the receiving system. |
| ChildWelfareServiceRole | INTEGER | Indicates the child welfare service role in connection with child psychology services. |
| GenericReferralString7 | VARCHAR | This contains information from generic referral string item 7. |
| GenericReferralString1 | VARCHAR | This contains information from generic referral string item 1. |
| ReferralEntrySource | INTEGER | Entry source of the referral. |
| AuditReferredToDepartmentIdentifier | NUMERIC | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referred to department ID. |
| ServiceDate | DATETIME | This column is populated by the authorized start date (I RFL 85) if available. If not, it is populated by the expiration date on the referral (I RFL 90). If neither of these are available, the column will be empty. The date in this column is in MM/DD/YYYY format. |
| GenericReferralCategory13 | INTEGER | This contains information from generic referral category item 13. |
| ReferralAuthorizationReasonCategory | VARCHAR | The category value indicating the authorization reason associated with the referral. |
| ReferralBenefitPlanIdentifier | NUMERIC | The ID number of the plan associated with the referral. |
| PatientLivingSituation | INTEGER | Describes who the patient or child lives with. |
| ReferralDenialReason | INTEGER | The reason that a referral's disposition has a status of "denied." |
| ReferralPendingReasonCategory | INTEGER | For pended referrals, the category value indicating the reason for pending. |
| ConfirmationCurrentBucketString | VARCHAR | Specifies the confirmations current bucket string. |
| ReferralRequestingAuthorityCategory | INTEGER | Requesting authority of a referral. |
| GenericReferralCategoryItem19 | INTEGER | This contains information from generic referral category item 19. |
| ReferralCreationCommunicationJobIdentifier | VARCHAR | Part of a link to a communication from which the referral was created. |
| SystemAutoApprovalDate | DATETIME | The date on which the referral was approved automatically by the system. |
| ReferredToProviderNameAudit | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the name of the referred-to provider. |
| ReferredToProviderServiceContractedAtLastDecisionIndicator | VARCHAR | The contracted status of referred-to provider on the referral as of the last decision. |
| ReferredToProviderContractedStatusOverrideIndicator | VARCHAR | The user override for the contracted status of the referred-to provider on the referral. |
| LastAnsi278NotificationReceivedInstant | DATETIME | This is the most recent instant at which an incoming 278 notification was received for this referral. The main function of this item is in reporting - this can be one of the criteria used when reconciling the messages sent from this system with the ones received by the receiving system. |
| ReferredToLocationContractStatusOverrideIndicator | VARCHAR | The user override for the contracted status of the referred-to location on the referral. |
| FinancialDecisionIdentifier | NUMERIC | The decision identifier for social care financial commitments and service vouchers. |
| ReferralGenericTimeItemSecondsSinceMidnightFour | NUMERIC | Referral-level generic time item for general use. |
| FinlandArchivingServiceEventContactSerialNumber | NUMERIC | Contains the CSN of an abstract encounter that only holds service event data for the purpose of Finland eArchiving document generation for the referred-to organization's register. This encounter will only be used to contain the referral's initital referred-to service event until such time that the referral has been linked to another encounter with its own service event information. |
| ReferralInitialRequestType | INTEGER | The initial request type for the referral. |
| ExpectedReferralProcedurePaymentAmount | NUMERIC | The total amount you expect your facility will pay for the procedures authorized under the referral. This amount entered by you overrides the total payable amount for the purpose of calculating IBNR. |
| ReferredToVendorContractedAtDecisionIndicator | VARCHAR | The contracted status of referred-to vendor on the referral as of the last decision. |
| ReferralGenericNumericItemTwo | NUMERIC | This contains information from generic referral numeric item 2. |
| ReferralSourceMediumCategoryIdentifier | INTEGER | The source medium category ID for the referral. |
| ReferralSurgicalCaseIdentifier | VARCHAR | The surgical case ID, if the external service provision referral is for a surgical case. |
