Extensions for Using Data Elements from FHIR R4B in FHIR STU3
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - Downloaded Version null See the Directory of published versions

ConceptMap: R4BServiceRequestElementMapToR3

Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R4B-ServiceRequest-element-map-to-R3 Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R4BServiceRequestElementMapToR3

This ConceptMap represents cross-version mappings for elements from a FHIR R4B ServiceRequest to FHIR STU3.

Mapping from http://hl7.org/fhir/4.3 to http://hl7.org/fhir/3.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to http://hl7.org/fhir/StructureDefinition/ProcedureRequest|3.0.2

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0Codes from http://hl7.org/fhir/StructureDefinition/ProcedureRequest|3.0.2
ServiceRequest.metametais related toProcedureRequest.metaProcedureRequest.metaElement `ServiceRequest.meta` is mapped to FHIR STU3 element `ProcedureRequest.meta` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.meta` is mapped to FHIR STU3 element `ReferralRequest.meta` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.meta` do not cover the following types: Meta. The mappings for `ServiceRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.
ServiceRequest.implicitRulesimplicitRulesis equivalent toProcedureRequest.implicitRulesProcedureRequest.implicitRulesElement `ServiceRequest.implicitRules` is mapped to FHIR STU3 element `ProcedureRequest.implicitRules` as `Equivalent`. Element `ServiceRequest.implicitRules` is mapped to FHIR STU3 element `ReferralRequest.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
ServiceRequest.languagelanguageis equivalent toProcedureRequest.languageProcedureRequest.languageElement `ServiceRequest.language` is mapped to FHIR STU3 element `ProcedureRequest.language` as `Equivalent`. Element `ServiceRequest.language` is mapped to FHIR STU3 element `ReferralRequest.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
ServiceRequest.texttextis related toProcedureRequest.textProcedureRequest.textElement `ServiceRequest.text` is mapped to FHIR STU3 element `ProcedureRequest.text` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.text` is mapped to FHIR STU3 element `ReferralRequest.text` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.text` do not cover the following types: Narrative. The mappings for `ServiceRequest.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
ServiceRequest.containedcontainedis related toProcedureRequest.containedProcedureRequest.containedElement `ServiceRequest.contained` is mapped to FHIR STU3 element `ProcedureRequest.contained` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.contained` is mapped to FHIR STU3 element `ReferralRequest.contained` as `SourceIsBroaderThanTarget`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
ServiceRequest.identifieridentifieris related toProcedureRequest.identifierProcedureRequest.identifierElement `ServiceRequest.identifier` is mapped to FHIR STU3 element `ProcedureRequest.identifier` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.identifier` is mapped to FHIR STU3 element `ReferralRequest.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.identifier` do not cover the following types: Identifier. The mappings for `ServiceRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
ServiceRequest.instantiatesCanonicalinstantiatesCanonicalis related toProcedureRequest.definitionProcedureRequest.definitionElement `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ProcedureRequest.definition` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ReferralRequest.definition` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types: canonical. The mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types based on type expansion: value. Note: This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
ServiceRequest.basedOnbasedOnis related toProcedureRequest.basedOnProcedureRequest.basedOnElement `ServiceRequest.basedOn` is mapped to FHIR STU3 element `ProcedureRequest.basedOn` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.basedOn` is mapped to FHIR STU3 element `ReferralRequest.basedOn` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.basedOn` with unmapped reference targets: CarePlan, MedicationRequest, ServiceRequest.
ServiceRequest.replacesreplacesis related toProcedureRequest.replacesProcedureRequest.replacesElement `ServiceRequest.replaces` is mapped to FHIR STU3 element `ProcedureRequest.replaces` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.replaces` is mapped to FHIR STU3 element `ReferralRequest.replaces` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.replaces` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.replaces` with unmapped reference targets: ServiceRequest.
