ServiceRequest $referral-decline

post/ServiceRequest/$referral-decline

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This resource contains a request for patient services like treatment(s), operation(s), consulting, skilled nursing, or other medical-related service(s).

For standard FHIR®, you can review, retrieve, create, update, or cancel service requests.

For 360X workflows, you can submit, accept, decline, complete, or cancel referral requests for systems that use the 360X standard.

Supported fields and schema examples

We support any valid FHIR® field. However, we only display fields we’ve defined in our schema, which are usually based on what’s included in the U.S. Core profile. We recommend relying on U.S. Core requirements.

Our schema examples show the shape and possibility of each FHIR® resource; they aren’t code for real-time API calls. We don’t currently recommend copying and pasting these schema examples for your API calls. Consider reviewing FHIR® API actions for realistic examples for particular use cases.

$referral-decline

Closed beta feature

This is a closed beta feature for a limited pilot group. We’re not currently accepting additional participants, but we’ll let you know when it’s available to everyone.

Decline a referred patient service or procedure from your connection.

This operation includes this bundle of resources:

Required

Patient
Procedure

Optional

Organization
Practitioner
ServiceRequest

Request parameters and payload

cURL request example

bash

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curl 'https://api.redoxengine.com/fhir/R4/{destinationSlug}/{environmentFlag}/ServiceRequest/$referral-decline' \
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--request POST \
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--header 'Authorization: Bearer $API_TOKEN' \
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--header 'Content-Type: application/fhir+json' \
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--data '{
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  "resourceType": "Bundle",
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  "id": "RedoxReferralDeclineBundleExample",
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  "type": "message",
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  "entry": [
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    {
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      "resource": {
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        "eventUri": "https://fhir.redoxengine.com/EventDefinition/ReferralDecline",
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        "resourceType": "MessageHeader",
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        "id": "RedoxReferralDeclineMessageHeaderExample",
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        "source": {
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          "name": "Good Health Clinics",
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          "endpoint": "urn:uuid:05107c08-fe2f-4740-8c1d-c7107d18ebe5"
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        },
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        "focus": [
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          {
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            "reference": "ServiceRequest/RedoxServiceRequestOrderExample"
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          }
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        ]
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/ServiceRequest/RedoxServiceRequestOrderExample",
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      "resource": {
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        "resourceType": "ServiceRequest",
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        "id": "RedoxServiceRequestOrderExample",
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        "identifier": [
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          {
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            "system": "urn:oid:1.2.840.114350.1.13.12345.1.7.2.798268",
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            "value": "6547891230"
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          }
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        ],
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        "intent": "order",
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        "priority": "stat",
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        "status": "active",
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        "code": {
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          "coding": [
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            {
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              "code": "49086-2",
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              "system": "http://loinc.org",
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              "display": "First trimester maternal screen with nuchal translucency panel"
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            }
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          ]
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        },
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        "authoredOn": "2022-08-08T08:00:00.000Z",
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        "note": [
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          {
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            "text": "Additional information"
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          }
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        ],
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        "reasonReference": [
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          {
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            "reference": "DocumentReference/RedoxDocumentReferenceExampleMediaTimothy"
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          }
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        ],
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        "supportingInfo": [
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          {
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            "reference": "Observation/RedoxPlateletObservationExample"
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          }
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        ],
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        "subject": {
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          "reference": "Patient/RedoxPatientExampleTimothy"
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        },
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        "requester": {
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          "reference": "Practitioner/RedoxPractitionerExamplePat"
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        },
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        "performer": [
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          {
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            "reference": "Practitioner/RedoxPractitionerExampleJoan"
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          }
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        ],
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        "specimen": [
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          {
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            "reference": "Specimen/RedoxSpecimenExample"
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          }
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        ],
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        "encounter": {
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          "reference": "Encounter/RedoxEncounterExample"
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        }
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Patient/RedoxPatientExampleTimothy",
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      "resource": {
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        "resourceType": "Patient",
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        "id": "RedoxPatientExampleTimothy",
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        "meta": {
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          "extension": [
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            {
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              "url": "https://fhir.redoxengine.com/StructureDefinition/example-sort-order",
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              "valueInteger": 1
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            }
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          ]
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        },
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        "extension": [
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          {
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            "extension": [
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              {
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                "url": "text",
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                "valueString": "White"
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              }
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            ],
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            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
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          },
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          {
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            "extension": [
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              {
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                "url": "ombCategory",
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                "valueCoding": {
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                  "code": "2135-2",
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                  "system": "urn:oid:2.16.840.1.113883.6.238",
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                  "display": "Hispanic or Latino"
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                }
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              },
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              {
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                "url": "text",
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                "valueString": "Hispanic"
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              }
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            ],
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            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
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          }
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        ],
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        "identifier": [
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          {
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            "value": "0000000001",
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            "system": "urn:redox:health-one:MR"
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          },
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          {
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            "value": "101-01-0001",
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            "system": "http://hl7.org/fhir/sid/us-ssn"
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          }
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        ],
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        "name": [
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          {
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            "given": [
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              "Timothy",
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              "Paul"
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            ],
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            "family": "Bixby",
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            "use": "official"
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          },
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          {
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            "text": "Billy",
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            "use": "usual"
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          }
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        ],
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        "gender": "male",
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        "birthDate": "2008-01-06",
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        "telecom": [
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          {
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            "value": "+18088675301",
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            "system": "phone",
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            "use": "home"
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          },
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          {
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            "value": "+18008675309",
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            "system": "phone",
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            "use": "work"
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          },
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          {
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            "value": "timothy.bixby@redoxengine.com",
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            "system": "email"
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          }
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        ],
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        "address": [
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          {
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            "line": [
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              "4762 Hickory Street"
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            ],
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            "city": "Monroe",
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            "district": "Greene",
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            "state": "WI",
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            "postalCode": "53566",
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            "country": "US",
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            "use": "home"
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          }
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        ],
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        "maritalStatus": {
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          "coding": [
