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

MessageDefinition: Message Definition - Referral Order Status (O51) (Experimental)

Official URL: https://fhir.nwgenomics.nhs.uk/MessageDefinition/referral-order-status Version: 2.2.5
Draft as of 2026-11-03 Computable Name: ReferralOrderStatus

For future use. FHIR Message equivalent of the IHE 360X HL7 v2.5.1 OSU^O51^OSU_O51 order status update, for a Genetic Clinical Referral or a laboratory order (Genomic Test Order). The Task carries the status (status, businessStatus, statusReason). The message contains only the MessageHeader and the Task. For an outcome [PCC-57], Task.output references the clinical document or reports externally - for a laboratory order, the genomic test reports in the NHS England Unified Genomic Record (UGR), each with its Report Identifier.

Where the referral is managed by the NHS England Genomic Order Management Service (GOMS), the Regional Integration Engine (RIE) receives a genomic-order-event-1 notification from the NHS England Multicast Notification Service (MNS), retrieves the Task from GOMS, and converts it to this message (or HL7 v2 OSU^O51) for the Referral Initiator - see Referral Request [PCC-55].

360X ORC-1 / ORC-5 Task.businessStatus
Accept [PCC-55] OK / IP accepted
Decline [PCC-55, PCC-56] UA / CA declined
Interim Consultation Note [PCC-59] SC / A interim-report
Referral Outcome [PCC-57] SC / CM completed
Cancel Request [PCC-58] CA / CA cancel-requested
Cancel Confirmation [PCC-58] CR / CA cancelled

url: MessageDefinition Referral Order Status (O51)

version: 2.2.5

name: ReferralOrderStatus

title: Referral Order Status (O51)

status: Draft

experimental: true

date: 2026-11-03

publisher: NHS North West Genomics

contact: https://www.nwgenomics.nhs.uk/contact-us

description:

For future use. FHIR Message equivalent of the IHE 360X HL7 v2.5.1 OSU^O51^OSU_O51 order status update, for a Genetic Clinical Referral or a laboratory order (Genomic Test Order). The Task carries the status (status, businessStatus, statusReason). The message contains only the MessageHeader and the Task. For an outcome [PCC-57], Task.output references the clinical document or reports externally - for a laboratory order, the genomic test reports in the NHS England Unified Genomic Record (UGR), each with its Report Identifier.

Where the referral is managed by the NHS England Genomic Order Management Service (GOMS), the Regional Integration Engine (RIE) receives a genomic-order-event-1 notification from the NHS England Multicast Notification Service (MNS), retrieves the Task from GOMS, and converts it to this message (or HL7 v2 OSU^O51) for the Referral Initiator - see Referral Request [PCC-55].

360X ORC-1 / ORC-5 Task.businessStatus
Accept [PCC-55] OK / IP accepted
Decline [PCC-55, PCC-56] UA / CA declined
Interim Consultation Note [PCC-59] SC / A interim-report
Referral Outcome [PCC-57] SC / CM completed
Cancel Request [PCC-58] CA / CA cancel-requested
Cancel Confirmation [PCC-58] CR / CA cancelled

jurisdiction: United Kingdom of Great Britain and Northern Ireland

event: event: O51 (OSU – Order Status Update)

category: Notification

Focus

-CodeProfileMinMax
*TaskTask11

responseRequired: Error/reject conditions only

AllowedResponses

-Message
*Message Definition - Acknowledgement