Annuaire Santé
1.0.0-ballot-4 - trial-use France flag

This page is part of the Guide d'implémentation FHIR - Annuaire de santé (v1.0.0-ballot-4: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: AsDpHealthcareServiceSocialEquipmentProfile - Detailed Descriptions

Active as of 2024-04-02

Definitions for the as-dp-healthcareservice-social-equipment resource profile.

Guidance on how to interpret the contents of this table can be found here

0. HealthcareService
2. HealthcareService.identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
4. HealthcareService.identifier:numAutorisationArhgos
Slice NamenumAutorisationArhgos
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..0
6. HealthcareService.active
Control1..?
8. HealthcareService.category
Control0..0
10. HealthcareService.specialty
Control0..0
12. HealthcareService.location
Control0..0
14. HealthcareService.name
Control0..0
16. HealthcareService.comment
Control0..0
18. HealthcareService.extraDetails
Control0..0
20. HealthcareService.photo
Control0..0
22. HealthcareService.telecom
Control0..0
24. HealthcareService.coverageArea
Control0..0
26. HealthcareService.serviceProvisionCode
Control0..0
28. HealthcareService.eligibility
30. HealthcareService.eligibility.comment
Control0..0
32. HealthcareService.program
Control0..0
34. HealthcareService.communication
Control0..0
36. HealthcareService.referralMethod
Control0..0
38. HealthcareService.appointmentRequired
Control0..0
40. HealthcareService.availableTime
Control0..0
42. HealthcareService.notAvailable
Control0..0
44. HealthcareService.availabilityExceptions
Control0..0
46. HealthcareService.endpoint
Control0..0

Guidance on how to interpret the contents of this table can be found here

0. HealthcareService
Definition

The details of a healthcare service available at a location.

ShortThe details of a healthcare service available at a location
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-4: If 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-3: If 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-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. HealthcareService.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
This element is affected by the following invariants: ele-1
TypeMeta
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. HealthcareService.meta.extension:as-ext-data-trace
Slice Nameas-ext-data-trace
Definition

Extension créée dans le cadre de l'Annuaire Santé pour tracer l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI)). Des études complémentaires vont être initiées pour envisager l'usage de la ressource Provenance ou meta.source

ShortDataTrace : Informe sur l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI).
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(AS Data Trace Extension) (Complex Extension)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. HealthcareService.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. HealthcareService.extension:as-ext-healthcareservice-authorization
Slice Nameas-ext-healthcareservice-authorization
Definition

Extension créée dans le cadre de l'Annuaire Santé pour décrire les autorisations des activités sanitaires, sociales, médico-sociales et d'enseignement et des équipements matériels lourds autorisés.

ShortAS HealthcareService Autorization Extension
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(AS HealthcareService Autorization Extension) (Complex Extension)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. HealthcareService.extension:as-ext-patient-type
Slice Nameas-ext-patient-type
Definition

Extension créée dans le cadre de l'Annuaire Santé pour décrire un ensemble de personnes qui répondent à des critères leur permettant de bénéficier de la discipline décrite.

ShortAS Patient Type Extension
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(AS Patient Type Extension) (Complex Extension)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. HealthcareService.extension:as-ext-supported-capacity
Slice Nameas-ext-supported-capacity
Definition

Extension créée dans le cadre de l'Annuaire Santé pour indiquer le nombre de personnes pouvant être accueillies en même temps et les capacités d'hébergement.

ShortAS Supported Capacity Extension
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(AS Supported Capacity Extension) (Complex Extension)
Must Supporttrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. HealthcareService.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Standards StatusNormative (from Trial Use)
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.modifierExtension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 16. HealthcareService.identifier
    Definition

    External identifiers for this item.

    ShortExternal identifiers for this item
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..0*
    This element is affected by the following invariants: ele-1
    TypeIdentifier
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on HealthcareService.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • pattern @ system
    • 18. HealthcareService.identifier:numAutorisationArhgos
      Slice NamenumAutorisationArhgos
      Definition

      External identifiers for this item.

      ShortIdentifiant fonctionnel, numéro d'autorisation ARHGOS (numeroAutorisationARHGOS).External identifiers for this item
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..0*
      This element is affected by the following invariants: ele-1
      TypeIdentifier
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      22. HealthcareService.active
      Definition

      This flag is used to mark the record to not be used. This is not used when a center is closed for maintenance, or for holidays, the notAvailable period is to be used for this.

