SDOH Clinical Care
0.1.0 - STU 1

This page is part of the SDOH Clinical Care for Multiple Domains (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: SDOHCC ServiceRequest Base 1

Defining URL:http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest-Base-1
Version:0.1.0
Name:SDOHCC_ServiceRequest_Base_1
Title:SDOHCC ServiceRequest Base 1
Status:Draft as of 2020-12-16T20:13:36+00:00
Definition:

This profile constrains ServiceRequests that address Social Determinants of Health.

Publisher:HL7 International - Patient Care WG
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest-Base-1

Additional Guidance

The SDOHCC_ServiceRequest_Base_1 profile allows the representation of Service Requests that address SDOH Conditions.

Many of the resources/profiles used for SDOH reference one another. The current flow is that QuestionnaireResponses result in Observations that are used as evidence for Conditions that are addressed by Goals that lead to ServiceRequests and Procedures.

The sections that follow provide additional guidance for some elements in the SDOHCC_ServiceRequest_Base_1 profile.

ServiceRequest.category

ServiceRequest.category is optional and bound to the FHIR "Service Request Category Codes" value set with binding strength: Example.

Additionally, an optional ServiceRequest.category slice bound to the value set "SDOHCC ValueSet SDOHDomain 1" the categorization of a Service Request into one or more of the SDOH domains (e.g., food-insecurity-domain, inadequate-housing-domain, etc.). It is recommended that this optional slice be used in order to facilitate searching for SDOH service requests.

ServiceRequest.code

ServiceRequest.code is currently bound to the FHIR "Procedure Codes (SNOMED CT)" value set with binding strength: Example. As the Gravity Project continues to refine content for the SDOH domains (e.g., food, housing, transportation, etc.), the value set for ServiceRequest.code will be refined to codes that pertain to SDOH domains.

ServiceRequest.subject

ServiceRequest.subject is restricted to referencing Patient, Group or Location.

Although the US Core Condition, CarePlan, Goal and Procedure Profiles restrict Subject to US Core Patient Profile, US Core does not offer a ServiceRequest Profile. For this reason, the SDOHCC_ServiceRequest_Base_1 profile does not restrict ServiceRequest.subject to US Core Patient Profile. However, if an implementer is creating US Core profiles (e.g., US Core Condition, US Core Procedure, etc.) that require US Core Patient for Subject, then US Core Patient should also be used for Subject in other profiles (e.g., Observation, ServiceRequest, etc.) which do not currently specify US Core Patient.

ServiceRequest.reasonCode

ServiceRequest.reasonCode can be used to provide a coded reason for why a service is being requested.

ServiceRequest.reasonCode is currently bound to the FHIR "Procedure Reason Codes" value set with binding strength: Example. As the Gravity Project continues to refine content for the SDOH domains, the value set for ServiceRequest.reasonCode may be refined to codes that pertain to SDOH domains.

Of note, information represented by ServiceRequest.reasonCode overlaps significantly with information represented by ServiceRequest.reasonReference. Multiple approaches to representing the same information may negatively impact interoperability. Therefore, where there is overlap in information provided by ServiceRequest.reasonReference and ServiceRequest.reasonCode, it is recommended that ServiceRequest.reasonReference should be used to justify why the service is being requested.

ServiceRequest.reasonReference

ServiceRequest.reasonReference can be used to justify a service is being requested.

To align an SDOH ServiceRequest with the SDOH Conditions and Observations that justify it, ServiceRequest.reasonReference is sliced to allow the preferred option of referencing the SDOHCC_Condition_Base_1 Profile and/or the SDOHCC_Observation_ScreeningResponseBase_1 Profile.

ServiceRequest.reasonReference should reference the SDOHCC_Condition_Base_1 Profile and/or the SDOHCC_Observation_ScreeningResponseBase_1 Profile if they exist.

Additionally, ServiceRequest.reasonReference may reference Condition, Observation, DocumentReference and/or DiagnosticReport.

Where there is significant overlap in information provided by ServiceRequest.reasonReference and ServiceRequest.reasonCode, it is recommended that ServiceRequest.reasonReference should be used to justify why the service is being requested.

Formal Views of Profile Content

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

This structure is derived from ServiceRequest

Summary

Mandatory: 1 element
Must-Support: 9 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element ServiceRequest.category is sliced based on the value of value:$this
  • The element ServiceRequest.reasonReference is sliced based on the value of profile:resolve()

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to be performed
... basedOn 0..*Reference(CarePlan | ServiceRequest)What request fulfills
... status S1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
.... category:SDOHDomain S0..*CodeableConcepte.g., food-insecurity-domain | transportation-insecurity-domain
Binding: SDOHCC ValueSet SDOHDomain 1 (required)
... priority S0..1coderoutine | urgent | asap | stat
... code S1..1CodeableConceptWhat is being requested/ordered
... subject S1..1Reference(Patient | Group | Location)Individual or Entity the service is ordered for
... occurrence[x] S0..1dateTime, Period, TimingWhen service should occur
... performer S0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... reasonReference 0..*(Slice Definition)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference S0..*Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1)Explanation/Justification for service or service
... specimen 0..0
... bodySite 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA 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)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... 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)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.

