Merge pull request #335 from hl7ch/sct-swiss-extension-#334

Sct swiss extension #334
hl7ch · Feb 3, 2025 · ce34427 · ce34427
2 parents 527847b + 4c72dcf
commit ce34427
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diff --git a/expansion-params.json b/expansion-params.json
@@ -0,0 +1,10 @@
+{
+    "resourceType": "Parameters",
+    "id": "expansion-params",
+    "parameter": [
+      {
+        "name": "system-version",
+        "valueUri": "http://snomed.info/sct|http://snomed.info/sct/2011000195101"
+      }
+    ]
+  }
diff --git a/input/fsh/ALIASES.fsh b/input/fsh/ALIASES.fsh
@@ -16,13 +16,17 @@ Alias:  $v3-ActCode                    = http://terminology.hl7.org/CodeSystem/v
 Alias:  $v3-Confidentiality            = http://terminology.hl7.org/CodeSystem/v3-Confidentiality
 Alias:  $v3-MediaType                  = http://terminology.hl7.org/CodeSystem/v3-mediaType
 Alias:  $handling-condition            = http://terminology.hl7.org/CodeSystem/handling-condition
+Alias:  $catalogType                   = http://terminology.hl7.org/CodeSystem/catalogType
 Alias:  $condition-clinical            = http://terminology.hl7.org/CodeSystem/condition-clinical
 Alias:  $condition-category            = http://terminology.hl7.org/CodeSystem/condition-category
 Alias:  $condition-ver-status          = http://terminology.hl7.org/CodeSystem/condition-ver-status
+Alias:  $laboratory-service-definition-type = http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-definition-type
+Alias:  $observation-category          = http://terminology.hl7.org/CodeSystem/observation-category
+Alias:  $usage-context-type            = http://terminology.hl7.org/CodeSystem/usage-context-type
 
 Alias:  $container-cap                 = http://terminology.hl7.org/CodeSystem/container-cap
 Alias:  $rejection-criteria            = http://terminology.hl7.org/CodeSystem/rejection-criteria
-Alias:  $condition-category            = http://terminology.hl7.org/CodeSystem/condition-category
+// Alias:  $condition-category            = http://terminology.hl7.org/CodeSystem/condition-category
 Alias:  $substance-category            = http://terminology.hl7.org/CodeSystem/substance-category 
 Alias:  $report-codes                  = http://hl7.org/fhir/ValueSet/report-codes
 Alias:  $coverage-type                 = http://fhir.ch/ig/ch-orf/CodeSystem/ch-orf-cs-coveragetype // must by a CS!

diff --git a/input/fsh/instances/casestudies/0-best-practice/0-best-practice-ServiceRequest.fsh b/input/fsh/instances/casestudies/0-best-practice/0-best-practice-ServiceRequest.fsh
@@ -316,8 +316,8 @@ Description: "Problem list of Birgit Blum Heart Disorder"
 Usage: #example
 * clinicalStatus = $condition-clinical#active
 * verificationStatus = $condition-ver-status#confirmed
-* category.coding[+] = $condition-category#problemlist-item
-* category = $sct#439401001 "diagnosis"
+* category = $condition-category#problem-list-item	
+// * category = $sct#439401001 "diagnosis"
 * severity = $sct#6736007 "Moderate (severity modifier)"
 * code = $sct#368009 "Heart valve disorder"
 * bodySite = $sct#40768004 "Left thorax"
@@ -335,8 +335,8 @@ Description: "Problem list of Birgit Blum Tibia Fracture"
 Usage: #example
 * clinicalStatus = $condition-clinical#active
 * verificationStatus = $condition-ver-status#confirmed
-* category.coding[+] = $condition-category#problemlist-item
-* category = $sct#439401001 "diagnosis"
+* category = $condition-category#problem-list-item	
+// * category = $sct#439401001 "diagnosis"
 * severity = $sct#24484000 "Severe (severity modifier) (qualifier value)"
 * code = $sct#446980008 "Open fracture of tibial plateau (disorder)"
 * bodySite = $sct#719496004
@@ -354,8 +354,8 @@ Description: "Problem list of Birgit Blum Tibia Fracture"
 Usage: #example
 * clinicalStatus = $condition-clinical#active
 * verificationStatus = $condition-ver-status#confirmed
-* category.coding[+] = $condition-category#problemlist-item
-* category = $sct#71388002 "Procedure (procedure)"
+* category = $condition-category#problem-list-item	
+// * category = $sct#71388002 "Procedure (procedure)"
 * code = $sct#122621000119109 "Prophylactic anticoagulation given (situation)"
 * subject = Reference(Patient/BirgitBlum) "Birgit Blum"
 * encounter = Reference(Encounter/FirstEncounter)

