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Validate encounter id as a primary key
Validate that the date is within acceptable limits
$.encounter.date<= current_date
$.encounter.date>=current_date-encounter_max_days_passed
$.encounter.date>=episode.period.start where episode.id=$encounter.episode.identifier.value
in case of error return 422 "Encounter’s date must be equal to or greater than start date of episode"
Validate that the period is within acceptable limits
$.encounter.period.start<= current_date
in case of error return 422 "Date must be in past"
$.encounter.period.start>=current_date-encounter_max_days_passed
in case of error return 422 "Date must be greater than {{current_date-encounter_max_days_passed}}"
$.encounter.period.start>=episode.period.start where episode.id=$encounter.episode.identifier.value
in case of error return 422 "Encounter’s date must be equal to or greater than start date of episode"
$.encounter.period.end>= $.encounter.period.start
in case of error return 422 "End date must be greater than start date"
Validate "episode" is an active episode that belongs to the current patient
$.encounter.episode.identifier.value is one of ME.patinet{patient_id}.episodes{*}.id
in case of error return 422 "Episode with such ID is not found"
$.encounter.episode.identifier.value is an ID of an Episode that meets the requirements:
ME.patient{patinet_id}.episodes{episode_id}.status = 'active'
in case of error return 422 "Episode is not active"
ME.patient{patinet_id}.episodes{episode_id}.managing_organization==token.client_id
in case of error return 422 "Managing_organization in the episode does not correspond to user`s legal_entity"
Validate "visit" is a visit that belongs to the current patient
$.encounter.visit.identifier.value=$.visit.id OR ID of already existing Visit in ME.patient{patient_id}.visit.id
in case of error return 422 "Visit with such ID is not found"
Validate referrals
As a referral it can be referenced electronic (registered in the system) OR paper service request
Validate ($.encounter.incoming_referrals OR $.encounter.paper_referral) or none in request
Validate incoming referrals as References
Validate paper referral as Object (paper_referral)
Validate incoming referrals that corresponds to $.encounter.incoming_referrals[*].identifier.value have:
..used_by_legal_entity.identifier.value==token.client_id OR null
in case of error return 409 "Service request is used by another legal_entity"
..status==active or program_processing_status=in_progress (any status is valid in case program_processing_status= in_progress)
in case of error return 409 "Invalid service request status"
..if program is defined program_processing_status=new, in_queue or in_progress
check that service_request contains based_on parameter
in case based_on present in service_request
verify care_plan:
It should be in active status
Care plan's period end (if exist) should be greater than current date or equal.
verify activity:
It has activity.detail.kind=service_request; activity.detail.product_reference=service_id.
It has scheduled, in_progress status
in case based_on not present in request skip previous validations.
Check if service request quantity is not exhausted as described at https://e-health-ua.atlassian.net/wiki/spaces/EH/pages/17348624385/RC+REHAB+Submit+Encounter+Package#Related-service-request-validation
Validate performer
$.encounter.performer.identifier.value is an ID of existing employee in PRM.Employees
in case of error return "There is no Employee with such id"
$.encounter.performer.identifier.value == PRM.Employees.id where (PRM.Employees.status==`active`)
in case of error return "Employee is not active"
$.encounter.performer.identifier.value == PRM.Employees.id where (PRM.Employees.legal_entity== client_id)
"User can not create encounter for this legal_entity"
validate employee type according to encounter.class - use config file (employee_encounter_classes)
in case error return 422, "Employee.type $type is forbidden for your encounter class"
according to employee.type as stated in employee_encounter_types
in case error return 422, msg "Employee.type $type is forbidden for your encounter type"
division
$.encounter.division.identifier.value must meet the following requirements
PRM.division.status = "ACTIVE"
in case of error return 409 "Division is not active "
PRM.division.legal_entity= token.client_id
in case of error return 409 "User is not allowed to create encouners for this division"
Validate supporting_info as References
Validate encounter.class
according to legal_entity.type - use config file (legal_entity_episode_types)
in case error return 409, msg "Encounter.class $class is forbidden for your legal entity type"
according to episode.type - use config file (episode_type_encounter_classes)
in case error return 409, msg "Encounter.class $class is forbidden for your episode type"
