England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-11-04 |
Mappings for the LaboratoryOrder resource profile.
No Mappings Found
No Mappings Found
| Name | HL7 v2.5.1 (England PaLM) | Workflow Pattern | RIM Mapping | FiveWs Pattern Mapping | Quality Improvement and Clinical Knowledge (QUICK) |
|---|---|---|---|---|---|
  ServiceRequest |
ORC / OBR (OML_O21 ORDER group) |
Request |
Act[moodCode<=INT] |
||
  id |
|||||
 meta |
|||||
| implicitRules |
|||||
| language |
|||||
| text |
Act.text? |
||||
| contained |
N/A |
||||
  Slices for extension |
|||||
   extension:accreditedLab |
|||||
 modifierExtension |
N/A |
||||
 Slices for identifier |
Request.identifier |
.identifier |
FiveWs.identifier |
ClinicalStatement.identifier | |
 identifier:placerOrderNumber |
|
Request.identifier |
.identifier |
FiveWs.identifier |
ClinicalStatement.identifier |
  id |
n/a |
||||
| extension |
n/a |
||||
| use |
Role.code or implied by context |
||||
| type |
Role.code or implied by context |
||||
| system |
II.root or Role.id.root |
||||
| value |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
||||
| period |
Role.effectiveTime or implied by context |
||||
  assigner |
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
||||
 id |
n/a |
||||
| extension |
n/a |
||||
| reference |
N/A |
||||
| type |
N/A |
||||
| identifier |
.identifier |
||||
| id |
n/a |
||||
| extension |
n/a |
||||
| use |
Role.code or implied by context |
||||
| type |
Role.code or implied by context |
||||
| system |
II.root or Role.id.root |
||||
| value |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
||||
| period |
Role.effectiveTime or implied by context |
||||
 assigner |
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
||||
| display |
N/A |
||||
 identifier:fillerOrderNumber |
ORC-3 Filler Order Number (= OBR-3) |
Request.identifier |
.identifier |
FiveWs.identifier |
ClinicalStatement.identifier |
| id |
n/a |
||||
| extension |
n/a |
||||
| use |
Role.code or implied by context |
||||
| type |
Role.code or implied by context |
||||
| system |
II.root or Role.id.root |
||||
| value |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
||||
| period |
Role.effectiveTime or implied by context |
||||
| assigner |
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
||||
| id |
n/a |
||||
| extension |
n/a |
||||
| reference |
N/A |
||||
| type |
N/A |
||||
| identifier |
.identifier |
||||
| id |
n/a |
||||
| extension |
n/a |
||||
| use |
Role.code or implied by context |
||||
| type |
Role.code or implied by context |
||||
| system |
II.root or Role.id.root |
||||
| value |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
||||
| period |
Role.effectiveTime or implied by context |
||||
| assigner |
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
||||
| display |
N/A |
||||
| instantiatesCanonical |
Request.instantiatesCanonical |
.outboundRelationship[typeCode=DEFN].target |
|||
| instantiatesUri |
Request.instantiatesUri |
.outboundRelationship[typeCode=DEFN].target |
|||
| basedOn |
Request.basedOn |
.outboundRelationship[typeCode=FLFS].target |
|||
| replaces |
Request.replaces |
.outboundRelationship[typeCode=RPLC].target |
|||
| requisition |
ORC-4 Placer Group Number |
Request.groupIdentifier |
.inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier |
||
| status |
ORC-1 Order Control and ORC-5 Order Status - see ConceptMap v2-0119-to-request-status |
Request.status |
.status |
FiveWs.status |
Action.currentStatus |
| intent |
order |
Request.intent |
.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere) |
FiveWs.class |
|
| category |
|
FiveWs.class |
|||
| priority |
TQ1-9 Priority - see ConceptMap v2-0485-to-request-priority |
Request.priority |
.priorityCode |
FiveWs.grade |
|
| doNotPerform |
Request.doNotPerform |
.actionNegationInd |
|||
| code |
|
Request.code |
.code |
FiveWs.what[x] |
Procedure.procedureCode |
| id |
n/a |
||||
| extension |
n/a |
||||
| Slices for coding |
|
||||
| coding:palmProcedure |
|
||||
| id |
n/a |
||||
| extension |
n/a |
||||
| system |
./codeSystem |
||||
| version |
./codeSystemVersion |
||||
| code |
./code |
||||
| display |
CV.displayName |
||||
 userSelected |
CD.codingRationale |
||||
| text |
./originalText[mediaType/code="text/plain"]/data |
||||
| orderDetail |
.code |
Procedure.procedureCode | |||
 quantity[x] |
.quantity |
||||
| subject |
PID |
Request.subject |
.participation[typeCode=SBJ].role |
FiveWs.subject |
ClinicalStatement.subject |
| encounter |
PV1-19 Visit Number |
Request.encounter |
|
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] |
.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 |
ORC-9 Date/Time of Transaction |
Request.authoredOn |
.participation[typeCode=AUT].time |
FiveWs.recorded |
Proposal.proposedAtTime |
| requester |
ORC-12 Ordering Provider (= OBR-16) and ORC-21 Ordering Facility Name; PV1-3 / PV1-8 for GP requests |
Request.requester |
.participation[typeCode=AUT].role |
FiveWs.author |
ClinicalStatement.statementAuthor |
| performerType |
Request.performerType |
.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code |
FiveWs.actor |
||
| performer |
MSH-6 Receiving Facility |
Request.performer |
.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
FiveWs.actor |
|
| locationCode |
.participation[typeCode=LOC].role[scoper.determinerCode=KIND].code |
FiveWs.actor |
|||
| locationReference |
.participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE] |
FiveWs.actor |
|||
| reasonCode |
|
Request.reasonCode |
.reasonCode |
FiveWs.why[x] |
|
| reasonReference |
Request.reasonReference |
.outboundRelationship[typeCode=RSON].target |
FiveWs.why[x] |
||
| insurance |
Request.insurance |
.outboundRelationship[typeCode=COVBY].target |
|||
| supportingInfo |
OBX following the OBR (ask at order entry questions) |
Request.supportingInfo |
.outboundRelationship[typeCode=PERT].target |
||
| specimen |
SPM |
.participation[typeCode=SPC].role |
|||
| bodySite |
targetSiteCode |
Procedure.targetBodySite | |||
| note |
|
Request.note |
|
ClinicalStatement.additionalText | |
| patientInstruction |
.text |
||||
| relevantHistory |
Request.relevantHistory |
|
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| Documentation for this format | |||||