| ReferralSuspectedCancerIndicator | VARCHAR | Part of UK/NHS specific information set |
| ReferredBy | VARCHAR | The contracted status of referred-by location on the referral as of the last decision. |
| ReferralNetworkLevelCategory | VARCHAR | Store the referral's network status |
| ReferralOverrideAdmissionDate | DATETIME | Override admit date for this referral. |
| ReferralPhysicalRecordOwnerCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| PatientReferralVisibilityDate | DATETIME | Stores the date on which the patient should first be able to see the referral. |
| ReferralGenericDate8 | DATETIME | This contains information from generic referral date item 8. |
| FinancialCommitmentValidityEndDate | DATETIME | The end date for which this financial commitment or service voucher is valid. |
| ReferredByFacilityIdentifier | NUMERIC | Referred by service area on a referral. Calculated from the referred by location or referred by department |
| ReferralPayorIdentifier | NUMERIC | The ID number of the payor associated with the referral. |
| AuthorizedVisitsAuditCount | INTEGER | This item is used to audit data from incoming Care Everywhere referrals. It stores the authorized number of visits. |
| ConfirmationOriginalBucketString | VARCHAR | Specifies the confirmations original bucket string. |
| RetractMessageDeploymentIdentifier | VARCHAR | Will be used by Cross deployment messaging. This item will be set to the deployment id (ECIid) of the deployment where the referral vrification message should be retracted from. |
| TurnaroundTimeOverrideDecisionDateTime | DATETIME | Contains the decision date/time representing when the UM department has made a final decision. |
| ReferralReceiptAcknowledgmentDate | DATETIME | The date of initial contact with the patient/client or carer to acknowledge receipt of referral. For Specialist (Outpatient) Clinics, this is the date of initial contact with the referrer. |
| OutgoingStandalone275MessageSequenceNumber | INTEGER | This item is used to store the sequence number for outgoing standalone 275 messages. Each time a new outgoing standalone 275 message is generated, this item's value will be incremented by one. |
| ReferralAccountsPayableClaimCount | NUMERIC | The actual AP claims count for the referral. This number is calculated from the counts table based the Counts Settings in the Referral System Definitions. |
| AuditReferringProviderIdentification | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referring provider ID. |
| LogicalDeploymentOwnerIdentifier | VARCHAR | ID of the logical deployment owner for this record. Logical owners show the deployment where the record was created, but don't represent the logical owner if the record is a part of the version skew. |
| GenericReferralCategoryFive | INTEGER | This contains information from generic referral category item 5. |
| ReferralRecordIdentifier | NUMERIC | The unique identifier for the referral record. |
| ReferralProcedureCount | NUMERIC | The number of procedures associated with the referral. |
| CommunityLogicalOwnerIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| NhsEReferralServiceCategory | INTEGER | The NHS eReferrals Service |
| ReferralTriageDecisionCategoryIdentifier | INTEGER | The triage decision category ID for the referral. |
| GenericReferralString2 | VARCHAR | This contains information from generic referral string item 2. |
| ReferralInboundStream | INTEGER | Stores the stream to which the patient/client is referred. |
| ReferredToSpecialtyCategory | VARCHAR | The category value indicating the specialty the department was referred to. |
| AuditedReferredToProviderTextIdentifier | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referred-to provider ID. |
| ReferralTriageRejectionReasonCode | INTEGER | UK referral triage information |
| ReferralAuthorizedMedicationIdentification | NUMERIC | This item holds the ID of the medication being authorized in this referral. |
| ReferralAuthorizationPrognosisCode | INTEGER | Authorization Prognosis code associated with a referral |
| InstanceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| GenericReferralDateFour | DATETIME | This contains information from generic referral date item 4. |
| ReferralRequestedVisitCount | NUMERIC | The number of visits requested for this referral. |
| GenericReferralNumericItem1 | NUMERIC | This contains information from generic referral numeric item 1. |
| PreviouslyReferredToDeploymentIdentifier | VARCHAR | Used by Chart Sync to determine the previously referred to deployment, so that a ping pong message can be sent to them. |
