diff --git a/.github/CODEOWNERS b/.github/CODEOWNERS
index fb6dbd8e6..a89bf7b2a 100644
--- a/.github/CODEOWNERS
+++ b/.github/CODEOWNERS
@@ -9,11 +9,11 @@
 
 # For version files that are updated by dependabot we have a cut down list
 
-/sandbox/Dockerfile @daniel-mcadam-nhs @kevinmason-nhs @sudhanshu-arya1 @adamoldfield-nhs @nhsd-jack-wainwright @nhsd-sw @nhsd-dm @nhsd-andrew-tuley
-/sandbox/package.json @daniel-mcadam-nhs @kevinmason-nhs @sudhanshu-arya1 @adamoldfield-nhs @nhsd-jack-wainwright @nhsd-sw @nhsd-dm @nhsd-andrew-tuley
-/sandbox/package-lock.json @daniel-mcadam-nhs @kevinmason-nhs @sudhanshu-arya1 @adamoldfield-nhs @nhsd-jack-wainwright @nhsd-sw @nhsd-dm @nhsd-andrew-tuley
-/package.json @daniel-mcadam-nhs @kevinmason-nhs @sudhanshu-arya1 @adamoldfield-nhs @nhsd-jack-wainwright @nhsd-sw @nhsd-dm @nhsd-andrew-tuley
-/package-lock.json @daniel-mcadam-nhs @kevinmason-nhs @sudhanshu-arya1 @adamoldfield-nhs @nhsd-jack-wainwright @nhsd-sw @nhsd-dm @nhsd-andrew-tuley
-/poetry.lock @daniel-mcadam-nhs @kevinmason-nhs @sudhanshu-arya1 @adamoldfield-nhs @nhsd-jack-wainwright @nhsd-sw @nhsd-dm @nhsd-andrew-tuley
-/poetry.toml @daniel-mcadam-nhs @kevinmason-nhs @sudhanshu-arya1 @adamoldfield-nhs @nhsd-jack-wainwright @nhsd-sw @nhsd-dm @nhsd-andrew-tuley
-/pyproject.toml @daniel-mcadam-nhs @kevinmason-nhs @sudhanshu-arya1 @adamoldfield-nhs @nhsd-jack-wainwright @nhsd-sw @nhsd-dm @nhsd-andrew-tuley
+/sandbox/Dockerfile @daniel-mcadam-nhs @kevinmason-nhs @balalsaleh-nhs
+/sandbox/package.json @daniel-mcadam-nhs @kevinmason-nhs @balalsaleh-nhs
+/sandbox/package-lock.json @daniel-mcadam-nhs @kevinmason-nhs @balalsaleh-nhs
+/package.json @daniel-mcadam-nhs @kevinmason-nhs @balalsaleh-nhs
+/package-lock.json @daniel-mcadam-nhs @kevinmason-nhs @balalsaleh-nhs
+/poetry.lock @daniel-mcadam-nhs @kevinmason-nhs @balalsaleh-nhs
+/poetry.toml @daniel-mcadam-nhs @kevinmason-nhs @balalsaleh-nhs
+/pyproject.toml @daniel-mcadam-nhs @kevinmason-nhs @balalsaleh-nhs
diff --git a/.github/workflows/continous-integration-workflow.yaml b/.github/workflows/continous-integration-workflow.yaml
index b63cf18fa..f8235c867 100644
--- a/.github/workflows/continous-integration-workflow.yaml
+++ b/.github/workflows/continous-integration-workflow.yaml
@@ -12,10 +12,10 @@ jobs:
         with:
           fetch-depth: 0  # This causes all history to be fetched, which is required for calculate-version to function
 
-      - name: Install Python 3.10
+      - name: Install Python 3.13
         uses: actions/setup-python@v6
         with:
-          python-version: '3.10'
+          python-version: '3.13'
 
       - name: Upgrade python packaging tools
         run: python -m pip install --upgrade pip setuptools wheel
diff --git a/README.md b/README.md
index 5cf22c3f2..18cce7f60 100644
--- a/README.md
+++ b/README.md
@@ -35,7 +35,7 @@ The contents of this repository are protected by Crown Copyright (C).
 ### Environment setup
 Currently, automation for setting up the right environment is only available for machines based on RedHatEnterpriseLinux (RHEL).
 Running the following will ensure your environment is ready for development.
-It will install [pyenv](https://github.com/pyenv/pyenv), Python 3.10.8 and its dependencies (yum), create a virtual environment (named apigee), and ensure poetry is installed under it.
+It will install [pyenv](https://github.com/pyenv/pyenv), Python 3.13 and its dependencies (yum), create a virtual environment (named apigee), and ensure poetry is installed under it.
 ```
 $ make setup-environment
 ```
diff --git a/azure/azure-build-pipeline.yml b/azure/azure-build-pipeline.yml
index 804f5bfe3..bd92c16c1 100644
--- a/azure/azure-build-pipeline.yml
+++ b/azure/azure-build-pipeline.yml
@@ -22,6 +22,7 @@ resources:
 
 variables:
   - template: project.yml
+
 extends:
   template: azure/common/apigee-build.yml@common
   parameters:
diff --git a/azure/project.yml b/azure/project.yml
index b0571a75e..3aff23fd3 100644
--- a/azure/project.yml
+++ b/azure/project.yml
@@ -5,4 +5,4 @@ variables:
   product_display_name: e-Referrals-Service
   product_description: The NHS e-RS vision is to enable local innovation and adoption of paperless referrals. To support this vision NHS Digital have created a set of APIs which provide a well-defined, simple to use data interface to the NHS e-Referral Service (e-RS). See https://digital.nhs.uk/developer/api-catalogue/e-referral-service-fhir
   spec_file: e-referrals-service-api.json
-  python_version: 3.10
+  python_version: 3.13
diff --git a/package-lock.json b/package-lock.json
index 08bef209e..15fbe7044 100644
--- a/package-lock.json
+++ b/package-lock.json
@@ -1112,9 +1112,9 @@
       "integrity": "sha512-m8FnyHXV1QX+S1cl+KPFDIl6NMkxtKsy6+U/aYyjrOqWMuwAwYWu7ePqrsUHtDR5Y8Yk2pi/KIDSgF+vT4cPOQ=="
     },
     "node_modules/default-browser": {
-      "version": "5.2.1",
-      "resolved": "https://registry.npmjs.org/default-browser/-/default-browser-5.2.1.tgz",
-      "integrity": "sha512-WY/3TUME0x3KPYdRRxEJJvXRHV4PyPoUsxtZa78lwItwRQRHhd2U9xOscaT/YTf8uCXIAjeJOFBVEh/7FtD8Xg==",
+      "version": "5.3.0",
+      "resolved": "https://registry.npmjs.org/default-browser/-/default-browser-5.3.0.tgz",
+      "integrity": "sha512-Qq68+VkJlc8tjnPV1i7HtbIn7ohmjZa88qUvHMIK0ZKUXMCuV45cT7cEXALPUmeXCe0q1DWQkQTemHVaLIFSrg==",
       "dependencies": {
         "bundle-name": "^4.1.0",
         "default-browser-id": "^5.0.0"
@@ -4218,9 +4218,9 @@
       "integrity": "sha512-m8FnyHXV1QX+S1cl+KPFDIl6NMkxtKsy6+U/aYyjrOqWMuwAwYWu7ePqrsUHtDR5Y8Yk2pi/KIDSgF+vT4cPOQ=="
     },
     "default-browser": {
-      "version": "5.2.1",
-      "resolved": "https://registry.npmjs.org/default-browser/-/default-browser-5.2.1.tgz",
-      "integrity": "sha512-WY/3TUME0x3KPYdRRxEJJvXRHV4PyPoUsxtZa78lwItwRQRHhd2U9xOscaT/YTf8uCXIAjeJOFBVEh/7FtD8Xg==",
+      "version": "5.3.0",
+      "resolved": "https://registry.npmjs.org/default-browser/-/default-browser-5.3.0.tgz",
+      "integrity": "sha512-Qq68+VkJlc8tjnPV1i7HtbIn7ohmjZa88qUvHMIK0ZKUXMCuV45cT7cEXALPUmeXCe0q1DWQkQTemHVaLIFSrg==",
       "requires": {
         "bundle-name": "^4.1.0",
         "default-browser-id": "^5.0.0"
diff --git a/poetry.lock b/poetry.lock
index 6f54b615f..29ce03f6f 100644
--- a/poetry.lock
+++ b/poetry.lock
@@ -26,66 +26,54 @@ files = [
 
