A: Primary Flow

The following sequence diagram shows the primary messaging flow starting from the Requester HCP (Referring Provider) sending a service request to the CAT until the Performer HCP completes the service.

See Participants for more information.

aberec-sequence-primary-flow

Element and Value

The following table includes elements for DocumentReference, HealthcareService, Location, Patient, Practitioner, and PractitionerRole resources. The elements for remaining resources are listed in appropriate steps below.

Element	Value
DocumentReference.id	UUID
DocumentReference.meta.lastUpdated	date/time
DocumentReference.identifier.value	UUID
DocumentReference.identifier.system	`"urn:ietf:rfc:3986"`
DocumentReference.status	`"current"`
DocumentReference.type	`"57133-1"` (Referral note)
DocumentReference.subject.reference	Patient UUID
DocumentReference.subject.type	`"Patient"`
DocumentReference.subject.identifier.value	Patient identifier
DocumentReference.subject.identifier.type	`"JHN"`
DocumentReference.subject.identifier.system	as appropriate
DocumentReference.date	date/time
DocumentReference.author.reference	UUID
DocumentReference.author.type	`"Practitioner"` or `"PractitionerRole"`
DocumentReference.author.identifier.value	Practitioner identifier
DocumentReference.author.identifier.system	as appropropriate
DocumentReference.content.attachment.contentType	`"application/pdf"`
DocumentReference.content.attachment.data	as appropriate
DocumentReference.content.attachment.title	as appropriate
DocumentReference.context.related.reference	ServiceRequest UUID
DocumentReference.context.related.type	`"ServiceRequest"`
DocumentReference.context.related.identifier.value	ServiceRequest UUID or provincial identifier
DocumentReference.context.related.identifier.system	`"urn:ietf:rfc:3986"` or `"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
HealthcareService.id	UUID
HealthcareService.meta.lastUpdated	date/time
HealthcareService.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`
HealthcareService.identifier.value	as appropriate
HealthcareService.type.text	`"CAT"`
HealthcareService.name	as appropriate
Location.id	UUID
Location.meta.lastUpdated	date/time
Location.identifier.type	`"FI"`
Location.identfiier.system	as appropriate
Location.identifier.value	as appropriate
Location.name	as appropriate
Location.telecom.system	`"phone"` or `"fax"`
Location.telecom.value	as appropriate
Location.address.type	`"physical"`
Location.address.line	as appropriate
Locaiton.address.city	as appropriate
Location.address.state	as appropriate
Location.address.postalCode	as appropriate
Patient.id	UUID
Patient.meta.lastUpdated	date/time
Patient.identifier.type	`"JHN"`
Patient.identifier.system	as appropriate
Patient.identifier.assigner.display	as appropriate
Patient.identifier.value	as appropriate
Patient.name.text	as appropriate
Patient.name.family	as appropriate
Patient.name.given	as appropriate
Patient.telecom.system	`"phone"` or `"fax"`
Patient.telecom.value	as appropriate
Patient.gender	`"other"`
Patient.birthDate	as appropriate
Patient.address.use	as appropriate or defaults to `"home"`
Patient.address.type	as appropriate or defaults to `"both"`
Patient.address.line	as appropriate
Patient.address.city	as appropriate
Patient.address.state	as appropriate
Patient.address.postalCode	as appropriate
Patient.address.country	as appropriate
Patient.contact.relationship	as appropriate
Patient.contact.name	as appropriate
Patient.contact.telecom	as appropriate
Patient.contact.address	as appropriate
Patient.communication.language	as appropriate
Patient.extension.individual-recordedSexOrGender	as appropiate
Practitioner.id	UUID
Practitioner.meta.lastUpdated	date/time
Practitioner.identifier.type	as appropriate
Practitioner.identifier.system	as appropriate
Practitioner.identifier.assigner.display	as appropriate
Practitioner.identifier.value	as appropriate
Practitioner.name.family	as appropriate
Practitioner.name.given	as appropriate
PractitionerRole.id	UUID
PractitionerRole.meta.lastUpdated	date/time
PractitionerRole.practitioner.reference	UUID
PractitionerRole.practitioner.type	`"Practitioner"`
PractitionerRole.practitioner.identifier.type	`"PRN"` or `"LN"`
PractitionerRole.practitioner.identifier.system	as appropriate
PractitionerRole.practitioner.identifier.value	as appropriate
PractitionerRole.code	as appropriate
PractitionerRole.specialty	as appropriate
PractitionerRole.location.reference	UUID
PractitionerRole.location.type	`"Location"`
PractitionerRole.location.identifier.type	`"LN"`
PractitionerRole.location.identifier.system	as appropriate
PractitionerRole.location.identifier.value	as appropriate