ServiceRequest.requisitionrequisitionis related toProcedureRequest.requisitionProcedureRequest.requisitionElement `ServiceRequest.requisition` is mapped to FHIR STU3 element `ProcedureRequest.requisition` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.requisition` is mapped to FHIR STU3 element `ReferralRequest.groupIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.requisition` do not cover the following types: Identifier. The mappings for `ServiceRequest.requisition` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
ServiceRequest.statusstatusis equivalent toProcedureRequest.statusProcedureRequest.statusElement `ServiceRequest.status` is mapped to FHIR STU3 element `ProcedureRequest.status` as `Equivalent`. Element `ServiceRequest.status` is mapped to FHIR STU3 element `ReferralRequest.status` as `Equivalent`. The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](https://hl7.org/fhir/event.html) for general discussion) or using the [Task](https://hl7.org/fhir/task.html) resource.
ServiceRequest.intentintentis related toProcedureRequest.intentProcedureRequest.intentElement `ServiceRequest.intent` is mapped to FHIR STU3 element `ProcedureRequest.intent` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.intent` is mapped to FHIR STU3 element `ReferralRequest.intent` as `SourceIsBroaderThanTarget`. The target context `ProcedureRequest.intent` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
ServiceRequest.categorycategoryis equivalent toProcedureRequest.categoryProcedureRequest.categoryElement `ServiceRequest.category` is mapped to FHIR STU3 element `ProcedureRequest.category` as `Equivalent`. Element `ServiceRequest.category` is mapped to FHIR STU3 element `ReferralRequest.type` as `SourceIsBroaderThanTarget`. There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.
ServiceRequest.prioritypriorityis equivalent toProcedureRequest.priorityProcedureRequest.priorityElement `ServiceRequest.priority` is mapped to FHIR STU3 element `ProcedureRequest.priority` as `Equivalent`. Element `ServiceRequest.priority` is mapped to FHIR STU3 element `ReferralRequest.priority` as `Equivalent`.
ServiceRequest.doNotPerformdoNotPerformis equivalent toProcedureRequest.doNotPerformProcedureRequest.doNotPerformElement `ServiceRequest.doNotPerform` is mapped to FHIR STU3 element `ProcedureRequest.doNotPerform` as `Equivalent`. In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition. If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.
ServiceRequest.codecodeis equivalent toProcedureRequest.codeProcedureRequest.codeElement `ServiceRequest.code` is mapped to FHIR STU3 element `ProcedureRequest.code` as `Equivalent`. Element `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.type` as `Equivalent`. Element `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.serviceRequested` as `SourceIsNarrowerThanTarget`. Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.
ServiceRequest.subjectsubjectis related toProcedureRequest.subjectProcedureRequest.subjectElement `ServiceRequest.subject` is mapped to FHIR STU3 element `ProcedureRequest.subject` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.subject` is mapped to FHIR STU3 element `ReferralRequest.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.subject` with unmapped reference targets: Device, Group, Location, Patient.
ServiceRequest.encounterencounteris related toProcedureRequest.contextProcedureRequest.contextElement `ServiceRequest.encounter` is mapped to FHIR STU3 element `ProcedureRequest.context` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.encounter` is mapped to FHIR STU3 element `ReferralRequest.context` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.encounter` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.encounter` with unmapped reference targets: Encounter.
ServiceRequest.occurrence[x]occurrence[x]is related toProcedureRequest.occurrence[x]ProcedureRequest.occurrence[x]Element `ServiceRequest.occurrence[x]` is mapped to FHIR STU3 element `ProcedureRequest.occurrence[x]` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.occurrence[x]` is mapped to FHIR STU3 element `ReferralRequest.occurrence[x]` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.occurrence[x]` do not cover the following types: Period, Timing. The target context `ProcedureRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ProcedureRequest`. The target context `ReferralRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ReferralRequest`.
