England Pathology and Laboratory Medicine (PaLM) Technical Framework
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England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Filler Order Management [LAB-2]

Filler Order Management [LAB-2] - the Order Filler (LIMS) tells the Order Placer about orders it has created or changed: a new order entered from a paper request form (so the Order Placer can assign a Placer Order Number), a status change (specimen received, in progress) or a cancellation by the laboratory.

References

Interaction

sequenceDiagram
    participant OF as Order Filler<br/>LIMS
    participant OP as Order Placer<br/>EPR / order comms
    OF ->> OP: OML^O21 (ORC-1 SN new, SC status changed, OC cancelled) / FHIR Laboratory Order (O21)
    OP -->> OF: ORL^O22 (ORC-1 NA number assigned, OK) / FHIR response

HL7 v2.5.1 Message

The message structure is the same as LAB-1; ORC-1 and ORC-5 carry the change:

ORC-1 ORC-5 Meaning ServiceRequest.status
SN - New order created by the laboratory - please assign a Placer Order Number active
SC IP Specimen received / in process active
SC CM Order complete (results sent in LAB-3) completed
OC CA Order cancelled by the laboratory (for example specimen unsuitable) revoked

The reason for a laboratory cancellation SHOULD be sent in ORC-16 Order Control Code Reason (FHIR: the Laboratory Order note, or a statusReason extension - Open).

FHIR Message

The same Laboratory Order (O21) message as LAB-1, sent by the Order Filler. Because the Order Filler is the sender, the Laboratory Order always has a fillerOrderNumber identifier.