NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics
2.2.5 - ci-build
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
| Draft as of 2026-11-05 |
{
"resourceType" : "CodeSystem",
"id" : "referral-status-reason",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem referral-status-reason</b></p><a name=\"referral-status-reason\"> </a><a name=\"hcreferral-status-reason\"> </a><p>This case-sensitive code system <code>https://fhir.nwgenomics.nhs.uk/CodeSystem/referral-status-reason</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">service-not-provided<a name=\"referral-status-reason-service-not-provided\"> </a></td><td>Service not provided</td><td>The requested service is not provided by the Referral Recipient.</td></tr><tr><td style=\"white-space:nowrap\">not-eligible<a name=\"referral-status-reason-not-eligible\"> </a></td><td>Patient not eligible</td><td>The patient does not meet the service's referral criteria (e.g. National Genomic Test Directory eligibility).</td></tr><tr><td style=\"white-space:nowrap\">insufficient-information<a name=\"referral-status-reason-insufficient-information\"> </a></td><td>Insufficient information</td><td>The referral does not contain enough information to triage (e.g. no pathology report or family history).</td></tr><tr><td style=\"white-space:nowrap\">sample-unsuitable<a name=\"referral-status-reason-sample-unsuitable\"> </a></td><td>Sample unsuitable</td><td>The sample cannot be tested (e.g. insufficient DNA); a new sample and order are needed.</td></tr><tr><td style=\"white-space:nowrap\">patient-declined<a name=\"referral-status-reason-patient-declined\"> </a></td><td>Patient declined</td><td>The patient has declined the referral or the care offered (e.g. genetic counselling).</td></tr><tr><td style=\"white-space:nowrap\">no-show<a name=\"referral-status-reason-no-show\"> </a></td><td>Patient did not attend</td><td>The patient did not attend, and the service has discharged them back to the referrer.</td></tr><tr><td style=\"white-space:nowrap\">no-longer-required<a name=\"referral-status-reason-no-longer-required\"> </a></td><td>No longer required</td><td>The referral is no longer needed (cancellation).</td></tr><tr><td style=\"white-space:nowrap\">duplicate<a name=\"referral-status-reason-duplicate\"> </a></td><td>Duplicate referral</td><td>The referral duplicates another referral.</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"referral-status-reason-other\"> </a></td><td>Other</td><td>Another reason, given as text.</td></tr></table></div>"
},
"url" : "https://fhir.nwgenomics.nhs.uk/CodeSystem/referral-status-reason",
"version" : "2.2.5",
"name" : "ReferralStatusReason",
"title" : "Referral Status Reason",
"status" : "draft",
"experimental" : true,
"date" : "2026-11-05T06:40:21+00:00",
"publisher" : "NHS North West Genomics",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.nwgenomics.nhs.uk/contact-us"
}
]
}
],
"description" : "**Example only, for future use.** Reasons a referral or laboratory order is declined [PCC-55, PCC-56] or\ncancelled [PCC-58] (HL7 v2 ORC-16). 360X only requires free text (ORC-16.2). NHS England\neRS, BaRS and the Genomic Order Management Service may have their own reasons - **To\nconfirm** whether one of those should replace this list.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"caseSensitive" : true,
"content" : "complete",
"count" : 9,
"concept" : [
{
"code" : "service-not-provided",
"display" : "Service not provided",
"definition" : "The requested service is not provided by the Referral Recipient."
},
{
"code" : "not-eligible",
"display" : "Patient not eligible",
"definition" : "The patient does not meet the service's referral criteria (e.g. National Genomic Test Directory eligibility)."
},
{
"code" : "insufficient-information",
"display" : "Insufficient information",
"definition" : "The referral does not contain enough information to triage (e.g. no pathology report or family history)."
},
{
"code" : "sample-unsuitable",
"display" : "Sample unsuitable",
"definition" : "The sample cannot be tested (e.g. insufficient DNA); a new sample and order are needed."
},
{
"code" : "patient-declined",
"display" : "Patient declined",
"definition" : "The patient has declined the referral or the care offered (e.g. genetic counselling)."
},
{
"code" : "no-show",
"display" : "Patient did not attend",
"definition" : "The patient did not attend, and the service has discharged them back to the referrer."
},
{
"code" : "no-longer-required",
"display" : "No longer required",
"definition" : "The referral is no longer needed (cancellation)."
},
{
"code" : "duplicate",
"display" : "Duplicate referral",
"definition" : "The referral duplicates another referral."
},
{
"code" : "other",
"display" : "Other",
"definition" : "Another reason, given as text."
}
]
}