SDOH Clinical Care
2.3.0-draft - STU 2.3 Draft United States of America flag

SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.3.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-sdoh-clinicalcare/ and changes regularly. See the Directory of published versions

Resource Profile: SDOHCCServiceRequest - Mappings

Page standards status: Trial-use

Mappings for the SDOHCC-ServiceRequest resource profile.

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

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

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

SDOHCCServiceRequest
ServiceRequestORC
   identifierORC.2, ORC.3, RF1-6 / RF1-11,
   instantiatesCanonicalVaries by domain
   instantiatesUriVaries by domain
   basedOnORC.8 (plus others)
   basedOn (SupportedBasedOn)ORC.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
   category (SDOH)RF1-5
   priorityTQ1.9, RF1-2
   codePR1-3 / OBR-4 (varies by domain)
   orderDetailNTE
   orderDetail (SubjectContactDetail)NTE
   quantity[x]NTE
   subjectPID
   encounterPV1
   occurrence[x]TQ1/TQ2, OBR-7/OBR-8
   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
   reasonReference (SupportedReasonReference)ORC.16
   insuranceIN1/IN2
   supportingInfoAccompanying segments
   supportingInfo (SupportedSupportingInfo)Accompanying segments
   noteNTE
   patientInstructionNTE
   relevantHistoryN/A

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

SDOHCCServiceRequest
ServiceRequestEntity. Role, or Act, Act[moodCode<=INT]
   textAct.text?
   containedN/A
   extension
   extension (pertainsToGoal)
      idn/a
      urlN/A
      value[x]N/A
   modifierExtensionN/A
   identifier.identifier
   instantiatesCanonical.outboundRelationship[typeCode=DEFN].target
   instantiatesUri.outboundRelationship[typeCode=DEFN].target
   basedOn.outboundRelationship[typeCode=FLFS].target
   basedOn (SupportedBasedOn).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
   category (SDOH).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code
   priority.priorityCode
   doNotPerform.actionNegationInd
   code.code
   orderDetail.code
   orderDetail (SubjectContactDetail).code
   quantity[x].quantity
   subject.participation[typeCode=SBJ].role
   encounter.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
   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
   reasonReference (SupportedReasonReference).outboundRelationship[typeCode=RSON].target
   insurance.outboundRelationship[typeCode=COVBY].target
   supportingInfo.outboundRelationship[typeCode=PERT].target
   supportingInfo (SupportedSupportingInfo).outboundRelationship[typeCode=PERT].target
   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)

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

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

SDOHCCServiceRequest
ServiceRequest
   identifierClinicalStatement.identifier
   statusAction.currentStatus
   codeProcedure.procedureCode
   orderDetailProcedure.procedureCode
   orderDetail (SubjectContactDetail)Procedure.procedureCode
   subjectClinicalStatement.subject
   encounterClinicalStatement.encounter
   occurrence[x]Procedure.procedureSchedule
   asNeeded[x]Proposal.prnReason.reason
   authoredOnProposal.proposedAtTime
   requesterClinicalStatement.statementAuthor
   noteClinicalStatement.additionalText