Service Record

Within this specification, Service Record refers to a definitive set of information that is collected, maintained and managed throughout the referral or consultation process. The Service Record includes information about the:

• Patient who is the subject of the service request
• Referring Practitioner who sent the service request
• Service Request with a clinical Reason
• Supporting information to support triage and processing of the request
• Service Provider who has been assigned to perform the service with a location
• Status of the request with a status reason
• Appointment information (for referrals only)
• Outcome (optional)

Key elements of the Service Record with relationships are illustrated below:

The messaging defined in the specification allows different parties using different information systems to contribute content to the Service Record and access it according to their roles.