Step 1: Requester HCP sends service request to CAT

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`ServiceRequest`
MessageHeader.id	UUID
MessageHeader.meta.lastUpdated	date/time
MessageHeader.eventCoding	`"add-service-request"`
MessageHeader.destination.endpoint	CAT RMS endpoint
MessageHeader.author.reference	Requester HCP UUID
MessageHeader.author.type	`"PractitionerRole"`
MessageHeader.source.endpoint	Requester HCP endpoint
MessageHeader.focus	UUID (`ServiceRequest`)
ServiceRequest.id	UUID
ServiceRequest.meta.lastUpdated	date/time
ServiceRequest.identifier.value	UUID
ServiceRequest.identifier.system	`"urn:ietf:rfc:3986"`
ServiceRequest.status	`"active"`
ServiceRequest.intent	`"proposal"`
ServiceRequest.category	as appropriate
ServiceRequest.priority	`"routine"` (or `"urgent"` as appropriate)
ServiceRequest.code	as appropriate
ServiceRequest.orderDetail.text	as appropriate
ServiceRequest.subject.reference	UUID
ServiceRequest.subject.type	`"Patient"`
ServiceRequest.authoredOn	date/time when Requester EMR created service request
ServiceRequest.requester.reference	Requester HCP UUID
ServiceRequest.requester.type	`"PractitionerRole"`
ServiceRequest.performer.reference	CAT UUID
ServiceRequest.performer.type	`"HealthcareService"`
ServiceRequest.reasonCode.text	as appropriate
ServiceRequest.supportingInfo	as appropriate/needed
ServiceRequest.bodySite.text	as appropriate
ServiceRequest.note.text	as appropriate
ServiceRequest.extension.patientPreference.extension.preferenceType	`"preferred"`
ServiceRequest.extension.patientPreference.extension.preferenceValueType	`"service-provider"` and/or `"service-location"`
ServiceRequest.extension.patientPreference.extension.preferenceValue	as appropriate
ServiceRequest.extension.patientPreference.extension.rationale	as appropriate

Step 2: CAT acknowledges service request from Requester HCP

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`Task`
MessageHeader.id	UUID
MessageHeader.meta.lastUpdated	date/time
MessageHeader.eventCoding	`"notify-add-process-request"`
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.focus	UUID (`Task`)
Task.id	UUID
Task.meta.lastUpdated	date/time
Task.identifier.value	UUID
Task.identifier.system	`"urn:ietf:rfc:3986"`
Task.basedOn.identifier.system	ServiceRequest UUID
Task.basedOn.identifier.value	`"urn:ietf:rfc:3986"`
Task.status	`"received"`
Task.statusReason	as appropriate
Task.businessStatus	`"NW"` (New)
Task.intent	`"proposal"`
Task.code	`"process-request"`
Task.authoredOn	date/time
Task.lastModified	date/time
Task.owner.reference	CAT UUID
Task.owner.type	(`"HealthcareService"`)

