Release 4 4B

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12.14.8 12.14.9 Resource ServiceRequest - Mappings

Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Security Category : Patient Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 v2 Mapping

RIM Mapping

Quality Improvement and Clinical Knowledge (QUICK)

Mappings for the servicerequest resource (see Mappings to Other Standards for further information & status).

12.14.8.1 12.14.9.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews )

ServiceRequest
    identifier FiveWs.identifier
    status FiveWs.status
    intent FiveWs.class
    category FiveWs.class
    priority FiveWs.grade
    code FiveWs.what[x]
    subject FiveWs.subject[x]
    encounter FiveWs.context
    occurrence[x] FiveWs.planned
    authoredOn FiveWs.recorded
    requester FiveWs.author
    performerType FiveWs.actor
    performer FiveWs.actor
    locationCode FiveWs.actor
    locationReference FiveWs.actor
    reasonCode FiveWs.why[x]
    reasonReference FiveWs.why[x]

12.14.8.2 12.14.9.2 Workflow Pattern ( http://hl7.org/fhir/workflow )

ServiceRequest Request
    identifier Request.identifier
    instantiatesCanonical Request.instantiatesCanonical
    instantiatesUri Request.instantiatesUri
    basedOn Request.basedOn
    replaces Request.replaces
    requisition Request.groupIdentifier
    status Request.status
    intent Request.intent
    priority Request.priority
    doNotPerform Request.doNotPerform
    code Request.code
    subject Request.subject
    encounter Request.encounter
    occurrence[x] Request.occurrence[x]
    authoredOn Request.authoredOn
    requester Request.requester
    performerType Request.performerType
    performer Request.performer
    reasonCode Request.reasonCode
    reasonReference Request.reasonReference
    insurance Request.insurance
    supportingInfo Request.supportingInfo
    note Request.note
    relevantHistory Request.relevantHistory

12.14.8.3 12.14.9.3 HL7 v2 Mapping ( http://hl7.org/v2 )

ServiceRequest ORC
    identifier ORC.2, ORC.3, RF1-6 / RF1-11,
    instantiatesCanonical Varies by domain
    instantiatesUri Varies by domain
    basedOn ORC.8 (plus others)
    replaces Handled by message location of ORC (ORC.1=RO or RU)
    requisition ORC.4
    status ORC.5,RF1-1
    intent N/A
    category RF1-5
    priority TQ1.9, RF1-2
    doNotPerform
    code PR1-3 / OBR-4 (varies by domain)
    orderDetail NTE
    quantity[x] NTE
    subject PID
    encounter PV1
    occurrence[x] TQ1/TQ2, OBR-7/OBR-8
    asNeeded[x]
    authoredOn ORC.9, RF1-7 / RF1-9
    requester ORC.12, PRT
    performerType PRT, RF!-3
    performer PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT
    locationCode
    locationReference
    reasonCode ORC.16, RF1-10
    reasonReference ORC.16
    insurance IN1/IN2
    supportingInfo Accompanying segments
    specimen SPM
    bodySite SPM
    note NTE
    patientInstruction NTE
    relevantHistory N/A

12.14.8.4 12.14.9.4 RIM Mapping ( http://hl7.org/v3 )

ServiceRequest Act[moodCode<=INT]
    identifier .identifier
    instantiatesCanonical .outboundRelationship[typeCode=DEFN].target
    instantiatesUri .outboundRelationship[typeCode=DEFN].target
    basedOn .outboundRelationship[typeCode=FLFS].target
    replaces .outboundRelationship[typeCode=RPLC].target
    requisition .inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
    status .status
    intent .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
    category .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
    priority .priorityCode
    doNotPerform .actionNegationInd
    code .code
    orderDetail .code
    quantity[x] .quantity
    subject .participation[typeCode=SBJ].role
    encounter .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
    occurrence[x] .effectiveTime
    asNeeded[x] boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value
    authoredOn .participation[typeCode=AUT].time
    requester .participation[typeCode=AUT].role
    performerType .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
    performer .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
    locationCode .participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
    locationReference .participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]
    reasonCode .reasonCode
    reasonReference .outboundRelationship[typeCode=RSON].target
    insurance .outboundRelationship[typeCode=COVBY].target
    supportingInfo .outboundRelationship[typeCode=PERT].target
    specimen .participation[typeCode=SPC].role
    bodySite targetSiteCode
    note .inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]
    patientInstruction .text
    relevantHistory .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

12.14.8.5 12.14.9.5 Quality Improvement and Clinical Knowledge (QUICK) ( http://siframework.org/cqf )

ServiceRequest
    identifier ClinicalStatement.identifier
    instantiatesCanonical
    instantiatesUri
    basedOn
    replaces
    requisition
    status Action.currentStatus
    intent
    category
    priority
    doNotPerform
    code Procedure.procedureCode
    orderDetail Procedure.procedureCode
    quantity[x]
    subject ClinicalStatement.subject
    encounter ClinicalStatement.encounter
    occurrence[x] Procedure.procedureSchedule
    asNeeded[x] Proposal.prnReason.reason
    authoredOn Proposal.proposedAtTime
    requester ClinicalStatement.statementAuthor
    performerType
    performer
    locationCode
    locationReference
    reasonCode
    reasonReference
    insurance
    supportingInfo
    specimen
    bodySite Procedure.targetBodySite
    note ClinicalStatement.additionalText
    patientInstruction
    relevantHistory