diff --git a/input/fsh/instances/casestudies/1-tvt-with-sr/1-tvt-CompositionWithSR.fsh b/input/fsh/instances/casestudies/1-tvt-with-sr/1-tvt-CompositionWithSR.fsh
@@ -3,7 +3,7 @@ InstanceOf: ChLabOrderCompositionWithSR
 Title: "CH LAB-Composition 1-tvt with ServiceRequest"
 Description: "Composition: Storyboard for suspected deep Vein Thrombosis"
 Usage: #example
-* id = "1-tvt"
+* id = "1-tvt-composition-with-sr"  // has been: 1-tvt
 * meta.versionId = "1"
 * meta.lastUpdated = "2022-10-20T17:04:38.520+00:00"
 * text.status = #additional

diff --git a/input/fsh/instances/casestudies/1-tvt-with-sr/1-tvt-DocumentWithSR.fsh b/input/fsh/instances/casestudies/1-tvt-with-sr/1-tvt-DocumentWithSR.fsh
@@ -11,7 +11,7 @@ Usage: #example
 * type = #document
 * timestamp = "2019-04-01T20:18:41.341+00:00"
 
-* entry[0].fullUrl = "http://example.com/fhir/Composition/1-tvt"
+* entry[0].fullUrl = "http://example.com/fhir/Composition/1-tvt-composition-with-sr"
 * entry[=].resource = 1-tvt-CompositionWithSR
 
 * entry[+].fullUrl = "http://example.com/fhir/Patient/TobiasTimmermann"

diff --git a/input/fsh/instances/casestudies/1-tvt-with-sr/1-tvt-ServiceRequest.fsh b/input/fsh/instances/casestudies/1-tvt-with-sr/1-tvt-ServiceRequest.fsh
@@ -269,7 +269,7 @@ Usage: #example
 * clinicalStatus = $condition-clinical#active
 * verificationStatus = $condition-ver-status#confirmed
 * category = $sct#439401001 "diagnosis"
-* severity = $sct#371923003 "Mild to moderate (qualifier value)"
+* severity = $sct#255604002 "Mild (qualifier value)"
 * code = $sct#723190009 "Chronic renal insufficiency (disorder)"
 * subject = Reference(Patient/TobiasTimmermann) "Tobias Timmermann"
 // * encounter = Reference(Encounter/f001)

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-chloride-serum.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-chloride-serum.fsh
@@ -1,6 +1,6 @@
 Instance: procedure-chloride-serum
 InstanceOf: ActivityDefinition
-Title: "ActivityDefinition Chloride"
+Title: "CH LAB-Order ActivityDefinition Chloride"
 Description: "Procedure Chloride [Moles/volume] in Serum or Plasma"
 Usage: #example
 * meta.profile = "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LabProcedureDefinition"
@@ -15,7 +15,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "Chloride measurement procedure on in-vitro serum specimen"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform              chloride level test on serum, and the output observation.              It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 
 * effectivePeriod.start = "2020-04-01"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-creatinine-serum.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-creatinine-serum.fsh
@@ -1,21 +1,21 @@
 Instance: procedure-creatinine-serum
 InstanceOf: ActivityDefinition
-Title: "ActivityDefinition Serum Creatinine"
+Title: "CH LAB-Order ActivityDefinition Serum Creatinine"
 Description: "Procedure Creatinine [Mass/volume] in Serum or Plasma"
 Usage: #example
 * meta.profile = "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LabProcedureDefinition"
 * language = #en-US
 * url = "http://fhir.ch/ig/ch-lab-order/lab-compendium/ActivityDefinition/procedure-creatinine-serum"
 * version = "0.1.0"
-* name = "UrineCreatinineProcedure"
+* name = "SerumCreatinineProcedure"
 * title = "Procedure - serum creatinine - venous blood"
 * status = #active
 * experimental = true
 * date = "2020-02-13T12:00:00+01:00"
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "creatinine measurements on serum specimen obtained from venous or capillary blood"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input serum specimen and the output observation for serum creatinine.              It is referenced by any _PlanDefinition_ representing a lab service incorporating this procedure."
 
