Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept United Kingdom flag

Care Coordination and 360 Referrals (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Referral Cancellation [PCC-58]

Referral Cancellation [PCC-58] - the Referral Initiator asks for the referral to be cancelled; the Referral Recipient confirms the cancellation, or carries on with the next step if it cannot cancel.

References

Interaction

sequenceDiagram
    participant RI as Referral Initiator
    participant RR as Referral Recipient
    RI ->> RR: Cancel Request<br/>OSU^O51 CA/CA / Task cancel-requested
    alt can cancel
        RR ->> RI: Cancel Confirmation<br/>OSU^O51 CR/CA / Task cancelled
    else too late
        RR ->> RI: Next workflow step<br/>e.g. Referral Outcome [PCC-57]
    end
Actor Optionality
Referral Initiator O - if it sends a Cancel Request it SHALL handle a Cancel Confirmation and any other reply
Referral Recipient O - it is not required to confirm every request

Cancel Request

Data item 360X HL7 v2 FHIR
Order control ORC-1 CA Referral Task businessStatus cancel-requested (Task status unchanged)
Referral ID ORC-2 basedOn.identifier, focus
Order status ORC-5 CA -
Ordering provider and facility ORC-12 and ORC-21 (required) - the referrer; someone else with authority may cancel Task.requester unchanged; who cancelled in Provenance
Reason ORC-16 (at least text) statusReason, e.g. no-longer-required

With a shared FHIR server the Referral Initiator may instead set ServiceRequest.status to revoked; the Referral Recipient still decides whether the Task can be cancelled.

Cancel Confirmation

Data item 360X HL7 v2 FHIR
Order control ORC-1 CR Task status cancelled
Referral ID ORC-2 basedOn.identifier, focus
Order status ORC-5 CA businessStatus cancelled
Ordering provider and facility ORC-12 and ORC-21 - the referrer, required in this guide (360X leaves ORC-12 empty) -

Expected Actions

  • The Referral Recipient SHALL be able to receive a Cancel Request at any point. It decides, by its own policy, whether the referral can be cancelled.
  • If it cannot (for example the patient has already been treated) it SHALL send the Referral Outcome [PCC-57] with the information up to the cancellation request.
  • A Cancel Confirmation ends the referral; the Referral Initiator SHALL record and show the cancellation.
  • Any booked appointment is cancelled (PCC-60, SIU^S15).