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

MessageDefinition: Message Definition - Laboratory Order (O21) (Experimental)

Official URL: https://examplesihe.org.uk/MessageDefinition/laboratory-order Version: 0.1.0
Draft as of 2026-11-04 Computable Name: LaboratoryOrder

FHIR Message equivalent of the HL7 v2.5.1 OML^O21^OML_O21 message, sent by the Order Placer (EPR, GP system, order comms) to the Order Filler (LIMS) for Placer Order Management [LAB-1], by the Order Filler to the Order Placer for Filler Order Management [LAB-2], and by a Requester (referring laboratory) to a Subcontractor (reference laboratory) for Sub-order Management [LAB-35].

Each ORC/OBR pair becomes a Laboratory Order, PID a Patient and SPM a Specimen. See Mapping HL7 v2 and FHIR.

The HL7 v2 acknowledgement ORL^O22 (or ACK^O21) is a FHIR response message (MessageHeader.response).

url: MessageDefinition Laboratory Order (O21)

version: 0.1.0

name: LaboratoryOrder

title: Laboratory Order (O21)

status: Draft

experimental: true

date: 2026-11-04

publisher: Kevin Mayfield

contact: https://github.com/KevinMayfield/PathologyAndLaboratory

description:

FHIR Message equivalent of the HL7 v2.5.1 OML^O21^OML_O21 message, sent by the Order Placer (EPR, GP system, order comms) to the Order Filler (LIMS) for Placer Order Management [LAB-1], by the Order Filler to the Order Placer for Filler Order Management [LAB-2], and by a Requester (referring laboratory) to a Subcontractor (reference laboratory) for Sub-order Management [LAB-35].

Each ORC/OBR pair becomes a Laboratory Order, PID a Patient and SPM a Specimen. See Mapping HL7 v2 and FHIR.

The HL7 v2 acknowledgement ORL^O22 (or ACK^O21) is a FHIR response message (MessageHeader.response).

jurisdiction: United Kingdom of Great Britain and Northern Ireland

event: event: O21 (OML - Laboratory order)

category: Consequence

Focus

-CodeProfileMinMax
*ServiceRequestLaboratory Order1*

responseRequired: Always