North West Genomic Medicine Service Alliance
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DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

North West Genomic Medicine Service Alliance - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ServiceRequest - Mappings

Draft as of 2025-06-19

Mappings for the ServiceRequest resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternHL7 v2 MappingRIM MappingFiveWs Pattern MappingQuality Improvement and Clinical Knowledge (QUICK)doco
.. ServiceRequest
Request
ORC
Act[moodCode<=INT]
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... Slices for identifier
Request.identifier
  • ORC.2
  • ORC.3
  • RF1-6 / RF1-11
.identifier
FiveWs.identifier
ClinicalStatement.identifier
.... identifier:placerOrderNumber
Request.identifier
  • ORC.2
  • ORC.3
  • RF1-6 / RF1-11
.identifier
FiveWs.identifier
ClinicalStatement.identifier
.... identifier:fillerOrderNumber
Request.identifier
  • ORC.2
  • ORC.3
  • RF1-6 / RF1-11
.identifier
FiveWs.identifier
ClinicalStatement.identifier
... instantiatesCanonical
Request.instantiatesCanonical
Varies by domain
.outboundRelationship[typeCode=DEFN].target
... instantiatesUri
Request.instantiatesUri
Varies by domain
.outboundRelationship[typeCode=DEFN].target
... basedOn
Request.basedOn
ORC.8 (plus others)
.outboundRelationship[typeCode=FLFS].target
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... replaces
Request.replaces
Handled by message location of ORC (ORC.1=RO or RU)
.outboundRelationship[typeCode=RPLC].target
... requisition
Request.groupIdentifier
ORC.4
.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier
... status
Request.status
  • ORC.5
  • RF1-1
.status
FiveWs.status
Action.currentStatus
... intent
Request.intent
N/A
.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
FiveWs.class
... Slices for category
RF1-5
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="INT"].code
FiveWs.class
.... category:GenomicProcedure
RF1-5
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="INT"].code
FiveWs.class
..... id
n/a
..... extension
n/a
..... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
.... category:GenomicsWholeCaseSequencing
RF1-5
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="INT"].code
FiveWs.class
..... id
n/a
..... extension
n/a
..... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... priority
Request.priority
  • TQ1.9
  • RF1-2
.priorityCode
FiveWs.grade
... doNotPerform
Request.doNotPerform
.actionNegationInd
... code
Request.code
PR1-3 / OBR-4 (varies by domain)
.code
FiveWs.what[x]
Procedure.procedureCode
.... id
n/a
.... extension
n/a
.... Slices for coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... coding:GenomicRareAndInheritedDisease
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... coding:GenomicCancer
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... orderDetail
NTE
.code
Procedure.procedureCode
.... id
n/a
.... extension
n/a
.... Slices for coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... coding:GenomicRareAndInheritedDisease
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... coding:GenomicCancer
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... quantity[x]
NTE
.quantity
... subject
Request.subject
PID
.participation[typeCode=SBJ].role
FiveWs.subject
ClinicalStatement.subject
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... encounter
Request.encounter
PV1
  • .inboundRelationship(typeCode=COMP].source[classCode<=PCPR
  • moodCode=EVN]
FiveWs.context
ClinicalStatement.encounter
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... occurrence[x]
Request.occurrence[x]
  • TQ1/TQ2
  • OBR-7/OBR-8
.effectiveTime
FiveWs.planned
Procedure.procedureSchedule
... asNeeded[x]
precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value
Proposal.prnReason.reason
... authoredOn
Request.authoredOn
  • ORC.9
  • RF1-7 / RF1-9
.participation[typeCode=AUT].time
FiveWs.recorded
Proposal.proposedAtTime
... requester
Request.requester
  • ORC.12
  • PRT
.participation[typeCode=AUT].role
FiveWs.author
ClinicalStatement.statementAuthor
... performerType
Request.performerType
  • PRT
  • RF!-3
.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
FiveWs.actor
... performer
Request.performer
  • PRT
  • PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT
.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
FiveWs.actor
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... locationCode
.participation[typeCode=LOC].role[scoper.determinerCode=KIND].code
FiveWs.actor
... locationReference
.participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]
FiveWs.actor
... reasonCode
Request.reasonCode
  • ORC.16
  • RF1-10
.reasonCode
FiveWs.why[x]
... reasonReference
Request.reasonReference
ORC.16
.outboundRelationship[typeCode=RSON].target
FiveWs.why[x]
... insurance
Request.insurance
IN1/IN2
.outboundRelationship[typeCode=COVBY].target
... Slices for supportingInfo
Request.supportingInfo
Accompanying segments
.outboundRelationship[typeCode=PERT].target
.... supportingInfo:PriorResult
Request.supportingInfo
Accompanying segments
.outboundRelationship[typeCode=PERT].target
..... id
n/a
..... extension
n/a
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
.... supportingInfo:PatientSummary
Request.supportingInfo
Accompanying segments
.outboundRelationship[typeCode=PERT].target
..... id
n/a
..... extension
n/a
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
... specimen
SPM
.participation[typeCode=SPC].role
... bodySite
SPM
targetSiteCode
Procedure.targetBodySite
... note
Request.note
NTE
  • .inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN
  • type=ST]
ClinicalStatement.additionalText
... patientInstruction
NTE
.text
... relevantHistory
Request.relevantHistory
N/A
  • .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN]

doco Documentation for this format