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Why do referrals get rejected?

As part of this review process, a provider can choose to reject the referral if they feel it's inappropriate for their service or they require additional referral information to make a decision.

nhsconnect.github.io - A014: Reject Referral (Deprecated) - NHS Connect - Open APIs

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A014: Reject Referral (Deprecated)

Status:

This endpoint has been deprecated, meaning you should not use it for new integrations. Instead, please use our newer e-RS FHIR API solution which is documented here: https://digital.nhs.uk/developer/api-catalogue/e-referral-service-fhir

Description

Once a referring organisation has booked an appointment and appropriate referral information has been added, the referral is available for the service provider to review (via the Referrals for Review worklist). As part of this review process, a provider can choose to reject the referral if they feel it’s inappropriate for their service or they require additional referral information to make a decision. Users will be able to carry out this action in their preferred system using this API. Providers can also choose to accept the referral into their service, i.e. it meets all the criteria for treatment at the service, using A013: Accept Referral.

Resource URL

Method URL Authentication POST {Base URL}/STU3/v1/ReferralRequest/{ubrn}/$ers.rejectReferral Session Token (Details)

{Base URL} (Dev1) = https://api.dev1.ers.ncrs.nhs.uk/ers-api

Operation Definition

Prerequisite Conditions

The user is a workgroup member (or in the case of an SPCA, is logged in on behalf of a workgroup member) for the service associated to the current appointment booking; There is a currently booked appointment (future dated) and there is referrer clinical information associated with the referral The referral exists on the Referrals for Review worklist and can be determined by using A008: Retrieve Worklist Detailed referral information, including clinical referral information and attachments can be obtained via A005: Retrieve Referral Request

INPUT

Request Operation: Header

Field Name Value XAPI_ASID The “Accredited System ID” issued to the third party HTTP_X_SESSION_KEY The session key generated by the Create Session endpoint (A001) Content-Type */* , application/fhir+json If-Match W/” n ” Note: n is the VersionId of the Referral and this can be retrieved by fetching the Referral details. It must be the ID of the latest version of the referral in e-RS.

Request Operation: Parameters

Name Cardinality Type Description rejectionReason 1..1 Coding The reason why the referral is being rejected (required): eRS-RejectionReason-1 rejectionComments 0..1 String This may be mandatory if mandatory comment indicator is set to ‘Yes’ for the Rejection Reason Type selected. Maximum 2000 characters appointmentCancelledInPAS 0..1 Boolean Whether the appointment has been cancelled in the PAS system

Example URI

https://api.dev1.ers.ncrs.nhs.uk/ers-api/STU3/v1/ReferralRequest/000000098880/$ers.rejectReferral

Example Request Header

XAPI_ASID:999000000045 HTTP_X_SESSION_KEY:pro-api-session:e96357b1-298d-4159-ac58-a8953c3262c6 Content-Type:application/fhir+json If-Match:W/"9"

Example Request Body

Note: These examples may contain environment specific URLs and test data, these should be replaced with appropriate values for your implementation.

OUTPUT

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Response: Success

If successful, the referral is accepted and an indication of success returned with:

A HTTP status code 200 (OK);

Referral request (https://fhir.nhs.uk/STU3/StructureDefinition/eRS-ReferralRequest-1)

(With an eRSAppointment (appointment.status) code and display of “cancelled”)

Example Response Header

X_ERS_TRANSACTION_ID:82f14a9b-7ed1-4917-afca-f849d2e0eb55-1 ETag:W/"11" Content-Disposition:inline;filename=f.txt Content-Type:application/fhir+json

Example Response Body

Note: These examples may contain environment specific URLs and test data, these should be replaced with appropriate values for your implementation.

Response: Failure

If an error occurs, the relating HTTP status code will be returned in the header. Where status code 422 (Unprocessable Entity) is returned then an eRS-OperationOutcome-1 will be included in the body, as detailed below: OutcomeKey Description Suggested Diagnostic NO_RELATIONSHIP The SPC user (or if SPCA, SPC user they are “on behalf of”) is not a Service Provider workgroup member for the current booked-to Service at the logged-in Organisation No legitimate relationship exists with this referral, check workgroup permissions PATIENT_ERROR The Patient associated with the Request is marked as ‘Sensitive’ The user does not have the necessary clinical credentials to view this patient INVALID_REQUEST_STATE The Appointment Request has a status other than ‘Booked’ or ‘Requires Rebook’ The referral must be ‘Booked’ or ‘Requires Rebook’ INVALID_REQUEST_STATE The Appointment Request has an Appointment Booking with a state other than ‘Booked’ The referral must have a booked appointment INVALID_REQUEST_STATE The Appointment Request has an Appointment Booking with a Date in the past The appointment must be on or after today INVALID_REQUEST_STATE The Shortlisted Service Status of the Service associated with the Appointment Booking is not ‘Pending Review’ The referral request must not be marked for review INVALID_REQUEST_STATE The Clinical Information Intent indicator is not ‘Not Intending to Add’ The intention to add the referral letter must be ‘Not Intending to Add’ VALUE_IS_REQUIRED Comment missing when deemed mandatory for the selected Rejection Reason Comments are mandatory for this rejection reason INAPPROPRIATE_VALUE Appointment Cancellation Reason is either outside its effective date range or is not of type Reject Request Appointment Booking Cancellation Reason Type Reason is not an effective booking cancellation reason for a provider reject VALUE_IS_REQUIRED Appt. Cancelled in PAS Indicator missing for IBS appointment Appointment Cancelled in PAS Indicator is required for indirectly bookable appointments FIELD_NOT_PERMITTED Appt. Cancelled in PAS Indicator supplied for DBS appointment Appointment Cancelled in PAS Indicator is not relevant for directly bookable appointments In case of errors related to PAS interaction, the following codes could be returned:

nhsconnect.github.io - A014: Reject Referral (Deprecated) - NHS Connect - Open APIs

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