 * effectivePeriod.start = "2020-04-01"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-crp-SI.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-crp-SI.fsh
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "Potassium measurement procedure on in-vitro serum specimen"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform potassium level test on serum, and the output observation.                  It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 * effectivePeriod.start = "2020-04-01"
 * effectivePeriod.end = "2020-12-25"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-crp-highsens-SI.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-crp-highsens-SI.fsh
@@ -1,6 +1,6 @@
 Instance: procedure-crp-highsens-SI
 InstanceOf: ActivityDefinition
-Title: "ActivityDefinition CRP highsens SI"
+Title: "CH LAB-Order ActivityDefinition CRP highsens SI"
 Description: "Procedure C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method"
 Usage: #example
 * meta.profile = "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LabProcedureDefinition"
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform potassium level test on serum, and the output observation.                  It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 * effectivePeriod.start = "2022-04-01"
 * effectivePeriod.end = "2023-12-25"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-crp-highsens.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-crp-highsens.fsh
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform potassium level test on serum, and the output observation.                  It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 * effectivePeriod.start = "2020-04-01"
 * effectivePeriod.end = "2020-12-25"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-crp.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-crp.fsh
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "CRP measurement procedure on in-vitro serum specimen"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform potassium level test on serum, and the output observation.                  It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 * effectivePeriod.start = "2020-04-01"
 * effectivePeriod.end = "2020-12-25"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-d-dimer.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-d-dimer.fsh
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "Chloride measurement procedure on in-vitro serum specimen"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform chloride level test on serum, and the output observation. It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 
 * effectivePeriod.start = "2020-04-01"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-hb-ht-panel.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-hb-ht-panel.fsh
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "Hemoglobin-Hematocrit measurement procedure on in-vitro blood specimen"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform potassium level test on serum, and the output observation.                  It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 * effectivePeriod.start = "2020-04-01"
 * effectivePeriod.end = "2020-12-25"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-hb.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-hb.fsh
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "Hemoglobin measurement procedure on in-vitro blood specimen"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform potassium level test on serum, and the output observation.                  It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 * effectivePeriod.start = "2020-04-01"
 * effectivePeriod.end = "2020-12-25"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-lab-eGFR-ckd-epi.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-lab-eGFR-ckd-epi.fsh
@@ -0,0 +1,31 @@
+Instance: procedure-lab-eGFR-ckd-epi
+InstanceOf: ActivityDefinition
+Title: "CH LAB-Order ActivityDefinition eGFK CKD-EPI"
+Description: "Procedure to get the estimated GFR [Moles/volume] using CKD-EPI 2021 calculator, and mesurement of serum creatinine"
+Usage: #example
+* url = "http://fhir.ch/ig/ch-lab-order/lab-compendium/ActivityDefinition/procedure-lab-eGFR-ckd-epi"
+* identifier.system = "urn:ietf:rfc:3986"
+* identifier.value = "urn:oid:2.16.840.1.113883.4.642.19.7.101"
+* status = #draft
+* description = "Order eGFK CKD-EPI 2021"
+* relatedArtifact.type = #documentation
+* relatedArtifact.display = "Explanation of diagnostic tests for estimated GFR by CKD-EPI 2021 formula"
+* library = "https://www.zkidney.com/mdrd-main"
+* kind = #ServiceRequest
+
+// codes from SNOMED CT and from LOINC
+* code.coding[+].system = $sct
+* code.coding[=].code = #444275009
+* code.coding[=].display = "Measurement of creatinine concentration in serum or plasma specimen with calculation of glomerular filtration rate (procedure)"
+* code.coding[+].system = $loinc
+* code.coding[=].code = #98979-8
+* code.coding[=].display = "Glomerular filtration rate/1.73 sq M.predicted [Volume Rate/Area] in Serum, Plasma or Blood by Creatinine-based formula (CKD-EPI 2021)"
+
+* code.text = "eGFR by CKD-EPI 2021"
+* timingTiming.event.extension.url = "http://hl7.org/fhir/StructureDefinition/cqf-expression"
+* timingTiming.event.extension.valueExpression.language = #text/cql
+* timingTiming.event.extension.valueExpression.expression = "Now()"
+* participant.type = #practitioner
+
+* observationRequirement[0] = Reference(ObservationDefinition/observation-creatinine-serum)
+* observationResultRequirement[0] = Reference(ObservationDefinition/observation-creatinine-serum)
diff --git a/...h/instances/lab-compendium/ActivityDefinition/procedure-lab-panel-renal-insufficiency.fsh b/...h/instances/lab-compendium/ActivityDefinition/procedure-lab-panel-renal-insufficiency.fsh
@@ -0,0 +1,18 @@
+Instance: procedure-lab-panel-renal-insufficiency
+InstanceOf: ActivityDefinition
+Title: "CH LAB-Order Panel for Renal Insufficiency Assessment"
+Description: "Procedure for estimated Glomerual Filtration Rate and and Urine Albumine-Creatinine Ratio"
+Usage: #example
+* url = "http://fhir.ch/ig/ch-lab-order/lab-compendium/ActivityDefinition/procedure-lab-panel-renal-insufficiency"
+* identifier.system = "urn:ietf:rfc:3986"
+* identifier.value = "urn:oid:2.16.840.1.113883.4.642.19.7.100"
+* status = #draft
+* description = "Order Panel for stable renal insufficiency"
+* relatedArtifact.type = #documentation
+* relatedArtifact.display = "Explanation of diagnostic tests used for assessment of stable renal insufficiency"
+* kind = #ServiceRequest
+* code.text = "test for assessment of renal insufficiency"
+* timingTiming.event.extension.url = "http://hl7.org/fhir/StructureDefinition/cqf-expression"
+* timingTiming.event.extension.valueExpression.language = #text/cql
+* timingTiming.event.extension.valueExpression.expression = "Now()"
+* participant.type = #practitioner
diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-potassium-serum.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-potassium-serum.fsh
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "Potassium measurement procedure on in-vitro serum specimen"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform potassium level test on serum, and the output observation.                  It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 
 * effectivePeriod.start = "2020-04-01"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-serum-electrolyte.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-serum-electrolyte.fsh
@@ -15,7 +15,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "Na, K, Cl level measurements on serum or plasma"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and input and output observations for blood electrolyte.              It is referenced by any _PlanDefinition_ representing a lab service incorporating this procedure."
 * effectivePeriod.start = "2020-04-01"
 * effectivePeriod.end = "2020-12-25"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-sodium-serum.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-sodium-serum.fsh
@@ -17,7 +17,7 @@ Usage: #example
 * contact.telecom.system = #url
 * contact.telecom.value = "http://hl7.org/Special/committees/orders"
 * description = "Sodium measurement procedure on in-vitro serum specimen"
-* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#001
+* jurisdiction = http://unstats.un.org/unsd/methods/m49/m49.htm#756
 * purpose = "This _ActivityDefinition_ specifies the input specimens and observations needed to perform sodium level test on serum, and the output observation. It is referenced by any _PlanDefinition_ representing a lab service focusing on this test."
 