ServiceRequest.asNeeded[x]asNeeded[x]is equivalent toProcedureRequest.asNeeded[x]ProcedureRequest.asNeeded[x]Element `ServiceRequest.asNeeded[x]` is mapped to FHIR STU3 element `ProcedureRequest.asNeeded[x]` as `Equivalent`. The target context `ProcedureRequest.asNeeded[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ProcedureRequest`.
ServiceRequest.authoredOnauthoredOnis equivalent toProcedureRequest.authoredOnProcedureRequest.authoredOnElement `ServiceRequest.authoredOn` is mapped to FHIR STU3 element `ProcedureRequest.authoredOn` as `Equivalent`. Element `ServiceRequest.authoredOn` is mapped to FHIR STU3 element `ReferralRequest.authoredOn` as `Equivalent`.
ServiceRequest.requesterrequesteris equivalent toProcedureRequest.requesterProcedureRequest.requesterElement `ServiceRequest.requester` is mapped to FHIR STU3 element `ProcedureRequest.requester` as `Equivalent`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ProcedureRequest.requester.agent` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ReferralRequest.requester` as `Equivalent`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ReferralRequest.requester.agent` as `SourceIsBroaderThanTarget`. This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.
is related toProcedureRequest.requester.agentProcedureRequest.requester.agentElement `ServiceRequest.requester` is mapped to FHIR STU3 element `ProcedureRequest.requester` as `Equivalent`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ProcedureRequest.requester.agent` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ReferralRequest.requester` as `Equivalent`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ReferralRequest.requester.agent` as `SourceIsBroaderThanTarget`. This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.
ServiceRequest.performerTypeperformerTypeis equivalent toProcedureRequest.performerTypeProcedureRequest.performerTypeElement `ServiceRequest.performerType` is mapped to FHIR STU3 element `ProcedureRequest.performerType` as `Equivalent`. Element `ServiceRequest.performerType` is mapped to FHIR STU3 element `ReferralRequest.specialty` as `Equivalent`. This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”.
ServiceRequest.performerperformeris related toProcedureRequest.performerProcedureRequest.performerElement `ServiceRequest.performer` is mapped to FHIR STU3 element `ProcedureRequest.performer` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.performer` is mapped to FHIR STU3 element `ReferralRequest.recipient` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.performer` with unmapped reference targets: CareTeam, Device, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. If order of preference is needed use the [request-performerOrder extension](https://hl7.org/fhir/extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).
ServiceRequest.reasonCodereasonCodeis equivalent toProcedureRequest.reasonCodeProcedureRequest.reasonCodeElement `ServiceRequest.reasonCode` is mapped to FHIR STU3 element `ProcedureRequest.reasonCode` as `Equivalent`. Element `ServiceRequest.reasonCode` is mapped to FHIR STU3 element `ReferralRequest.reasonCode` as `Equivalent`. This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](https://hl7.org/fhir/servicerequest-example-di.html).
ServiceRequest.reasonReferencereasonReferenceis related toProcedureRequest.reasonReferenceProcedureRequest.reasonReferenceElement `ServiceRequest.reasonReference` is mapped to FHIR STU3 element `ProcedureRequest.reasonReference` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.reasonReference` is mapped to FHIR STU3 element `ReferralRequest.reasonReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.reasonReference` with unmapped reference targets: Condition, DiagnosticReport, DocumentReference, Observation. This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](https://hl7.org/fhir/servicerequest-example-di.html).
ServiceRequest.supportingInfosupportingInfois related toProcedureRequest.supportingInfoProcedureRequest.supportingInfoElement `ServiceRequest.supportingInfo` is mapped to FHIR STU3 element `ProcedureRequest.supportingInfo` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.supportingInfo` is mapped to FHIR STU3 element `ReferralRequest.supportingInfo` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.supportingInfo` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.supportingInfo` with unmapped reference targets: Resource. To represent information about how the services are to be delivered use the `instructions` element.
