Field | Description |
---|---|
Facility identification and timing of transfer | |
Sending facility | Health care facility sending the patient |
Receiving facility | Health care facility receiving the patient |
Date of transfer | Date of the patient transfer |
Patient demographics | |
Last name | Last name of transfer patient |
First name | First name of transfer patient |
Sex | Sex of transfer patient |
Age | Age of the patient |
Transfer supervision and service | |
Medical supervision during the transfer | Whether medical supervision is required during the transfer (Y/N) |
Transfer service | Service employed to complete the patient transfer (free text) |
Reason and urgency of transfer | |
Emergent/urgent/non-urgent | Was the patient transfer emergent, urgent or non-urgent? |
Transfer status | Approval status for transfer (Y/N) |
Primary reason | Primary reason for transfer (free text) |