 [[package]]
 name = "authlib"
-version = "1.6.5"
+version = "1.6.6"
 description = "The ultimate Python library in building OAuth and OpenID Connect servers and clients."
 optional = false
 python-versions = ">=3.9"
 groups = ["dev"]
 files = [
-    {file = "authlib-1.6.5-py2.py3-none-any.whl", hash = "sha256:3e0e0507807f842b02175507bdee8957a1d5707fd4afb17c32fb43fee90b6e3a"},
-    {file = "authlib-1.6.5.tar.gz", hash = "sha256:6aaf9c79b7cc96c900f0b284061691c5d4e61221640a948fe690b556a6d6d10b"},
+    {file = "authlib-1.6.6-py2.py3-none-any.whl", hash = "sha256:7d9e9bc535c13974313a87f53e8430eb6ea3d1cf6ae4f6efcd793f2e949143fd"},
+    {file = "authlib-1.6.6.tar.gz", hash = "sha256:45770e8e056d0f283451d9996fbb59b70d45722b45d854d58f32878d0a40c38e"},
 ]
 
 [package.dependencies]
 cryptography = "*"
 
-[[package]]
-name = "backports-asyncio-runner"
-version = "1.2.0"
-description = "Backport of asyncio.Runner, a context manager that controls event loop life cycle."
-optional = false
-python-versions = "<3.11,>=3.8"
-groups = ["dev"]
-markers = "python_version == \"3.10\""
-files = [
-    {file = "backports_asyncio_runner-1.2.0-py3-none-any.whl", hash = "sha256:0da0a936a8aeb554eccb426dc55af3ba63bcdc69fa1a600b5bb305413a4477b5"},
-    {file = "backports_asyncio_runner-1.2.0.tar.gz", hash = "sha256:a5aa7b2b7d8f8bfcaa2b57313f70792df84e32a2a746f585213373f900b42162"},
-]
-
 [[package]]
 name = "black"
-version = "25.11.0"
+version = "25.12.0"
 description = "The uncompromising code formatter."
 optional = false
-python-versions = ">=3.9"
+python-versions = ">=3.10"
 groups = ["dev"]
 files = [
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+    {file = "black-25.12.0.tar.gz", hash = "sha256:8d3dd9cea14bff7ddc0eb243c811cdb1a011ebb4800a5f0335a01a68654796a7"},
 ]
 
 [package.dependencies]
@@ -95,8 +83,6 @@ packaging = ">=22.0"
 pathspec = ">=0.9.0"
 platformdirs = ">=2"
 pytokens = ">=0.3.0"
-tomli = {version = ">=1.1.0", markers = "python_version < \"3.11\""}
-typing-extensions = {version = ">=4.0.1", markers = "python_version < \"3.11\""}
 
 [package.extras]
 colorama = ["colorama (>=0.4.3)"]
@@ -431,7 +417,6 @@ files = [
 
 [package.dependencies]
 cffi = {version = ">=2.0.0", markers = "python_full_version >= \"3.9.0\" and platform_python_implementation != \"PyPy\""}
-typing-extensions = {version = ">=4.13.2", markers = "python_full_version < \"3.11.0\""}
 
 [package.extras]
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 ]
 
 [package.extras]
 cssselect = ["cssselect (>=0.7)"]
+html-clean = ["lxml_html_clean"]
 html5 = ["html5lib"]
 htmlsoup = ["BeautifulSoup4"]
-source = ["Cython (==0.29.37)"]
+source = ["Cython (>=3.0.11,<3.1.0)"]
 
 [[package]]
 name = "markupsafe"
@@ -1091,21 +1097,20 @@ files = [
 
 [package.dependencies]
 prettytable = ">=3.12.0"
-tomli = {version = ">=2", markers = "python_version < \"3.11\""}
 
 [package.extras]
 dev = ["autopep8", "black", "docutils", "isort", "mypy", "pip-tools", "pypandoc", "pytest-cov", "pytest-pycodestyle", "pytest-runner", "tomli-w", "twine", "wheel"]
 
 [[package]]
 name = "platformdirs"
-version = "4.5.0"
+version = "4.5.1"
 description = "A small Python package for determining appropriate platform-specific dirs, e.g. a `user data dir`."
 optional = false
 python-versions = ">=3.10"
 groups = ["dev"]
 files = [
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 ]
 
 [package.extras]
@@ -1237,14 +1242,14 @@ files = [
 
 [[package]]
 name = "pydantic"
-version = "2.12.4"
+version = "2.12.5"
 description = "Data validation using Python type hints"
 optional = false
 python-versions = ">=3.9"
 groups = ["dev"]
 files = [
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 ]
 
 [package.dependencies]
@@ -1489,12 +1494,10 @@ files = [
 
 [package.dependencies]
 colorama = {version = ">=0.4", markers = "sys_platform == \"win32\""}
-exceptiongroup = {version = ">=1", markers = "python_version < \"3.11\""}
 iniconfig = ">=1"
 packaging = ">=20"
 pluggy = ">=1.5,<2"
 pygments = ">=2.7.2"
-tomli = {version = ">=1", markers = "python_version < \"3.11\""}
 
 [package.extras]
 dev = ["argcomplete", "attrs (>=19.2)", "hypothesis (>=3.56)", "mock", "requests", "setuptools", "xmlschema"]
@@ -1512,9 +1515,7 @@ files = [
 ]
 
 [package.dependencies]
-backports-asyncio-runner = {version = ">=1.1,<2", markers = "python_version < \"3.11\""}
 pytest = ">=8.2,<10"
-typing-extensions = {version = ">=4.12", markers = "python_version < \"3.13\""}
 
 [package.extras]
 docs = ["sphinx (>=5.3)", "sphinx-rtd-theme (>=1)"]
@@ -1522,39 +1523,38 @@ testing = ["coverage (>=6.2)", "hypothesis (>=5.7.1)"]
 
 [[package]]
 name = "pytest-check"
-version = "2.6.0"
+version = "2.6.2"
 description = "A pytest plugin that allows multiple failures per test."
 optional = false
 python-versions = ">=3.9"
 groups = ["main"]
 files = [
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 [package.dependencies]
 pytest = ">=7.0.0"
-typing-extensions = {version = ">=4.12.2,<5", markers = "python_version < \"3.11\""}
 
 [package.extras]
 dev = ["build", "tox", "tox-uv"]
 
 [[package]]
 name = "pytest-nhsd-apim"
-version = "4.0.1"
+version = "5.0.6"
 description = "Pytest plugin accessing NHSDigital's APIM proxies"
 optional = false
 python-versions = "<4.0,>=3.8"
 groups = ["dev"]
 files = [
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 [package.dependencies]
 Authlib = ">=1.3.1,<2.0.0"
 cryptography = ">42.0.0"
-lxml = ">=4.9.1,<5.0.0"
+lxml = ">=5.3.1,<6.0.0"
 pycryptodome = ">=3.20.0,<4.0.0"
 pydantic = ">=2.9.2,<3.0.0"
 pydantic-settings = ">=2.2.1,<3.0.0"
@@ -1694,7 +1694,6 @@ files = [
 [package.dependencies]
 attrs = ">=22.2.0"
 rpds-py = ">=0.7.0"
-typing-extensions = {version = ">=4.4.0", markers = "python_version < \"3.13\""}
 
 [[package]]
 name = "requests"
@@ -1735,127 +1734,127 @@ six = "*"
 
 [[package]]
 name = "rpds-py"
-version = "0.29.0"
+version = "0.30.0"
 description = "Python bindings to Rust's persistent data structures (rpds)"
 optional = false
 python-versions = ">=3.10"
 groups = ["main"]
 files = [
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+zstd = ["backports-zstd (>=1.0.0) ; python_version < \"3.14\""]
 
 [[package]]
 name = "wcwidth"
@@ -2063,5 +2009,5 @@ files = [
 
 [metadata]
 lock-version = "2.1"
-python-versions = "^3.10"
-content-hash = "5ae05ff40ea9bec8144357276aa1506ab405b7ef9dab3ee0001edddb2cc7bc43"
+python-versions = "^3.13"
+content-hash = "e65afc48136d4b5b3172965f3f0395322338d8f975a2d0910c062f2aef4a4e7e"
diff --git a/pyproject.toml b/pyproject.toml
index 0125e5247..eaae2e6e3 100644
--- a/pyproject.toml
+++ b/pyproject.toml
@@ -1,5 +1,5 @@
 [project]
-python = "^3.8"
+python = "^3.13"
 name = "e-referrals-service-api"
 version = "0.0.1-alpha"
 description = "TODO"
@@ -20,13 +20,13 @@ package-mode = false
 
 
 [tool.poetry.dependencies]
-python = "^3.10"
+python = "^3.13"
 pyyaml = "^6.0"
 docopt = "^0.6.2"
 jsonpath-rw = "^1.4.0"
 semver = "^3.0.4"
 gitpython = "^3.1.45"
-lxml = "^4.9.4"
+lxml = "^5.1.0"
 xmlformatter = "^0.2.8"
 pytest-check = "^2.6.0"
 requests = "^2.32.5"
@@ -40,7 +40,7 @@ pip-licenses = "^5.5.0"
 jinja2 = "^3.1.6"
 pytest = "^8.4.2"
 pytest-asyncio = "^1.3.0"
-pytest-nhsd-apim = "^4.0.1"
+pytest-nhsd-apim = "^5.0.6"
 
