This data model communicates patient demographic and clinical information from a referring provider to send the patient's case to another provider.
This typically differs from a consultation, where a provider may review a patient without assuming authority over the patient’s care. Referrals can be internal to an organization (e.g., from one department to another) or external between organizations.
A referral is useful to maintain the administrative aspects of a referral order. You can receive notifications when:
- A new referral order is placed.
- An existing referral order is modified or canceled.
- An authorization review is requested or responded to.
Or, you can search for referral orders based on a patient's demographic and insurance information.
Query for referral orders with a subset of patient demographic and insurance information.
Request Body Schema
- Metarequired, object
- DataModelrequired, stringReliable
Referral
- EventTyperequired, stringReliable
Query
- EventDateTimestring, nullReliable
Displays the UTC date and time that an outgoing request is delivered or an incoming request is received.
ISO 8601 Format - Testboolean, nullReliable
Indicates whether the request is a test or not.
- Sourceobject
Contains the information for the system initiating the message, including the source ID and name.
Included in messages from Redox- IDstring, nullReliable
Identifies the system initiating the message. If you have multiple OAuth API keys per environment type, this value is required. If you have only one OAuth API key per environment type, or you're using legacy API keys, this value is optional.
UUID - Namestring, nullReliable
Displays the name of the system initiating the message.
- DestinationsArray of object
Contains the information for the endpoint(s) receiving the request. A request must contain at least one destination, but asynchronous requests can have more than one destination. Synchronous requests like queries can only support one destination.
Required when sending data to Redox.- IDstring, nullReliable
Identifies the endpoint that the request is directed to.
UUID - Namestring, nullReliable
Displays the name of the endpoint that the request is directed to.
- LogsArray of object
Contains the log identifier(s) for the request.
- IDstring, nullReliable
Identifies the request log(s) that correspond to this request. You can use this value to locate the relevant log in the Redox dashboard for support and reference.
UUID - AttemptIDstring, nullReliable
Identifies the request log attempt value, which is useful when retries are possible.
UUID
- FacilityCodestring, nullPossible
Code for the facility related to the message.
Only use this field if a health system indicates you should. The code is specific to the health system's EHR and might not be unique across health systems. In general, the facility fields within the data models (e.g. OrderingFacility) are more reliable and informative.
- Patientrequired, object
- Identifiersrequired, Array of object
List of IDs and ID types that identify the patient
- IDrequired, stringReliable
ID for the patient
- IDTyperequired, stringReliable
Type of ID.
E.g. MRN, EPI
- InsurancesArray of object
List of insurance coverages for the patient
- Planobject
- IDstring, nullProbable
Identifier of insurance plan
- IDTypestring, nullProbable
ID type of insurance plan
- Namestring, nullProbable
Name of insurance plan
- Typestring, nullPossible
Type of insurance plan
- MemberNumberstring, nullPossible
Patient member number
- Companyobject
- IDstring, nullProbable
ID of insurance company (payor)
- IDTypestring, nullProbable
ID type of insurance company (payor)
- Namestring, nullProbable
Name of insurance company (payor)
- Addressobject
Insurance company's address
- StreetAddressstring, nullProbable
Street address
- Citystring, nullProbable
City
- Statestring, nullProbable
State
- ZIPstring, nullProbable
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country
- PhoneNumberstring, nullProbable
Insurance companys phone number.
In E. 164 Format (i.e. +16085551234)
- GroupNumberstring, nullProbable
Insurance policy group number
- GroupNamestring, nullProbable
Insurance policy group name
- EffectiveDatestring, nullProbable
Effect date of this insurance policy.
In YYYY-MM-DD format - ExpirationDatestring, nullProbable
Expiration date of this insurance policy.
In YYYY-MM-DD format - PolicyNumberstring, nullProbable
Insurance policy number
- Prioritystring, nullPossibleValue Set
The insurance priority sequence.
If the insurance works in conjunction with other insurance plans, this field contains priority sequence. - AgreementTypestring, nullProbableValue Set
Type of insurance agreement.
- CoverageTypestring, nullProbableValue Set
Type of insurance agreement.
Indicates who will be receiving the bill for the service. - Insuredobject
Individual who has the agreement with the insurance company for the related policy
- IdentifiersArray of object
List of IDs and ID types that identify the insured
- IDstring, nullPossible
ID for the insured
- IDTypestring, nullPossible
Type of ID.
E.g. MRN, EPI
- LastNamestring, nullPossible
Last name of the insured
- MiddleNamestring, nullPossible
Middle name of the insured
- FirstNamestring, nullPossible
First name of the insured
- SSNstring, nullPossible
Insured's social security number
- Relationshipstring, nullPossibleValue Set
Relationship of the insured to the patient
- DOBstring, nullPossible
Date of birth of the insured.
In YYYY-MM-DD format - Sexstring, nullPossibleValue Set
Sex of the insured
- Addressobject
Address of the insured
- StreetAddressstring, nullProbable
Street address
- Citystring, nullProbable
City
- Statestring, nullProbable
State
- ZIPstring, nullProbable
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country