according to employee.type as stated in encounter class validations
in case error return 409, msg "Encounter.class $class is forbidden for your employee type"
Validate encounter.type according to encounter.class - use config file encounter_class_encounter_types
in case error return 409, msg "Encounter.type $type is forbidden for your encounter class"
Validate actions
Validate actions presence according to encounter class validations
in case error return '422', msg 'TBC'
Defined in the system that corresponds to encounter class validations
in case error return '422', msg 'TBC'
Validate action_references
Note. For encounter.action_references pass only "service", and the "service_group" does not passValidate action_references presence according to encounter class validations
in case error return '422', msg 'At least one of action references, diagnostic reports or procedures should exist in encounter package'
Validate code as a Reference
Validate action_references is in prm.services, has status ACTIVE and is_active = true
in case error return '422', msg 'Service with such ID is not found'
in case error return '422', msg 'Service should be active'
Validate diagnoses
Validate conditions as References
Validate that encounter type= 'intervention'. If not, than:
Validate encounter has exactly one diagnosis where $.encounter.diagnoses[?(@.role.coding[0].code=="primary")]
in case of error return 422 "Encounter must have exactly one primary diagnosis"
Validate condition.id is in DB or in current Encounter package
Validate that each condition is active (verification_status != entered_in_error)
in case of error return 409 "Conditions in diagnoses must be active"
Validate that primary diagnosis defined in the system that corresponds to encounter class validations
in case of error "Primary diagnosis should be defined in {$.encounter.diagnoses[*].role.coding[*].system } system"
Validate that rank
Rank value should be integer and >= 1
in case of error return 422 "expected the value to be >= 1"
Rank value should be integer and <= 10
in case of error return 422 "expected the value to be <= 10"
Validate reasons
Validate reasons presence according to encounter class validations
in case error return 422, msg 'Validation failed. You can find validators description at our API Manifest: Nebo #15 API Manifest · Apiary .', description 'can't be blank.
Validate hospitalization
Validate hospitalization presence according to encounter class validations
in case error return 422, msg "Hospitalization block is forbidden for encounter.class = $encounter.class"
Validate all fields according to schemata
destination
discharge_disposition
pre_admission_identifier
admit_source
re_admission
discharge_department
If encounter.type.code = "discharge" than encounter.hospitalization.admit_source is required, encounter.hospitalization.discharge_disposition is required, encounter.hospitalization.discharge_department is required
in case error return 422, msg "<parameter> is required for encounter.type.code = "discharge"
Validate destination is a valid legal_entity in prm with status is ACTIVE and is_active = true
in case error return 422, "Legal entity is not active"
Validate patient_id for encounter.type == "patient_identity"
$patient_id should exist in mpi.prepersons.id, have status =='ACTIVE' and is_active = true
in case error return 'TBC', msg 'TBC'
If incoming referrals exists and incoming_referral (service request) category not in ('transfer_of_care', 'hospitalization') and encounter.class in ("AMB", "INPATIENT") and encounter.type <> "patient_identity" validate service for encounter.actions OR diagnostic_report.code OR procedure.code
If service_requests.code.identifier.value is service, validate $resourse.code.identifier.value = service_requests.code.identifier.value
in case error return 409, "Service in $resourse differ from service in service request"
if service_requests.code.identifier.value is service_group, validate $resourse.code.identifier.value in (SELECT service_id from service_inclusions where service_group_id='service_requests.code.identifier.value')
in case error return 409, "Service in $resourse differ from services in service request's service_group"
Validate $resourse.service.is_active = true
in case error return 409, "Service should be active"
Validate patient verification status:
If encounter has incoming referral with valid and active service request, then skip this validation.
Else check patient's verification_status is not equal to NOT_VERIFIED.
in case of error return 409, "Patient is not verified"
Validate priority
Validate priority presence according to eHealth/encounter_priority
in case error return 409, ""
If encounter.class.code = "INPATIENT", priority is required
in case error return 422, "Priority for encounter is required"
...