 [tool.poetry.scripts]
 
diff --git a/sandbox/package-lock.json b/sandbox/package-lock.json
index f8d535bbd..1df91973f 100644
--- a/sandbox/package-lock.json
+++ b/sandbox/package-lock.json
@@ -11,7 +11,7 @@
       "dependencies": {
         "@hapi/hapi": "^21.4.4",
         "@hapi/inert": "^7.1.0",
-        "lodash": "^4.17.20"
+        "lodash": "^4.17.23"
       },
       "devDependencies": {
         "eslint": "^9.25.1",
@@ -1131,9 +1131,9 @@
       }
     },
     "node_modules/lodash": {
-      "version": "4.17.21",
-      "resolved": "https://registry.npmjs.org/lodash/-/lodash-4.17.21.tgz",
-      "integrity": "sha512-v2kDEe57lecTulaDIuNTPy3Ry4gLGJ6Z1O3vE1krgXZNrsQ+LFTGHVxVjcXPs17LhbZVGedAJv8XZ1tvj5FvSg=="
+      "version": "4.17.23",
+      "resolved": "https://registry.npmjs.org/lodash/-/lodash-4.17.23.tgz",
+      "integrity": "sha512-LgVTMpQtIopCi79SJeDiP0TfWi5CNEc/L/aRdTh3yIvmZXTnheWpKjSZhnvMl8iXbC1tFg9gdHHDMLoV7CnG+w=="
     },
     "node_modules/lodash.merge": {
       "version": "4.6.2",
@@ -2225,9 +2225,9 @@
       }
     },
     "lodash": {
-      "version": "4.17.21",
-      "resolved": "https://registry.npmjs.org/lodash/-/lodash-4.17.21.tgz",
-      "integrity": "sha512-v2kDEe57lecTulaDIuNTPy3Ry4gLGJ6Z1O3vE1krgXZNrsQ+LFTGHVxVjcXPs17LhbZVGedAJv8XZ1tvj5FvSg=="
+      "version": "4.17.23",
+      "resolved": "https://registry.npmjs.org/lodash/-/lodash-4.17.23.tgz",
+      "integrity": "sha512-LgVTMpQtIopCi79SJeDiP0TfWi5CNEc/L/aRdTh3yIvmZXTnheWpKjSZhnvMl8iXbC1tFg9gdHHDMLoV7CnG+w=="
     },
     "lodash.merge": {
       "version": "4.6.2",
diff --git a/sandbox/package.json b/sandbox/package.json
index 92b383c9b..0d9e5712c 100644
--- a/sandbox/package.json
+++ b/sandbox/package.json
@@ -14,7 +14,7 @@
   "dependencies": {
     "@hapi/hapi": "^21.4.4",
     "@hapi/inert": "^7.1.0",
-    "lodash": "^4.17.20"
+    "lodash": "^4.17.23"
   },
   "devDependencies": {
     "eslint": "^9.25.1",
diff --git a/sandbox/src/mocks/stu3/cancelReferral/requests/bookedOutsideCabWithoutComment.json b/sandbox/src/mocks/stu3/cancelReferral/requests/bookedOutsideCabWithoutComment.json
new file mode 100644
index 000000000..20e88be56
--- /dev/null
+++ b/sandbox/src/mocks/stu3/cancelReferral/requests/bookedOutsideCabWithoutComment.json
@@ -0,0 +1,17 @@
+{
+  "meta": {
+    "profile": [
+      "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-CancelReferral-Request-Parameters-1"
+    ]
+  },
+  "resourceType": "Parameters",
+  "parameter": [
+    {
+      "name": "cancellationReason",
+      "valueCoding": {
+        "system": "_baseurl_/STU3/CodeSystem/REFERRAL-CANCELLATION-REASON",
+        "code": "BOOKED_OUTSIDE_CAB"
+      }
+    }
+  ]
+}
diff --git a/sandbox/src/mocks/stu3/cancelReferral/requests/outpatientService.json b/sandbox/src/mocks/stu3/cancelReferral/requests/outpatientService.json
new file mode 100644
index 000000000..f0118abe8
--- /dev/null
+++ b/sandbox/src/mocks/stu3/cancelReferral/requests/outpatientService.json
@@ -0,0 +1,21 @@
+{
+  "meta": {
+    "profile": [
+      "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-CancelReferral-Request-Parameters-1"
+    ]
+  },
+  "resourceType": "Parameters",
+  "parameter": [
+    {
+      "name": "cancellationReason",
+      "valueCoding": {
+        "system": "_baseurl_/STU3/CodeSystem/REFERRAL-CANCELLATION-REASON",
+        "code": "OUTPATIENT_SERVICE_NA"
+      }
+    },
+    {
+      "name": "cancellationComments",
+      "valueString": "This is a cancellation reason comment"
+    }
+  ]
+}
diff --git a/sandbox/src/mocks/stu3/cancelReferral/responses/CancelledReferralBookedOutsideCabWithoutComment.json b/sandbox/src/mocks/stu3/cancelReferral/responses/CancelledReferralBookedOutsideCabWithoutComment.json
new file mode 100644
index 000000000..9121b84fd
--- /dev/null
+++ b/sandbox/src/mocks/stu3/cancelReferral/responses/CancelledReferralBookedOutsideCabWithoutComment.json
@@ -0,0 +1,170 @@
+{
+    "meta": {
+        "profile": [
+            "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-CancelReferral-Response-Parameters-1"
+        ]
+    },
+    "resourceType": "Parameters",
+    "parameter": [
+        {
+            "name": "updatedReferralRequest",
+            "resource": {
+                "id": "000000070000",
+                "meta": {
+                    "versionId": "4",
+                    "profile": [
+                        "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-ReferralRequest-1"
+                    ]
+                },
+                "resourceType": "ReferralRequest",
+                "extension": [
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-ReferralPriority-1",
+                        "valueCodeableConcept": {
+                            "coding": [
+                                {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-Priority-1",
+                                    "code": "ROUTINE",
+                                    "display": "Routine"
+                                }
+                            ]
+                        }
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-ReferralShortlist-1",
+                        "valueReference": {
+                            "reference": "#shortlist"
+                        }
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-Commissioning-Rule-Org-1",
+                        "valueIdentifier": {
+                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
+                            "value": "R69"
+                        }
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-ReferralState-1",
+                        "extension": [
+                            {
+                                "url": "state",
+                                "valueCoding": {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralState-1",
+                                    "code": "CANCELLED_REFERRAL",
+                                    "display": "Cancelled Referral"
+                                }
+                            },
+                            {
+                                "url": "reason",
+                                "valueCoding": {
+                                    "system": "_baseUrl_/STU3/CodeSystem/REFERRAL-CANCELLATION-REASON",
+                                    "code": "BOOKED_OUTSIDE_CAB",
+                                    "display": "Patient booked outside NHS e-Referral Service"
+                                }
+                            }
+                        ]
+                    }
+                ],
+                "contained": [
+                    {
+                        "id": "serviceSearchCriteria",
+                        "meta": {
+                            "profile": [
+                                "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-ServiceSearchCriteria-Parameters-1"
+                            ]
+                        },
+                        "resourceType": "Parameters",
+                        "parameter": [
+                            {
+                                "name": "priority",
+                                "valueCoding": {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-Priority-1",
+                                    "code": "ROUTINE"
+                                }
+                            },
+                            {
+                                "name": "specialty",
+                                "valueCoding": {
+                                    "system": "_baseUrl_/STU3/CodeSystem/SPECIALTY",
+                                    "code": "CARDIOLOGY"
+                                }
+                            },
+                            {
+                                "name": "clinicType",
+                                "valueCoding": {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ClinicType-1",
+                                    "code": "HEART_FAILURE"
+                                }
+                            },
+                            {
+                                "name": "ageAndGenderAppropriate",
+                                "valueBoolean": false
+                            },
+                            {
+                                "name": "commissioningProvisioning",
+                                "valueCoding": {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-CommissioningProvisioning-1",
+                                    "code": "ALL_AVAILABLE_FOR_BOOKING"
+                                }
+                            }
+                        ]
+                    },
+                    {
+                        "id": "shortlist",
+                        "meta": {
+                            "profile": [
+                                "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-Shortlist-List-1"
+                            ]
+                        },
+                        "resourceType": "List",
+                        "extension": [
+                            {
+                                "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-Shortlist-SearchCriteria-1",
+                                "valueReference": {
+                                    "reference": "#serviceSearchCriteria"
+                                }
+                            }
+                        ],
+                        "status": "current",
+                        "mode": "snapshot",
+                        "entry": [
+                            {
+                                "item": {
+                                    "identifier": {
+                                        "system": "http://fhir.nhs.net/Id/ers-service",
+                                        "value": "11004"
+                                    },
+                                    "display": "Cardiology Triage Business Service"
+                                }
+                            }
+                        ]
+                    }
+                ],
+                "status": "cancelled",
+                "specialty": {
+                    "coding": [
+                        {
+                            "system": "_baseUrl_/STU3/CodeSystem/SPECIALTY",
+                            "code": "CARDIOLOGY",
+                            "display": "Cardiology"
+                        }
+                    ]
+                },
+                "subject": {
+                    "identifier": {
+                        "system": "http://fhir.nhs.net/Id/nhs-number",
+                        "value": "9912003888"
+                    }
+                },
+                "supportingInfo": [],
+                "intent": "plan",
+                "identifier":[
+                    {
+                        "system":"https://fhir.nhs.uk/Id/ers-request-id",
+                        "value":"r.c18c4ec4-7d0a-480e-8506-347e0ec228b0"
+                    }
+                ]
+            }
+        }
+    ]
+}
diff --git a/sandbox/src/mocks/stu3/cancelReferral/responses/CancelledReferralOutpatientService.json b/sandbox/src/mocks/stu3/cancelReferral/responses/CancelledReferralOutpatientService.json
new file mode 100644
index 000000000..9e658931d
--- /dev/null
+++ b/sandbox/src/mocks/stu3/cancelReferral/responses/CancelledReferralOutpatientService.json
@@ -0,0 +1,272 @@
+{
+    "meta": {
+        "profile": [
+            "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-CancelReferral-Response-Parameters-1"
+        ]
+    },
+    "resourceType": "Parameters",
+    "parameter": [
+        {
+            "name": "updatedReferralRequest",
+            "resource": {
+                "id": "000000070000",
+                "meta": {
+                    "versionId": "4",
+                    "profile": [
+                        "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-ReferralRequest-1"
+                    ]
+                },
+                "resourceType": "ReferralRequest",
+                "extension": [
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-Appointment-Reference-1",
+                        "valueReference": {
+                          "reference": "Appointment/70001"
+                        }
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-Appointment-1",
+                        "valueReference": {
+                            "reference": "#appointment"
+                        }
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-ReferralPriority-1",
+                        "valueCodeableConcept": {
+                            "coding": [
+                                {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-Priority-1",
+                                    "code": "ROUTINE",
+                                    "display": "Routine"
+                                }
+                            ]
+                        }
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-ReferralShortlist-1",
+                        "valueReference": {
+                            "reference": "#shortlist"
+                        }
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-Commissioning-Rule-Org-1",
+                        "valueIdentifier": {
+                            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
+                            "value": "R69"
+                        }
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-ReferralState-1",
+                        "extension": [
+                            {
+                                "url": "state",
+                                "valueCoding": {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralState-1",
+                                    "code": "CANCELLED_REFERRAL",
+                                    "display": "Cancelled Referral"
+                                }
+                            },
+                            {
+                                "url": "reason",
+                                "valueCoding": {
+                                    "system": "_baseUrl_/STU3/CodeSystem/REQUEST-CANCELLATION-REASON",
+                                    "code": "OUTPATIENT_SERVICE_NA",
+                                    "display": "Sent to outpatient service not available in this system"
+                                }
+                            },
+                            {
+                                "url": "comments",
+                                "valueString": "This is a cancellation reason comment"
+                            }
+                        ]
+                    },
+                    {
+                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-PatientAdditionalRequirement-1",
+                        "valueCoding": {
+                            "code": "TRANSPORT",
+                            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AdditionalRequirementType-1",
+                            "display": "Transport"
+                        }
+                    }
+                ],
+                "contained": [
+                    {
+                        "id": "serviceSearchCriteria",
+                        "meta": {
+                            "profile": [
+                                "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-ServiceSearchCriteria-Parameters-1"
+                            ]
+                        },
+                        "resourceType": "Parameters",
+                        "parameter": [
+                            {
+                                "name": "priority",
+                                "valueCoding": {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-Priority-1",
+                                    "code": "ROUTINE"
+                                }
+                            },
+                            {
+                                "name": "specialty",
+                                "valueCoding": {
+                                    "system": "_baseUrl_/STU3/CodeSystem/SPECIALTY",
+                                    "code": "CARDIOLOGY"
+                                }
+                            },
+                            {
+                                "name": "clinicType",
+                                "valueCoding": {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ClinicType-1",