ServiceRequest.specimenspecimenis related toProcedureRequest.specimenProcedureRequest.specimenElement `ServiceRequest.specimen` is mapped to FHIR STU3 element `ProcedureRequest.specimen` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.specimen` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.specimen` with unmapped reference targets: Specimen. Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to. Conversely, if the request is entered first with an unknown specimen, then the [Specimen](https://hl7.org/fhir/specimen.html) resource points to the ServiceRequest.
ServiceRequest.bodySitebodySiteis equivalent toProcedureRequest.bodySiteProcedureRequest.bodySiteElement `ServiceRequest.bodySite` is mapped to FHIR STU3 element `ProcedureRequest.bodySite` as `Equivalent`. Only used if not implicit in the code found in ServiceRequest.code. If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately) then use the standard extension [procedure-targetBodyStructure](https://hl7.org/fhir/extension-procedure-targetbodystructure.html).
ServiceRequest.notenoteis related toProcedureRequest.noteProcedureRequest.noteElement `ServiceRequest.note` is mapped to FHIR STU3 element `ProcedureRequest.note` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.note` is mapped to FHIR STU3 element `ReferralRequest.note` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.note` do not cover the following types: Annotation. The mappings for `ServiceRequest.note` do not cover the following types based on type expansion: author[x], text, time.
ServiceRequest.relevantHistoryrelevantHistoryis related toProcedureRequest.relevantHistoryProcedureRequest.relevantHistoryElement `ServiceRequest.relevantHistory` is mapped to FHIR STU3 element `ProcedureRequest.relevantHistory` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.relevantHistory` is mapped to FHIR STU3 element `ReferralRequest.relevantHistory` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.relevantHistory` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.relevantHistory` with unmapped reference targets: Provenance. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to http://hl7.org/fhir/StructureDefinition/ReferralRequest|3.0.2

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0Codes from http://hl7.org/fhir/StructureDefinition/ReferralRequest|3.0.2
ServiceRequest.metametais related toReferralRequest.metaReferralRequest.metaElement `ServiceRequest.meta` is mapped to FHIR STU3 element `ProcedureRequest.meta` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.meta` is mapped to FHIR STU3 element `ReferralRequest.meta` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.meta` do not cover the following types: Meta. The mappings for `ServiceRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.
ServiceRequest.implicitRulesimplicitRulesis equivalent toReferralRequest.implicitRulesReferralRequest.implicitRulesElement `ServiceRequest.implicitRules` is mapped to FHIR STU3 element `ProcedureRequest.implicitRules` as `Equivalent`. Element `ServiceRequest.implicitRules` is mapped to FHIR STU3 element `ReferralRequest.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
ServiceRequest.languagelanguageis equivalent toReferralRequest.languageReferralRequest.languageElement `ServiceRequest.language` is mapped to FHIR STU3 element `ProcedureRequest.language` as `Equivalent`. Element `ServiceRequest.language` is mapped to FHIR STU3 element `ReferralRequest.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
ServiceRequest.texttextis related toReferralRequest.textReferralRequest.textElement `ServiceRequest.text` is mapped to FHIR STU3 element `ProcedureRequest.text` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.text` is mapped to FHIR STU3 element `ReferralRequest.text` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.text` do not cover the following types: Narrative. The mappings for `ServiceRequest.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
ServiceRequest.containedcontainedis related toReferralRequest.containedReferralRequest.containedElement `ServiceRequest.contained` is mapped to FHIR STU3 element `ProcedureRequest.contained` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.contained` is mapped to FHIR STU3 element `ReferralRequest.contained` as `SourceIsBroaderThanTarget`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
ServiceRequest.identifieridentifieris related toReferralRequest.identifierReferralRequest.identifierElement `ServiceRequest.identifier` is mapped to FHIR STU3 element `ProcedureRequest.identifier` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.identifier` is mapped to FHIR STU3 element `ReferralRequest.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.identifier` do not cover the following types: Identifier. The mappings for `ServiceRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.