Validate observations ids as primary keys
Validate that context of observation is a current encounter
$.observations[*].context.identifier.value==$.encounter.id
in case of error return "Submitted context is not allowed for the observation"
Validate that the date is within acceptable limits
$.observations[*].issued <= current_time
in case of error return "Issued date must be in past"
$.observations[*].issued>=current_date-observation_max_days_passed
in case of error "Issued must be greater than {{current_date-observation_max_days_passed}}"
Validate performer(asserter)
Validate $.observations[*].components
if $.observations[*].code.coding[*].system is "eHealth/ICF/classifiers":
Check number of component items with $.observations[*].components[*].code.coding[*].system = "eHealth/ICF/qualifiers":
if $.observations[*].code.coding[*].code starts from "b" letter, then components must contain exact 1 item with:
$.observations[*].components[*].code.coding[*].code = "extent_or_magnitude_of_impairment"
in case of missing qualifier - return 422 "Missing components with qualifiers <list of missing qualifiers>"
in case of incorrect number of qualifiers - return 422 "Required 1 component, but got <number of items>"
in case value is not active in dictionary - return 422 "Value is not active"
if $.observations[*].code.coding[*].code starts from "s" letter, then components must contain exact 3 items with:
$.observations[*].components[*].code.coding[*].code = "extent_or_magnitude_of_impairment"
$.observations[*].components[*].code.coding[*].code = "nature_of_change_in_body_structure"
$.observations[*].components[*].code.coding[*].code = "anatomical_localization"
in case of missing qualifier - return 422 "Missing components with qualifiers <list of missing qualifiers>"
in case of incorrect number of qualifiers - return 422 "Required 3 components, but got <number of items>"
in case value is not active in dictionary - return 422 "Value is not active"
if $.observations[*].code.coding[*].code starts from "d" letter, then components must contain exact 2 items with:
$.observations[*].components[*].code.coding[*].code = "performance"
$.observations[*].components[*].code.coding[*].code = "capacity"
in case of missing qualifier - return 422 "Missing components with qualifiers <list of missing qualifiers>"
in case of incorrect number of qualifiers - return 422 "Required 2 components, but got <number of items>"
in case value is not active in dictionary - return 422 "Value is not active"
if $.observations[*].code.coding[*].code starts from "e" letter, then components must contain exact 1 item with:
$.observations[*].components[*].code.coding[*].code = "barrier_or_facilitator"
in case of missing qualifier - return 422 "Missing components with qualifiers <list of missing qualifiers>"
in case of incorrect number of qualifiers - return 422 "Required 1 component, but got <number of items>"
in case value is not active in dictionary - return 422 "Value is not active"
Check $.observations[*].components[*].value_codeable_concept is present in each item with $.observations[*].components[*].code.coding[*].system = "eHealth/ICF/qualifiers" and $.observations[*].components[*].value_codeable_concept.coding[*].system corresponds to $.observations[*].components[*].code.coding[*].code
in case not present or doesn't correspond - return 422 "Doesn't correspond to $.observations[i].components[i].code"
in case code value is not active in dictionary - return 422 "Value is not active"
if observations[*].categories[0].coding[0].system == "eHealth/ICF/observation_categories" - skip validation of observations[*].value and make this fields optional
else - check that one off this fields present:
Validate$.observations[*].
