diff --git a/omod/src/main/resources/sql/DDL.sql b/omod/src/main/resources/sql/DDL.sql
index 51ac519f..24bd3b0d 100644
--- a/omod/src/main/resources/sql/DDL.sql
+++ b/omod/src/main/resources/sql/DDL.sql
@@ -1290,6 +1290,7 @@ final_test_result VARCHAR(50) DEFAULT NULL,
 syphillis_test_result VARCHAR(50) DEFAULT NULL,
 patient_given_result VARCHAR(50) DEFAULT NULL,
 couple_discordant VARCHAR(100) DEFAULT NULL,
+referred INT(10) DEFAULT NULL,
 referral_for VARCHAR(100) DEFAULT NULL,
 referral_facility VARCHAR(200) DEFAULT NULL,
 other_referral_facility VARCHAR(200) DEFAULT NULL,
diff --git a/omod/src/main/resources/sql/DML.sql b/omod/src/main/resources/sql/DML.sql
index 1d136696..71ff93d9 100644
--- a/omod/src/main/resources/sql/DML.sql
+++ b/omod/src/main/resources/sql/DML.sql
@@ -2556,6 +2556,7 @@ final_test_result,
 syphillis_test_result,
 patient_given_result,
 couple_discordant,
+referred,
 referral_for,
 referral_facility,
 other_referral_facility,
@@ -2609,6 +2610,7 @@ max(if(o.concept_id=159427,(case o.value_coded when 703 then "Positive" when 664
 max(if(o.concept_id=299,(case o.value_coded when 1229 then "Positive" when 1228 then "Negative" else "" end),null)) as syphillis_test_result,
 max(if(o.concept_id=164848,(case o.value_coded when 1065 then "Yes" when 1066 then "No" else "" end),null)) as patient_given_result,
 max(if(o.concept_id=6096,(case o.value_coded when 1065 then "Yes" when 1066 then "No" else "" end),null)) as couple_discordant,
+max(if(o.concept_id=165093,o.value_coded,null)) as referred,
 max(if(o.concept_id=1887,(case o.value_coded when 162082 then "Confirmatory test" when 162050 then "Comprehensive care center" when 164461 then "DBS for PCR" else "" end),null)) as referral_for,
 max(if(o.concept_id=160481,(case o.value_coded when 163266 then "This health facility" when 164407 then "Other health facility" else "" end),null)) as referral_facility,
 max(if(o.concept_id=161550,trim(o.value_text),null)) as other_referral_facility,
@@ -2632,7 +2634,7 @@ from encounter e
 	inner join person p on p.person_id=e.patient_id and p.voided=0
 	inner join form f on f.form_id=e.form_id and f.uuid in ("402dc5d7-46da-42d4-b2be-f43ea4ad87b0","b08471f6-0892-4bf7-ab2b-bf79797b8ea4")
 inner join obs o on o.encounter_id = e.encounter_id and o.concept_id in (162084, 164930, 160581, 164401, 164951, 162558,160632, 1710, 164959, 164956,
-                                                                                 160540,159427, 164848, 6096, 1659, 164952, 163042, 159813,165215,163556,161550,1887,1272,164359,160481,229,167163,167162)
+                                                                                 160540,159427, 164848, 6096, 1659, 164952, 163042, 159813,165215,163556,161550,1887,1272,164359,160481,229,167163,167162,165093)
 inner join (
              select
                o.person_id,
diff --git a/omod/src/main/resources/sql/DataTools.sql b/omod/src/main/resources/sql/DataTools.sql
index b1bb9feb..2188596d 100644
--- a/omod/src/main/resources/sql/DataTools.sql
+++ b/omod/src/main/resources/sql/DataTools.sql
@@ -1353,6 +1353,7 @@ t.hts_risk_score,
   t.syphillis_test_result,
   t.patient_given_result,
   t.couple_discordant,
+  case t.referred when 1065 then 'Yes' when 1066 then 'No' end as referred,
   t.referral_for,
   t.referral_facility,
   t.other_referral_facility,
diff --git a/omod/src/main/resources/sql/Scheduled_Updates.sql b/omod/src/main/resources/sql/Scheduled_Updates.sql
index 5d31212b..1cc3fd3d 100644
--- a/omod/src/main/resources/sql/Scheduled_Updates.sql
+++ b/omod/src/main/resources/sql/Scheduled_Updates.sql
@@ -2610,6 +2610,7 @@ CREATE PROCEDURE sp_update_hts_test(IN last_update_time DATETIME)
       syphillis_test_result,
       patient_given_result,
       couple_discordant,
+      referred,
       referral_for,
       referral_facility,
       other_referral_facility,
@@ -2663,6 +2664,7 @@ CREATE PROCEDURE sp_update_hts_test(IN last_update_time DATETIME)
         max(if(o.concept_id=299,(case o.value_coded when 1229 then "Positive" when 1228 then "Negative" else "" end),null)) as syphillis_test_result,
         max(if(o.concept_id=164848,(case o.value_coded when 1065 then "Yes" when 1066 then "No" else null end),null)) as patient_given_result,
         max(if(o.concept_id=6096,(case o.value_coded when 1065 then "Yes" when 1066 then "No" else null end),null)) as couple_discordant,
+        max(if(o.concept_id=165093,o.value_coded,null)) as referred,
         max(if(o.concept_id=1887,(case o.value_coded when 162082 then "Confirmatory test" when 162050 then "Comprehensive care center" when 164461 then "DBS for PCR" else "" end),null)) as referral_for,
         max(if(o.concept_id=160481,(case o.value_coded when 163266 then "This health facility" when 164407 then "Other health facility" else "" end),null)) as referral_facility,
         max(if(o.concept_id=161550,trim(o.value_text),null)) as other_referral_facility,
