England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: HL7 v2 Extended Priority (TQ1-9) to ServiceRequest.priority

Draft as of 2026-11-04

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="v2-0485-to-request-priority"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap v2-0485-to-request-priority</b></p><a name="v2-0485-to-request-priority"> </a><a name="hcv2-0485-to-request-priority"> </a><p>Mapping from <a href="http://terminology.hl7.org/7.5.0/ValueSet-v2-0485.html">hl7VS-extendedPriorityCodes</a> to <a href="http://hl7.org/fhir/R4/valueset-request-priority.html">Request priority</a></p><br/><p>Mapping from <a href="http://terminology.hl7.org/7.5.0/CodeSystem-v2-0485.html">extendedPriorityCodes</a> to <a href="http://hl7.org/fhir/R4/codesystem-request-priority.html">RequestPriority</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>S (Stat)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>stat</td><td/></tr><tr><td>A (ASAP)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>asap</td><td/></tr><tr><td>R (Routine)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent" title="equivalent">is equivalent to</a></td><td>routine</td><td/></tr><tr><td>P (Preop)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target" title="source-is-narrower-than-target">is narrower than</a></td><td>urgent</td><td/></tr><tr><td>C (Callback)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target" title="source-is-narrower-than-target">is narrower than</a></td><td>urgent</td><td/></tr><tr><td>T (Timing critical)</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target" title="source-is-narrower-than-target">is narrower than</a></td><td>urgent</td><td/></tr><tr><td>PRN (As needed)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td><td style="background-color: #efefef">As needed - not a priority in FHIR; use ServiceRequest.asNeeded[x]</td></tr></table></div>
  </text>
  <url
       value="https://examplesihe.org.uk/ConceptMap/v2-0485-to-request-priority"/>
  <version value="0.1.0"/>
  <name value="V20485ToRequestPriority"/>
  <title value="HL7 v2 Extended Priority to ServiceRequest.priority"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-11-04"/>
  <publisher value="Kevin Mayfield"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://github.com/KevinMayfield/PathologyAndLaboratory"/>
    </telecom>
  </contact>
  <description
               value="HL7 v2 table 0485 Extended Priority Codes (TQ1-9) to FHIR `ServiceRequest.priority`. Indicative, based on the HL7 v2-to-FHIR IG. The absence of TQ1 means routine."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <sourceUri value="http://terminology.hl7.org/ValueSet/v2-0485"/>
  <targetUri value="http://hl7.org/fhir/ValueSet/request-priority"/>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0485"/>
    <target value="http://hl7.org/fhir/request-priority"/>
    <element>
      <code value="S"/>
      <target>
        <code value="stat"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="A"/>
      <target>
        <code value="asap"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="R"/>
      <target>
        <code value="routine"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="P"/>
      <target>
        <code value="urgent"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="C"/>
      <target>
        <code value="urgent"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="T"/>
      <target>
        <code value="urgent"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="PRN"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="As needed - not a priority in FHIR; use ServiceRequest.asNeeded[x]"/>
      </target>
    </element>
  </group>
</ConceptMap>