Referral Message Problem

This section is for those who continue to use the former Referral Message Problem rather than the newer Referral Message Digest. Our advice is that the advantages of Referral Message Digest outweigh the continued use of the former Referral Message Problem (see "Referral Message Digest").

When you select OK on the Referral - Add screen in Vision 3, you are asked if you wish to send a referral message on deselecting the patient.

If you select Yes, when you deselect that patient and close the consultation:

1. The appointment booking request is sent.
2. A Referral message problem is created (viewable from the Problems tab), called MSG:[Read Term for Referral], eg MSG:Asthma.
3. Vision 3 gathers up sets of information from within your patient record of the previous 3 months
   • the UBRN (unique booking reference number)
   • All data entered in the current consultation, including the referral Read Term for Referral Reason
   • Current medication, defined as all repeat issues and all acute therapy issued in the last three months
   • Allergies and intolerances (drug and non-drug)
   • High priority medical history - marked priority 1
   • The latest records for smoking, alcohol, height, weight, blood pressure
   • All test results within the last 3 months
   • All active problems - the Read code from the problem header will be extracted and send as a 'Conditions' item
   • All activedisease registers - ie those with a start date but no end date. These are exported as 'Conditions' in the same way as active problems.

     For Example:

     The current problem is ‘Bowel Cancer’ and contains the diagnosis of bowel cancer and any other data that the GP considers pertinent to this problem.

After entering the referral (make booking):

• There are now two current problems, ‘Bowel Cancer’ and ‘Bowel Cancer Referral Message’. The latter problem contains the referral, all other data in the consultation, summary of relevant clinical items, and all the data in the ‘Bowel Cancer’ problem.
• The ‘Bowel Cancer’ problem contains the data it previously contained along with the referral and a link to the message digest problem.
• Any data subsequently entered in the consultation will automatically be included in both problems (although it may be removed).

After closing the consultation:

• The situation will be restored to one current problem ‘Bowel Cancer’. The message digest problem can be accessed via the inactive problems list or directly from the link within the Bowel Cancer problem.

In this section Editing the Referral Message Problem Send a Referral Letter/Message Later