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 2026-11-03 |
{
"resourceType" : "MessageDefinition",
"id" : "referral-order-status",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MessageDefinition referral-order-status</b></p><a name=\"referral-order-status\"> </a><a name=\"hcreferral-order-status\"> </a><p><b>url</b>: <a href=\"MessageDefinition-referral-order-status.html\">MessageDefinition Referral Order Status (O51)</a></p><p><b>version</b>: 2.2.5</p><p><b>name</b>: ReferralOrderStatus</p><p><b>title</b>: Referral Order Status (O51)</p><p><b>status</b>: Draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2026-11-03</p><p><b>publisher</b>: NHS North West Genomics</p><p><b>contact</b>: <a href=\"https://www.nwgenomics.nhs.uk/contact-us\">https://www.nwgenomics.nhs.uk/contact-us</a></p><p><b>description</b>: </p><div><p><strong>For future use.</strong> FHIR Message equivalent of the IHE 360X HL7 v2.5.1 <code>OSU^O51^OSU_O51</code>\norder status update, for a <a href=\"StructureDefinition-GeneticClinicalReferral.html\">Genetic Clinical\nReferral</a> or a laboratory order (<a href=\"StructureDefinition-GenomicTestOrder.html\">Genomic\nTest Order</a>). The\n<a href=\"StructureDefinition-Task.html\">Task</a> carries the status\n(<code>status</code>, <code>businessStatus</code>, <code>statusReason</code>). The message contains only the\n<code>MessageHeader</code> and the <code>Task</code>. For an outcome [PCC-57], <code>Task.output</code> references the\nclinical document or reports externally - for a laboratory order, the genomic test reports\nin the NHS England Unified Genomic Record (UGR), each with its Report Identifier.</p>\n<p>Where the referral is managed by the NHS England Genomic Order Management Service (GOMS),\nthe Regional Integration Engine (RIE) receives a <code>genomic-order-event-1</code> notification\nfrom the NHS England Multicast Notification Service (MNS), retrieves the <code>Task</code> from GOMS,\nand converts it to this message (or HL7 v2 <code>OSU^O51</code>) for the Referral Initiator - see\n<a href=\"PCC-55.html#status-updates-from-goms-via-mns\">Referral Request [PCC-55]</a>.</p>\n<table class=\"grid\">\n<thead>\n<tr>\n<th>360X</th>\n<th>ORC-1 / ORC-5</th>\n<th>Task.businessStatus</th>\n</tr>\n</thead>\n<tbody>\n<tr>\n<td>Accept [PCC-55]</td>\n<td>OK / IP</td>\n<td>accepted</td>\n</tr>\n<tr>\n<td>Decline [PCC-55, PCC-56]</td>\n<td>UA / CA</td>\n<td>declined</td>\n</tr>\n<tr>\n<td>Interim Consultation Note [PCC-59]</td>\n<td>SC / A</td>\n<td>interim-report</td>\n</tr>\n<tr>\n<td>Referral Outcome [PCC-57]</td>\n<td>SC / CM</td>\n<td>completed</td>\n</tr>\n<tr>\n<td>Cancel Request [PCC-58]</td>\n<td>CA / CA</td>\n<td>cancel-requested</td>\n</tr>\n<tr>\n<td>Cancel Confirmation [PCC-58]</td>\n<td>CR / CA</td>\n<td>cancelled</td>\n</tr>\n</tbody>\n</table>\n</div><p><b>jurisdiction</b>: <span title=\"Codes:{urn:iso:std:iso:3166 GB}\">United Kingdom of Great Britain and Northern Ireland</span></p><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-O51\">event: O51</a> (OSU – Order Status Update)</p><p><b>category</b>: Notification</p><h3>Focus</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Profile</b></td><td><b>Min</b></td><td><b>Max</b></td></tr><tr><td style=\"display: none\">*</td><td>Task</td><td><a href=\"StructureDefinition-Task.html\">Task</a></td><td>1</td><td>1</td></tr></table><p><b>responseRequired</b>: Error/reject conditions only</p><h3>AllowedResponses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Message</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"MessageDefinition-acknowledgement.html\">Message Definition - Acknowledgement</a></td></tr></table></div>"
},
"url" : "https://fhir.nwgenomics.nhs.uk/MessageDefinition/referral-order-status",
"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" : [
{
"telecom" : [
{
"system" : "url",
"value" : "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`\norder status update, for a [Genetic Clinical\nReferral](StructureDefinition-GeneticClinicalReferral.html) or a laboratory order ([Genomic\nTest Order](StructureDefinition-GenomicTestOrder.html)). The\n[Task](StructureDefinition-Task.html) carries the status\n(`status`, `businessStatus`, `statusReason`). The message contains only the\n`MessageHeader` and the `Task`. For an outcome [PCC-57], `Task.output` references the\nclinical document or reports externally - for a laboratory order, the genomic test reports\nin the NHS England Unified Genomic Record (UGR), each with its Report Identifier.\n\nWhere the referral is managed by the NHS England Genomic Order Management Service (GOMS),\nthe Regional Integration Engine (RIE) receives a `genomic-order-event-1` notification\nfrom the NHS England Multicast Notification Service (MNS), retrieves the `Task` from GOMS,\nand converts it to this message (or HL7 v2 `OSU^O51`) for the Referral Initiator - see\n[Referral Request [PCC-55]](PCC-55.html#status-updates-from-goms-via-mns).\n\n| 360X | ORC-1 / ORC-5 | Task.businessStatus |\n|---|---|---|\n| Accept [PCC-55] | OK / IP | accepted |\n| Decline [PCC-55, PCC-56] | UA / CA | declined |\n| Interim Consultation Note [PCC-59] | SC / A | interim-report |\n| Referral Outcome [PCC-57] | SC / CM | completed |\n| Cancel Request [PCC-58] | CA / CA | cancel-requested |\n| Cancel Confirmation [PCC-58] | CR / CA | cancelled |",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "O51"
},
"category" : "notification",
"focus" : [
{
"code" : "Task",
"profile" : "https://fhir.nwgenomics.nhs.uk/StructureDefinition/Task",
"min" : 1,
"max" : "1"
}
],
"responseRequired" : "on-error",
"allowedResponse" : [
{
"message" : "https://fhir.nwgenomics.nhs.uk/MessageDefinition/acknowledgement"
}
]
}