| FinancialCommitmentValidityStartDate | DATETIME | The start date for which this financial commitment or service voucher is valid. |
| ReferralDeletionReason | VARCHAR | This column displays the reason why an external service was discontinued. This can be up to a 250 character string which will be sent to the social care financial system for financial commitment referrals. |
| PrincipalDiagnosisDateTime | DATETIME | Specifies the diagnois date used for Prinicpal Diagnosis |
| TurnaroundTimeAdditionalInformationReceivedDateTime | DATETIME | Contains the date/time for when additional information was received by the UM department. |
| ReferralPrecertificationNumber | VARCHAR | Pre-certification number. |
| GenericReferralTimeSixInSecondsSinceMidnight | NUMERIC | This contains information from generic referral time item 6. |
| IsReplacingExpiredReferralFlag | VARCHAR | Flag to mark that this referral is replacing an expired referral. |
| ChildPsychologyCaseManagerName | VARCHAR | The case manager of the child psychology case. |
| ReferralHealthcareStartDateDeadline | DATETIME | The date that healthcare must have started by for the referral. |
| ReferralConditionGroup | INTEGER | Condition group for a referral. |
| ReferralSourceTypeCategoryIdentifier | INTEGER | The source type category ID for the referral. |
| ReferredToLocationNetworkLevelCode | VARCHAR | The network status of the referred-to location on the referral. |
| ReferredToProviderIdentifier | VARCHAR | The unique ID of the provider (SER) being referred to. This column is frequently used to link to the CLARITY_SER table. |
| GenericReferralSecondsSinceMidnightFive | NUMERIC | Referral-level generic time item for general use. |
| ReferralValidityDuration | INTEGER | A field that is typically based on the Referral Service type that determines how long the referral is valid for. This duration is added to the first completed appointment date on the referral to determine the expiration date of the referral. |
| ReferralAuthorizationComments | VARCHAR | The authorization comments for the referral. |
| RecordOwnerCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| ForwardReferralEndOfWorkOnElectronicCommunicationIdentifier | VARCHAR | Stores ECI id for the deployment from where the Rfl EOW message needs to be forwarded |
| GenericReferralDateFive | DATETIME | This contains information from generic referral date item 5. |
| OverrideDischargeDate | DATETIME | Override discharge date for this referral. |
| ReferralStartDate | DATETIME | The start date of the referral. |
| ReferralScheduleDeadlineDate | DATETIME | Indicates deadline to schedule a referral. |
| ReferredByServiceAreaIsUnknownFlag | VARCHAR | Flags the referral as unknown if the referred by service area cannot be calculated from the referred by loc/POS or referred by department. |
| ReferredByEntityContractStatusAtLastDecision | VARCHAR | The contracted status of referred-by entities on the referral as of the last decision or the current contracted status if the referral is pending. |
| Referred | NUMERIC | Primary subspecialty to which the patient is being referred as a Search Subspecialty MAG record. |
| ReferralTriageReminderDate | DATETIME | A date in the future when the user should be reminded of this referral. |
| InternalReferralTypeCategory | INTEGER | The internal referral type for the referral. |
| ReferralCoverageRefreshSuppressedFirstDateTime | DATETIME | Stores the first instant (local) that coverage refresh was triggered for a referral, but supressed due to system settings. If coverage refresh was never skipped for the referral, this column will be NULL. |
| ReferralGenericString21 | VARCHAR | Referral-level generic string for general use. |
| ReferralAuthorizationNumber | VARCHAR | Authorization number. |
| ReferralGeneralString20 | VARCHAR | Referral-level generic string for general use. |
| TriageInformationRequestRecipient | INTEGER | The recipient of a request for more information. This item holds which item should be looked to for routing purposes. |
| NextConcurrentReviewDueDate | DATETIME | Enter the new review due date for concurrent review workflows. |
| GenericReferralNumericItemSix | NUMERIC | This contains information from generic referral numeric item 6. |
| LastTransferOfCareTransmissionStatus | INTEGER | Indicates the status of the last transfer of care transmission attempt. If the attempt was unsuccessful, the failure reason is stored. |