+                                    "code": "HEART_FAILURE"
+                                }
+                            },
+                            {
+                                "valueString": "LS1 2TW",
+                                "name": "postcode"
+                            },
+                            {
+                                "name": "distanceLimit",
+                                "valueUnsignedInt": 123
+                            },
+                            {
+                                "name": "ageAndGenderAppropriate",
+                                "valueBoolean": false
+                            },
+                            {
+                                "name": "commissioningProvisioning",
+                                "valueCoding": {
+                                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-CommissioningProvisioning-1",
+                                    "code": "ALL_AVAILABLE_FOR_BOOKING"
+                                }
+                            }
+                        ]
+                    },
+                    {
+                        "id": "shortlist",
+                        "meta": {
+                            "profile": [
+                                "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-Shortlist-List-1"
+                            ]
+                        },
+                        "resourceType": "List",
+                        "extension": [
+                            {
+                                "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-Shortlist-SearchCriteria-1",
+                                "valueReference": {
+                                    "reference": "#serviceSearchCriteria"
+                                }
+                            }
+                        ],
+                        "status": "current",
+                        "mode": "snapshot",
+                        "entry": [
+                            {
+                                "item": {
+                                    "identifier": {
+                                        "system": "http://fhir.nhs.net/Id/ers-service",
+                                        "value": "11004"
+                                    },
+                                    "display": "Cardiology Triage Business Service"
+                                }
+                            }
+                        ]
+                    },
+                    {
+                        "id": "appointment",
+                        "meta": {
+                            "versionId": "1",
+                            "profile": [
+                                "https://fhir.nhs.uk/STU3/StructureDefinition/eRS-Appointment-1",
+                                "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Appointment-1"
+                            ]
+                        },
+                        "language": "en",
+                        "resourceType": "Appointment",
+                        "status": "proposed",
+                        "reason": [
+                            {
+                                "coding": [
+                                    {
+                                      "code": "ACCEPT_REFER_BOOK_LATER",
+                                      "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReviewOutcome-1",
+                                      "display": "Accept Refer Book Later"
+                                    }
+                                ]
+                            }
+                        ],
+                        "description": "e-Referral Appointment",
+                        "created": "2021-05-06T11:21:45.652Z",
+                        "comment": "Outcome",
+                        "incomingReferral": [
+                            {
+                                "reference": "ReferralRequest/000000070000/_history/4"
+                            }
+                        ],
+                        "participant": [
+                            {
+                                "actor": {
+                                    "identifier": {
+                                        "system": "http://fhir.nhs.net/Id/ers-service",
+                                        "value": "11004"
+                                    },
+                                    "display": "Cardiology Triage Business Service"
+                                },
+                                "status": "accepted"
+                            },
+                            {
+                                "actor": {
+                                    "identifier": {
+                                        "system": "http://fhir.nhs.net/Id/nhs-number",
+                                        "value": "9912003888"
+                                    }
+                                },
+                                "status": "accepted"
+                            },
+                            {
+                                "actor": {
+                                    "identifier": {
+                                        "system": "http://fhir.nhs.net/Id/sds-user-id",
+                                        "value": "021600556514"
+                                    }
+                                },
+                                "type": {
+                                    "coding": [
+                                        {
+                                            "system": "http://hl7.org/fhir/ValueSet/encounter-participant-type",
+                                            "code": "CON"
+                                        }
+                                    ]
+                                },
+                                "status": "accepted"
+                            }
+                        ]
+                    }
+                ],
+                "status": "cancelled",
+                "specialty": {
+                    "coding": [
+                        {
+                            "system": "_baseUrl_/STU3/CodeSystem/SPECIALTY",
+                            "code": "CARDIOLOGY",
+                            "display": "Cardiology"
+                        }
+                    ]
+                },
+                "subject": {
+                    "identifier": {
+                        "system": "http://fhir.nhs.net/Id/nhs-number",
+                        "value": "9912003888"
+                    }
+                },
+                "supportingInfo": [],
+                "intent": "plan",
+                "identifier":[
+                    {
+                        "system":"https://fhir.nhs.uk/Id/ers-request-id",
+                        "value":"r.c18c4ec4-7d0a-480e-8506-347e0ec228b0"
+                    }
+                ]
+            }
+        }
+    ]
+}
diff --git a/sandbox/src/mocks/stu3/getCodeSystem/responses/ReferralCancellationReasonCodeSystem.json b/sandbox/src/mocks/stu3/getCodeSystem/responses/ReferralCancellationReasonCodeSystem.json
index 1e114f83f..94d28a7d7 100644
--- a/sandbox/src/mocks/stu3/getCodeSystem/responses/ReferralCancellationReasonCodeSystem.json
+++ b/sandbox/src/mocks/stu3/getCodeSystem/responses/ReferralCancellationReasonCodeSystem.json
@@ -28,6 +28,11 @@
       "uri": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-Concept-Properties-1#effectiveTo",
       "type": "dateTime"
     },
+    {
+      "code": "appointmentRequestCancellationReasonType",
+      "uri": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-Concept-Properties-1#appointmentRequestCancellationReasonType",
+      "type": "Coding"
+    },
     {
       "code": "commentIsMandatory",
       "uri": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-Concept-Properties-1#commentIsMandatory",
@@ -58,6 +63,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -65,6 +77,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -76,6 +116,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2007-09-14T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
@@ -83,6 +130,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": true
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -94,6 +169,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -101,6 +183,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -112,6 +222,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -119,6 +236,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -130,6 +275,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2004-06-01T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PATIENT",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
@@ -141,22 +293,43 @@
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN_ADMIN"
+            "code": "REFERRING_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "REFERRING_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN"
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "referrerUsage",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1",
-            "code": "CANCEL_REFERRAL"
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
           }
         }
       ]
@@ -169,6 +342,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -176,6 +356,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -187,6 +395,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -194,6 +409,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -205,6 +448,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -212,6 +462,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -223,6 +501,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -230,6 +515,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -241,6 +554,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2004-06-01T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PATIENT",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
@@ -252,22 +572,43 @@
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN_ADMIN"
+            "code": "REFERRING_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "REFERRING_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN"
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "referrerUsage",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1",
-            "code": "CANCEL_REFERRAL"
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
           }
         }
       ]
@@ -280,6 +621,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2004-06-01T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PATIENT",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -291,22 +639,43 @@
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN_ADMIN"
+            "code": "REFERRING_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "REFERRING_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN"
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "referrerUsage",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1",
-            "code": "CANCEL_REFERRAL"
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
           }
         }
       ]
@@ -319,6 +688,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2007-09-14T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "UNKNOWN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
@@ -330,22 +706,22 @@
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN_ADMIN"
+            "code": "REFERRING_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN"
+            "code": "REFERRING_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "referrerUsage",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1",
-            "code": "CANCEL_REFERRAL"
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
           }
         }
       ]
@@ -358,6 +734,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2007-09-14T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "UNKNOWN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
@@ -369,22 +752,22 @@
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN_ADMIN"
+            "code": "REFERRING_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN"
+            "code": "REFERRING_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "referrerUsage",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1",
-            "code": "CANCEL_REFERRAL"
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
           }
         }
       ]
@@ -397,6 +780,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": true
@@ -404,6 +794,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -415,6 +833,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2004-06-01T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PATIENT",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
@@ -426,22 +851,43 @@
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN_ADMIN"
+            "code": "REFERRING_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "REFERRING_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "businessFunction",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1",
-            "code": "REFERRING_CLINICIAN"
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
           }
         },
         {
           "code": "referrerUsage",
           "valueCoding": {
-            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1",
-            "code": "CANCEL_REFERRAL"
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
           }
         }
       ]
@@ -454,6 +900,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2019-07-23T17:09:56.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PROVIDER_TRIAGE",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
@@ -461,6 +914,34 @@
         {
           "code": "canCancelAppointment",
           "valueBoolean": false
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "SERVICE_PROVIDER_CLINICIAN_ADMIN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "businessFunction",
+          "valueCoding": {
+            "code": "PROVIDER_AUTHORISED_APPLICATION",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-BusinessFunction-1"
+          }
+        },
+        {
+          "code": "referrerUsage",
+          "valueCoding": {
+            "code": "CANCEL_REFERRAL",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-ReferralRequestCancellationReasonUsage-1"
+          }
         }
       ]
     },
@@ -472,6 +953,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2004-06-01T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "PATIENT",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
@@ -490,6 +978,13 @@
           "code": "effectiveFrom",
           "valueDateTime": "2004-06-01T00:00:00.000Z"
         },
+        {
+          "code": "appointmentRequestCancellationReasonType",
+          "valueCoding": {
+            "code": "UNKNOWN",
+            "system": "https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1"
+          }
+        },
         {
           "code": "commentIsMandatory",
           "valueBoolean": false
diff --git a/sandbox/src/mocks/stu3/retrieveAdviceAndGuidanceWorklist/responses/AdviceAndGuidanceRequests.json b/sandbox/src/mocks/stu3/retrieveAdviceAndGuidanceWorklist/responses/AdviceAndGuidanceRequests.json
index e2ce526d5..66cb0e846 100644
--- a/sandbox/src/mocks/stu3/retrieveAdviceAndGuidanceWorklist/responses/AdviceAndGuidanceRequests.json
+++ b/sandbox/src/mocks/stu3/retrieveAdviceAndGuidanceWorklist/responses/AdviceAndGuidanceRequests.json
@@ -91,6 +91,10 @@
                   }
                 ]
               }
+            },
+            {
+              "url": "communicationRequestVersion",
+              "valueInteger": 10
             }
           ],
           "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-AdviceAndGuidanceRequests-WorkListItem-1"
@@ -183,6 +187,10 @@
                   }
                 ]
               }
+            },
+            {
+              "url": "communicationRequestVersion",
+              "valueInteger": 10
             }
           ],
           "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-eRS-AdviceAndGuidanceRequests-WorkListItem-1"
diff --git a/sandbox/src/routes/stu3/cancelReferral.js b/sandbox/src/routes/stu3/cancelReferral.js
index 2711c47a4..3fb6fd8ed 100644
--- a/sandbox/src/routes/stu3/cancelReferral.js
+++ b/sandbox/src/routes/stu3/cancelReferral.js
@@ -10,7 +10,7 @@ module.exports = [
     path: '/FHIR/STU3/ReferralRequest/{ubrn}/$ers.cancelReferral',
     handler: (request, h) => {
 
