QI-Core Implementation Guide
5.0.0-ballot - STU Ballot US

This page is part of the Quality Improvement Core Framework (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

Resource Profile: QICore Service Not Requested

Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicenotrequested Version: 5.0.0-ballot
Active as of 2018-08-22 Computable Name: QICoreServiceNotRequested

Negation profile of ServiceRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

Contents:

Guidance

Reference Guidance for use of the Service Not Requested profile can be found here.

  • See the Social Determinants of Health (SDOH) Guidance Page for more information when exchanging Social Determinants of Health (SDOH) Service Requests.
  • The ServiceRequest.category binding must support at a minimum the US Core ServiceRequest Category Codes. However, this valueset can be treated as extensible and other category codes can be used instead.
  • The ServiceRequest.code.extension:notDoneValueSet valueset identifies a set of possible coded values representing activities that were not requested, ordered, or performed.
  • The ServiceRequest.subject is Must Support with Must Support reference to QI Core Patient

Usage

The ServiceRequest and ServiceNotRequested profiles represent the positive and negative statements for a service request. To ensure instances retrieved meet negative intent, applications should check the status and doNotPerform elements as illustrated in this example:

define ServiceNotRequested:
  [ServiceRequest] SR
    where SR.status = 'completed'
      and SR.doNotPerform is true

See the patterns page for implementation and usage patterns.

Examples

Negation Example with valuesetService discontinued; indicates that none of the services in the given not done value set were requested.
Negation Example with codeService discontinued; indicates that the given service, by code, was not requested.

Both of these example instances meet measure intent for exclusion as defined in the following example CQL: 

define "No VTE Prophylaxis Device Order":
  (["ServiceRequest": "Venous foot pumps (VFP)"]
    union ["ServiceRequest": "Intermittent pneumatic compression devices (IPC)"]
    union ["ServiceRequest": "Graduated compression stockings (GCS)"]
  ) DeviceOrder
    where DeviceOrder.status = 'completed'
      and DeviceOrder.doNotPerform is true

For a more complete discussion of representation of negation within QICore and quality improvement artifacts, see the Negation in QI Core topic.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 3 elements
Must-Support: 10 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*USCoreServiceRequestProfileA request for a service to be performed
... approachBodyStructure 0..*Reference(BodyStructure)The access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure
... appropriatenessScore 0..1code, decimalAppropriateness Score
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest-appropriatenessScore
Binding: RAND Appropriateness Scores (required): The RAND scoring for appropriateness of the procedure.

... reasonRefused S1..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: Negation Reason Codes (extensible): The reason the event did not occur or was not performed

... doNotPerform S1..1booleanTrue if service/procedure should not be performed
Fixed Value: true
... code
.... notDoneValueSet SI0..1canonical(ValueSet)What was not requested
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject S1..1Reference(QICorePatient)Individual or Entity the service is ordered for
... encounter S0..1Reference(QICore Encounter)Encounter in which the request was created
... occurrence[x] S0..1When service should occur
.... occurrenceDateTimedateTime S
.... occurrencePeriodPeriod S
.... occurrenceTimingTiming S
... authoredOn S1..1dateTimeDate request signed
... requester 0..1Reference(QICore Practitioner | QICorePractitionerRole | QICoreOrganization | QICorePatient | QICoreRelatedPerson | QICoreDevice)Who/what is requesting service
... performer 0..*Reference(QICore Practitioner | QICoreOrganization | QICorePatient | QICoreDevice | QICoreRelatedPerson | HealthcareService)Requested performer
... reasonReference SΣ0..*Reference(QICore Condition Encounter Diagnosis S | QICore Condition Problems Health Concerns S)Explanation/Justification for service or service
... specimen Σ0..*Reference(QICoreSpecimen)Procedure Samples
... bodySite S0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (preferred): Anatomic location where the procedure should be performed. This is the target site


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*USCoreServiceRequestProfileA request for a service to be performed
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... approachBodyStructure 0..*Reference(BodyStructure)The access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure
... appropriatenessScore 0..1code, decimalAppropriateness Score
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest-appropriatenessScore
Binding: RAND Appropriateness Scores (required): The RAND scoring for appropriateness of the procedure.