... category Σ0..*(Slice Definition)Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:SDOHDomain SΣ0..*CodeableConcepte.g., food-insecurity-domain | transportation-insecurity-domain
Binding: SDOHCC ValueSet SDOHDomain 1 (required)
... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConcept​What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.

... 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(Patient | Group | Location)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] SΣ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... 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 Σ0..1dateTimeDate request signed
... requester Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)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 SΣ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)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 Σ0..*(Slice Definition)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference SΣ0..*Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... 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..*ServiceRequestA request for a service to be performed
... status ?!Σ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.

... category:SDOHDomain Σ0..*CodeableConcepte.g., food-insecurity-domain | transportation-insecurity-domain
Binding: SDOHCC ValueSet SDOHDomain 1 (required)
... code Σ1..1CodeableConcept​What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.

... subject Σ1..1Reference(Patient | Group | Location)Individual or Entity the service is ordered for
... occurrence[x] Σ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... reasonReference:SupportedReasonReference Σ0..*Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1)Explanation/Justification for service or service

doco Documentation for this format

This structure is derived from ServiceRequest

Summary

Mandatory: 1 element
Must-Support: 9 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element ServiceRequest.category is sliced based on the value of value:$this
  • The element ServiceRequest.reasonReference is sliced based on the value of profile:resolve()

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to be performed
... basedOn 0..*Reference(CarePlan | ServiceRequest)What request fulfills
... status S1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
.... category:SDOHDomain S0..*CodeableConcepte.g., food-insecurity-domain | transportation-insecurity-domain
Binding: SDOHCC ValueSet SDOHDomain 1 (required)
... priority S0..1coderoutine | urgent | asap | stat
... code S1..1CodeableConceptWhat is being requested/ordered
... subject S1..1Reference(Patient | Group | Location)Individual or Entity the service is ordered for
... occurrence[x] S0..1dateTime, Period, TimingWhen service should occur
... performer S0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... reasonReference 0..*(Slice Definition)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference S0..*Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1)Explanation/Justification for service or service
... specimen 0..0
... bodySite 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA 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)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... 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)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.

... category Σ0..*(Slice Definition)Classification of service
Slice: Unordered, Open by value:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:SDOHDomain SΣ0..*CodeableConcepte.g., food-insecurity-domain | transportation-insecurity-domain
Binding: SDOHCC ValueSet SDOHDomain 1 (required)
... priority SΣ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
... code SΣ1..1CodeableConcept​What is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available here.

... 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(Patient | Group | Location)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... occurrence[x] SΣ0..1When service should occur
.... occurrenceDateTimedateTime
.... occurrencePeriodPeriod
.... occurrenceTimingTiming
... 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 Σ0..1dateTimeDate request signed
... requester Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)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 SΣ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)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 Σ0..*(Slice Definition)Explanation/Justification for service or service
Slice: Unordered, Open by profile:resolve()
.... reasonReference:SupportedReasonReference SΣ0..*Reference(SDOHCC Condition Base 1 | SDOHCC Observation ScreeningResponseBase 1)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... 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: Schematron

Terminology Bindings

PathConformanceValueSet
ServiceRequest.languagepreferredCommonLanguages
Max Binding: AllLanguages
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredRequestIntent
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:SDOHDomainrequiredSDOHCC_ValueSet_SDOHDomain_1
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.codeexampleProcedureCodes(SNOMEDCT)
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeexampleProcedureReasonCodes

Constraints

IdPathDetailsRequirements
dom-2ServiceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3ServiceRequestIf 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-4ServiceRequestIf 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-5ServiceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6ServiceRequestA resource should have narrative for robust management
: text.`div`.exists()
prr-1ServiceRequestorderDetail SHALL only be present if code is present
: orderDetail.empty() or code.exists()
ele-1ServiceRequest.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ServiceRequest.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ServiceRequest.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1ServiceRequest.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1ServiceRequest.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.instantiatesCanonicalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.instantiatesUriAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.replacesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.requisitionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.intentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.category:SDOHDomainAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.doNotPerformAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.orderDetailAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.quantity[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.occurrence[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.asNeeded[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.authoredOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.requesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.performerTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.locationCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.locationReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.reasonReference:SupportedReasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.insuranceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.supportingInfoAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.patientInstructionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1ServiceRequest.relevantHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())