Step 4: CAT notifies Requester HCP of creation of referral record

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`ServiceRequest`
MessageHeader.id	UUID
MessageHeader.meta.lastUpdated	date/time
MessageHeader.eventCoding	`"notify-add-service-record"`
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.focus	UUID (`ServiceRequest`)
ServiceRequest.id	UUID
ServiceRequest.meta.lastUpdated	date/time
ServiceRequest.identifier.value	1) provincial identifier assigned by CAT
ServiceRequest.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
ServiceRequest.identifier.use	`"official"`
ServiceRequest.identifier.value	2) UUID assigned by Requester HCP EMR
ServiceRequest.identifier.system	`"urn:ietf:rfc:3986"`
ServiceRequest.status	`"active"`
ServiceRequest.intent	`"proposal"`
ServiceRequest.category	as received from Requester HCP
ServiceRequest.priority	as received from Requester HCP
ServiceRequest.code	as received from Requester HCP
ServiceRequest.subject.identifier.value	Patient identifier
ServiceRequest.subject.identifier.system	as appropriate
ServiceRequest.authoredOn	as received from Requester HCP
ServiceRequest.requester.reference	Requester HCP UUID
ServiceRequest.requester.type	`"PractitionerRole"`
ServiceRequest.performer.identitier.value	CAT identifier (`HealthcareService`)
ServiceRequest.performer.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`
ServiceRequest.reasonCode.text	as received from Requester HCP
ServiceRequest.supportingInfo	as received from Requester HCP
ServiceRequest.bodySite.text	as received from Requester HCP
ServiceRequest.note.text	as received from Requester HCP
ServiceRequest.extension.referralTimestamp.extension.timestamp	date/time
ServiceRequest.extension.referralTimestamp.extension.timestampType	`"referral-received"`
ServiceRequest.extension.patientPreference.extension.preferenceType	`"preferred"`
ServiceRequest.extension.patientPreference.extension.preferenceValueType	as received from Requester HCP
ServiceRequest.extension.patientPreference.extension.preferenceValue	as received from Requester HCP
ServiceRequest.extension.patientPreference.extension.rationale	as received from Requester HCP

Step 6: CAT sends service request to Performer HCP

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	UUID `MessageHeader`
Bundle.entry:Focus	UUID (`ServiceRequest`)
MessageHeader.id	UUID
MessageHeader.eventCoding	`"add-service-request"`
MessageHeader.destination.endpoint	Performer HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.focus	UUID `ServiceRequest`
ServiceRequest.id	UUID
ServiceRequest.meta.lastUpdated	date/time
ServiceRequest.identifier.value	provincial identifier
ServiceRequest.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
ServiceRequest.identifier.use	`"official"`
ServiceRequest.status	`"active"`
ServiceRequest.intent	`"proposal"`
ServiceRequest.category	as received from Requester HCP
ServiceRequest.priority	as received from Requester HCP
ServiceRequest.code	as received from Requester HCP or as assigned by CAT
ServiceRequest.orderDetail.text	as received from Requester HCP
ServiceRequest.subject.reference	UUID
ServiceRequest.subject.type	`"Patient"`
ServiceRequest.authoredOn	as received from Requester HCP
ServiceRequest.requester.reference	Requester HCP UUID
ServiceRequest.requester.type	`"PractitionerRole"`
ServiceRequest.performer.reference	Performer HCP UUID
ServiceRequest.performer.type	`"PractitionerRole"`
ServiceRequest.reasonCode.text	as received from Requester HCP
ServiceRequest.supportingInfo	as received from Requester HCP
ServiceRequest.bodySite.text	as received from Requester HCP
ServiceRequest.note.text	as received from Requester HCP
ServiceRequest.extension.referralTimestamp.extension.timestamp	date/time
ServiceRequest.extension.referralTimestamp	`"referral-received"`
ServiceRequest.extension.patientPreference.extension.preferenceType	`"preferred"`
ServiceRequest.extension.patientPreference.extension.preferenceValueType	as received from Requester HCP
ServiceRequest.extension.patientPreference.extension.preferenceValue	as received from Requester HCP

