QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)

This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

D.4.1.4 StructureDefinition: qicore-procedurerequest - Mappings

Mappings for the StructureDefinition-qicore-procedurerequest Profile.

Mappings for Quality Data Model (http://www.healthit.gov/quality-data-model)

QICore-ProcedureRequest
ProcedureRequest(“Assessment, Order”, “Procedure, Order”, “Laboratory Test, Order”, “Diagnostic Study, Order”, “Physical Exam, Order”) (when ProcedureRequest.intent=order) (“Assessment, Recommended”, “Procedure, Recommended”, “Laboratory Test, Recommended”, “Diagnostic Study, Recommended”, “Physical Exam, Recommended”) (when ProcedureRequest.intent=plan) Note – QDM includes the attribute “ordinality” in “Procedure, Order” and “Procedure, Recommended”. FHIR does not address ordinality with respect to procedure requests.
   extension (reasonRefused)negationRationale (when procedureRequest.status="refused")
   extension (approachBodySite)anatomical approach site
   statusnegationRationale (when ProcedureRequest.status="refused")
   codecode
   authoredOnAuthor Datetime
   requestersource
   reasonCodereason
   bodySiteanatomicalLocation

Mappings for Quality Improvement Domain Analysis Model (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378)

QICore-ProcedureRequest
ProcedureRequest
   extension (approachBodySite)Not in QIDAM, but should have been included because the procedure request might include a requested approach, for example, to distinguish between urethral and supra-pubic urinary catheterization.
   extension (appropriatenessScore)Not in QIDAM, but added because of a persuasive ballot comment (May 2015).

Mappings for Workflow Mapping (http://hl7.org/fhir/workflow)

QICore-ProcedureRequest
ProcedureRequestRequest
   identifierRequest.identifier
   definitionRequest.definition
   basedOnRequest.basedOn
   replacesRequest.replaces
   statusRequest.status
   intentRequest.intent
   priorityRequest.priority
   codeRequest.code
   subjectRequest.subject
   contextRequest.context
   occurrence[x]Request.occurrence[x]
   authoredOnRequest.authoredOn
   requesterRequest.requester
      agentRequest.requester.agent
      onBehalfOfRequest.requester.onBehalfOf
   performerTypeRequest.performerType
   performerRequest.Performer
   reasonCodeRequest.reasonCod
   reasonReferenceRequest.reasonReference
   supportingInfoRequest.supportingInformation
   noteRequest.note
   relevantHistoryRequest.relevantHistory

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

QICore-ProcedureRequest
ProcedureRequestORC
   identifierORC.2, ORC.3
   definitionVaries by domain
   basedOnORC.8 (plus others)
   replacesHandled by message location of ORC (ORC.1=RO or RU)
   requisitionORC.4
   statusORC.5
   intentN/A
   priorityTQ1.9
   codeVaries by domain
   subjectAccompanying PID segment
   contextAccompanying PV1
   occurrence[x]Accompanying TQ1/TQ2 segments
   authoredOnORC.9
   requesterORC.12
      agentORC.12
      onBehalfOfN/A
   performerTypePRT
   performerPRT
   reasonCodeORC.16
   reasonReferenceORC.16
   supportingInfoAccompanying segments
   specimenSPM
   bodySiteSPM
   noteNTE
   relevantHistoryN/A

Mappings for RIM Mapping (http://hl7.org/v3)

QICore-ProcedureRequest
ProcedureRequestEntity. Role, or Act
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifier.identifier
   definition.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)
   priority.priorityCode
   doNotPerform.actionNegationInd
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
   code.code
   subject.participation[typeCode=SBJ].role
   context.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
      idn/a
      extensionn/a
      modifierExtensionN/A
      agent.player
      onBehalfOf.scoper
   performerType.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
   performer.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
   reasonCode.reasonCode
   reasonReference.outboundRelationship[typeCode=RSON].target
   supportingInfo.outboundRelationship[typeCode=PERT].target
   specimen.participation[typeCode=SPC].role
   bodySitetargetSiteCode
   note.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]
   relevantHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

QICore-ProcedureRequest
ProcedureRequestclinical.general
   identifierid
   statusstatus
   intentclass
   priorityclass
   categoryclass
   codewhat
   subjectwho.focus
   contextcontext
   occurrence[x]when.planned
   authoredOnwhen.recorded
   requester
      agentwho.author
   performerTypewho.actor
   performerwho.actor
   reasonCodewhy
   reasonReferencewhy

Mappings for Quality Improvement and Clinical Knowledge (QUICK) (http://wiki.siframework.org/CQF)

QICore-ProcedureRequest
ProcedureRequest
   identifierClinicalStatement.identifier
   statusAction.currentStatus
   codeProcedure.procedureCode
   subjectClinicalStatement.subject
   contextClinicalStatement.encounter
   occurrence[x]Procedure.procedureSchedule
   asNeeded[x]Proposal.prnReason.reason
   authoredOnProposal.proposedAtTime
   requesterClinicalStatement.statementAuthor
      agentClinicalStatement.statementAuthor
   bodySiteProcedure.targetBodySite
   noteClinicalStatement.additionalText