components[*].value_period as a Period
Validate $.observations[*].value_quantity
$.observations[*].value must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].comparator can take the following values : [">", ">=", "=", "<=", "<"]
in case of error return "value is not allowed in enum"
$.observations[*].unit can take values from dictionary eHealth/ucum/units
in case of error return "value is not allowed in enum"
Validate $.observations[*].value_codeable_concept
$.observations[*].code validate that the code belongs to the dictionary system
in case of error return "Value is not allowed in enum"
Validate $.observations[*].value_boolean
$.observations[*].value_boolean must be boolean type
in case of error return "type mismatch. Expected boolean but got {entered type}"
Validate $.observations[*].value_string
$.observations[*].value_string must be string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate $.observations[*].value_sampled_data
$.observations[*].data must be string type
in case of error return "type mismatch. Expected string but got {entered type}"
$.observations[*].origin must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].period must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].factor must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].lower_limit must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].upper_limit must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
$.observations[*].dimensions must be with number type
in case of error return "type mismatch. Expected number but got {entered type}"
Validate $.observations[*].value_range
$.observations[*].low must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
$.observations[*].high must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
Validate $.observations[*].value_ratio
$.observations[*].numerator must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
$.observations[*].denominator must be with object type
in case of error return "type mismatch. Expected object but got {entered type}"
Validate $.observations[*].value_time
$.observations[*].value_time must be with string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate $.observations[*].value_date_time
$.observations[*].value_date_time must be with string type
in case of error return "type mismatch. Expected string but got {entered type}"
Validate diagnostic report is one of reports in the current package
$.observations[*].diagnostic_report.identifier.value == one of $.diagnostic_report[*].identifier.value
in case of error "Invalid reference"
Validate $.observations[*].reaction_on
check that the appropriate immunizations.status != "entered_in_error"
in case of error return 409 "Immunization with status ‘entered_in_error’ can not be use"
Validate $.observations.code
if observations.code.coding[*].code value is included in chart variables 'OBSERVATION_CODES_WITH_<VALUE_TYPE>_REQUIRED', <value_type> field is mandatory
in case of error return 422 “This field is required for code = <code>“
if observations[*].code.coding[*].system is "eHealth/ICF/classifiers", then:
Check observations[*].categories[*].coding[*].system should contain "eHealth/ICF/observation_categories"
in case of error return 422 “Code doesn't match observation category“
Check observations[*].components are presented
in case of error return 422 “Components required“
Validate $.observations.code.coding[*].code is active in corresponding dictionary
in case of error return 409, “Value is not active”
Validate $.observations[*].categories
is an array with only one item
in case of error return 422 "Expected a maximum of 1 items but got <number of elements>"
$.observations[*].categories[*].coding[*].system is "eHealth/observation_categories" or "eHealth/ICF/observation_categories"
in case of error return 422 "Value is not allowed in enum"
$.observations[*].categories[*].coding[*].code corresponds to the system
in case of error return 422 "Value is not allowed in enum"
Validate $.observations.categories[*].coding[*].code is active in corresponding dictionary
in case of error return 409, “Value is not active”
If $.observations[*].categories[*].coding[*].system = "eHealth/ICF/observation_categories", then $.observations[*].code should be filled from "eHealth/ICF/classifiers" dictionary.
in case of error return 422 “Code doesn't match observation category“
Validate observations for encounter.type == "patient_identity"
...
Validate diagnostic reports ids as primary keys
Validate based_on as Reference
Validate that service_request, referenced as based_on, is
in status is
active
or program_processing_status=in_progress (any status is valid in case program_processing_status= in_progress)in case of error return 409 "Invalid service request status"
if program is defined than used_by_legal_entity==token.client_id OR null
in case of error return 409 "Service request is used by another legal_entity"
if program is defined than program_processing_status == new, in_queue or in_progress
check that service_request contains based_on parameter
in case based_on present in service_request
verify care_plan:
It should be in active status
Care plan's period end (if exist) should be greater than current date or equal.
verify activity:
It has activity.detail.kind=service_request; activity.detail.product_reference=service_id.
It has scheduled, in_progress status
in case based_on not present in request skip previous validations.
Check if service request quantity is not exhausted as described at related service request validation
category
Validate that one of diagnostic reports categories corresponds to service category, that is references as code in DR
$.diagnostic_report.category[?]=PRM.services.category where PRM.services.id=$.diagnostic_report.code.identifier.value
in case of error return 422 "None of the diagnostic report categories matches with the service category"
Validate code
Validate code as Reference
If service_requests.code.identifier.value is service, validate $diagnostic_report.code.identifier.value = service_requests.code.identifier.value
in case error return 409, "Service in diagnostic_report differ from service in service request"
if service_requests.code.identifier.value is service_group, validate $diagnostic_report.code.identifier.value in (SELECT service_id from service_inclusions where service_group_id='service_requests.code.identifier.value')
in case error return 409, "Service in diagnostic_report differ from services in service request's service_group"
Validate diagnostic_report.service.is_active = true
in case error return 409, "Service should be active"
Validate effective_period as a period
Validate that issued is within acceptable limits
$.diagnostic_reports[*].issued<= current date_time
in case of error 422 "Asserted date must be in past"
$.diagnostic_reports[*].issued>=current_date-diagnostic_report_max_days_passed
in case of error 422 "Issued must be greater than {{current_date-diagnostic_report_max_days_passed}}"
conclusion_code
Validate recorded_by as Employee
Validate encounter
$.diagnostic_reports[*].encounter.identifier.value == $.encounter.id
in case of error 409 "Invalid reference"
Validate performer.identifier as Employee
Validate managing_organization is a current legal_entity
$.managing_organization.identifier.value==token.client_id
in case of error 409 "Managing organization does not correspond to user's legal entity."
