England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
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
Sub-order Management [LAB-35] - the Requester (the referring laboratory's LIMS) sends a sub-order to the Subcontractor (the performing laboratory's LIMS) and may cancel it. See Inter-Laboratory Workflow (ILW).
sequenceDiagram
participant RQ as Requester<br/>referring LIMS
participant SC as Subcontractor<br/>reference LIMS
RQ ->> SC: OML^O21 (ORC-1 NW, CA) / FHIR Laboratory Order (O21)
SC -->> RQ: ORL^O22 (ORC-1 OK, UA, CR) / FHIR response
OML^O21, with the same structure as LAB-1. The
differences are in who fills which field:
| Field | LAB-35 content | FHIR |
|---|---|---|
| MSH-4 / MSH-6 | Requester / Subcontractor laboratory ODS codes | MessageHeader.sender / destination.receiver |
| ORC-2 / OBR-2 | Sub-order number assigned by the Requester | ServiceRequest.identifier (PLAC) |
| ORC-8 / OBR-29 Parent | The original order: Placer Order Number^Filler Order Number at the Requester | ServiceRequest.basedOn |
| ORC-12 / OBR-16 | The original requesting clinician (not the referring laboratory) | ServiceRequest.requester |
| ORC-21 | The Requester laboratory | ServiceRequest.requester (Organization) - Open: requester or performer? |
| SPM-2 | The specimen (or aliquot) identifier the Requester labelled it with | Specimen.identifier |
| SPM-3 | The Requester's parent specimen, if this is an aliquot | Specimen.parent |
The same Laboratory Order (O21) message as LAB-1.