      ShortWhether this HealthcareService record is in active use
      Comments

      This element is labeled as a modifier because it may be used to mark that the resource was created in error.

      Control10..1
      This element is affected by the following invariants: ele-1
      Typeboolean
      Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      24. HealthcareService.category
      Definition

      Identifies the broad category of service being performed or delivered.

      ShortBroad category of service being performed or delivered
      Comments

      Selecting a Service Category then determines the list of relevant service types that can be selected in the primary service type.

      Control0..0*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see ServiceCategoryhttp://hl7.org/fhir/ValueSet/service-category
      (example to http://hl7.org/fhir/ValueSet/service-category)

      A category of the service(s) that could be provided.

      TypeCodeableConcept
      Summarytrue
      Alternate Namesservice category
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      26. HealthcareService.type
      Definition

      The specific type of service that may be delivered or performed.

      ShortLa discipline déterminant la nature de l’activité (disciplineEquipementSociale).Type of service that may be delivered or performed
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHALL be taken from For example codes, see JDV_J136-DisciplineEquipementSocial-RASShttp://hl7.org/fhir/ValueSet/service-type
      (required to https://mos.esante.gouv.fr/NOS/JDV_J136-DisciplineEquipementSocial-RASS/FHIR/JDV-J136-DisciplineEquipementSocial-RASS)
      TypeCodeableConcept
      Must Supporttrue
      Summarytrue
      Alternate Namesservice type
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. HealthcareService.specialty
      Definition

      Collection of specialties handled by the service site. This is more of a medical term.

      ShortSpecialties handled by the HealthcareService
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..0*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes
      (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

      A specialty that a healthcare service may provide.

      TypeCodeableConcept
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. HealthcareService.location
      Definition

      The location(s) where this healthcare service may be provided.

      ShortLocation(s) where service may be provided
      Comments

      References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

      Control0..0*
      This element is affected by the following invariants: ele-1
      TypeReference(Location)
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
      32. HealthcareService.name
      Definition

      Further description of the service as it would be presented to a consumer while searching.

      ShortDescription of service as presented to a consumer while searching
      Comments

      Note that FHIR strings SHALL NOT exceed 1MB in size

      Control0..01
      This element is affected by the following invariants: ele-1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. HealthcareService.comment
      Definition

      Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.

      ShortAdditional description and/or any specific issues not covered elsewhere
      Comments

      Would expect that a user would not see this information on a search results, and it would only be available when viewing the complete details of the service.

      Control0..01
      This element is affected by the following invariants: ele-1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. HealthcareService.extraDetails
      Definition

      Extra details about the service that can't be placed in the other fields.

      ShortExtra details about the service that can't be placed in the other fields
      Comments

      Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

      Control0..01
      This element is affected by the following invariants: ele-1
      Typemarkdown
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. HealthcareService.photo
      Definition

      If there is a photo/symbol associated with this HealthcareService, it may be included here to facilitate quick identification of the service in a list.

      ShortFacilitates quick identification of the service
      Comments

      When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

      Control0..01
      This element is affected by the following invariants: ele-1
      TypeAttachment
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      att-1: If the Attachment has data, it SHALL have a contentType (data.empty() or contentType.exists())
      40. HealthcareService.telecom
      Definition

      List of contacts related to this specific healthcare service.

      ShortContacts related to the healthcare service
      Comments

      If this is empty, then refer to the location's contacts.

      Control0..0*
      This element is affected by the following invariants: ele-1
      TypeContactPoint
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
      42. HealthcareService.coverageArea
      Definition

      The location(s) that this service is available to (not where the service is provided).

      ShortLocation(s) service is intended for/available to
      Comments

      The locations referenced by the coverage area can include both specific locations, including areas, and also conceptual domains too (mode = kind), such as a physical area (tri-state area) and some other attribute (covered by Example Care Organization). These types of Locations are often not managed by any specific organization. This could also include generic locations such as "in-home".

      Control0..0*
      This element is affected by the following invariants: ele-1
      TypeReference(Location)
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
      44. HealthcareService.serviceProvisionCode
      Definition

      The code(s) that detail the conditions under which the healthcare service is available/offered.

      ShortConditions under which service is available/offered
      Comments

      The provision means being commissioned by, contractually obliged or financially sourced. Types of costings that may apply to this healthcare service, such if the service may be available for free, some discounts available, or fees apply.

