This is a specific type of the attribute ACTIVITY DATE.

REFERRAL TO TREATMENT PERIOD END DATE will be one of the following:

the ACTIVITY DATE when the PATIENT is admitted for First Definitive Treatment.
If the start of a PATIENT's treatment is cancelled (by the Health Care Provider or PATIENT) after admission, the REFERRAL TO TREATMENT PERIOD will continue.
or

• the ACTIVITY DATE for First Definitive Treatment undertaken in an outpatient setting.
  or
  
• the ACTIVITY DATE when the decision not to treat is made, with no further action at this time communicated to the PATIENT.
  
  This will include Discharge After Patient Did Not Attend and discharge back to primary care for treatment.
  or
  
• the ACTIVITY DATE when the PATIENT declines offered treatment.
  or
  
• the ACTIVITY DATE when the PATIENT did not attend for the first ACTIVITY during a REFERRAL TO TREATMENT PERIOD. See REFERRAL TO TREATMENT PERIOD for guidance on PATIENTS who do not attend.
  or
  
• the ACTIVITY DATE the clinical decision is made (and agreed with the PATIENT) that Active Monitoring will begin. If a PATIENT subsequently requires further treatment this decision would start a new REFERRAL TO TREATMENT PERIOD as part of the same PATIENT PATHWAY. This includes any treatment that is planned for a specific date in the future as ongoing monitoring.
  or
  
• the ACTIVITY DATE a clinical decision is made and has been communicated to the PATIENT, and subsequently their GENERAL PRACTITIONER and/or other referring CARE PROFESSIONAL without undue delay, to add the PATIENT to a transplant list.
  or
  
• the PERSON DEATH DATE.

In the unfortunate event that a PATIENT is booked into the wrong clinic and needs to be re-referred to the right one, this will not end the REFERRAL TO TREATMENT PERIOD or restart it. The start of the REFERRAL TO TREATMENT PERIOD is still the original REFERRAL REQUEST RECEIVED DATE.

This attribute is also known by these names:

Context	Alias
plural	REFERRAL TO TREATMENT PERIOD END DATES