Existing Wording: A Procedure Request is a record of a request for a procedure to be performed. It can be used to represent a procedure that is planned, that is proposed, or that is ordered.

Proposed Wording: A Procedure Request is a record of a request for a procedure to be performed. It can be used to represent a procedure that is planned, that is proposed, or that is ordered, as distinguished by the value of the ProcedureRequestStatus field.

Comment:

I think it's important to be explicit about how to know the difference between proposals and actual orders, so I suggested the additional wording.