The on-call referral network

When a patient needs a specialist, minutes matter.

ORRCA connects referring physicians to the right on-call specialist in seconds — emergency call bridging, non-emergent consult routing, and on-call schedules in one Canadian-hosted platform built with practicing physicians.

Bring ORRCA to your group
How it works

Two doors. One network.

Every referral starts with one question: is this an emergency? ORRCA keeps the two pathways unmistakably separate, so urgent care is never slowed by routine workflow — and routine consults never trip an emergency response.

🚨 Emergency referrals

An emergency referral rings the on-call specialist immediately — app, cell, and landline in escalating order, with automatic retries and a guaranteed callback promise if the first attempt can't connect. The referring physician never has to find a number.

🩺 Non-emergent consults

Routine referrals route to your trusted specialist network — or, when you need broader reach, to a pool of participating specialists who have opted in, with availability they control.

📞 Built-in calling

Physician-to-physician calls happen inside ORRCA — no personal cell numbers exchanged, every consult anchored to the patient record.

📆 On-call coordination

Group call schedules, shift swaps, locum coverage, and fair-share analytics — the schedule your referral routing actually runs on.

⏱️ Arrival commitments

Specialists commit an ETA in one tap; referring teams see it live, and the system follows up automatically so nobody is left waiting blind.

🔗 Standards-ready

FHIR R4 interfaces and SNOMED CT CA coding, aligned with pan-Canadian interoperability standards from day one.

Security & privacy

Built for Canadian healthcare custody.

ORRCA is designed around provincial PHI custody from the ground up — not retrofitted onto a generic cloud product.

Data stays in CanadaAll patient data is stored and processed in Canadian regions. Voice paths are region-pinned.
Provincial instancesEach province runs its own instance with its own custody boundary — a BC session never silently becomes an Alberta one.
Multi-factor authentication by defaultEvery clinician account is MFA-protected, with verified-license onboarding.
PHI-minimized notificationsPages and pushes carry no patient identifiers — clinical detail lives only inside the authenticated app.
Complete audit trailEvery access to patient information is logged — referral, message, call, and view.
Privacy-led developmentPrivacy impact and threat-risk assessed, with a designated privacy officer.
Coverage

Launching in British Columbia. Built for the country.

ORRCA is in pilot with surgical and specialist groups in British Columbia. Each province launches as its own instance — same product, provincial custody.

British Columbia — in pilotAlberta — plannedSaskatchewan — plannedManitoba — plannedOntario — plannedQuebec — planned

Bring ORRCA to your group.

We work directly with physician groups, clinics, and health authorities to stand up referral coordination that clinicians actually use. Tell us about your group and we'll reach out.

Contact us