Step 7: CAT notifies Requester HCP of assignment of Performer HCP

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`ServiceRequest`
MessageHeader.id	UUID
MessageHeader.meta.lastUpdated	date/time
MessageHeader.eventCoding	`"notify-update-service-record"`
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.reason	`"service-request-assigned"`
MessageHeader.focus	UUID `ServiceRequest`
ServiceRequest.id	UUID
ServiceRequest.meta.lastUpdated	date/time
ServiceRequest.identifier.value	provincial identifier
ServiceRequest.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
ServiceRequest.identifier.use	`"official"`
ServiceRequest.status	`"active"`
ServiceRequest.intent	`"proposal"`
ServiceRequest.category	as received from Requester HCP
ServiceRequest.priority	as received from Requester HCP
ServiceRequest.code	as received from Requester HCP or as assigned by CAT
ServiceRequest.orderDetail.text	as received from Requester HCP
ServiceRequest.subject.identifier.value	Patient identifier
ServiceRequest.subject.identifier.system	as appropriate
ServiceRequest.authoredOn	as received from Requester HCP
ServiceRequest.requester.reference	Request HCP UUID
ServiceRequest.requester.type	`"PractitionerRole"`
ServiceRequest.performer.identitier.value	CAT identifier (`HealthcareService`)
ServiceRequest.performer.identitier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`
ServiceRequest.performer.reference	Performer HCP UUID
ServiceRequest.performer.type	`"PractitionerRole"` }
ServiceRequest.reasonCode.text	as received from Requester HCP
ServiceRequest.supportingInfo	as received from Requester HCP
ServiceRequest.bodySite.text	as received from Request HCP
ServiceRequest.note.text	as received from Requester HCP
ServiceRequest.extension.referralTimestamp.extension.timestamp	date/time
ServiceRequest.extension.referralTimestamp.extension.timestampType	`"referral-received"`
ServiceRequest.extension.patientPreference.extension.preferenceType	`"preferred"`
ServiceRequest.extension.patientPreference.extension.preferenceValueType	as received from Requester HCP
ServiceRequest.extension.patientPreference.extension.preferenceValue	as received from Requester HCP

Step 10: Performer HCP notifies CAT of service request acceptance

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`Task`
MessageHeader.id	UUID
MessageHeader.eventCoding	`"notify-update-process-request"`
MessageHeader.destination.endpoint	CAT RMS endpoint
MessageHeader.author.reference	Performer HCP UUID
MessageHeader.author.type	`"PractitionerRole"`
MessageHeader.source.endpoint	Performer HCP endpoint
MessageHeader.focus	UUID `Task`
Task.id.value	UUID
Task.id.system	`"urn:ietf:rfc:3986"`
Task.identifier.value	UUID
Task.identifier.system	`"urn:ietf:rfc:3986"`
Task.basedOn.identifier.value	ServiceRequest provincial identifier
Task.basedOn.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
Task.status	`"accepted"`
Task.businessStatus	`"ACC"` (Accepted)
Task.intent	`"proposal"`
Task.authoredOn	date/time
Task.lastModified	date/time
Task.owner.reference	Performer HCP UUID
Task.owner.type	`"PractitionerRole"`
Task.code	`"process-request"`

Step 12: CAT notifies Requester HCP that performer accepts service request

Same as Step 10 above with changes as below:

Element	Value
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
Task.owner.identifier.value	CAT identifier (`HealthcareService`)
Task.owner.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`

Step 13: CAT notifies Requester HCP of update to referral record (accepted)

