NHS North West Genomics
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NHS North West Genomics - Local Development build (v2.2.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

CodeSystem: Referral Status Reason (Experimental)

Official URL: https://fhir.nwgenomics.nhs.uk/CodeSystem/referral-status-reason Version: 2.2.5
Draft as of 2026-11-05 Computable Name: ReferralStatusReason

Example only, for future use. Reasons a referral or laboratory order is declined [PCC-55, PCC-56] or cancelled [PCC-58] (HL7 v2 ORC-16). 360X only requires free text (ORC-16.2). NHS England eRS, BaRS and the Genomic Order Management Service may have their own reasons - To confirm whether one of those should replace this list.

This Code system is referenced in the definition of the following value sets:

This case-sensitive code system https://fhir.nwgenomics.nhs.uk/CodeSystem/referral-status-reason defines the following codes:

CodeDisplayDefinition
service-not-provided Service not provided The requested service is not provided by the Referral Recipient.
not-eligible Patient not eligible The patient does not meet the service's referral criteria (e.g. National Genomic Test Directory eligibility).
insufficient-information Insufficient information The referral does not contain enough information to triage (e.g. no pathology report or family history).
sample-unsuitable Sample unsuitable The sample cannot be tested (e.g. insufficient DNA); a new sample and order are needed.
patient-declined Patient declined The patient has declined the referral or the care offered (e.g. genetic counselling).
no-show Patient did not attend The patient did not attend, and the service has discharged them back to the referrer.
no-longer-required No longer required The referral is no longer needed (cancellation).
duplicate Duplicate referral The referral duplicates another referral.
other Other Another reason, given as text.

Description of the above table(s).