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: Message Definition - Procedure Scheduled (O23)

Draft as of 2026-11-01

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{
  "resourceType" : "MessageDefinition",
  "id" : "procedure-scheduled",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MessageDefinition procedure-scheduled</b></p><a name=\"procedure-scheduled\"> </a><a name=\"hcprocedure-scheduled\"> </a><p><b>url</b>: <a href=\"MessageDefinition-procedure-scheduled.html\">MessageDefinition Procedure Scheduled (O23)</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: ProcedureScheduled</p><p><b>title</b>: Procedure Scheduled (O23)</p><p><b>status</b>: Draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2026-11-01</p><p><b>publisher</b>: NHS North West Genomics</p><p><b>contact</b>: <a href=\"https://www.nwgenomics.nhs.uk/contact-us\">https://www.nwgenomics.nhs.uk/contact-us</a></p><p><b>description</b>: </p><div><p>FHIR Message equivalent of the IHE SWF.b HL7 v2.5.1 <code>OMI^O23^OMI_O23</code> message, sent by\nthe Order Filler (RIS) to the Image Manager / Image Archive (PACS) for\n<a href=\"RAD-4.html\">Procedure Scheduled [RAD-4]</a> and Procedure Update [RAD-13].</p>\n<p>Each ORC-TQ1-OBR-IPC group (one per Requested Procedure) becomes a\n<a href=\"StructureDefinition-RadiologyServiceRequest.html\">Radiology Service Request</a> and a\n<a href=\"StructureDefinition-RadiologyImagingStudy.html\">Radiology Imaging Study</a> with\n<code>status</code> registered - the study before any images are acquired:</p>\n<table class=\"grid\">\n<thead>\n<tr>\n<th>IPC field</th>\n<th>FHIR</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>IPC-1 Accession Identifier</td>\n<td><code>ServiceRequest.identifier:accessionNumber</code>, <code>ImagingStudy.basedOn.identifier</code></td>\n</tr>\n<tr>\n<td>IPC-2 Requested Procedure ID</td>\n<td><code>ServiceRequest.identifier</code></td>\n</tr>\n<tr>\n<td>IPC-3 Study Instance UID</td>\n<td><code>ImagingStudy.identifier:studyInstanceUid</code></td>\n</tr>\n<tr>\n<td>IPC-4 Scheduled Procedure Step ID</td>\n<td>-</td>\n</tr>\n<tr>\n<td>IPC-5 Modality</td>\n<td><code>ImagingStudy.modality</code></td>\n</tr>\n</tbody>\n</table>\n<p>For RAD-13 the message carries the updated ServiceRequest and ImagingStudy; a\ncancellation sets <code>ServiceRequest.status</code> revoked and <code>ImagingStudy.status</code> cancelled.\nThe ORC-1 codes used by RAD-13 are <strong>To confirm</strong> against IHE RAD TF-2 section 4.13.</p>\n<p>The HL7 v2 acknowledgement <code>ORI^O24^ORI_O24</code> is a FHIR response message\n(<code>MessageHeader.response</code>).</p>\n</div><p><b>jurisdiction</b>: <span title=\"Codes:{urn:iso:std:iso:3166 GB}\">United Kingdom of Great Britain and Northern Ireland</span></p><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-O23\">event: O23</a> (OMI - Imaging order)</p><p><b>category</b>: Consequence</p><blockquote><p><b>focus</b></p><p><b>code</b>: ServiceRequest</p><p><b>profile</b>: <a href=\"StructureDefinition-RadiologyServiceRequest.html\">Radiology Service Request</a></p><p><b>min</b>: 1</p><p><b>max</b>: *</p></blockquote><blockquote><p><b>focus</b></p><p><b>code</b>: ImagingStudy</p><p><b>profile</b>: <a href=\"StructureDefinition-RadiologyImagingStudy.html\">Radiology Imaging Study</a></p><p><b>min</b>: 1</p><p><b>max</b>: *</p></blockquote><p><b>responseRequired</b>: Always</p></div>"
  },
  "url" : "https://fhir.nwgenomics.nhs.uk/Imaging/MessageDefinition/procedure-scheduled",
  "version" : "0.1.0",
  "name" : "ProcedureScheduled",
  "title" : "Procedure Scheduled (O23)",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-11-01",
  "publisher" : "NHS North West Genomics",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.nwgenomics.nhs.uk/contact-us"
        }
      ]
    }
  ],
  "description" : "FHIR Message equivalent of the IHE SWF.b HL7 v2.5.1 `OMI^O23^OMI_O23` message, sent by\nthe Order Filler (RIS) to the Image Manager / Image Archive (PACS) for\n[Procedure Scheduled [RAD-4]](RAD-4.html) and Procedure Update [RAD-13].\n\nEach ORC-TQ1-OBR-IPC group (one per Requested Procedure) becomes a\n[Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html) and a\n[Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html) with\n`status` registered - the study before any images are acquired:\n\n| IPC field | FHIR |\n|---|---|\n| IPC-1 Accession Identifier | `ServiceRequest.identifier:accessionNumber`, `ImagingStudy.basedOn.identifier` |\n| IPC-2 Requested Procedure ID | `ServiceRequest.identifier` |\n| IPC-3 Study Instance UID | `ImagingStudy.identifier:studyInstanceUid` |\n| IPC-4 Scheduled Procedure Step ID | - |\n| IPC-5 Modality | `ImagingStudy.modality` |\n\nFor RAD-13 the message carries the updated ServiceRequest and ImagingStudy; a\ncancellation sets `ServiceRequest.status` revoked and `ImagingStudy.status` cancelled.\nThe ORC-1 codes used by RAD-13 are **To confirm** against IHE RAD TF-2 section 4.13.\n\nThe HL7 v2 acknowledgement `ORI^O24^ORI_O24` is a FHIR response message\n(`MessageHeader.response`).",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "GB",
          "display" : "United Kingdom of Great Britain and Northern Ireland"
        }
      ]
    }
  ],
  "eventCoding" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
    "code" : "O23",
    "display" : "OMI - Imaging order"
  },
  "category" : "consequence",
  "focus" : [
    {
      "code" : "ServiceRequest",
      "profile" : "https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyServiceRequest",
      "min" : 1,
      "max" : "*"
    },
    {
      "code" : "ImagingStudy",
      "profile" : "https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyImagingStudy",
      "min" : 1,
      "max" : "*"
    }
  ],
  "responseRequired" : "always"
}