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`ServiceRequest`
MessageHeader.id	UUID
MessageHeader.meta.lastUpdated	date/time
MessageHeader.eventCoding	`"notify-update-service-record"`
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.reason	`"service-request-status-updated"`
MessageHeader.focus	UUID `ServiceRequest`
ServiceRequest.id	UUID
ServiceRequest.identifier.value	provincial identifier
ServiceRequest.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
ServiceRequest.identifier.use	`"official"`
ServiceRequest.status	`"active"`
ServiceRequest.? TBD	TBD code to indicate that service request has been accepted
ServiceRequest.intent	`"proposal"`
ServiceRequest.category	as received from Requester HCP
ServiceRequest.priority	as received from Requester HCP
ServiceRequest.code	as received from Requester HCP
ServiceRequest.orderDetail.text	as received from Requester HCP
ServiceRequest.subject.identifier.value	Patient identifier
ServiceRequest.subject.identifier.system	as appropriate
ServiceRequest.authoredOn	as received from Requester HCP
ServiceRequest.requester.reference	Requester HCP UUID
ServiceRequest.requester.type	`"PractitionerRole"`
ServiceRequest.performer.identitier.value	1) CAT identifier (`HealthcareService`)
ServiceRequest.performer.identitier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`
ServiceRequest.performer.reference	2) Performer HCP UUID
ServiceRequest.performer.type	`"PractitionerRole"`
ServiceRequest.performer.identifier.system	as appropriate
ServiceRequest.reasonCode.text	as received from Requester HCP
ServiceRequest.supportingInfo	as received from Requester HCP
ServiceRequest.bodySite.text	as received from Request HCP
ServiceRequest.note.text	as received from Requester HCP
ServiceRequest.extension.referralTimestamp.extension.timestamp	date/time
ServiceRequest.extension.referralTimestamp.extension.timestampType	1) `"referral-received"` 2) `"referral-accepted"`
ServiceRequest.extension.patientPreference.extension.preferenceType	`"preferred"`
ServiceRequest.extension.patientPreference.extension.preferenceValueType	as received from Requester HCP
ServiceRequest.extension.patientPreference.extension.preferenceValue	as received from Requester HCP

Step 15: Performer HCP notifies CAT of new appointment

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`Appointment`
MessageHeader.id	UUID
MessageHader.meta.lastUpdated	date/time
MessageHeader.eventCoding	`"notify-add-appointment"`
MessageHeader.destination.endpoint	CAT RMS endpoint
MessageHeader.author.reference	Performer HCP UUID
MessageHeader.author.type	`"PractitionerRole"`
MessageHeader.source.endpoint	Performer HCP endpoint
MessageHeader.focus	UUID `Appointment`
Appointment.id	UUID
Appointment.meta.lastUpdated	date/time
Appointment.identifier.value	UUID
Appointment.identifier.system	`"urn:ietf:rfc:3986"`
Appointment.status	`"booked"`
Appointment.start	as assigned by Performer HCP
Appointment.created	date/time when Performer HCP created appointment
Appointment.comment	as appropriate
Appointment.basedOn.identifier.value	ServiceRequest provincial identifier
Appointment.basedOn.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
Appointment.participant.identifier.value	1) Patient identifier
Appointment.participant.identifier.system	as appropriate
Appointment.participant.reference	2) Performer HCP UUID
Appointment.participant.type	`"PractitionerRole"`

Step 17: CAT notifies Requester HCP that appointment is booked

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`Task`
MessageHeader.id	UUID
MessageHeader.eventCoding	`"notify-update-process-request"`
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.focus	UUID `Task`
Task.id	UUID
Task.meta.lastUpdated	date/time
Task.identifier.value	UUID
Task.identifier.system	`"urn:ietf:rfc:3986"`
Task.basedOn.identifier	ServiceRequest provincial identifier
`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
Task.status	`"in-progress"`
Task.businessStatus	`"BOK"` (Booked)
Task.intent	`"proposal"`
Task.authoredOn	date/time
Task.lastModified	date/time
Task.code	`"process-request"`
Task.owner.identifier.value	CAT identifier (`HealthcareService`)
Task.owner.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`

Step 18: CAT notifies Requester HCP of update to referral record (appointment booked)

