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: Message Definition - Procedure Scheduled (O23)

Draft as of 2026-11-01

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<MessageDefinition xmlns="http://hl7.org/fhir">
  <id value="procedure-scheduled"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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
the Order Filler (RIS) to the Image Manager / Image Archive (PACS) for
<a href="RAD-4.html">Procedure Scheduled [RAD-4]</a> and Procedure Update [RAD-13].</p>
<p>Each ORC-TQ1-OBR-IPC group (one per Requested Procedure) becomes a
<a href="StructureDefinition-RadiologyServiceRequest.html">Radiology Service Request</a> and a
<a href="StructureDefinition-RadiologyImagingStudy.html">Radiology Imaging Study</a> with
<code>status</code> registered - the study before any images are acquired:</p>
<table class="grid">
<thead>
<tr>
<th>IPC field</th>
<th>FHIR</th>
</tr>
</thead>
<tbody>
<tr>
<td>IPC-1 Accession Identifier</td>
<td><code>ServiceRequest.identifier:accessionNumber</code>, <code>ImagingStudy.basedOn.identifier</code></td>
</tr>
<tr>
<td>IPC-2 Requested Procedure ID</td>
<td><code>ServiceRequest.identifier</code></td>
</tr>
<tr>
<td>IPC-3 Study Instance UID</td>
<td><code>ImagingStudy.identifier:studyInstanceUid</code></td>
</tr>
<tr>
<td>IPC-4 Scheduled Procedure Step ID</td>
<td>-</td>
</tr>
<tr>
<td>IPC-5 Modality</td>
<td><code>ImagingStudy.modality</code></td>
</tr>
</tbody>
</table>
<p>For RAD-13 the message carries the updated ServiceRequest and ImagingStudy; a
cancellation sets <code>ServiceRequest.status</code> revoked and <code>ImagingStudy.status</code> cancelled.
The ORC-1 codes used by RAD-13 are <strong>To confirm</strong> against IHE RAD TF-2 section 4.13.</p>
<p>The HL7 v2 acknowledgement <code>ORI^O24^ORI_O24</code> is a FHIR response message
(<code>MessageHeader.response</code>).</p>
</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>
  </text>
  <url
       value="https://fhir.nwgenomics.nhs.uk/Imaging/MessageDefinition/procedure-scheduled"/>
  <version value="0.1.0"/>
  <name value="ProcedureScheduled"/>
  <title value="Procedure Scheduled (O23)"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-11-01"/>
  <publisher value="NHS North West Genomics"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://www.nwgenomics.nhs.uk/contact-us"/>
    </telecom>
  </contact>
  <description
               value="FHIR Message equivalent of the IHE SWF.b HL7 v2.5.1 `OMI^O23^OMI_O23` message, sent by
the Order Filler (RIS) to the Image Manager / Image Archive (PACS) for
[Procedure Scheduled [RAD-4]](RAD-4.html) and Procedure Update [RAD-13].

Each ORC-TQ1-OBR-IPC group (one per Requested Procedure) becomes a
[Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html) and a
[Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html) with
`status` registered - the study before any images are acquired:

| IPC field | FHIR |
|---|---|
| IPC-1 Accession Identifier | `ServiceRequest.identifier:accessionNumber`, `ImagingStudy.basedOn.identifier` |
| IPC-2 Requested Procedure ID | `ServiceRequest.identifier` |
| IPC-3 Study Instance UID | `ImagingStudy.identifier:studyInstanceUid` |
| IPC-4 Scheduled Procedure Step ID | - |
| IPC-5 Modality | `ImagingStudy.modality` |

For RAD-13 the message carries the updated ServiceRequest and ImagingStudy; a
cancellation sets `ServiceRequest.status` revoked and `ImagingStudy.status` cancelled.
The ORC-1 codes used by RAD-13 are **To confirm** against IHE RAD TF-2 section 4.13.

The HL7 v2 acknowledgement `ORI^O24^ORI_O24` is a FHIR response message
(`MessageHeader.response`)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <eventCoding>
    <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
    <code value="O23"/>
    <display value="OMI - Imaging order"/>
  </eventCoding>
  <category value="consequence"/>
  <focus>
    <code value="ServiceRequest"/>
    <profile
             value="https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyServiceRequest"/>
    <min value="1"/>
    <max value="*"/>
  </focus>
  <focus>
    <code value="ImagingStudy"/>
    <profile
             value="https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyImagingStudy"/>
    <min value="1"/>
    <max value="*"/>
  </focus>
  <responseRequired value="always"/>
</MessageDefinition>