| FinancialCommitmentCurrentBalance | NUMERIC | The authorized amount left on the financial commitment. |
| ReferredToLocationContractedAtLastDecisionIndicator | VARCHAR | The contracted status of referred-to location on the referral as of the last decision. |
| GenericReferralCategorySeventeen | INTEGER | This contains information from generic referral category item 17. |
| PreauthorizationRequiredIndicator | INTEGER | For referrals created from an order, indicates if a preauthorization number must be collected before scheduling. |
| ReferredToProviderContractedStatusAtAuthorizationIndicator | VARCHAR | The contracted status of referred-to provider on the referral as of the last decision or the current contracted status if the referral is pending. |
| GenericReferralString6 | VARCHAR | This contains information from generic referral string item 6. |
| ReferralLevelGenericStringTwentySeven | VARCHAR | Referral-level generic string for general use. |
| GenericReferralDateTwo | DATETIME | This contains information from generic referral date item 2. |
| ExternalReferralDate | DATETIME | This is the external referring date. |
| ReferralReceivedDateTime | DATETIME | Time the referral was received electronically or transcribed. |
| WasExtensionTakenForAdditionalInformation | VARCHAR | Stores whether an extension was manually taken by a user due to a request for additional information. Y indicates an extension was taken by the user, N/NULL indicates one wasn't. Requests for additional information may still trigger an extension depending on how the system is configured. See TAT: Automatically Take Additional Info Extensions (I POS 18615). |
| GenericReferralCategoryItem18 | INTEGER | This contains information from generic referral category item 18. |
| ReferredToVendorNetworkStatus | VARCHAR | The network status of the referred-to vendor on the referral. |
| GenericReferralCategoryItem14 | INTEGER | This contains information from generic referral category item 14. |
| PreviousReferralFromDeploymentIdentifier | VARCHAR | Used by Chart Sync to determine the previously referring deployment. |
| ReferralQuestionnaireIdentifier | VARCHAR | Questionnaire related data |
| RecordSourceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| FinancialCommitmentServiceProviderName | VARCHAR | The service provider name for the financial commitment. |
| GenericReferralString5 | VARCHAR | This contains information from generic referral string item 5. |
| FinancialAuthorizingDepartmentIdentifier | NUMERIC | Authorizing unit for an outsourced service event. |
| ReferralDiseaseTypeCode | INTEGER | Whether the current referral is for the same or a different disease. |
| DecisionToReferForCancerDate | DATETIME | The date for the decision to refer for a cancer referral. |
| FinancialAuthorizationStartDate | DATETIME | The authorized start date to view service events if the service provider is authorized to view documents for a specific date range. |
| ReferralAdjudicationServiceAreaIdentifier | NUMERIC | Service area used in referral pricing and adjudication. |
| GenericReferralCategoryFour | INTEGER | This contains information from generic referral category item 4. |
| ReferralIncurredButNotReportedAmount | NUMERIC | The "Incurred but not reported" amount associated with this referral. |
| ReferralOwningBusinessSegmentIdentifier | NUMERIC | This item stores the owning business segment of the referral. |
| GenericReferralString10 | VARCHAR | This contains information from generic referral string item 10. |
| ReferralGenericStringTwentyFour | VARCHAR | Referral-level generic string for general use. |
| ReferredToProviderSpecial | VARCHAR | The category value indicating the provider specialty being referred to. |
| IsRetroactivelyEnteredReferral | VARCHAR | The category value used to mark a referral as being "Retro" entered. |
| AuthorizationPeriodTypeCategory | INTEGER | The category value indicating the type of period for authorized visits - i.e. hour, day, week, month, year. |
| GenericReferralCategory1 | INTEGER | This contains information from generic referral category item 1. |
| GenericReferralCategorySixteen | INTEGER | This contains information from generic referral category item 16. |
| ReferralPreauthorizationProcessedReason | INTEGER | Reason indicating why the preauth number is marked as processed for this referral. |
| AuditReferredToProviderSpecialtyText | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referred-to provider specialty. |
| ReferralRecordStatus | INTEGER | Record status. Possible values: null = normal record 4 = "hidden" record, i.e. voided. |
