diff --git a/packages/esm-patient-labs-app/src/config-schema.ts b/packages/esm-patient-labs-app/src/config-schema.ts
index 425a489c70..6313eee878 100644
--- a/packages/esm-patient-labs-app/src/config-schema.ts
+++ b/packages/esm-patient-labs-app/src/config-schema.ts
@@ -52,15 +52,8 @@ export const configSchema = {
       orderReasons: {
         _type: Type.Array,
         _elements: {
-          concept: {
-            _type: Type.ConceptUuid,
-            _description: 'Array of coded concepts that represent reasons for ordering a lab test',
-          },
-          label: {
-            _type: Type.String,
-            _default: null,
-            _description: 'The label for the reason for ordering concept',
-          },
+          _type: Type.ConceptUuid,
+          _description: 'Array of coded concepts that represent reasons for ordering a lab test',
         },
         _default: [],
         _description: 'Coded Lab test order reason options',
@@ -81,7 +74,7 @@ export interface LabTestReason {
 }
 export interface OrderReason {
   labTestUuid: string;
-  orderReasons: Array<LabTestReason>;
+  orderReasons: Array<string>;
 }
 export interface ConfigObject {
   concepts: Array<ObsTreeEntry>;
diff --git a/packages/esm-patient-labs-app/src/lab-orders/add-lab-order/lab-order-form.component.tsx b/packages/esm-patient-labs-app/src/lab-orders/add-lab-order/lab-order-form.component.tsx
index 29e819c66a..c63ad08d1b 100644
--- a/packages/esm-patient-labs-app/src/lab-orders/add-lab-order/lab-order-form.component.tsx
+++ b/packages/esm-patient-labs-app/src/lab-orders/add-lab-order/lab-order-form.component.tsx
@@ -1,8 +1,8 @@
-import React, { useCallback, useEffect, useState } from 'react';
+import React, { useCallback, useEffect, useMemo, useState } from 'react';
 import classNames from 'classnames';
 import { launchPatientWorkspace, promptBeforeClosing, useOrderBasket } from '@openmrs/esm-patient-common-lib';
 import { translateFrom, useLayoutType, useSession, useConfig } from '@openmrs/esm-framework';
-import { careSettingUuid, type LabOrderBasketItem, prepLabOrderPostData } from '../api';
+import { careSettingUuid, type LabOrderBasketItem, prepLabOrderPostData, useOrderReasons } from '../api';
 import {
   Button,
   ButtonSet,
@@ -73,9 +73,10 @@ export function LabOrderForm({ initialOrder, closeWorkspace }: LabOrderFormProps
     },
   });
   const config = useConfig<ConfigObject>();
-  const orderReasons =
+  const orderReasonUuids =
     (config.labTestsWithOrderReasons?.find((c) => c.labTestUuid === defaultValues?.testType?.conceptUuid) || {})
       .orderReasons || [];
+  const { orderReasons } = useOrderReasons(orderReasonUuids);
 
   const handleFormSubmission = useCallback(
     (data: LabOrderBasketItem) => {
@@ -206,10 +207,10 @@ export function LabOrderForm({ initialOrder, closeWorkspace }: LabOrderFormProps
                         id="orderReasonInput"
                         titleText={t('orderReason', 'Order reason')}
                         selectedItem={''}
-                        itemToString={(item) => item?.label}
+                        itemToString={(item) => item?.display}
                         items={orderReasons}
                         onBlur={onBlur}
-                        onChange={({ selectedItem }) => onChange(selectedItem?.concept || '')}
+                        onChange={({ selectedItem }) => onChange(selectedItem?.uuid || '')}
                       />
                     )}
                   />
diff --git a/packages/esm-patient-labs-app/src/lab-orders/api.ts b/packages/esm-patient-labs-app/src/lab-orders/api.ts
index a5ed4360e5..15550a2186 100644
--- a/packages/esm-patient-labs-app/src/lab-orders/api.ts
+++ b/packages/esm-patient-labs-app/src/lab-orders/api.ts
@@ -1,8 +1,9 @@
 import useSWR, { mutate } from 'swr';
-import { type FetchResponse, openmrsFetch, useConfig } from '@openmrs/esm-framework';
+import { type FetchResponse, openmrsFetch, useConfig, showSnackbar } from '@openmrs/esm-framework';
 import { type ConfigObject } from '../config-schema';
 import { useCallback, useMemo } from 'react';
 import { type OrderBasketItem, type OrderPost, type PatientOrderFetchResponse } from '@openmrs/esm-patient-common-lib';
+import useSWRImmutable from 'swr/immutable';
 
 export const careSettingUuid = '6f0c9a92-6f24-11e3-af88-005056821db0';
 /**
@@ -42,6 +43,47 @@ export function usePatientLabOrders(patientUuid: string, status: 'ACTIVE' | 'any
   };
 }
 
+export function useConceptAnswers(conceptUuid: string): { data: Array<ConceptAnswers>; isLoading: boolean } {
+  const shouldFetch = typeof conceptUuid === 'string' && conceptUuid !== '';
+  const { data, error, isLoading } = useSWRImmutable<FetchResponse<ConceptResponse>, Error>(
+    shouldFetch ? `/ws/rest/v1/concept/${conceptUuid}` : null,
+    openmrsFetch,
+  );
+  if (error) {
+    showSnackbar({
+      title: error.name,
+      subtitle: error.message,
+      kind: 'error',
+    });
+  }
+  return { data: data?.data?.answers, isLoading };
+}
+export function useOrderReasons(conceptUuids: Array<string>) {
+  const shouldFetch = conceptUuids && conceptUuids.length > 0;
+  const url = shouldFetch ? getConceptReferenceUrls(conceptUuids) : null;
+  const { data, error, isLoading } = useSWRImmutable<FetchResponse<ConceptResponse>, Error>(
+    shouldFetch ? `/ws/rest/v1/${url[0]}` : null,
+    openmrsFetch,
+  );
+
+  const ob = data?.data;
+  const orderReasons = ob
+    ? Object.entries(ob).map(([key, value]) => ({
+        uuid: value.uuid,
+        display: value.display,
+      }))
+    : [];
+
+  if (error) {
+    showSnackbar({
+      title: error.name,
+      subtitle: error.message,
+      kind: 'error',
+    });
+  }
+
+  return { orderReasons: orderReasons, isLoading };
+}
 export interface LabOrderBasketItem extends OrderBasketItem {
   testType?: {
     label: string;
@@ -66,9 +108,33 @@ export function prepLabOrderPostData(order: LabOrderBasketItem, patientUuid: str
     orderReason: order.orderReason,
   };
 }
+const chunkSize = 10;
+export function getConceptReferenceUrls(conceptUuids: Array<string>) {
+  const accumulator = [];
+  for (let i = 0; i < conceptUuids.length; i += chunkSize) {
+    accumulator.push(conceptUuids.slice(i, i + chunkSize));
+  }
+
+  return accumulator.map((partition) => `conceptreferences?references=${partition.join(',')}&v=custom:(uuid,display)`);
+}
 
 export type PostDataPrepLabOrderFunction = (
   order: LabOrderBasketItem,
   patientUuid: string,
   encounterUuid: string,
 ) => OrderPost;
+
+export interface ConceptAnswers {
+  display: string;
+  uuid: string;
+}
+export interface ConceptResponse {
+  uuid: string;
+  display: string;
+  datatype: {
+    uuid: string;
+    display: string;
+  };
+  answers: Array<ConceptAnswers>;
+  setMembers: Array<ConceptAnswers>;
+}