@@ -2686,7 +2688,7 @@ CREATE PROCEDURE sp_update_hts_test(IN last_update_time DATETIME)
         inner join person p on p.person_id=e.patient_id and p.voided=0
         inner join form f on f.form_id=e.form_id and f.uuid in ("402dc5d7-46da-42d4-b2be-f43ea4ad87b0","b08471f6-0892-4bf7-ab2b-bf79797b8ea4")
         inner join obs o on o.encounter_id = e.encounter_id and o.voided=0 and o.concept_id in (162084, 164930, 160581, 164401, 164951, 162558,160632, 1710, 164959, 164956,
-                                                                                                        159427, 164848, 6096, 1659, 164952, 163042, 159813,165215,163556,161550,1887,1272,164359,160481,299,167163,167162)
+                                                                                                        159427, 164848, 6096, 1659, 164952, 163042, 159813,165215,163556,161550,1887,1272,164359,160481,299,167163,167162,165093)
         inner join (
                      select
                        o.person_id,
@@ -2719,7 +2721,7 @@ CREATE PROCEDURE sp_update_hts_test(IN last_update_time DATETIME)
       test_1_kit_name=VALUES(test_1_kit_name), test_1_kit_lot_no=VALUES(test_1_kit_lot_no),
       test_1_kit_expiry=VALUES(test_1_kit_expiry), test_1_result=VALUES(test_1_result), test_2_kit_name=VALUES(test_2_kit_name),
       test_2_kit_lot_no=VALUES(test_2_kit_lot_no), test_2_kit_expiry=VALUES(test_2_kit_expiry), test_2_result=VALUES(test_2_result),
-      final_test_result=VALUES(final_test_result), patient_given_result=VALUES(patient_given_result), couple_discordant=VALUES(couple_discordant),
+      final_test_result=VALUES(final_test_result), patient_given_result=VALUES(patient_given_result), couple_discordant=VALUES(couple_discordant),referred=VALUES(referred),
       tb_screening=VALUES(tb_screening), neg_referral_for=VALUES(neg_referral_for), patient_had_hiv_self_test=VALUES(patient_had_hiv_self_test),
       remarks=VALUES(remarks), voided=VALUES(voided)
     ;
diff --git a/omod/src/main/resources/sql/dwapi/DDL.sql b/omod/src/main/resources/sql/dwapi/DDL.sql
index b8c74ed3..1a8c7578 100644
--- a/omod/src/main/resources/sql/dwapi/DDL.sql
+++ b/omod/src/main/resources/sql/dwapi/DDL.sql
@@ -1263,6 +1263,7 @@ final_test_result VARCHAR(50) DEFAULT NULL,
 syphillis_test_result VARCHAR(50) DEFAULT NULL,
 patient_given_result VARCHAR(50) DEFAULT NULL,
 couple_discordant VARCHAR(100) DEFAULT NULL,
+referred INT(10) DEFAULT NULL,
 referral_for VARCHAR(100) DEFAULT NULL,
 referral_facility VARCHAR(200) DEFAULT NULL,
 other_referral_facility VARCHAR(200) DEFAULT NULL,
diff --git a/omod/src/main/resources/sql/dwapi/DML.sql b/omod/src/main/resources/sql/dwapi/DML.sql
index 7ebdf24c..5d1d7425 100644
--- a/omod/src/main/resources/sql/dwapi/DML.sql
+++ b/omod/src/main/resources/sql/dwapi/DML.sql
@@ -2565,6 +2565,7 @@ final_test_result,
 syphillis_test_result,
 patient_given_result,
 couple_discordant,
+referred,
 referral_for,
 referral_facility,
 other_referral_facility,
@@ -2619,6 +2620,7 @@ max(if(o.concept_id=159427,(case o.value_coded when 703 then "Positive" when 664
 max(if(o.concept_id=299,(case o.value_coded when 1229 then "Positive" when 1228 then "Negative" else "" end),null)) as syphillis_test_result,
 max(if(o.concept_id=164848,(case o.value_coded when 1065 then "Yes" when 1066 then "No" else "" end),null)) as patient_given_result,
 max(if(o.concept_id=6096,(case o.value_coded when 1065 then "Yes" when 1066 then "No" else "" end),null)) as couple_discordant,
+max(if(o.concept_id=165093,o.value_coded,null)) as referred,
 max(if(o.concept_id=1887,(case o.value_coded when 162082 then "Confirmatory test" when 162050 then "Comprehensive care center" when 164461 then "DBS for PCR" else "" end),null)) as referral_for,
 max(if(o.concept_id=160481,(case o.value_coded when 163266 then "This health facility" when 164407 then "Other health facility" else "" end),null)) as referral_facility,
 max(if(o.concept_id=161550,trim(o.value_text),null)) as other_referral_facility,
@@ -2642,7 +2644,7 @@ from encounter e
 	inner join person p on p.person_id=e.patient_id
 	inner join form f on f.form_id=e.form_id and f.uuid in ("402dc5d7-46da-42d4-b2be-f43ea4ad87b0","b08471f6-0892-4bf7-ab2b-bf79797b8ea4")
 inner join obs o on o.encounter_id = e.encounter_id and o.concept_id in (162084, 164930, 160581, 164401, 164951, 162558,160632, 1710, 164959, 164956,
-                                                                                 160540,159427, 164848, 6096, 1659, 164952, 163042, 159813,165215,163556,161550,1887,1272,164359,160481,229,167163,167162)
+                                                                                 160540,159427, 164848, 6096, 1659, 164952, 163042, 159813,165215,163556,161550,1887,1272,164359,160481,229,167163,167162,165093)
 inner join (
              select
                o.person_id,