-      const allowedBusinessFunctions = ["REFERRING_CLINICIAN", "REFERRING_CLINICIAN_ADMIN"]
+      const allowedBusinessFunctions = ["REFERRING_CLINICIAN", "REFERRING_CLINICIAN_ADMIN", "SERVICE_PROVIDER_CLINICIAN", "SERVICE_PROVIDER_CLINICIAN_ADMIN"]
 
       const validationResult = validationUtils.validateBusinessFunction(request, h, allowedBusinessFunctions)
 
diff --git a/scripts/macos_setup_environment.sh b/scripts/macos_setup_environment.sh
index cc25ae436..62a14184c 100755
--- a/scripts/macos_setup_environment.sh
+++ b/scripts/macos_setup_environment.sh
@@ -45,29 +45,29 @@ else
     exit 2
 fi
 
-# Installing python 3.10.8 with pyenv
-echo "Installing python 3.10.8 with pyenv ..."
-if pyenv versions | grep -Fq "3.10.8" ; then
-    echo "Pyenv has already got Python 3.10.8 installed."
+# Installing python 3.13 with pyenv
+echo "Installing python 3.13 with pyenv ..."
+if pyenv versions | grep -Fq "3.13" ; then
+    echo "Pyenv has already got Python 3.13 installed."
 else
-    if pyenv install 3.10.8 ; then
-        echo "Pyenv installed Python 3.10.8 successfully."
+    if pyenv install 3.13 ; then
+        echo "Pyenv installed Python 3.13 successfully."
     else
-        echo "Pyenv did NOT install Python 3.10.8 successfully."
+        echo "Pyenv did NOT install Python 3.13 successfully."
         exit 3
     fi
 fi
 
 
-# Creating Apigee environment with Python 3.10.8
-echo "Creating Apigee environment with Python 3.10.8 ..."
+# Creating Apigee environment with Python 3.13
+echo "Creating Apigee environment with Python 3.13 ..."
 if pyenv versions | grep -q ".*apigee" ; then
     echo "A Python virtualenv named 'apigee' already exists."
 else
-    if pyenv virtualenv 3.10.8 apigee ; then
-        echo "A Python 3.10.8 virtualenv named 'apigee' was created."
+    if pyenv virtualenv 3.13 apigee ; then
+        echo "A Python 3.13 virtualenv named 'apigee' was created."
     else
-        echo "A Python 3.10.8 virtualenv named 'apigee' was NOT created."
+        echo "A Python 3.13 virtualenv named 'apigee' was NOT created."
         exit 4
     fi
 fi
@@ -86,7 +86,7 @@ fi
 # Checking python version
 echo "Checking python version ..."
 version=$(python -V 2>&1)
-if [[ $version = 'Python 3.10.8' ]] ; then
+if [[ $version = 'Python 3.13'* ]] ; then
     echo "Python version is correct."
 else
     echo "Python version is NOT correct."
diff --git a/scripts/ubuntu_setup_environment.sh b/scripts/ubuntu_setup_environment.sh
index 60dcbd944..6f6ea643b 100755
--- a/scripts/ubuntu_setup_environment.sh
+++ b/scripts/ubuntu_setup_environment.sh
@@ -63,29 +63,29 @@ else
 fi
 