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`Appointment`
MessageHeader.id	UUID
MessageHeader.eventCoding	`"notify-update-service-record"`
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.reason	`"appointment-status-updated"`
MessageHeader.focus	UUID `Appointment`
Appointment.id	UUID
Appointment.meta.lastUpdated	date/time
Appointment.identifier.value	UUID
Appointment.identifier.system	`"urn:ietf:rfc:3986"`
Appointment.status	`"booked"`
Appointment.start	as assigned by Performer HCP
Appointment.created	date/time when Performer HCP created appointment
Appointment.comment	as appropriate
Appointment.basedOn.reference	ServiceRequest UUID
Appointment.basedOn.type	`"ServiceRequest"`
Appointment.participant.identifier.value	1) Patient identifier
Appointment.participant.identifier.system	as appropriate
Appointment.participant.reference	2) Performer HCP UUID
Appointment.participant.type	`"PractitionerRole"`
ServiceRequest.identifier.value	provincial identifier
ServiceRequest.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
ServiceRequest.identifier.use	`"official"`
ServiceRequest.status	`"active"`
ServiceRequest.intent	`"proposal"`
ServiceRequest.category	as received from Requester HCP
ServiceRequest.priority	as received from Requester HCP
ServiceRequest.code	as received from Requester HCP
ServiceRequest.subject.identifier.value	Patient identifier
ServiceRequest.subject.identifier.system	as appropriate
ServiceRequest.authoredOn	as received from Requester HCP
ServiceRequest.requester.reference	Requester HCP UUID
ServiceRequest.requester.type	`"PractitionerRole"`
ServiceRequest.performer.identitier.value	1) CAT identifier (`HealthcareService`)
ServiceRequest.performer.identitier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`
ServiceRequest.performer.reference	2) Performer HCP UUID
ServiceRequest.performer.type	`"PractitionerRole"`
ServiceRequest.reasonCode.text	as received from Requester HCP
ServiceRequest.supportingInfo	as received from Requester HCP
ServiceRequest.bodySite.text	as received from Request HCP
ServiceRequest.note.text	as received from Requester HCP
ServiceRequest.extension.referralTimestamp.extension.timestamp	date/time
ServiceRequest.extension.referralTimestamp.extension.timestampType	1) `"referral-received"` 2) `"referral-accepted"` 3) `"appointment-booked"`
ServiceRequest.extension.patientPreference.extension.preferenceType	`"preferred"`
ServiceRequest.extension.patientPreference.extension.preferenceValueType	as received from Requester HCP
ServiceRequest.extension.patientPreference.extension.preferenceValue	as received from Requester HCP

Step 20: Performer HCP notifies CAT of service request completion

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`Appointment`
MessageHeader.id	UUID
MessageHeader.eventCoding	`"notify-update-process-request"`
MessageHeader.destination.endpoint	CAT RMS endpoint
MessageHeader.author.reference	Performer HCP UUID
MessageHeader.author.type	`"PractitionerRole"`
MessageHeader.source.endpoint	Performer HCP endpoint
MessageHeader.reason	`"appointment-status-updated"`
MessageHeader.focus	UUID `Appointment`
Appointment.id	UUID
Appointment.meta.lastUpdated	date/time
Appointment.identifier.value	UUID
Appointment.identifier.system	`"urn:ietf:rfc:3986"`
Appointment.status	`"fulfilled"`
Appointment.start	as assigned by Performer HCP
Appointment.created	date/time when Performer HCP created appointment
Appointment.comment	as appropriate
Appointment.basedOn.reference	ServiceRequest UUID
Appointment.basedOn.type	`"ServiceRequest"`
Appointment.participant.identifier.value	1) Patient identifier
Appointment.participant.identifier.system	as appropriate
Appointment.participant.reference	2) Performer HCP UUID
Appointment.participant.type	`"PractitionerRole"`

Step 22: CAT notifies Requester HCP of service request completion

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.meta.security	`"R"`
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`Task`
MessageHeader.id	UUID
MessageHeader.eventCoding	`"notify-update-process-request"`
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.reason	`"service-request-status-updated"`
MessageHeader.focus	UUID `Task`
Task.id	UUID
Task.meta.lastUpdated	date/time
Task.identifier.value	UUID
Task.identifier.system	`"urn:ietf:rfc:3986"`
Task.basedOn.identifier	ServiceRequest provincial identifier
`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
Task.status	`"completed"`
Task.businessStatus	`"CM"` (Completed)
Task.intent	`"proposal"`
Task.authoredOn	date/time
Task.lastModified	date/time
Task.code	`"process-request"`
Task.owner.identifier.value	CAT identifier (`HealthcareService`)
Task.owner.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`
Task.output	TBC