Validate result_interpreter.identifier as Employee
Validate result_interpreter.identifier is an employee with employee_type = DOCTOR or SPECIALIST
Validate only One of the fields is filled:
$.diagnostic_report[*].results_interpreter.reference OR $.diagnostic_report[*].results_interpreter.text
$.diagnostic_report[*].performer.reference OR $.diagnostic_report[*].performer.text
Validate primary_source
If primary_source==true, then
Managing organization MUST be filled
If primary_source==false, then
report_origin OR performer.text must be filled
performer.reference must NOT be filled
results_enterpreter.reference must NOT be filled
Validate patient verification status:
If diagnostic report has based_on with valid and active service request, then skip this validation.
Else check patient's verification_status is not equal to NOT_VERIFIED.
in case of error return 409, "Patient is not verified"
...
Validate by json schema
Validate procedure id as primary key
Validate that service_request, referenced as based_on, is
check that service_request contains based_on parameter
in case based_on present in service_request
verify care_plan:
It should be in active status
Care plan's period end (if exist) should be greater than current date or equal.
verify activity:
It has activity.detail.kind=service_request; activity.detail.product_reference=service_id.
It has scheduled, in_progress status
in case based_on not present in request skip previous validations.
Check if service request quantity is not exhausted as described at related service request validation
Validate code
Validate code as Reference
Validate procedure.service.is_active = true
in case error return 409, "Service is not active"
Validate encounter
$.procedure[*].encounter.identifier.value == $.encounter.id
in case error return 409, "Submitted encounter is not allowed for procedure"
Validate performed_date_time
performed_date_time is real
in case error return 422, "Performed_date_time in invalid"
performed_date_time <= now
in case error return 422 "Procedure cannot be registered in future"
Validate performed_period
$.performed_period.start<= now
in case of error return 422 "Procedure cannot be registered in future"
$.performed_period.end>= $.performed_period.start
in case of error return 422 "End date must be greater than start date"
Validate $.performed_period as required field in case if procedure based on service request with quantity that has code=MINUTE (system=SERVICE_UNIT)
in case of error return 422 "Period is required"
Validate recorded_by
Validate recorded_by as Reference
$..recorded_by.identifier.value is an ID of existing employee in PRM.employee
in case of error return 422, "Employee with such id is not found"
Validate recorded_by is employee with status='APPROVED' and is_active= true and end_date is null or more than today
in case error return 409, "This action is prohibited for current employee"
Validate employees.legal_entity_id=$managing_organization.identifier.value
in case error return 409, "Employee should be from current legal entity"
Validate asserter
Validate division
Validate division as Reference
$division is an ID in PRM.divisions
in case return 422, "Division with such id is not found"
division.status=ACTIVE and is_active=true
in case error return 409, "Division is not active"
division.legal_entity_id = $client_id or division.legal_entity_id=$managing_organization.identifier.value
in case error return 409, "Division is not in current legal_entity"
Validate managing_organization is a current active legal_entity with proper type
as Reference
$managing_organization is an ID in PRM.legal_entities
in case return 422, "Legal entity with such id is not found"
validate managing_organization status is 'ACTIVE' and is_active=true
in case error return 422 ('Legal entity is not active')
validate legal_entity type is in ('PRIMARY_CARE','MSP','MSP_PHARMACY','MSP_PHARMACY') (use `ME_ALLOWED_TRANSACTIONS_LE_TYPES` from charts)
in case error return 422, "Legal entity with type $legal_entity.type cannot perform procedures"
validate $managing_organization.identifier.value = $client_id
in case of error 409 "Managing organization does not correspond to user's legal entity."