ServiceRequest.instantiatesCanonicalinstantiatesCanonicalis related toReferralRequest.definitionReferralRequest.definitionElement `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ProcedureRequest.definition` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ReferralRequest.definition` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types: canonical. The mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types based on type expansion: value. Note: This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
ServiceRequest.basedOnbasedOnis related toReferralRequest.basedOnReferralRequest.basedOnElement `ServiceRequest.basedOn` is mapped to FHIR STU3 element `ProcedureRequest.basedOn` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.basedOn` is mapped to FHIR STU3 element `ReferralRequest.basedOn` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.basedOn` with unmapped reference targets: CarePlan, MedicationRequest, ServiceRequest.
ServiceRequest.replacesreplacesis related toReferralRequest.replacesReferralRequest.replacesElement `ServiceRequest.replaces` is mapped to FHIR STU3 element `ProcedureRequest.replaces` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.replaces` is mapped to FHIR STU3 element `ReferralRequest.replaces` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.replaces` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.replaces` with unmapped reference targets: ServiceRequest.
ServiceRequest.requisitionrequisitionis related toReferralRequest.groupIdentifierReferralRequest.groupIdentifierElement `ServiceRequest.requisition` is mapped to FHIR STU3 element `ProcedureRequest.requisition` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.requisition` is mapped to FHIR STU3 element `ReferralRequest.groupIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.requisition` do not cover the following types: Identifier. The mappings for `ServiceRequest.requisition` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
ServiceRequest.statusstatusis equivalent toReferralRequest.statusReferralRequest.statusElement `ServiceRequest.status` is mapped to FHIR STU3 element `ProcedureRequest.status` as `Equivalent`. Element `ServiceRequest.status` is mapped to FHIR STU3 element `ReferralRequest.status` as `Equivalent`. The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](https://hl7.org/fhir/event.html) for general discussion) or using the [Task](https://hl7.org/fhir/task.html) resource.
ServiceRequest.intentintentis related toReferralRequest.intentReferralRequest.intentElement `ServiceRequest.intent` is mapped to FHIR STU3 element `ProcedureRequest.intent` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.intent` is mapped to FHIR STU3 element `ReferralRequest.intent` as `SourceIsBroaderThanTarget`. The target context `ProcedureRequest.intent` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
ServiceRequest.categorycategoryis related toReferralRequest.typeReferralRequest.typeElement `ServiceRequest.category` is mapped to FHIR STU3 element `ProcedureRequest.category` as `Equivalent`. Element `ServiceRequest.category` is mapped to FHIR STU3 element `ReferralRequest.type` as `SourceIsBroaderThanTarget`. There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource. The level of granularity is defined by the category concepts in the value set.
ServiceRequest.prioritypriorityis equivalent toReferralRequest.priorityReferralRequest.priorityElement `ServiceRequest.priority` is mapped to FHIR STU3 element `ProcedureRequest.priority` as `Equivalent`. Element `ServiceRequest.priority` is mapped to FHIR STU3 element `ReferralRequest.priority` as `Equivalent`.
ServiceRequest.codecodeis equivalent toReferralRequest.serviceRequestedReferralRequest.serviceRequestedElement `ServiceRequest.code` is mapped to FHIR STU3 element `ProcedureRequest.code` as `Equivalent`. Element `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.type` as `Equivalent`. Element `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.serviceRequested` as `SourceIsNarrowerThanTarget`. Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.
is equivalent toReferralRequest.typeReferralRequest.typeElement `ServiceRequest.code` is mapped to FHIR STU3 element `ProcedureRequest.code` as `Equivalent`. Element `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.type` as `Equivalent`. Element `ServiceRequest.code` is mapped to FHIR STU3 element `ReferralRequest.serviceRequested` as `SourceIsNarrowerThanTarget`. Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example, serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.
ServiceRequest.orderDetailorderDetailis equivalent toReferralRequest.serviceRequestedReferralRequest.serviceRequestedElement `ServiceRequest.orderDetail` is mapped to FHIR STU3 element `ReferralRequest.serviceRequested` as `Equivalent`. For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element.