| AuditReferredToDepartmentSpecialty | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referred-to department specialty. |
| ReferralUniqueBookingReferenceNumber | VARCHAR | The Unique Booking Reference Number for a Choose & Book referral. |
| ReferralElectiveAdmissionTypeCategoryIdentifier | INTEGER | The elective admission type category ID for the referral record. |
| ReferralStatus | INTEGER | The category value representing the status of the referral (I.e. authorized, open, pending, etc.). |
| FinancialConsultationIsUpgradableToReferralIndicator | VARCHAR | Indicates whether a consultation is allowed to be converted into a referral. |
| ReferralCoverageRegionFacilityIdentifier | NUMERIC | The facility profile ID of the region on the coverage used for this referral. |
| ChartSyncForcedAutoResolutionCount | VARCHAR | Stores a compiled string representing the volume of Chart Sync group conflicts that were forcibly auto-resolved. |
| ReferralDenialReasonCategory | INTEGER | For denied referrals, the category value indicating the reason for denial. |
| ReferralAdmissionDate | DATETIME | The admission date associated with the referral. |
| AuditFirstAppointmentByDate | VARCHAR | Stores the first appointment by date for the referral in HL7 format. This is used to audit data from incoming Care Everywhere referrals. |
| AuditRequestedNumberOfVisits | INTEGER | This item is used to audit data from incoming Care Everywhere referrals. It stores the requested number of visits. |
| GenericReferralDateThree | DATETIME | This contains information from generic referral date item 3. |
| IsCareEverywhereDisconnectedFromSender | VARCHAR | Indicates that this referral is disconnected from the sending organization for Care Everywhere referrals. |
| RequestedNumberOfPeriods | INTEGER | The requested number of periods on the referral. |
| ReferralAuthorizationStartDateFloat | FLOAT | If available, this column is populated by the authorized start date (I RFL 85). If not, it is populated by the expiration date on the referral (I RFL 90). If neither of these are available, the column will be empty. The date in this column is based on days since December 31, 1840. |
| AuditReferringProviderSpecialtyText | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referring provider specialty. |
| ReferralServiceAreaIdentifier | NUMERIC | The ID number of the service area associated with the referral. |
| NonPreferredProviderReason | INTEGER | Stores the reason why a non preferred level provider was chosen. |
| ReferralAuthorized | NUMERIC | The total cost of the procedures authorized under the referral. |
| ReferralGenericNumericItem4 | NUMERIC | This contains information from generic referral numeric item 4. |
| ReferredByDepartmentIdentifier | NUMERIC | The ID number of the department the referral was referred by. |
| LastReferralDenialReason | INTEGER | This item holds the most recent non-empty denial reason for the referral. If this item is null, it means the referral was never denied. If value is added/updated to the reason for denial (I RFL 18007), same value is copied into this item. But if reason for denial (I RFL 18007) is cleared, then this item is not updated. |
| ReferredToVendorContractedOverrideIndicator | VARCHAR | The user override for the contracted status of the referred-to vendor on the referral. |
| ReferralGenericTimeOneSecondsSinceMidnight | NUMERIC | Referral-level generic time item for general use. |
| ReferralExpirationDate | DATETIME | The expiration date of the referral. |
| LastPreauthorizationChangeTimestamp | DATETIME | Date/time stamp for last time the preauthorization data was changed. |
| ReferredByLocationContractedAtAuthorizationIndicator | VARCHAR | The contracted status of referred-by location on the referral as of the last decision or the current contracted status if the referral is pending. |
| ReferralIdentifier | NUMERIC | The referral ID for the referral record. |
| ExpectedNumberOfClaims | INTEGER | Number of claims expected to be filed on this referral. |
| ReferralFinancialCommitmentType | INTEGER | The type of commitment for a social care financial commitment. |
| ReferredToLocationContractStatusAtAuthorizationIndicator | VARCHAR | The contracted status of referred-to location on the referral as of the last decision or the current contracted status if the referral is pending. |
| ScheduledVisitCount | NUMERIC | The number of visits scheduled for this referral. |
