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

• Narrative Content
• XML
• JSON

: Referral Status Reason

Draft as of 2026-11-05

Raw xml | Download

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="referral-status-reason"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://fhir.nwgenomics.nhs.uk/CodeSystem/referral-status-reason"/>
  <version value="2.2.5"/>
  <name value="ReferralStatusReason"/>
  <title value="Referral Status Reason"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-11-05T06:40:21+00:00"/>
  <publisher value="NHS North West Genomics"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://www.nwgenomics.nhs.uk/contact-us"/>
    </telecom>
  </contact>
  <description
               value="**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."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="9"/>
  <concept>
    <code value="service-not-provided"/>
    <display value="Service not provided"/>
    <definition
                value="The requested service is not provided by the Referral Recipient."/>
  </concept>
  <concept>
    <code value="not-eligible"/>
    <display value="Patient not eligible"/>
    <definition
                value="The patient does not meet the service's referral criteria (e.g. National Genomic Test Directory eligibility)."/>
  </concept>
  <concept>
    <code value="insufficient-information"/>
    <display value="Insufficient information"/>
    <definition
                value="The referral does not contain enough information to triage (e.g. no pathology report or family history)."/>
  </concept>
  <concept>
    <code value="sample-unsuitable"/>
    <display value="Sample unsuitable"/>
    <definition
                value="The sample cannot be tested (e.g. insufficient DNA); a new sample and order are needed."/>
  </concept>
  <concept>
    <code value="patient-declined"/>
    <display value="Patient declined"/>
    <definition
                value="The patient has declined the referral or the care offered (e.g. genetic counselling)."/>
  </concept>
  <concept>
    <code value="no-show"/>
    <display value="Patient did not attend"/>
    <definition
                value="The patient did not attend, and the service has discharged them back to the referrer."/>
  </concept>
  <concept>
    <code value="no-longer-required"/>
    <display value="No longer required"/>
    <definition value="The referral is no longer needed (cancellation)."/>
  </concept>
  <concept>
    <code value="duplicate"/>
    <display value="Duplicate referral"/>
    <definition value="The referral duplicates another referral."/>
  </concept>
  <concept>
    <code value="other"/>
    <display value="Other"/>
    <definition value="Another reason, given as text."/>
  </concept>
</CodeSystem>