 
-#Installing python 3.10.8 with pyenv
-echo "Installing python 3.10.8 with pyenv ..."
-if pyenv versions | grep -Fq "3.10.8" ; then
-    echo "Pyenv has already got Python 3.10.8 installed."
+#Installing python 3.13 with pyenv
+echo "Installing python 3.13 with pyenv ..."
+if pyenv versions | grep -Fq "3.13" ; then
+    echo "Pyenv has already got Python 3.13 installed."
 else
-    if pyenv install 3.10.8 ; then
-        echo "Pyenv installed Python 3.10.8 successfully."
+    if pyenv install 3.13 ; then
+        echo "Pyenv installed Python 3.13 successfully."
     else
-        echo "Pyenv did NOT install Python 3.10.8 successfully."
+        echo "Pyenv did NOT install Python 3.13 successfully."
         exit 1
     fi
 fi
 
 
-#Creating Apigee environment with Python 3.10.8
-echo "Creating Apigee environment with Python 3.10.8 ..."
+#Creating Apigee environment with Python 3.13
+echo "Creating Apigee environment with Python 3.13 ..."
 if pyenv versions | grep -q ".*apigee" ; then
     echo "A Python virtualenv named 'apigee' already exists."
 else
-    if pyenv virtualenv 3.10.8 apigee ; then
-        echo "A Python 3.10.8 virtualenv named 'apigee' was created."
+    if pyenv virtualenv 3.13 apigee ; then
+        echo "A Python 3.13 virtualenv named 'apigee' was created."
     else
-        echo "A Python 3.10.8 virtualenv named 'apigee' was NOT created."
+        echo "A Python 3.13 virtualenv named 'apigee' was NOT created."
         exit 1
     fi
 fi
@@ -104,7 +104,7 @@ fi
 #Checking python version
 echo "Checking python version ..."
 version=$(python -V 2>&1)
-if [[ $version = 'Python 3.10.8' ]] ; then
+if [[ $version = 'Python 3.13'* ]] ; then
     echo "Python version is correct."
 else
     echo "Python version is NOT correct."
diff --git a/specification/components/stu3/schemas/CodeSystemConcept.yaml b/specification/components/stu3/schemas/CodeSystemConcept.yaml
index 46dd37948..3ac83f9da 100644
--- a/specification/components/stu3/schemas/CodeSystemConcept.yaml
+++ b/specification/components/stu3/schemas/CodeSystemConcept.yaml
@@ -55,6 +55,7 @@ properties:
       | Usage                                    | APPOINTMENT-CANCELLATION-REASON                             |
       | CommentIsMandatory                       | APPOINTMENT-CANCELLATION-REASON/REFERRAL-CANCELLATION-REASON |
       | businessFunction                         | APPOINTMENT-CANCELLATION-REASON/REFERRAL-CANCELLATION-REASON |
+      | AppointmentRequestCancellationReasonType | REFERRAL-CANCELLATION-REASON |
       | CanCancelAppointment                     | REFERRAL-CANCELLATION-REASON                                 |
       | RequestCancellationReferrerUsage         | REFERRAL-CANCELLATION-REASON                                 |
       | DeferToProviderContactDays               | PRIORITY                                                    |
@@ -72,6 +73,7 @@ properties:
         - $ref: 'codings/AppointmentCancellationUsage.yaml'
         - $ref: 'codings/CommentIsMandatory.yaml'
         - $ref: 'codings/BusinessFunction.yaml'
+        - $ref: 'codings/AppointmentRequestCancellationReasonType.yaml'
         - $ref: 'codings/CanCancelAppointment.yaml'
         - $ref: 'codings/RequestCancellationReferrerUsage.yaml'
         - $ref: 'codings/DeferToProviderContactDays.yaml'
diff --git a/specification/components/stu3/schemas/CodeSystemProperties.yaml b/specification/components/stu3/schemas/CodeSystemProperties.yaml
index 7eeb3cd23..107ef4bba 100644
--- a/specification/components/stu3/schemas/CodeSystemProperties.yaml
+++ b/specification/components/stu3/schemas/CodeSystemProperties.yaml
@@ -13,6 +13,7 @@ description: |
   | Usage                                    | APPOINTMENT-CANCELLATION-REASON                               |
   | CommentIsMandatory                       | APPOINTMENT-CANCELLATION-REASON / REFERRAL-CANCELLATION-REASON |
   | BusinessFunction                         | APPOINTMENT-CANCELLATION-REASON / REFERRAL-CANCELLATION-REASON |
+  | AppointmentRequestCancellationReasonType | REFERRAL-CANCELLATION-REASON                                   |
   | CanCancelAppointment                     | REFERRAL-CANCELLATION-REASON                                   |
   | ReferrerUsage                            | REFERRAL-CANCELLATION-REASON                                   |
   | DeferToProviderContactDays               | PRIORITY                        |
@@ -29,6 +30,7 @@ items:
     - $ref: 'properties/Usage.yaml'
     - $ref: 'properties/CommentIsMandatory.yaml'
     - $ref: 'properties/BusinessFunction.yaml'
+    - $ref: 'properties/AppointmentRequestCancellationReasonType.yaml'
     - $ref: 'properties/CanCancelAppointment.yaml'
     - $ref: 'properties/ReferrerUsage.yaml'
     - $ref: 'properties/DeferToProviderContactDays.yaml'
diff --git a/specification/components/stu3/schemas/codings/AppointmentRequestCancellationReasonType.yaml b/specification/components/stu3/schemas/codings/AppointmentRequestCancellationReasonType.yaml
new file mode 100644
index 000000000..70880573e
--- /dev/null
+++ b/specification/components/stu3/schemas/codings/AppointmentRequestCancellationReasonType.yaml
@@ -0,0 +1,25 @@
+title: Appointment request cancellation reason type
+description: This will only be returned when codeSystemType is REFERRAL-CANCELLATION-REASON
+type: object
+required:
+  - code
+  - valueCoding
+properties:
+  code:
+    type: string
+    enum:
+      - appointmentRequestCancellationReasonType
+  valueCoding:
+    type: object
+    required:
+      - system
+      - code
+    properties:
+      system:
+        type: string
+        enum:
+          - 'https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1'
+        example: 'https://fhir.nhs.uk/STU3/CodeSystem/eRS-AppointmentRequestCancellationReasonType-1'
+      code:
+        type: string
+        example: 'PROVIDER'
diff --git a/specification/components/stu3/schemas/eRS-FetchWorklist-List.yaml b/specification/components/stu3/schemas/eRS-FetchWorklist-List.yaml
index 9b985ea89..53819e722 100644
--- a/specification/components/stu3/schemas/eRS-FetchWorklist-List.yaml
+++ b/specification/components/stu3/schemas/eRS-FetchWorklist-List.yaml
@@ -598,6 +598,7 @@ properties:
                       | `referrer`                     | `1..1`      |                                            |
                       | `service`                      | `1..1`      |                                            |
                       | `clinicType`                   | `0..1`      |                                            |
+                      | `communicationRequestVersion`  | `1..1`      |                                            |
                     items:
                       anyOf:
                         - $ref: './extensions/worklists/Extension-WorklistItem-Priority.yaml'
@@ -693,6 +694,20 @@ properties:
                         - $ref: './extensions/worklists/Extension-WorklistItem-Referrer.yaml'
                         - $ref: './extensions/worklists/Extension-WorklistItem-Service.yaml'
                         - $ref: './extensions/worklists/Extension-WorklistItem-ClinicType.yaml'
+                        - title: communicationRequestVersion
+                          type: object
+                          required:
+                            - url
+                            - valueInteger
+                          properties:
+                            url:
+                              type: string
+                              enum:
+                                - communicationRequestVersion
+                              example: 'communicationRequestVersion'
+                            valueInteger:
+                              type: integer
+                              example: 0
               - title: Extension-eRS-RejectedTriageResponse-WorkListItem
                 type: object
                 required:
diff --git a/specification/components/stu3/schemas/endpoints/a023-retrieve-a&g-worklist.yaml b/specification/components/stu3/schemas/endpoints/a023-retrieve-a&g-worklist.yaml
index cb818b00e..507412ed3 100644
--- a/specification/components/stu3/schemas/endpoints/a023-retrieve-a&g-worklist.yaml
+++ b/specification/components/stu3/schemas/endpoints/a023-retrieve-a&g-worklist.yaml
@@ -8,7 +8,8 @@ description: |
   or to undertake an action, in order to avoid delays to patient care.
   