Validate reason_references
Validate reason_reference as a Reference
Validate reason_refernce.identifier.value is condition not in status `entered_in_error`
in case error return 422, "Condition is canceled"
Validate outcome
validate outcome as a Reference
validate outcome.coding.object.system is in dictionary eHealth/procedure_outcomes
in case error return 422, "outcome not in dictionary eHealth/procedure_outcomes"
Validate complication_details
validate complication_details as a Reference
validate complication_details.identifier.value refer to condition in the same encounter package
in case error return 422, "complication_details does not correspond to condition in this encounter package"
Validate category
according to the dictionary 'eHealth/procedure_categories' - by schemata
Validate that procedure category corresponds to service category, that is references as code in procedure
$.procedure.category=PRM.services.category where PRM.services.id=$.procedure.code.identifier.value
in case of error return 422 "Procedure category does not match with the service category"
Validate patient verification status:
If procedure has based_on with valid and active service request, then skip this validation.
Else check patient verification_status is not equal to NOT_VERIFIED.
in case of error return 409, "Patient is not verified"
Validate used_codes
Check that the $.used_codes[*].coding[*].code belongs to the dictionary in $.used_codes[*].coding[*].system
in case of error - return 422 "Value is not allowed in enum"
Validate 'used_codes.coding.code' is_active = true
in case error return 409, "Value is not active"
Validate Clinical impression
...
$...identifier.value exists in PRM.employees
in case of error 409 "Employee not found"
$...identifier.value == PRM.employees.id where (PRM.employees.status == "APPROVED" and PRM.employees.legal_entity==token.client_id)
in case of error 409 "Submitted employee is not an active employee from current legal entity"
Related service request validation
If service request referenced as based_on in ME:
if it has quantity:
Check allowed quantity units for ME:
if ME is Procedure, then service_request.quantity.code can have values MINUTE or PIECE (system=SERVICE_UNIT)
if ME is Encounter or Diagnostic report, then service_request.quantity.code can have PIECE only
in case of error return error 409 ("<ME type> cannot be measured in <quantity.code's value>")
Check service_request remaining quantity parameter:
if quantity.code = PIECE:
count number of related MEs to the service request as used quantity.
calculate remaining quantity by subtracting used quantity and number of current MEs that are related to service request from service request's quantity
Validate remaining quantity is greater then or equal to zero
in case of error return 409 "The total amount of medical events exceeds quantity in related service request"
if quantity.code = MINUTE:
select related Procedures to the service request.
for each selected Procedure calculate duration as performedPeriod.end - performedPeriod.start without considering seconds. Result should be in minutes.
calculate used quantity as sum of procedure durations
calculate remaining quantity by subtracting used quantity and durations of current Procedures that are related to service request from service request's quantity
Validate remaining quantity is greater then or equal to zero
in case of error return 409 "The total amount of medical events exceeds quantity in related service request"
if qantity is absent:
Consider that quantity.code = PIECE and quantity.value = 1. Thus, check the service request has not associated with another ME yet
in case it has - return 409 "The total amount of medical events exceeds quantity in related service request"
Related care plan validation
If entities (encounter.incoming_referral, procedure.based_on, diagnostic_report.based_on) has reference on service request and service_request[].activity.detail.quantity was set - check possibility to create EDP depending on service_request[].activity remaining quantitycalculate the quantity of artifacts that are contained in the $.activity.outcome_reference by service_request.based_on[].activity[].idcalculate the quantity of artifacts that are contained in the request and have a link to the service requestcompare quantity from outcome_reference with the artifact quantitycheck that difference is greater then or equal to zeroin case of error return 409 "The total amount of the prescribed service quantity exceeds quantity in care plan activity"
Processing
API paragraph not found
...
17. in case reference on service request has reference on care plan update $ .activity.remaining_quantity parameter by subtracting the quantity of artifacts that have a reference on service request that contains an $.based_on.[]activity
18. Update remaining_quantity in service request with a value that was calculated in the Related service request section above
19. If there are at least one record for speciality where speciality_officio = true:
Enrich encounter data with performer speciality:
...