Referral NR-48210 — Vivian Cho

Received 1451h ago · fax · Dr. J. Barnes, Community Health Partners

Reason for referral (as received)

74F memory decline 2 years, now getting lost driving. MoCA 19/30. Cognitive neurology consult. Daughter is contact (404) 555-0103. Medicare.

Extracted fields are AI-suggested from the de-identified text and require clinician confirmation · 1 identifiers tokenized before AI · OCR/source: fax

Recommended destination

Needs human review (insufficient clinical detail)

Routing confidence

30%

Missing to complete triage

Patient date of birthCurrent medication list

Status

Status changes are staff actions — the referring office sees them, ending the fax black hole.

DRAFT — AWAITING STAFF APPROVAL BEFORE SEND

Missing-information request to referring office

Re: Referral NR-48210 — additional records needed to complete triage We received your neurology referral. To complete clinical triage and route this to the correct needs human review (insufficient clinical detail) slot, please provide: • Patient date of birth • Current medication list Once received, we expect to confirm the appointment within 2 business days. If symptoms worsen before then, please direct the patient to the nearest emergency department. — Referral Coordination