HRSA 2024 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG, published by HRSA BPHC. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/drajer-health/uds-plus/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
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Resource Profile: UDSPlusServiceRequest - Mappings

Page standards status: Trial-use

Maturity Level: 2

Mappings for the uds-plus-servicerequest resource profile.

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

UDSPlusServiceRequest
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
relevantHistory	Request.relevantHistory

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

UDSPlusServiceRequest
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
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
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
reasonCode	ORC.16, RF1-10
reasonReference	ORC.16
insurance	IN1/IN2
supportingInfo	Accompanying segments
specimen	SPM
bodySite	SPM
patientInstruction	NTE
relevantHistory	N/A

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

UDSPlusServiceRequest
ServiceRequest	Entity. Role, or Act, Act[moodCode<=INT]
extension	N/A
modifierExtension	N/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
priority	.priorityCode
doNotPerform	.actionNegationInd
code	.code
orderDetail	.code
quantity[x]	.quantity
subject	.participation[typeCode=SBJ].role
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
encounter	.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
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
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
performerType	.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
performer	.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
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
patientInstruction	.text
relevantHistory	.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

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

UDSPlusServiceRequest
ServiceRequest
identifier	FiveWs.identifier
status	FiveWs.status
intent	FiveWs.class
category	FiveWs.class
priority	FiveWs.grade
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
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]

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

UDSPlusServiceRequest
ServiceRequest
identifier	ClinicalStatement.identifier
status	Action.currentStatus
code	Procedure.procedureCode
orderDetail	Procedure.procedureCode
subject	ClinicalStatement.subject
encounter	ClinicalStatement.encounter
occurrence[x]	Procedure.procedureSchedule
asNeeded[x]	Proposal.prnReason.reason
authoredOn	Proposal.proposedAtTime
requester	ClinicalStatement.statementAuthor
bodySite	Procedure.targetBodySite