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Medical informatics. Messages for patient referral and discharge Ingestion-build-71203 and couplers about1 Scope This European Prestandard specifies general messages for electronic information exchange between computer systems used by healthcare parties requesting specialist services or receiving reports from specialist service departments. 1. 2 Examples of requests for healthcare specialty services include: referral of a patient from a GP to a hospital clinical specialist; referral of a patient for direct entry for an open access procedure; referral of