... reasonRefused S1..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?!0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modifierExtension:isElective ?!S0..1QICoreIsElectiveExtension
... identifier Σ0..*IdentifierIdentifiers assigned to this order
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces Σ0..*Reference(ServiceRequest)What request replaces
... requisition Σ0..1IdentifierComposite Request ID
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category SΣ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ0..*CodeableConceptClassification of service
Binding: US Core ServiceRequest Category Codes (required)
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!SΣ1..1booleanTrue if service/procedure should not be performed
Fixed Value: true
... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: US Core Procedure Codes (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... notDoneValueSet SI0..1canonical(ValueSet)What was not requested
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... orderDetail ΣI0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣ1..1Reference(QICorePatient)Individual or Entity the service is ordered for
... encounter SΣ0..1Reference(QICore Encounter)Encounter in which the request was created
... occurrence[x] SΣ0..1When service should occur
.... occurrenceDateTimedateTime S
.... occurrencePeriodPeriod S
.... occurrenceTimingTiming S
... asNeeded[x] Σ0..1Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn SΣ1..1dateTimeDate request signed
... requester SΣ0..1Reference(QICore Practitioner | QICorePractitionerRole S | QICoreOrganization | QICorePatient S | QICoreRelatedPerson S | QICoreDevice)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ0..*Reference(QICore Practitioner | QICoreOrganization | QICorePatient | QICoreDevice | QICoreRelatedPerson | HealthcareService)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... reasonReference SΣ0..*Reference(QICore Condition Encounter Diagnosis S | QICore Condition Problems Health Concerns S)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... specimen Σ0..*Reference(QICoreSpecimen)Procedure Samples
... bodySite SΣ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (preferred): Anatomic location where the procedure should be performed. This is the target site


... note 0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*USCoreServiceRequestProfileA request for a service to be performed
... reasonRefused 1..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... modifierExtension:isElective ?!0..1QICoreIsElectiveExtension
... status ?!Σ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... Slices for category Σ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core Σ0..*CodeableConceptClassification of service
Binding: US Core ServiceRequest Category Codes (required)
... doNotPerform ?!Σ1..1booleanTrue if service/procedure should not be performed
Fixed Value: true
... code Σ1..1CodeableConceptWhat is being requested/ordered
Binding: US Core Procedure Codes (extensible)
.... notDoneValueSet I0..1canonical(ValueSet)What was not requested
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject Σ1..1Reference(QICorePatient)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(QICore Encounter)Encounter in which the request was created
... occurrence[x] Σ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... authoredOn Σ1..1dateTimeDate request signed
... requester Σ0..1Reference(QICorePractitionerRole | QICorePatient | QICoreRelatedPerson)Who/what is requesting service
... reasonReference Σ0..*Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns)Explanation/Justification for service or service
... bodySite Σ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (preferred): Anatomic location where the procedure should be performed. This is the target site



doco Documentation for this format

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 3 elements
Must-Support: 10 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*USCoreServiceRequestProfileA request for a service to be performed
... approachBodyStructure 0..*Reference(BodyStructure)The access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure
... appropriatenessScore 0..1code, decimalAppropriateness Score
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest-appropriatenessScore
Binding: RAND Appropriateness Scores (required): The RAND scoring for appropriateness of the procedure.

... reasonRefused S1..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: Negation Reason Codes (extensible): The reason the event did not occur or was not performed

... doNotPerform S1..1booleanTrue if service/procedure should not be performed
Fixed Value: true
... code
.... notDoneValueSet SI0..1canonical(ValueSet)What was not requested
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
... subject S1..1Reference(QICorePatient)Individual or Entity the service is ordered for
... encounter S0..1Reference(QICore Encounter)Encounter in which the request was created
... occurrence[x] S0..1When service should occur
.... occurrenceDateTimedateTime S
.... occurrencePeriodPeriod S
.... occurrenceTimingTiming S
... authoredOn S1..1dateTimeDate request signed
... requester 0..1Reference(QICore Practitioner | QICorePractitionerRole | QICoreOrganization | QICorePatient | QICoreRelatedPerson | QICoreDevice)Who/what is requesting service
... performer 0..*Reference(QICore Practitioner | QICoreOrganization | QICorePatient | QICoreDevice | QICoreRelatedPerson | HealthcareService)Requested performer
... reasonReference SΣ0..*Reference(QICore Condition Encounter Diagnosis S | QICore Condition Problems Health Concerns S)Explanation/Justification for service or service
... specimen Σ0..*Reference(QICoreSpecimen)Procedure Samples
... bodySite S0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (preferred): Anatomic location where the procedure should be performed. This is the target site


doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*USCoreServiceRequestProfileA request for a service to be performed
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... approachBodyStructure 0..*Reference(BodyStructure)The access point or points used for this procedure
URL: http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure
... appropriatenessScore 0..1code, decimalAppropriateness Score
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest-appropriatenessScore
Binding: RAND Appropriateness Scores (required): The RAND scoring for appropriateness of the procedure.


