<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="referral-workflow-status"/>
  <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-workflow-status</b></p><a name="referral-workflow-status"> </a><a name="hcreferral-workflow-status"> </a><p>This case-sensitive code system <code>https://fhir.nwgenomics.nhs.uk/CodeSystem/referral-workflow-status</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">requested<a name="referral-workflow-status-requested"> </a></td><td>Referral requested</td><td>The Referral Initiator has sent the referral request [PCC-55].</td></tr><tr><td style="white-space:nowrap">information-requested<a name="referral-workflow-status-information-requested"> </a></td><td>More information requested</td><td>The Referral Recipient has asked for more information or a completed form before deciding (eRS return to referrer; not in 360X).</td></tr><tr><td style="white-space:nowrap">accepted<a name="referral-workflow-status-accepted"> </a></td><td>Referral accepted</td><td>The Referral Recipient has accepted the referral [PCC-55] (ORC-1 OK, ORC-5 IP).</td></tr><tr><td style="white-space:nowrap">declined<a name="referral-workflow-status-declined"> </a></td><td>Referral declined</td><td>The Referral Recipient has declined the referral, initially [PCC-55] or after acceptance [PCC-56] (ORC-1 UA, ORC-5 CA).</td></tr><tr><td style="white-space:nowrap">interim-report<a name="referral-workflow-status-interim-report"> </a></td><td>Interim consultation note sent</td><td>The Referral Recipient has sent an interim consultation note [PCC-59] (ORC-1 SC, ORC-5 A).</td></tr><tr><td style="white-space:nowrap">cancel-requested<a name="referral-workflow-status-cancel-requested"> </a></td><td>Cancellation requested</td><td>The Referral Initiator has asked for the referral to be cancelled [PCC-58] (ORC-1 CA, ORC-5 CA).</td></tr><tr><td style="white-space:nowrap">cancelled<a name="referral-workflow-status-cancelled"> </a></td><td>Referral cancelled</td><td>The Referral Recipient has confirmed the cancellation [PCC-58] (ORC-1 CR, ORC-5 CA). Ends the referral.</td></tr><tr><td style="white-space:nowrap">completed<a name="referral-workflow-status-completed"> </a></td><td>Referral completed</td><td>The Referral Recipient has sent the referral outcome [PCC-57] (ORC-1 SC, ORC-5 CM). Ends the referral.</td></tr></table></div>
  </text>
  <url value="https://fhir.nwgenomics.nhs.uk/CodeSystem/referral-workflow-status"/>
  <version value="2.2.5"/>
  <name value="ReferralWorkflowStatus"/>
  <title value="Referral Workflow Status"/>
  <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="**For future use.** Business status of a [Genetic Clinical&#xA;Referral](StructureDefinition-GeneticClinicalReferral.html) or a laboratory order&#xA;([Genomic Test Order](StructureDefinition-GenomicTestOrder.html)), from the IHE 360X state&#xA;transitions (PCC TF-1 X.4.1). Carried in `Task.businessStatus`, with the matching HL7 v2&#xA;`OSU^O51` ORC-1 / ORC-5 values - see [Referral Request [PCC-55]](PCC-55.html).&#xA;`information-requested` is not in 360X; it covers the eRS &quot;return to referrer&quot; step."/>
  <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="8"/>
  <concept>
    <code value="requested"/>
    <display value="Referral requested"/>
    <definition value="The Referral Initiator has sent the referral request [PCC-55]."/>
  </concept>
  <concept>
    <code value="information-requested"/>
    <display value="More information requested"/>
    <definition value="The Referral Recipient has asked for more information or a completed form before deciding (eRS return to referrer; not in 360X)."/>
  </concept>
  <concept>
    <code value="accepted"/>
    <display value="Referral accepted"/>
    <definition value="The Referral Recipient has accepted the referral [PCC-55] (ORC-1 OK, ORC-5 IP)."/>
  </concept>
  <concept>
    <code value="declined"/>
    <display value="Referral declined"/>
    <definition value="The Referral Recipient has declined the referral, initially [PCC-55] or after acceptance [PCC-56] (ORC-1 UA, ORC-5 CA)."/>
  </concept>
  <concept>
    <code value="interim-report"/>
    <display value="Interim consultation note sent"/>
    <definition value="The Referral Recipient has sent an interim consultation note [PCC-59] (ORC-1 SC, ORC-5 A)."/>
  </concept>
  <concept>
    <code value="cancel-requested"/>
    <display value="Cancellation requested"/>
    <definition value="The Referral Initiator has asked for the referral to be cancelled [PCC-58] (ORC-1 CA, ORC-5 CA)."/>
  </concept>
  <concept>
    <code value="cancelled"/>
    <display value="Referral cancelled"/>
    <definition value="The Referral Recipient has confirmed the cancellation [PCC-58] (ORC-1 CR, ORC-5 CA). Ends the referral."/>
  </concept>
  <concept>
    <code value="completed"/>
    <display value="Referral completed"/>
    <definition value="The Referral Recipient has sent the referral outcome [PCC-57] (ORC-1 SC, ORC-5 CM). Ends the referral."/>
  </concept>
</CodeSystem>