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            {
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              "code": "M",
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              "system": "http://hl7.org/fhir/v3/MaritalStatus",
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              "display": "Married"
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            }
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          ],
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          "text": "Married"
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        },
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        "communication": [
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          {
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            "language": {
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              "coding": [
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                {
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                  "code": "en",
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                  "system": "urn:ietf:bcp:47"
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                }
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              ],
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              "text": "English"
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            }
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          }
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        ],
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        "contact": [
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          {
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            "name": {
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              "given": [
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                "Barbara"
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              ],
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              "family": "Bixby"
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            },
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            "telecom": [
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              {
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                "value": "+18088675303",
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                "system": "phone",
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                "use": "home"
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              },
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              {
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                "value": "barbara.bixby@redoxengine.com",
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                "system": "email"
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              }
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            ],
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            "address": {
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              "line": [
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                "4762 Hickory St."
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              ],
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              "city": "Monroe",
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              "district": "Green",
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              "state": "WI",
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              "postalCode": "53566",
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              "country": "USA"
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            },
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            "relationship": [
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              {
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                "coding": [
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                  {
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                    "code": "MTH",
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                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
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                    "display": "mother"
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                  }
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                ],
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                "text": "Mother"
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              },
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              {
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                "coding": [
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                  {
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                    "code": "C",
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                    "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
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                    "display": "Emergency Contact"
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                  }
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                ],
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                "text": "Emergency Contact"
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              }
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            ]
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          }
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        ],
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        "generalPractitioner": [
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          {
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            "reference": "Practitioner/RedoxPractitionerExamplePat"
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          }
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        ],
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        "managingOrganization": {
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          "reference": "Organization/RedoxOrganizationManagingExample"
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        }
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Procedure/RedoxProcedureReferralDeclinedExample",
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      "resource": {
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        "resourceType": "Procedure",
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        "id": "RedoxProcedureReferralDeclinedExample",
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        "status": "not-done",
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        "code": {
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          "text": "Referral declined"
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        },
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        "subject": {
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          "reference": "Patient/RedoxPatientExampleTimothy"
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        },
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        "basedOn": [
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          {
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            "reference": "ServiceRequest/example-referral"
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          }
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        ],
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        "statusReason": {
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          "text": "Patient insurance not accepted"
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        }
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Practitioner/RedoxPractitionerExamplePat",
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      "resource": {
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        "resourceType": "Practitioner",
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        "id": "RedoxPractitionerExamplePat",
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        "identifier": [
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          {
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            "system": "http://hl7.org/fhir/sid/us-npi",
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            "value": "4356789876"
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          }
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        ],
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        "name": [
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          {
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            "given": [
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              "Pat"
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            ],
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            "family": "Granite"
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          }
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        ],
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        "address": [
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          {
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            "line": [
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              "123 Main St."
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            ],
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            "city": "Madison",
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            "district": "Dane",
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            "state": "WI",
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            "postalCode": "53703",
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            "country": "USA"
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          }
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        ],
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        "telecom": [
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          {
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            "value": "+16085551234"
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          }
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        ]
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Organization/RedoxOrganizationManagingExample",
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      "resource": {
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        "resourceType": "Organization",
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        "id": "RedoxOrganizationManagingExample",
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        "identifier": [
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          {
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            "value": "1234",
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            "system": "urn:oid:1.2.3.4"
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          }
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        ],
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        "active": true,
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        "name": "Custodial Org",
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        "address": [
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          {
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            "line": [
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              "123 Main St"
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            ],
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            "city": "Madison",
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            "state": "WI"
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          }
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        ],
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        "telecom": [
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          {
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            "value": "1-800-123-4567",
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            "system": "phone"
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          }
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        ],
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        "type": [
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          {
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            "text": "Test Type"
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          }
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        ]
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      }
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    }
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  ],
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  "timestamp": "2025-09-29T12:15:00.000Z",
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  "Meta": {
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    "Logs": [
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      {
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        "ID": "d9f5d293-7110-461e-a875-3beb089e79f3",
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        "AttemptID": "925d1617-2fe0-468c-a14c-f8c04b572c54"
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      }
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    ],
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    "Test": true,
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    "EventDateTime": "2026-03-27T20:30:36.293Z",
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    "Source": {
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      "ID": "7ce6f387-c33c-417d-8682-81e83628cbd9",
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      "Name": "Redox Dev Tools"
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    },
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    "Destinations": [
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      {
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        "ID": "af394f14-b34a-464f-8d24-895f370af4c9",
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        "Name": "Redox EMR"
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      }
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    ],
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    "DataModel": "FHIR.ServiceRequest",
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    "EventType": "$referral-decline"
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  }
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}'

Request Body Schema

Bundle sent as part of a referral-decline message

resourceType
required, string
Identifies the type of the resource
Value: Bundle
type
required, string
Identifies this bundle as a message
Value: message
entry
required, Array of messageHeader, serviceRequest, patient, procedure
An entry in the bundle containing a FHIR resource
timestamp
string
The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.

Response fields and example

Example

json

1
"Operation Response"

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