... reasonRefused S1..1CodeableConceptExtension
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-doNotPerformReason
Binding: Negation Reason Codes (extensible): The reason the event did not occur or was not performed


... Slices for modifierExtension ?!0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modifierExtension:isElective ?!S0..1QICoreIsElectiveExtension
... identifier Σ0..*IdentifierIdentifiers assigned to this order
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces Σ0..*Reference(ServiceRequest)What request replaces
... requisition Σ0..1IdentifierComposite Request ID
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... Slices for category SΣ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ0..*CodeableConceptClassification of service
Binding: US Core ServiceRequest Category Codes (required)
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!SΣ1..1booleanTrue if service/procedure should not be performed
Fixed Value: true
... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: US Core Procedure Codes (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... notDoneValueSet SI0..1canonical(ValueSet)What was not requested
URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ0..1stringPlain text representation of the concept
... orderDetail ΣI0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... quantity[x] Σ0..1Service amount
.... quantityQuantityQuantity
.... quantityRatioRatio
.... quantityRangeRange
... subject SΣ1..1Reference(QICorePatient)Individual or Entity the service is ordered for
... encounter SΣ0..1Reference(QICore Encounter)Encounter in which the request was created
... occurrence[x] SΣ0..1When service should occur
.... occurrenceDateTimedateTime S
.... occurrencePeriodPeriod S
.... occurrenceTimingTiming S
... asNeeded[x] Σ0..1Preconditions for service
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc.

.... asNeededBooleanboolean
.... asNeededCodeableConceptCodeableConcept
... authoredOn SΣ1..1dateTimeDate request signed
... requester SΣ0..1Reference(QICore Practitioner | QICorePractitionerRole S | QICoreOrganization | QICorePatient S | QICoreRelatedPerson S | QICoreDevice)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ0..*Reference(QICore Practitioner | QICoreOrganization | QICorePatient | QICoreDevice | QICoreRelatedPerson | HealthcareService)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: ProcedureReasonCodes (example): Diagnosis or problem codes justifying the reason for requesting the service investigation.


... reasonReference SΣ0..*Reference(QICore Condition Encounter Diagnosis S | QICore Condition Problems Health Concerns S)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... specimen Σ0..*Reference(QICoreSpecimen)Procedure Samples
... bodySite SΣ0..*CodeableConceptLocation on Body
Binding: SNOMEDCTBodyStructures (preferred): Anatomic location where the procedure should be performed. This is the target site


... note 0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
ServiceRequest.languagepreferredCommonLanguages
Max Binding: AllLanguages
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.codeextensibleUSCoreProcedureCodes
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes
ServiceRequest.bodySitepreferredSNOMEDCTBodyStructures

Constraints

IdGradePathDetailsRequirements
dom-2errorServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorServiceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
prr-1errorServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()
ele-1errorServiceRequest.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorServiceRequest.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorServiceRequest.extension:approachBodyStructureAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorServiceRequest.extension:approachBodyStructureMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorServiceRequest.extension:appropriatenessScoreAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorServiceRequest.extension:appropriatenessScoreMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorServiceRequest.extension:reasonRefusedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorServiceRequest.extension:reasonRefusedMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorServiceRequest.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorServiceRequest.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorServiceRequest.modifierExtension:isElectiveAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorServiceRequest.modifierExtension:isElectiveMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorServiceRequest.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.instantiatesCanonicalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.instantiatesUriAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.replacesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.requisitionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.intentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.category:us-coreAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.doNotPerformAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.code.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorServiceRequest.code.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorServiceRequest.code.extension:notDoneValueSetAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorServiceRequest.code.extension:notDoneValueSetMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorServiceRequest.code.codingAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.code.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.orderDetailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.quantity[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.occurrence[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.asNeeded[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.authoredOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.requesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.performerTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.locationCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.locationReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.insuranceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.supportingInfoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.specimenAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.bodySiteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.patientInstructionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorServiceRequest.relevantHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())