ServiceRequest.subjectsubjectis related toReferralRequest.subjectReferralRequest.subjectElement `ServiceRequest.subject` is mapped to FHIR STU3 element `ProcedureRequest.subject` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.subject` is mapped to FHIR STU3 element `ReferralRequest.subject` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.subject` with unmapped reference targets: Device, Group, Location, Patient.
ServiceRequest.encounterencounteris related toReferralRequest.contextReferralRequest.contextElement `ServiceRequest.encounter` is mapped to FHIR STU3 element `ProcedureRequest.context` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.encounter` is mapped to FHIR STU3 element `ReferralRequest.context` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.encounter` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.encounter` with unmapped reference targets: Encounter.
ServiceRequest.occurrence[x]occurrence[x]is related toReferralRequest.occurrence[x]ReferralRequest.occurrence[x]Element `ServiceRequest.occurrence[x]` is mapped to FHIR STU3 element `ProcedureRequest.occurrence[x]` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.occurrence[x]` is mapped to FHIR STU3 element `ReferralRequest.occurrence[x]` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.occurrence[x]` do not cover the following types: Period, Timing. The target context `ProcedureRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ProcedureRequest`. The target context `ReferralRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ReferralRequest`.
ServiceRequest.authoredOnauthoredOnis equivalent toReferralRequest.authoredOnReferralRequest.authoredOnElement `ServiceRequest.authoredOn` is mapped to FHIR STU3 element `ProcedureRequest.authoredOn` as `Equivalent`. Element `ServiceRequest.authoredOn` is mapped to FHIR STU3 element `ReferralRequest.authoredOn` as `Equivalent`.
ServiceRequest.requesterrequesteris equivalent toReferralRequest.requesterReferralRequest.requesterElement `ServiceRequest.requester` is mapped to FHIR STU3 element `ProcedureRequest.requester` as `Equivalent`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ProcedureRequest.requester.agent` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ReferralRequest.requester` as `Equivalent`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ReferralRequest.requester.agent` as `SourceIsBroaderThanTarget`. This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.
is related toReferralRequest.requester.agentReferralRequest.requester.agentElement `ServiceRequest.requester` is mapped to FHIR STU3 element `ProcedureRequest.requester` as `Equivalent`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ProcedureRequest.requester.agent` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ReferralRequest.requester` as `Equivalent`. Element `ServiceRequest.requester` is mapped to FHIR STU3 element `ReferralRequest.requester.agent` as `SourceIsBroaderThanTarget`. This not the dispatcher, but rather who is the authorizer. This element is not intended to handle delegation which would generally be managed through the Provenance resource.
ServiceRequest.performerTypeperformerTypeis equivalent toReferralRequest.specialtyReferralRequest.specialtyElement `ServiceRequest.performerType` is mapped to FHIR STU3 element `ProcedureRequest.performerType` as `Equivalent`. Element `ServiceRequest.performerType` is mapped to FHIR STU3 element `ReferralRequest.specialty` as `Equivalent`. This is a role, not a participation type. In other words, does not describe the task but describes the capacity. For example, “compounding pharmacy”, “psychiatrist” or “internal referral”.
ServiceRequest.performerperformeris related toReferralRequest.recipientReferralRequest.recipientElement `ServiceRequest.performer` is mapped to FHIR STU3 element `ProcedureRequest.performer` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.performer` is mapped to FHIR STU3 element `ReferralRequest.recipient` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.performer` with unmapped reference targets: CareTeam, Device, HealthcareService, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson. If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order. If order of preference is needed use the [request-performerOrder extension](https://hl7.org/fhir/extension-request-performerorder.html). Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).
ServiceRequest.reasonCodereasonCodeis equivalent toReferralRequest.reasonCodeReferralRequest.reasonCodeElement `ServiceRequest.reasonCode` is mapped to FHIR STU3 element `ProcedureRequest.reasonCode` as `Equivalent`. Element `ServiceRequest.reasonCode` is mapped to FHIR STU3 element `ReferralRequest.reasonCode` as `Equivalent`. This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](https://hl7.org/fhir/servicerequest-example-di.html).