 * effectivePeriod.start = "2020-04-01"

diff --git a/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-urine-albumin.fsh b/input/fsh/instances/lab-compendium/ActivityDefinition/procedure-urine-albumin.fsh
@@ -0,0 +1,23 @@
+Instance: procedure-urine-albumin
+InstanceOf: ActivityDefinition
+Title: "CH LAB-Order ActivityDefinition Urine Albumin"
+Description: "Activity Definition for Albumin [Moles/volume] in Urine Procedure"
+Usage: #example
+* url = "http://fhir.ch/ig/ch-lab-order/lab-compendium/ActivityDefinition/procedure-urine-albumin"
+* identifier.system = "urn:ietf:rfc:3986"
+* identifier.value = "urn:oid:2.16.840.1.113883.4.642.19.7.104"
+* status = #draft
+* description = "Order Albumin/Creatinine Ratio in Urine"
+* relatedArtifact.type = #documentation
+* relatedArtifact.display = "Explanation of diagnostic tests to determine level of albumin in urine"
+* kind = #ServiceRequest
+* code = $loinc#1754-1 "Albumin [Mass/volume] in Urine"
+* code.text = "Albumin (U) [Mass/Vol]"  // LOINC Display name
+* timingTiming.event.extension.url = "http://hl7.org/fhir/StructureDefinition/cqf-expression"
+* timingTiming.event.extension.valueExpression.language = #text/cql
+* timingTiming.event.extension.valueExpression.expression = "Now()"
+* participant.type = #practitioner
+* kind = #ServiceRequest
+
+* observationRequirement[0] = Reference(ObservationDefinition/observation-urine-albumin)
+* observationResultRequirement[0] = Reference(ObservationDefinition/observation-urine-albumin)