| ReferralIdentification | NUMERIC | The referral ID for the referral record. |
| ReferralGeneralUseString13 | VARCHAR | Referral-level generic string for general use. |
| AmountClaimsAdjudicated | NUMERIC | The amount of claims adjudicated. |
| FinancialPatientBenefitRecipientIndicator | VARCHAR | The type of entity that is the beneficiary of this financial commitment. If the value is yes, the patient attached to the financial commitment is a recipient of the benefits. |
| ReferralReportSentDate | DATETIME | Indicates the date that an internal report regarding a referral is sent to the referring provider. |
| AdmittingProviderIdentifier | VARCHAR | The admitting provider related to an inpatient service. This item is only for Tapestry documentation purposes. |
| ReferralServiceProvisionProcedureFormat | INTEGER | The format for the procedures (or more generally, the provisions) listed on the service provision referral. |
| ReferredByLocationPlaceOfServiceIdentifier | NUMERIC | The ID number of the place of service the referral was referred from. |
| ReferralGenericString18 | VARCHAR | Referral-level generic string for general use. |
| ReferralAttendingProviderIdentification | VARCHAR | The unique ID of the supervising provider of the resident issuing the referral. |
| GenericReferralCategoryTwo | INTEGER | This contains information from generic referral category item 2. |
| ReferralInBasketMessageRecipient | VARCHAR | The person or pool to whom an In Basket message should be sent about this referral. |
| SuppressExpirationWarningIndicator | VARCHAR | Indicates whether this referral will be skipped when evaluating if an expiring referral warning should be sent. |
| ReferralZipCodeGeographicAreaIdentifier | NUMERIC | Geographic area from ZIP code mapping. |
| AlternatePayorServiceDate | DATETIME | The service date for the alternate payor information. This date is used as the contact date to look up the alternate billing table in the plan master file. |
| ReferralCloseReasonCategory | VARCHAR | For closed referrals, the category value indicating the reason for closing. |
| ReferralEntryPrimaryLocationIdentifier | NUMERIC | The unique ID of the member's primary location at the time the referral was entered. |
| ReferralCreationDepartmentIdentifier | NUMERIC | Department from which the referral was created. This is the login department of the user who generated the referral. |
| UtilizationManagementAdditionalInformationRequestDateTime | DATETIME | Contains the date/time for when additional information was requested by the UM department. |
| ReferralFirstAppointmentDueDate | DATETIME | The date that the first appointment for the referral should occur by. |
| ReferralReason | VARCHAR | The category value indicating the main (first) reason for the referral. Since multiple reasons can be listed, use table REFERRAL_REASONS to view all of them. |
| ReferralGenericTimeSecondsSinceMidnightTwo | NUMERIC | Referral-level generic time item for general use. |
| ReferralInitialAssessmentResult | INTEGER | Result of initial assessment for a referral. |
| ReferralTriageRecommendedTreatmentType | INTEGER | Indicates the type of treatment recommended by the head physician or nurse at the time of referral triage. |
| ReferralLoopClosedInstant | DATETIME | Instant that the loop was closed for this referral. |
| LastReferralEncounterContactSerialNumber | NUMERIC | Ths CSN of the encounter linked to the referral or auth/cert with the latest encounter instant. |
| ReferralGenericStringTwentyNine | VARCHAR | Referral-level generic string for general use. |
| ReferralGenericTimeThreeSecondsSinceMidnight | NUMERIC | Referral-level generic time item for general use. |
| AuditSourceReferralLocationIdentifier | NUMERIC | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the source referral location. |
| ReferralExpectedDischargeDate | DATETIME | The expected discharge date documented on the referral bed days form of referral entry. |
| GenericReferralCategoryItem20 | INTEGER | This contains information from generic referral category item 20. |
| IsPendingAttachmentMessageExpected | VARCHAR | This indicates whether or not there are 275 attachment messages which the system is expecting to receive for this referral. Anything populated here would already have been indicated on a 278 message which has been received by the system. |
| FinancialAuthorizationAmount | NUMERIC | The amount for which the financial commitment is authorized. |
| ReferralRequiresNewPathwayIndicator | VARCHAR | Is this a referral for a new problem and therefore needs a new pathway assigned? Only applies to Internal referrals. |
