Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
2.0.0 - STU2 United States of America flag

This page is part of the electronic Long-Term Services and Supports Implementation Guide (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: ServiceRequest_eltss - Mappings

Page standards status: Trial-use Maturity Level: 2

Mappings for the ServiceRequest-eltss resource profile.

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

ServiceRequest_eltss
ServiceRequestRequest
   identifierRequest.identifier
   instantiatesCanonicalRequest.instantiatesCanonical
   instantiatesUriRequest.instantiatesUri
   basedOnRequest.basedOn
   replacesRequest.replaces
   requisitionRequest.groupIdentifier
   statusRequest.status
   intentRequest.intent
   priorityRequest.priority
   doNotPerformRequest.doNotPerform
   codeRequest.code
   subjectRequest.subject
   encounterRequest.encounter
   occurrence[x]Request.occurrence[x]
   occurrence[x] (occurrencePeriod)Request.occurrence[x]
   occurrence[x] (occurrenceTiming)Request.occurrence[x]
   authoredOnRequest.authoredOn
   requesterRequest.requester
   performerTypeRequest.performerType
   performerRequest.performer
   reasonCodeRequest.reasonCode
   reasonReferenceRequest.reasonReference
   insuranceRequest.insurance
   supportingInfoRequest.supportingInfo
   noteRequest.note
   relevantHistoryRequest.relevantHistory

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

ServiceRequest_eltss
ServiceRequestORC
   identifierORC.2, ORC.3, RF1-6 / RF1-11,
   instantiatesCanonicalVaries by domain
   instantiatesUriVaries by domain
   basedOnORC.8 (plus others)
   replacesHandled by message location of ORC (ORC.1=RO or RU)
   requisitionORC.4
   statusORC.5,RF1-1
   intentN/A
   categoryRF1-5
   category (us-core)RF1-5
   priorityTQ1.9, RF1-2
   codePR1-3 / OBR-4 (varies by domain)
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   orderDetailNTE
   quantity[x]NTE
   quantity[x] (quantityQuantity)NTE
      valueSN.2 / CQ - N/A
      comparatorSN.1 / CQ.1
      unit(see OBX.6 etc.) / CQ.2
      system(see OBX.6 etc.) / CQ.2
      code(see OBX.6 etc.) / CQ.2
   quantity[x] (quantityRatio)NTE
      numerator
         valueSN.2 / CQ - N/A
         comparatorSN.1 / CQ.1
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
      denominator
         valueSN.2 / CQ - N/A
         comparatorSN.1 / CQ.1
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
   subjectPID
   encounterPV1
   occurrence[x]TQ1/TQ2, OBR-7/OBR-8
   occurrence[x] (occurrencePeriod)TQ1/TQ2, OBR-7/OBR-8
   occurrence[x] (occurrenceTiming)TQ1/TQ2, OBR-7/OBR-8
      repeat
         bounds[x]
         bounds[x] (boundsPeriod)
            startDR.1
            endDR.2
   authoredOnORC.9, RF1-7 / RF1-9
   requesterORC.12, PRT
   performerTypePRT, RF!-3
   performerPRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT
   reasonCodeORC.16, RF1-10
   reasonReferenceORC.16
   insuranceIN1/IN2
   supportingInfoAccompanying segments
   specimenSPM
   bodySiteSPM
   noteNTE
   patientInstructionNTE
   relevantHistoryN/A

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

ServiceRequest_eltss
ServiceRequestEntity. Role, or Act, Act[moodCode<=INT]
   textAct.text?
   containedN/A
   modifierExtensionN/A
   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
   category (us-core).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
   priority.priorityCode
   doNotPerform.actionNegationInd
   code.code
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   orderDetail.code
   quantity[x].quantity
   quantity[x] (quantityQuantity).quantity
      idn/a
      extensionn/a
      valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
      comparatorIVL properties
      unitPQ.unit
      systemCO.codeSystem, PQ.translation.codeSystem
      codePQ.code, MO.currency, PQ.translation.code
   quantity[x] (quantityRatio).quantity
      idn/a
      extensionn/a
      numerator.numerator
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         comparatorIVL properties
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      denominator.denominator
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         comparatorIVL properties
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
   subject.participation[typeCode=SBJ].role
   encounter.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
   occurrence[x].effectiveTime
   occurrence[x] (occurrencePeriod).effectiveTime
   occurrence[x] (occurrenceTiming).effectiveTime
      idn/a
      extensionn/a
      modifierExtensionN/A
      eventQLIST<TS>
      repeatImplies PIVL or EIVL
         idn/a
         extensionn/a
         bounds[x]IVL(TS) used in a QSI
         bounds[x] (boundsPeriod)IVL(TS) used in a QSI
            idn/a
            extensionn/a
            start./low
            end./high
         countPIVL.count
         countMaxPIVL.count
         durationPIVL.phase
         durationMaxPIVL.phase
         durationUnitPIVL.phase.unit
         frequencyPIVL.phase
         frequencyMaxPIVL.phase
         periodPIVL.phase
         periodMaxPIVL.phase
         periodUnitPIVL.phase.unit
         dayOfWeekn/a
         timeOfDayn/a
         whenEIVL.event
         offsetEIVL.offset
      codeQSC.code
   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
   bodySitetargetSiteCode
   note.inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]
   patientInstruction.text
   relevantHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

ServiceRequest_eltss
ServiceRequest
   identifierFiveWs.identifier
   statusFiveWs.status
   intentFiveWs.class
   categoryFiveWs.class
   category (us-core)FiveWs.class
   priorityFiveWs.grade
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   occurrence[x]FiveWs.planned
   occurrence[x] (occurrencePeriod)FiveWs.planned
   occurrence[x] (occurrenceTiming)FiveWs.planned
   authoredOnFiveWs.recorded
   requesterFiveWs.author
   performerTypeFiveWs.actor
   performerFiveWs.actor
   locationCodeFiveWs.actor
   locationReferenceFiveWs.actor
   reasonCodeFiveWs.why[x]
   reasonReferenceFiveWs.why[x]

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

ServiceRequest_eltss
ServiceRequest
   identifierClinicalStatement.identifier
   statusAction.currentStatus
   codeProcedure.procedureCode
   orderDetailProcedure.procedureCode
   subjectClinicalStatement.subject
   encounterClinicalStatement.encounter
   occurrence[x]Procedure.procedureSchedule
   occurrence[x] (occurrencePeriod)Procedure.procedureSchedule
   occurrence[x] (occurrenceTiming)Procedure.procedureSchedule
   asNeeded[x]Proposal.prnReason.reason
   authoredOnProposal.proposedAtTime
   requesterClinicalStatement.statementAuthor
   bodySiteProcedure.targetBodySite
   noteClinicalStatement.additionalText