| << Click to Display Table of Contents >> Plan |     | 
| • | Referral/Transition List: Displays the following information entered within the Referral/Transition of Care section of the Health History Application: (Practitioner) Referred To, Address, City/State, Phone (Number), Appointment Date, Referral Reason (Reason Code), and Referral Type (Inbound/Outbound). The information will display in a list format. | 
| • | Referral/Transition Table: Displays the following information entered within the Referral/Transition of Care section of the Health History Application. The information will display in a table: | 
| o | Referred To: Displays the receiving Practitioner name. | 
| o | Address, City/State: Displays the address of the receiving facility. | 
| o | Phone: Displays the phone number of the receiving facility. | 
| o | Appointment Date: Displays the appointment date for the patient. | 
| o | Referral Reason: Displays the Reason Code for the transfer. | 
| o | Referral Type: Displays the referral/transition type (Inbound/Outbound). |