ServiceRequest.reasonReferencereasonReferenceis related toReferralRequest.reasonReferenceReferralRequest.reasonReferenceElement `ServiceRequest.reasonReference` is mapped to FHIR STU3 element `ProcedureRequest.reasonReference` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.reasonReference` is mapped to FHIR STU3 element `ReferralRequest.reasonReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.reasonReference` with unmapped reference targets: Condition, DiagnosticReport, DocumentReference, Observation. This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all. To be as specific as possible, a reference to *Observation* or *Condition* should be used if available. Otherwise when referencing *DiagnosticReport* it should contain a finding in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`. When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request. Use the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](https://hl7.org/fhir/servicerequest-example-di.html).
ServiceRequest.supportingInfosupportingInfois related toReferralRequest.supportingInfoReferralRequest.supportingInfoElement `ServiceRequest.supportingInfo` is mapped to FHIR STU3 element `ProcedureRequest.supportingInfo` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.supportingInfo` is mapped to FHIR STU3 element `ReferralRequest.supportingInfo` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.supportingInfo` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.supportingInfo` with unmapped reference targets: Resource. To represent information about how the services are to be delivered use the `instructions` element.
ServiceRequest.notenoteis related toReferralRequest.noteReferralRequest.noteElement `ServiceRequest.note` is mapped to FHIR STU3 element `ProcedureRequest.note` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.note` is mapped to FHIR STU3 element `ReferralRequest.note` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.note` do not cover the following types: Annotation. The mappings for `ServiceRequest.note` do not cover the following types based on type expansion: author[x], text, time.
ServiceRequest.relevantHistoryrelevantHistoryis related toReferralRequest.relevantHistoryReferralRequest.relevantHistoryElement `ServiceRequest.relevantHistory` is mapped to FHIR STU3 element `ProcedureRequest.relevantHistory` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.relevantHistory` is mapped to FHIR STU3 element `ReferralRequest.relevantHistory` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.relevantHistory` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ServiceRequest.relevantHistory` with unmapped reference targets: Provenance. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Metadata about the resource additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.meta (meta)maps to wider conceptExtension (R4B: Metadata about the resource additional types)Element `ServiceRequest.meta` is mapped to FHIR STU3 element `ProcedureRequest.meta` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.meta` is mapped to FHIR STU3 element `ReferralRequest.meta` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.meta` do not cover the following types: Meta. The mappings for `ServiceRequest.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Text summary of the resource, for human interpretation additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.text (text)maps to wider conceptExtension (R4B: Text summary of the resource, for human interpretation additional types)Element `ServiceRequest.text` is mapped to FHIR STU3 element `ProcedureRequest.text` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.text` is mapped to FHIR STU3 element `ReferralRequest.text` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.text` do not cover the following types: Narrative. The mappings for `ServiceRequest.text` do not cover the following types based on type expansion: div, status. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Identifiers assigned to this order additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.identifier (identifier)maps to wider conceptExtension (R4B: Identifiers assigned to this order additional types)Element `ServiceRequest.identifier` is mapped to FHIR STU3 element `ProcedureRequest.identifier` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.identifier` is mapped to FHIR STU3 element `ReferralRequest.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.identifier` do not cover the following types: Identifier. The mappings for `ServiceRequest.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value. The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2). For further discussion and examples see the resource notes section below.

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Instantiates FHIR protocol or definition additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.instantiatesCanonical (instantiatesCanonical)maps to wider conceptExtension (R4B: Instantiates FHIR protocol or definition additional types)Element `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ProcedureRequest.definition` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.instantiatesCanonical` is mapped to FHIR STU3 element `ReferralRequest.definition` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types: canonical. The mappings for `ServiceRequest.instantiatesCanonical` do not cover the following types based on type expansion: value. Note: This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Instantiates external protocol or definition (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.instantiatesUri (instantiatesUri)maps to wider conceptExtension (R4B: Instantiates external protocol or definition (new))Element `ServiceRequest.instantiatesUri` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`. Element `ServiceRequest.instantiatesUri` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`. Element `ServiceRequest.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.

Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Composite Request ID additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.requisition (requisition)maps to wider conceptExtension (R4B: Composite Request ID additional types)Element `ServiceRequest.requisition` is mapped to FHIR STU3 element `ProcedureRequest.requisition` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.requisition` is mapped to FHIR STU3 element `ReferralRequest.groupIdentifier` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.requisition` do not cover the following types: Identifier. The mappings for `ServiceRequest.requisition` do not cover the following types based on type expansion: assigner, period, system, type, use, value. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.

Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | optionversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.intent (intent)maps to wider conceptExtension (R4B: proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option)Element `ServiceRequest.intent` is mapped to FHIR STU3 element `ProcedureRequest.intent` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.intent` is mapped to FHIR STU3 element `ReferralRequest.intent` as `SourceIsBroaderThanTarget`. The target context `ProcedureRequest.intent` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Service amount (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.quantity[x] (quantity[x])maps to wider conceptExtension (R4B: Service amount (new))Element `ServiceRequest.quantity[x]` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`. Element `ServiceRequest.quantity[x]` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`. Element `ServiceRequest.quantity[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: When service should occur additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.occurrence[x] (occurrence[x])maps to wider conceptExtension (R4B: When service should occur additional types)Element `ServiceRequest.occurrence[x]` is mapped to FHIR STU3 element `ProcedureRequest.occurrence[x]` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.occurrence[x]` is mapped to FHIR STU3 element `ReferralRequest.occurrence[x]` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.occurrence[x]` do not cover the following types: Period, Timing. The target context `ProcedureRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ProcedureRequest`. The target context `ReferralRequest.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ReferralRequest`.

Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Requested location (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.locationCode (locationCode)maps to wider conceptExtension (R4B: Requested location (new))Element `ServiceRequest.locationCode` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`. Element `ServiceRequest.locationCode` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`. Element `ServiceRequest.locationCode` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Requested location (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.locationReference (locationReference)maps to wider conceptExtension (R4B: Requested location (new))Element `ServiceRequest.locationReference` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`. Element `ServiceRequest.locationReference` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`. Element `ServiceRequest.locationReference` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Associated insurance coverage (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.insurance (insurance)maps to wider conceptExtension (R4B: Associated insurance coverage (new))Element `ServiceRequest.insurance` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`. Element `ServiceRequest.insurance` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`. Element `ServiceRequest.insurance` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).

Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Comments additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.note (note)maps to wider conceptExtension (R4B: Comments additional types)Element `ServiceRequest.note` is mapped to FHIR STU3 element `ProcedureRequest.note` as `SourceIsBroaderThanTarget`. Element `ServiceRequest.note` is mapped to FHIR STU3 element `ReferralRequest.note` as `SourceIsBroaderThanTarget`. The mappings for `ServiceRequest.note` do not cover the following types: Annotation. The mappings for `ServiceRequest.note` do not cover the following types based on type expansion: author[x], text, time.

Group 16 Mapping from http://hl7.org/fhir/StructureDefinition/ServiceRequest|4.3.0 to R4B: Patient or consumer-oriented instructions (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ServiceRequest.patientInstruction (patientInstruction)maps to wider conceptExtension (R4B: Patient or consumer-oriented instructions (new))Element `ServiceRequest.patientInstruction` has a context of ProcedureRequest based on following the parent source element upwards and mapping to `ProcedureRequest`. Element `ServiceRequest.patientInstruction` has a context of ReferralRequest based on following the parent source element upwards and mapping to `ReferralRequest`. Element `ServiceRequest.patientInstruction` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).