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Use case

Check a referral has what the specialist needs

Before you refer, ask what the receiving clinic will need that the sources do not yet show. Then draft the letter from the same sources.

A drafted referral letter to cardiology summarizing the history, findings and the question for the specialist

The situation

Start from a real clinical day

Dr. Alex Sample plans to refer John Smith, 42, to cardiology with intermittent fast palpitations. He has a resting ECG and some lab results.

A referral that arrives without the basics comes back with questions, and the patient waits longer.

Add these sources to the workspace

  1. 1

    The visit note

  2. 2

    The resting ECG report

  3. 3

    Recent lab results

  4. 4

    The medication list

  5. 5

    A local referral template

What you ask

Ask for what you need in your own words

What would a cardiology referral for palpitations normally include that these sources do not contain? Then draft the referral letter using the template.
  • Get a list of gaps

    You see items such as thyroid function and a family history of sudden cardiac death that the sources do not mention.

  • Get a draft letter

    You get a referral that puts the question first, then the history and results with dates, and the urgency.

  • Get an editable document

    The draft opens in the editor, where you change it and export it to PDF or Word.

Before you use it

Check these before you file anything

You edit every draft and make every clinical decision. Check each answer against the source it names.

  1. 1

    Check urgency against your local referral pathway

  2. 2

    Check every quoted value against its source

  3. 3

    Confirm the question is the one you want answered

Questions

Frequently asked questions

Can I use my own referral template?

Yes. Add it as a template and choose it when you draft. The draft follows its headings.

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