   Service provider organisations can retrieve the contents of their 'Advice and guidance requests' worklist using 
-  this endpoint. This worklist contains advice and guidance requests the provider has received and which need actioning.
+  this endpoint. This worklist contains advice and guidance requests the provider has received and which need actioning. The version of each advice 
+  request in the worklist will also be returned. Note that the version can change due to admin/clinical changes as well as internal e-RS processes.
 
   There are currently no advice and guidance related worklists available for referring organisations.
 
diff --git a/specification/components/stu3/schemas/endpoints/a029-available-actions-for-user-list.yaml b/specification/components/stu3/schemas/endpoints/a029-available-actions-for-user-list.yaml
index 69aa06daa..38e42ad88 100644
--- a/specification/components/stu3/schemas/endpoints/a029-available-actions-for-user-list.yaml
+++ b/specification/components/stu3/schemas/endpoints/a029-available-actions-for-user-list.yaml
@@ -23,6 +23,7 @@ description: |
 
   Supported action:
     - Record Review Outcome
+    - Cancel Referral
   
   ### Healthcare worker, user-restricted access
   
@@ -53,8 +54,9 @@ description: |
     - Change Shortlist
     - Change Shortlist and Send for Triage
 
-  As a service provider, the only action returned will be:
-    - Record Review Outcome 
+  As a service provider, the actions returned can include:
+    - Record Review Outcome
+    - Cancel Referral
 
   ## Related endpoints
 
diff --git a/specification/components/stu3/schemas/endpoints/a036-cancel-referral.yaml b/specification/components/stu3/schemas/endpoints/a036-cancel-referral.yaml
index 1c6d8395d..999321331 100644
--- a/specification/components/stu3/schemas/endpoints/a036-cancel-referral.yaml
+++ b/specification/components/stu3/schemas/endpoints/a036-cancel-referral.yaml
@@ -14,18 +14,27 @@ description: |
 
   ## Supported security patterns
   - Healthcare worker, user-restricted access
+  - Application-restricted, unattended access
 
   ## Pre-requisites
+  ### Application-restricted, unattended access
+  In order to use this endpoint you must be an authenticated e-RS calling application, working in the context of a Service Provider Organisation.
+
+  To access this endpoint in application-restricted, unattended mode, you will be required to submit your use case for review. The only use case currently permitted is for non-clinical provider actions.
+
+  ### Healthcare worker, user-restricted access
   In order to use this endpoint you must be an authenticated e-RS user and use one of the following e-RS roles:
   - `REFERRING_CLINICIAN`
   - `REFERRING_CLINICIAN_ADMIN`
+  - `SERVICE_PROVIDER_CLINICIAN`
+  - `SERVICE_PROVIDER_CLINICIAN_ADMIN`
 
   You must use [[HYPERLINK_A004]] to retrieve a list of reference data, which detail the reason the cancellation is being performed. You can only use reference data from the set `REFERRAL-CANCELLATION-REASON`.
 
 
   To find out which reference data from this set can be used, the following filters can be used depending on the cancellation scenario:
 
-  ***1. I want to cancel the referral and the current appointment***
+  ***1. I want to cancel the referral and the current appointment as a Referrer***
 
   * Obtain reference data from `REFERRAL-CANCELLATION-REASON` and filter:
 
@@ -40,30 +49,83 @@ description: |
     * if provided, `effectiveTo` must **not** be in the past
 
 
-  ***2. I want to cancel a referral, for which there is no current appointment***
+  ***2. I want to cancel a referral, for which there is no current appointment as a Referrer***
 
   * Obtain reference data from `REFERRAL-CANCELLATION-REASON` and filter:
 
     * `referrerUsage` must be `CANCEL_REFERRAL`, and
 
-    * `businessFunction` must be `REFERRING_CLINICIAN` or `REFERRING_CLINICIAN_ADMIN`   *(depending which authenticated user will be performing the action), and
+    * `businessFunction` must be `REFERRING_CLINICIAN` or `REFERRING_CLINICIAN_ADMIN` (depending which authenticated user will be performing the action), and
 
     * `canCancelAppointment` could be true or false, and
 
     * `effectiveFrom` must be in the past, and
 
     * if provided, `effectiveTo` must **not** be in the past
+  
+  ***3. I want to cancel the referral and the current appointment as a Service Provider***
+
+  * Obtain reference data from `REFERRAL-CANCELLATION-REASON` and filter:
+
+    * `referrerUsage` must be `CANCEL_REFERRAL`, and
+
+    * `businessFunction` must be `SERVICE_PROVIDER_CLINICIAN` or `SERVICE_PROVIDER_CLINICIAN_ADMIN` (depending which authenticated user will be performing the action), and
+
+    * `appointmentRequestCancellationReasonType` must be `PROVIDER` and `PATIENT`, and
+  
+    * `canCancelAppointment` must be true, and
+
+    * `effectiveFrom` must be in the past, and 
+
+    * `effectiveTo` must **not** be in the past
+
+  ***4. I want to cancel a referral, for which there is no current appointment as a Service Provider***
+  
+  * Obtain reference data from `REFERRAL-CANCELLATION-REASON` and filter:
+
+    * `referrerUsage` must be `CANCEL_REFERRAL`, and
+
+    * `businessFunction` must be `SERVICE_PROVIDER_CLINICIAN` or `SERVICE_PROVIDER_CLINICIAN_ADMIN` (depending which authenticated user will be performing the action), and
 
+    * `appointmentRequestCancellationReasonType` must be `PROVIDER` and `PATIENT`, and
+  
+    * `canCancelAppointment` could be true or false, and
+
+    * `effectiveFrom` must be in the past, and 
+
+    * `effectiveTo` must **not** be in the past
+  
+  ***5. I want to cancel the triage referral as a Service Provider***
+  
+  * Obtain reference data from `REFERRAL-CANCELLATION-REASON` and filter:
+
+    * `referrerUsage` must be `CANCEL_REFERRAL`, and
+
+    * `businessFunction` must be `SERVICE_PROVIDER_CLINICIAN` or `SERVICE_PROVIDER_CLINICIAN_ADMIN` (depending which authenticated user will be performing the action), and
+
+    * `appointmentRequestCancellationReasonType` must be `PROVIDER_TRIAGE`, and
+
+    * `effectiveFrom` must be in the past, and 
+
+    * `effectiveTo` must **not** be in the past
 
   You need to use [[HYPERLINK_A005]] to retrieve details of the referral in order to make this clinical decision.
 
-  ## Important notes
+  ## Important note when retrieving attachments
   
   In order to retrieve an attachment using the [[HYPERLINK_A042]] (or deprecated [[HYPERLINK_A006]]) endpoint, the attachment must be available for download. 
   The availability status of attachments associated with a referral are returned via this endpoint as a eRS-AvailabilityStatus-1 code.
   
   Further details on attachment availability status and eRS-AvailabilityStatus-1 codes can be found in the [[HYPERLINK_A005]] and [[HYPERLINK_A042]] specifications. 
 
+  ## Important notes when providing an appointment request cancellation reason
+
+  When cancelling a referral as a Service Provider Clinician:
+
+    * If the referral is in the **"Triaged - Provider to action"** state, the cancellation reason must be an **Appointment Request End Triage Reason** type.
+
+    * If the referral is **not** in that state, the cancellation reason must be a **Provider Appointment Request Cancellation Reason** or **Patient Appointment Request Cancellation Reason** type.
+
   ## Use case
   As an authenticated user
 
@@ -89,14 +151,16 @@ description: |
 
   You can test the following scenarios in our sandbox environment:
 