Step 23: CAT notifies Requester HCP of update to referral record (completed)

Element	Value
Bundle.meta.extension.submissionMetadata	Metadata for: Submitting Site; EMR Vendor Name; EMR Product Name; Submission Implementation Guide (IG) Type; Submission Implementation Guide (IG) Version; Service Delivery Site; Authoring Provider ID
Bundle.id	UUID
Bundle.meta.lastUpdated	date/time
Bundle.identifier.value	UUID
Bundle.identifier.system	`"urn:ietf:rfc:3986"`
Bundle.type	`"message"`
Bundle.timestamp	current date/time
Bundle.entry:MessageHeader	`MessageHeader`
Bundle.entry:Focus	`Appointment`
MessageHeader.id	UUID
MessageHeader.eventCoding	`"notify-update-service-record"`
MessageHeader.destination.endpoint	Requester HCP EMR endpoint
MessageHeader.source.endpoint	CAT RMS endpoint
MessageHeader.reason	`"service-request-status-updated"`
MessageHeader.focus	UUID `Appointment`
Appointment.id	UUID
Appointment.meta.lastUpdated	date/time
Appointment.identifier.value	UUID
Appointment.identifier.system	`"urn:ietf:rfc:3986"`
Appointment.status	`"fulfilled"`
Appointment.start	as assigned by Performer HCP
Appointment.created	date/time when Performer HCP created appointment
Appointment.comment	as appropriate
Appointment.basedOn.reference	ServiceRequest UUID
Appointment.basedOn.type	`"ServiceRequest"`
Appointment.participant.identifier.value	1) Patient identifier
Appointment.participant.identifier.system	as appropriate
Appointment.participant.reference	2) Performer HCP UUID
Appointment.participant.type	`"PractitionerRole"`
ServiceRequest.identifier.value	provincial identifier
ServiceRequest.identifier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-id"`
ServiceRequest.identifier.use	`"official"`
ServiceRequest.status	`"completed"`
ServiceRequest.intent	`"proposal"`
ServiceRequest.category	as received from Requester HCP
ServiceRequest.priority	as received from Requester HCP
ServiceRequest.code	as received from Requester HCP
ServiceRequest.subject.identifier.value	Patient identifier
ServiceRequest.subject.identifier.system	as appropriate
ServiceRequest.authoredOn	as received from Requester HCP
ServiceRequest.requester.reference	Requester HCP UUID
ServiceRequest.requester.type	`"PractitionerRole"`
ServiceRequest.performer.identitier.value	1) CAT identifier (`HealthcareService`)
ServiceRequest.performer.identitier.system	`"https://fhir.alberta.ca/NamingSystem/ca-ab-eref-healthcare-service-id"`
ServiceRequest.performer.reference	2) Performer HCP UUID
ServiceRequest.performer.type	`"PractitionerRole"`
ServiceRequest.reasonCode.text	as received from Requester HCP
ServiceRequest.supportingInfo	as received from Requester HCP
ServiceRequest.bodySite.text	as received from Request HCP
ServiceRequest.note.text	as received from Requester HCP
ServiceRequest.extension.referralTimestamp.extension.timestamp	date/time
ServiceRequest.extension.referralTimestamp.extension.timestampType	1) `"referral-received"` 2) `"referral-accepted"` 3) `"appointment-booked"` 4) `"appointment-attended"`
ServiceRequest.extension.patientPreference.extension.preferenceType	`"preferred"`
ServiceRequest.extension.patientPreference.extension.preferenceValueType	as received from Requester HCP
ServiceRequest.extension.patientPreference.extension.preferenceValue	as received from Requester HCP