Magentus Practice Management FHIR Implementation Guide
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Resource Profile: EOrdersRadiologyRequest - Mappings

Draft as of 2025-06-12

Mappings for the eorders-radiologyrequest resource profile.

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

EOrdersRadiologyRequest
ServiceRequestRequest
   contained (coverage)Event
   contained (encounter)Event
   contained (pregstatus)Event
   contained (gestationalage)Event
   contained (edd)Event
   contained (lmp)Event
   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]
   authoredOnRequest.authoredOn
   requesterRequest.requester
   performerTypeRequest.performerType
   performerRequest.performer
   reasonCodeRequest.reasonCode
   reasonReferenceRequest.reasonReference
   insuranceRequest.insurance
   supportingInfoRequest.supportingInfo
   supportingInfo (pregnancystatus)Request.supportingInfo
   supportingInfo (gestationalage)Request.supportingInfo
   supportingInfo (estimateddateofdelivery)Request.supportingInfo
   supportingInfo (lastmenstrualperiod)Request.supportingInfo
   noteRequest.note
   relevantHistoryRequest.relevantHistory

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

EOrdersRadiologyRequest
ServiceRequestORC
   contained (pregstatus)OBX
   contained (gestationalage)OBX
   contained (edd)OBX
   contained (lmp)OBX
   extension
   extension (targetBodyStructure)
   extension (copiesto)
      value[x]
   extension (request-fasting)
      value[x]
         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
   identifierCX / EI (occasionally, more often EI maps to a resource id or a URL)
   identifier (filler)CX / EI (occasionally, more often EI maps to a resource id or a URL)
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   identifier (placer)CX / EI (occasionally, more often EI maps to a resource id or a URL)
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   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
      codingC*E.1-8, C*E.10-22
      coding (labprocedure)C*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
   priorityTQ1.9, RF1-2
   codePR1-3 / OBR-4 (varies by domain)
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   orderDetailNTE
   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
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   reasonReferenceORC.16
   insuranceIN1/IN2
   supportingInfoAccompanying segments
   supportingInfo (pregnancystatus)Accompanying segments
   supportingInfo (gestationalage)Accompanying segments
   supportingInfo (estimateddateofdelivery)Accompanying segments
   supportingInfo (lastmenstrualperiod)Accompanying segments
   specimenSPM
   bodySiteSPM
   noteNTE
   patientInstructionNTE
   relevantHistoryN/A

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

EOrdersRadiologyRequest
ServiceRequestEntity. Role, or Act, Act[moodCode<=INT]
   textAct.text?
   containedN/A
   contained (coverage)Entity. Role, or Act, Coverage
   contained (encounter)Entity. Role, or Act, Encounter[@moodCode='EVN']
   contained (pregstatus)Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   contained (gestationalage)Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   contained (edd)Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   contained (lmp)Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   extension
   extension (targetBodyStructure)
   extension (copiesto)
      idn/a
      urlN/A
      value[x]N/A
         idn/a
         extensionn/a
         referenceN/A
         typeN/A
         identifier.identifier
         displayN/A
   extension (request-fasting)
      idn/a
      urlN/A
      value[x]N/A
         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
   modifierExtensionN/A
   identifiern/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
   identifier (filler)n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
         idn/a
         extensionn/a
         referenceN/A
         typeN/A
         identifier.identifier
         displayN/A
   identifier (placer)n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
         idn/a
         extensionn/a
         referenceN/A
         typeN/A
         identifier.identifier
         displayN/A
   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
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (labprocedure)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   priority.priorityCode
   doNotPerform.actionNegationInd
   code.code
      idn/a
      extensionn/a
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   orderDetail.code
   quantity[x].quantity
   subject.participation[typeCode=SBJ].role
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   encounter.inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   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
      idn/a
      extensionn/a
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   reasonReference.outboundRelationship[typeCode=RSON].target
   insurance.outboundRelationship[typeCode=COVBY].target
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   supportingInfo.outboundRelationship[typeCode=PERT].target
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   supportingInfo (pregnancystatus).outboundRelationship[typeCode=PERT].target
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   supportingInfo (gestationalage).outboundRelationship[typeCode=PERT].target
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   supportingInfo (estimateddateofdelivery).outboundRelationship[typeCode=PERT].target
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   supportingInfo (lastmenstrualperiod).outboundRelationship[typeCode=PERT].target
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   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)

EOrdersRadiologyRequest
ServiceRequest
   statusFiveWs.status
   intentFiveWs.class
   categoryFiveWs.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]

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

EOrdersRadiologyRequest
ServiceRequest
   statusAction.currentStatus
   codeProcedure.procedureCode
   orderDetailProcedure.procedureCode
   subjectClinicalStatement.subject
   encounterClinicalStatement.encounter
   occurrence[x]Procedure.procedureSchedule
   asNeeded[x]Proposal.prnReason.reason
   authoredOnProposal.proposedAtTime
   requesterClinicalStatement.statementAuthor
   bodySiteProcedure.targetBodySite
   noteClinicalStatement.additionalText