What problem does it solve? Referral letters are rejected far more often for missing information than for clinical reasons, costing patients weeks of delay. This Skill assembles a complete, structured referral from the patient record and loudly flags every field the notes cannot fill, so gaps are fixed before submission rather than after rejection. ## Core Features & Use Cases - Structured Referral Assembly: Organizes the record into the standard referral sections: reason for referral, relevant history, medications, allergies, examination findings, investigations with dates and results, the request to the receiving service, and urgency. - Explicit Gap Marking: Inserts [MISSING: ...] placeholders for any field the record cannot support instead of omitting or softening incomplete information. - Criterion-Based Urgency: States the clinical criterion that justifies urgency (e.g., a two-week pathway rationale) rather than the bare word "urgent", so the referral survives triage. - Use Case: A GP needs to refer a patient with unexplained weight loss and a palpable mass. The Skill drafts the full referral from the notes, marks the missing family history field, and phrases the urgency as the two-week pathway criterion. ## Quick Start Draft a referral letter to gastroenterology from this patient's consultation notes, marking any information the record does not contain.