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: Message Definition - Referral Order Status (O51)

Draft as of 2026-11-03

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<MessageDefinition xmlns="http://hl7.org/fhir">
  <id value="referral-order-status"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
order status update, for a <a href="StructureDefinition-GeneticClinicalReferral.html">Genetic Clinical
Referral</a> or a laboratory order (<a href="StructureDefinition-GenomicTestOrder.html">Genomic
Test Order</a>). The
<a href="StructureDefinition-Task.html">Task</a> carries the status
(<code>status</code>, <code>businessStatus</code>, <code>statusReason</code>). The message contains only the
<code>MessageHeader</code> and the <code>Task</code>. For an outcome [PCC-57], <code>Task.output</code> 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.</p>
<p>Where the referral is managed by the NHS England Genomic Order Management Service (GOMS),
the Regional Integration Engine (RIE) receives a <code>genomic-order-event-1</code> notification
from the NHS England Multicast Notification Service (MNS), retrieves the <code>Task</code> from GOMS,
and converts it to this message (or HL7 v2 <code>OSU^O51</code>) for the Referral Initiator - see
<a href="PCC-55.html#status-updates-from-goms-via-mns">Referral Request [PCC-55]</a>.</p>
<table class="grid">
<thead>
<tr>
<th>360X</th>
<th>ORC-1 / ORC-5</th>
<th>Task.businessStatus</th>
</tr>
</thead>
<tbody>
<tr>
<td>Accept [PCC-55]</td>
<td>OK / IP</td>
<td>accepted</td>
</tr>
<tr>
<td>Decline [PCC-55, PCC-56]</td>
<td>UA / CA</td>
<td>declined</td>
</tr>
<tr>
<td>Interim Consultation Note [PCC-59]</td>
<td>SC / A</td>
<td>interim-report</td>
</tr>
<tr>
<td>Referral Outcome [PCC-57]</td>
<td>SC / CM</td>
<td>completed</td>
</tr>
<tr>
<td>Cancel Request [PCC-58]</td>
<td>CA / CA</td>
<td>cancel-requested</td>
</tr>
<tr>
<td>Cancel Confirmation [PCC-58]</td>
<td>CR / CA</td>
<td>cancelled</td>
</tr>
</tbody>
</table>
</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>
  </text>
  <url
       value="https://fhir.nwgenomics.nhs.uk/MessageDefinition/referral-order-status"/>
  <version value="2.2.5"/>
  <name value="ReferralOrderStatus"/>
  <title value="Referral Order Status (O51)"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-11-03"/>
  <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.** FHIR Message equivalent of the IHE 360X HL7 v2.5.1 `OSU^O51^OSU_O51`
order status update, for a [Genetic Clinical
Referral](StructureDefinition-GeneticClinicalReferral.html) or a laboratory order ([Genomic
Test Order](StructureDefinition-GenomicTestOrder.html)). The
[Task](StructureDefinition-Task.html) 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]](PCC-55.html#status-updates-from-goms-via-mns).

| 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>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <eventCoding>
    <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
    <code value="O51"/>
  </eventCoding>
  <category value="notification"/>
  <focus>
    <code value="Task"/>
    <profile value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/Task"/>
    <min value="1"/>
    <max value="1"/>
  </focus>
  <responseRequired value="on-error"/>
  <allowedResponse>
    <message
             value="https://fhir.nwgenomics.nhs.uk/MessageDefinition/acknowledgement"/>
  </allowedResponse>
</MessageDefinition>