-  | Scenario                                                                 | Request details                   |
-  | ------------------------------------------------------------------------ | --------------------------------- |
-  | Reason for Cancellation without Comment (Comment Not Mandatory)          | Intend Private With No Comment    |
-  | Reason for Cancellation with Comment (Comment Mandatory)                 | Patient Cancellation With Comment |
-  | Cancelled Referral                                                       | Raised in Error                   |
-  | Cancelled Appointment and Referral                                       | Referrer Cancellation             |
-  | Cancelled Referral After Prior Appointment Cancellation                  | Treatment No Longer Required      |
-  | Cancelled Referral with Existing Review Outcome                          | Intend Private With Comment       |
+  | Scenario                                                                 | Request details                       |
+  | ------------------------------------------------------------------------ | ------------------------------------- |
+  | Reason for Cancellation without Comment (Comment Not Mandatory)          | Intend Private With No Comment        |
+  | Reason for Cancellation with Comment (Comment Mandatory)                 | Patient Cancellation With Comment     |
+  | Cancelled Referral                                                       | Raised in Error                       |
+  | Cancelled Appointment and Referral                                       | Referrer Cancellation                 |
+  | Cancelled Referral After Prior Appointment Cancellation                  | Treatment No Longer Required          |
+  | Cancelled Referral with Existing Review Outcome                          | Intend Private With Comment           |
+  | Cancelled Referral (Provider) without Comment (Comment Not Mandatory)    | Provider Cancellation With No Comment |
+  | Cancelled Referral with Triage Response                                  | Provider Cancellation via End Triage  |
 summary: Cancel referral (A036, FHIR STU3)
 operationId: a036-cancel-referral
 tags:
@@ -139,6 +203,14 @@ requestBody:
           summary: Cancelled Referral with Existing Review Outcome
           value:
             $ref: '../../examples/cancelReferral/requests/IntendPrivateWithComment.json'
+        cancel-referral-provider-without-comment:
+          summary: Cancelled Referral (Provider) without Comment (Comment Not Mandatory)
+          value:
+            $ref: '../../examples/cancelReferral/requests/bookedOutsideCabWithoutComment.json'
+        cancel-referral-with-triage-response:
+          summary: Cancelled Referral with Triage Response
+          value:
+            $ref: '../../examples/cancelReferral/requests/outpatientService.json'
 responses:
   '200':
     $ref: '../responses/cancelReferral/200Response.yaml'
diff --git a/specification/components/stu3/schemas/properties/AppointmentRequestCancellationReasonType.yaml b/specification/components/stu3/schemas/properties/AppointmentRequestCancellationReasonType.yaml
new file mode 100644
index 000000000..86ad3d95e
--- /dev/null
+++ b/specification/components/stu3/schemas/properties/AppointmentRequestCancellationReasonType.yaml
@@ -0,0 +1,23 @@
+title: Appointment Request Cancellation Reason Type
+description: This will only be returned when codeSystemType is REFERRAL-CANCELLATION-REASON
+type: object
+required:
+  - code
+  - uri
+  - type
+properties:
+  code:
+    type: string
+    enum:
+      - appointmentRequestCancellationReasonType
+    example: 'appointmentRequestCancellationReasonType'
+  uri:
+    type: string
+    enum:
+      - 'https://fhir.nhs.uk/STU3/CodeSystem/eRS-Concept-Properties-1#appointmentRequestCancellationReasonType'
+    example: 'https://fhir.nhs.uk/STU3/CodeSystem/eRS-Concept-Properties-1#appointmentRequestCancellationReasonType'
+  type:
+    type: string
+    enum: 
+      - Coding
+    example: 'Coding'
diff --git a/specification/components/stu3/schemas/responses/cancelReferral/200Response.yaml b/specification/components/stu3/schemas/responses/cancelReferral/200Response.yaml
index f20c32527..8ba4444da 100644
--- a/specification/components/stu3/schemas/responses/cancelReferral/200Response.yaml
+++ b/specification/components/stu3/schemas/responses/cancelReferral/200Response.yaml
@@ -35,3 +35,11 @@ content:
         summary: Cancelled Referral with Existing Review Outcome with Reason 'Patient will go to a private clinic'
         value:
           $ref: '../../../examples/cancelReferral/responses/CancelledReferralResolvedDeferralIntendPrivateWithComment.json'
+      cancelled-referral-provider-booked-outside:
+        summary: Cancelled Referral without Booking with Reason 'Patient booked outside NHS e-Referral Service' without Comment (Comment Not Mandatory)'
+        value:
+          $ref: '../../../examples/cancelReferral/responses/CancelledReferralBookedOutsideCabWithoutComment.json'
+      cancelled-referral-provider-triaged-and-sent-to-outpatient-service:
+        summary: Cancelled Referral with Triage Response with Reason 'Sent to outpatient service not available in this system' with Comment (Comment Mandatory)'
+        value:
+          $ref: '../../../examples/cancelReferral/responses/CancelledReferralOutpatientService.json'
diff --git a/specification/components/stu3/schemas/responses/cancelReferral/422Response.yaml b/specification/components/stu3/schemas/responses/cancelReferral/422Response.yaml
index 13b9aab0e..c03d70e38 100644
--- a/specification/components/stu3/schemas/responses/cancelReferral/422Response.yaml
+++ b/specification/components/stu3/schemas/responses/cancelReferral/422Response.yaml
@@ -9,6 +9,7 @@ description: |
   | PATIENT_ERROR                      | An error occurred while retrieving the requested patient. Do not attempt again.                                              |
   | NO_RELATIONSHIP                    | The user does not have a legitimate relationship with the request.                                                           |
   | UNABLE_TO_CANCEL_APPOINTMENT       | System is unable to cancel the appointment. |
+  | INAPPROPRIATE_VALUE	               | A value, which is acceptable under different conditions, is inappropriate in the context of the other information provided.  |
 headers:
   X-Correlation-ID:
     $ref: '../../headers/response/CorrelationID.yaml'
diff --git a/specification/e-referrals-service-api.yaml b/specification/e-referrals-service-api.yaml
index 8e3f03fcd..3024e2545 100644
--- a/specification/e-referrals-service-api.yaml
+++ b/specification/e-referrals-service-api.yaml
@@ -39,6 +39,7 @@ info:
       -	accept or reject a referral request
       -	retrieve Advice & Guidance (A&G) conversations and send responses
       -	convert Advice & Guidance (A&G) conversations into a referral
+      - cancel a referral
 
     **You cannot use this API to:**
 
@@ -78,7 +79,7 @@ info:
 
     | Access mode                   | Authentication via    | Functions               | Availability                    |
     | ----------------------------- | -------------------------- | ----------------------- | ------------------------------- |
-    | Application-restricted,<br/>unattended access | [[HYPERLINK_SIGNED_JWT]]   | <ul><li>[[HYPERLINK_A004]]</li><li>[[HYPERLINK_A005]]</li><li>[[HYPERLINK_A007]]</li><li>[[HYPERLINK_A008]]</li><li>[[HYPERLINK_A013]]</li><li>[[HYPERLINK_A024]]</li><li>[[HYPERLINK_A025]]</li><li>[[HYPERLINK_A028]]</li><li>[[HYPERLINK_A029]]</li><li>[[HYPERLINK_A033]]</li><li>[[HYPERLINK_A035]]</li><li>[[HYPERLINK_A037]]</li><li>[[HYPERLINK_A042]]</li><li>[[HYPERLINK_A043]]</li></ul> | [[HYPERLINK_PRODUCTION]] |
+    | Application-restricted,<br/>unattended access | [[HYPERLINK_SIGNED_JWT]]   | <ul><li>[[HYPERLINK_A004]]</li><li>[[HYPERLINK_A005]]</li><li>[[HYPERLINK_A007]]</li><li>[[HYPERLINK_A008]]</li><li>[[HYPERLINK_A013]]</li><li>[[HYPERLINK_A024]]</li><li>[[HYPERLINK_A025]]</li><li>[[HYPERLINK_A028]]</li><li>[[HYPERLINK_A029]]</li><li>[[HYPERLINK_A033]]</li><li>[[HYPERLINK_A035]]</li><li>[[HYPERLINK_A036]]</li><li>[[HYPERLINK_A037]]</li><li>[[HYPERLINK_A042]]</li><li>[[HYPERLINK_A043]]</li></ul> | [[HYPERLINK_PRODUCTION]] |
     | Healthcare worker,<br/>user-restricted access | [[HYPERLINK_CIS_AUTH_SHORT]]  | All Endpoints | [[HYPERLINK_PRODUCTION]] |
 
     ##### Application-restricted, unattended access
@@ -89,8 +90,9 @@ info:
     Write operations are currently supported for specific use cases via:
     - [[HYPERLINK_A028]]
     - [[HYPERLINK_A013]]
+    - [[HYPERLINK_A036]]
 
-    You will be required to submit your use case for review when using this endpoint via application-restricted, unattended access.
+    You will be required to submit your use case for review when using these endpoints via application-restricted, unattended access.
 
     ##### Healthcare worker, user-restricted access
 
diff --git a/tests/sandbox/stu3/test_a036_cancel_referral.py b/tests/sandbox/stu3/test_a036_cancel_referral.py
index eea2a9ab3..067522b7d 100644
--- a/tests/sandbox/stu3/test_a036_cancel_referral.py
+++ b/tests/sandbox/stu3/test_a036_cancel_referral.py
@@ -14,6 +14,8 @@ class TestCancelReferral(SandboxTest):
     allowed_business_function_data = [
         "REFERRING_CLINICIAN",
         "REFERRING_CLINICIAN_ADMIN",
+        "SERVICE_PROVIDER_CLINICIAN",
+        "SERVICE_PROVIDER_CLINICIAN_ADMIN",
     ]
 
     authorised_actor_data = Actor.all(