| ReferringProviderReferralSourceIdentifier | VARCHAR | The unique ID of the referral source (REF) record of the provider who made the referral. This column is frequently used to link to the REFERRAL_SOURCE table. The actual provider (SER) ID can be found in column REF_PROVIDER_ID of table REFERRAL_SOURCE. |
| PatientCommunicationDate | DATETIME | The date when the patient's scheduled encounter was communicated to the patient. |
| GenericReferralDateTen | DATETIME | This contains information from generic referral date item 10. |
| TriageUnacceptReasonCategory | INTEGER | The unaccept reason that was specified when the triage decision changed from accept to no decision. |
| PrimaryCareProviderReportReceivedDate | DATETIME | Indicates the date that a PCP acknowledged receipt of an internal report regarding a referral. |
| ReferralGenericString15 | VARCHAR | Referral-level generic string for general use. |
| ReferralRecordIdentifier | NUMERIC | The unique ID of the referral in database. This is the primary key for the REFERRAL table. |
| ReferralFormality | INTEGER | Formality of a referral. |
| ReferralInvalidationReasonCode | INTEGER | The reason for invalidating external document associated with the referral. |
| IsAuthorizationAutomaticallyCreated | VARCHAR | This item is set to Yes if the system automatically created Service Level Auths (AUTs) using the data in the procedure grid. |
| ReferralDischargeDate | DATETIME | The discharge date associated with the referral. |
| ReferralConfirmationType | INTEGER | The category value indicating what type of confirmation it is - acute, chronic or PAT. |
| ReferralProgramCompletionLocation | INTEGER | Describes the location of the patient/client on completion of the program. |
| GenericReferralDateNine | DATETIME | This contains information from generic referral date item 9. |
| FinlandEArchivingServiceEventContactSerialNumber | NUMERIC | Contains the CSN of an abstract encounter that only holds service event data for the purpose of Finland eArchiving document generation for the referred-by organization's register. This encounter will only be used to contain the referral's initital referred-by service event until such time that the referral has been linked to another encounter with its own service event information. |
| ReferralLastUpdateInstant | DATETIME | The instant of time when the referral was last updated. |
| LastIncoming275MessageSequenceNumber | INTEGER | This item is used to store the sequence number of the last incoming standalone 275 message which was applied to the referral. When a referral is updated by using an incoming standalone 275 message, this item's value gets updated. The sequence number stored in this item can be used to find outdated incoming standalone 275 messages that arrived out of order. |
| GenericReferralNumericItem7 | NUMERIC | This contains information from generic referral numeric item 7. |
| AuditReferringProviderAddressIdentifier | VARCHAR | This item is used to audit data from incoming Care Everywhere referrals. It stores the original text for the referring provider address ID. |
| ExternalOrganizationEvaluationDate | DATETIME | This date represents the date an external organization evaluated or triaged the referral before forwarding it to an Epic instance. This date represents the internal concept of Triage History Instant, for the forwarding decision done at the external organization. |
| ReferralCreatedByCopyIndicator | NUMERIC | Indicates whether this referral was created via a copy workflow. Note that this extracts the value of 1 rather than a Y. 0 or null indicate that the referral was not created via a copy workflow. |
| ReferredToProviderNetworkLevel | VARCHAR | The network status of the referred-to provider on the referral. |
| GenericReferralCategoryItemTwelve | INTEGER | This contains information from generic referral category item 12. |
| ReferringDepartmentSpecialty | VARCHAR | Indicates the specialty of the department where the referral is coming from. |
| GenericReferralCategoryItem24 | INTEGER | This contains information from generic referral category item 24. |
| PatientFreeChoiceIndicator | INTEGER | Whether the patient has a free choice of choosing which hospital to go to. |
| IsUtilizationManagementReferral | VARCHAR | Indicates if this referral record is relevant to Utilization Management. 'Y' indicates that the record is related to Utilization Management and 'N' indicates it is not. |