QLD Health Discharge Summary or Referral Letter

Populated clinician-to-clinician transfer documents: hospital discharge summaries, discharge letters, transfer of care summaries, GP and specialist referral letters and requests for specialist consultation. They carry patient identifiers together with the structure of a handover between treating teams: admission and discharge dates, discharge destination, referring, receiving or usual GP, and clinical content such as principal diagnosis, medications on discharge, reason for referral and follow-up arrangements. Boundary: au-qld-health-medical-record covers medical records generally and fires on the bare phrase "discharge summary" plus a patient identifier; this classifier enforces only when discharge or referral structure (dates, referring or receiving clinician) is also populated. Shift handover sheets belong to au-qld-health-clinical-handover; My Health Record documents to au-my-health-record-clinical-document.

Type: regex
Engine: boost_regex
Confidence: medium
Confidence justification: Medium: the document titles are standard across Queensland Health, private hospitals and general practice, and enforce tiers need populated patient and handover-structure fields, which guidelines, leaflets and blank forms lack. Field labels are matched by wording only, so a clinic letter that uses the same labels without the title stays at 65 and an unusual layout with unlabelled fields may be missed. 85/75 are heuristic evidence tiers, not measured accuracy.
Jurisdictions: au, au-qld
Regulations: Hospital and Health Boards Act 2011 (Qld), Information Privacy Act 2009 (Qld), Privacy Act 1988 (Cth), NDB Scheme (Cth)
Frameworks: ISO 27001, ISO 27701, QGISCF
Data categories: phi, health, pii
Scope: narrow
Risk rating: 8
Platform compatibility: Purview: Compatible, GCP DLP: Compatible, Macie: Compatible, Zscaler: Compatible, Palo Alto: Degraded, Netskope: Unsupported

Pattern

(?i)\b(?:discharge\s+(?:summary|letter|referral)|transfer\s+of\s+care\s+(?:summary|letter)|(?:GP|specialist|medical|outpatient|clinical)\s+referral(?:\s+letter)?|referral\s+letter|letter\s+of\s+referral|request\s+for\s+specialist\s+(?:consultation|opinion))\b

Corroborative evidence keywords

admission date, discharge date, referring doctor, usual GP, medications on discharge, reason for referral, follow-up, principal diagnosis

Proximity: 300 characters

Should match

DISCHARGE SUMMARY - Ipswich Hospital Patient: Jordan Teston URN: 552019 Admission date: 02/10/2026 Discharge date: 06/10/2026 Usual GP: Dr K Teston, Brassall Family Practice Principal diagnosis: Cellulitis right lower leg Medications on discharge: Cephalexin 500 mg QID for 5 days Follow-up: GP review in 48 hours — 85 tier - discharge summary with patient, admission/discharge dates, usual GP, diagnosis and discharge medications
Referral letter Date of referral: 14/09/2026 Referring doctor: Dr Sam Teston (Provider 0000000Z) Patient name: Riley Teston DOB: 11/04/1959 Reason for referral: Progressive exertional dyspnoea, please assess for cardiac cause Current medications: Ramipril 5 mg daily — 85 tier - GP referral letter with referring doctor, patient fields and reason for referral
Transfer of care summary Patient: Morgan Teston MRN: 7781200 Discharge destination: Residential aged care — 75 tier - transfer of care summary with patient and discharge destination, no clinical content
Specialist referral Patient name: Alex Teston Medicare number: 0000 00000 0 Referred to: Dr P Teston, Orthopaedic Outpatients, Toowoomba Hospital — 75 tier - specialist referral naming patient and receiving specialist only

Should not match

Discharge summary request Patient name: Casey Teston UR number: 0093317 Copy to be released to the requesting solicitor once the application is approved. — Medical-record request naming a patient but carrying no discharge or referral structure (au-qld-health-medical-record territory; 65 at most)
Discharge summary Patient: ____________________ URN: ____________________ Admission date: __/__/____ Discharge date: __/__/____ Principal diagnosis: ____________________ Medications on discharge: ____________________ — Blank discharge summary form (65 at most)
Going home from hospital - patient information leaflet. Before you leave, your team will give you a discharge summary and a copy will be sent to your GP. Ask your nurse what to expect and when your follow-up appointment is. — Patient information leaflet (65 at most)
This guideline sets the minimum content of a discharge summary and a referral letter: patient identifiers, admission and discharge dates, principal diagnosis, medications on discharge and follow-up. Training module for junior medical officers. — Clinical documentation guideline (65 at most)
The hospital car park will close for resurfacing on Saturday; staff should use the overflow lot. — Unrelated text

Known false positives

Clinical documentation guidelines, junior doctor training material and patient leaflets that name discharge summaries and referral letters and list their fields. Mitigation: They lack populated patient and handover fields, and guideline, patient-information, training and news framing is excluded from enforce tiers.
Blank discharge and referral forms. Mitigation: Field values reject blank lines, underscores, brackets and placeholder words; fixture wording is excluded by the shared template-exclusion dictionary.
Records requests and release-of-information letters that name a discharge summary. Mitigation: With no admission, discharge or referral date or clinician field they stay at 65; au-qld-health-medical-record covers them.