      Control0..0*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see ServiceProvisionConditionshttp://hl7.org/fhir/ValueSet/service-provision-conditions
      (example to http://hl7.org/fhir/ValueSet/service-provision-conditions)

      The code(s) that detail the conditions under which the healthcare service is available/offered.

      TypeCodeableConcept
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. HealthcareService.eligibility
      Definition

      Does this service have specific eligibility requirements that need to be met in order to use the service?

      ShortPopulation prise en charge par l’établissement dans le cadre de l’activité associée à la discipline (clientele, public, patientele).Specific eligibility requirements required to use the service
      Control0..*
      This element is affected by the following invariants: ele-1
      TypeBackboneElement
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. HealthcareService.eligibility.modifierExtension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeExtension
      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Summarytrue
      Requirements

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Alternate Namesextensions, user content, modifiers
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      50. HealthcareService.eligibility.comment
      Definition

      Describes the eligibility conditions for the service.

      ShortDescribes the eligibility conditions for the service
      Comments

      The description of service eligibility should, in general, not exceed one or two paragraphs. It should be sufficient for a prospective consumer to determine if they are likely to be eligible or not. Where eligibility requirements and conditions are complex, it may simply be noted that an eligibility assessment is required. Where eligibility is determined by an outside source, such as an Act of Parliament, this should be noted, preferably with a reference to a commonly available copy of the source document such as a web page.

      Control0..01
      This element is affected by the following invariants: ele-1
      Typemarkdown
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. HealthcareService.program
      Definition

      Programs that this service is applicable to.

      ShortPrograms that this service is applicable to
      Comments

      Programs are often defined externally to an Organization, commonly by governments; e.g. Home and Community Care Programs, Homeless Program, ….

      Control0..0*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see Programhttp://hl7.org/fhir/ValueSet/program
      (example to http://hl7.org/fhir/ValueSet/program)

      Government or local programs that this service applies to.

      TypeCodeableConcept
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. HealthcareService.characteristic
      Definition

      Collection of characteristics (attributes).

      ShortLe mode de fonctionnement précisant la modalité d’accueil, d’hébergement et/ou d’ouverture de l'activité associée à la discipline (modeFonctionnement, typeActivite).Collection of characteristics (attributes)
      Comments

      These could be such things as is wheelchair accessible.

      Control0..*
      This element is affected by the following invariants: ele-1
      BindingUnless not suitable, these codes SHALL be taken from For example codes, see JDV_J138-TypeActivite-RASS
      (extensible to https://mos.esante.gouv.fr/NOS/JDV_J138-TypeActivite-RASS/FHIR/JDV-J138-TypeActivite-RASS)
      TypeCodeableConcept
      Must Supporttrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. HealthcareService.communication
      Definition

      Some services are specifically made available in multiple languages, this property permits a directory to declare the languages this is offered in. Typically this is only provided where a service operates in communities with mixed languages used.

      ShortThe language that this service is offered in
      Comments

      When using this property it indicates that the service is available with this language, it is not derived from the practitioners, and not all are required to use this language, just that this language is available while scheduling.

      Control0..0*
      This element is affected by the following invariants: ele-1
      BindingThe codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages
      (preferred to http://hl7.org/fhir/ValueSet/languages)

      A human language.

      Additional BindingsPurpose
      AllLanguagesMax Binding
      TypeCodeableConcept
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. HealthcareService.referralMethod
      Definition

      Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required.

      ShortWays that the service accepts referrals
      Comments

      Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

      Control0..0*
      This element is affected by the following invariants: ele-1
      BindingFor example codes, see ReferralMethodhttp://hl7.org/fhir/ValueSet/service-referral-method
      (example to http://hl7.org/fhir/ValueSet/service-referral-method)

      The methods of referral can be used when referring to a specific HealthCareService resource.

      TypeCodeableConcept
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. HealthcareService.appointmentRequired
      Definition

      Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be provided by the Organization. Indicates if an appointment is required for access to this service.

      ShortIf an appointment is required for access to this service
      Control0..01
      This element is affected by the following invariants: ele-1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. HealthcareService.availableTime
      Definition

      A collection of times that the Service Site is available.

      ShortTimes the Service Site is available
      Comments

      More detailed availability information may be provided in associated Schedule/Slot resources.

      Control0..0*
      This element is affected by the following invariants: ele-1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      65. HealthcareService.notAvailable
      Definition

      The HealthcareService is not available during this period of time due to the provided reason.

      ShortNot available during this time due to provided reason
      Control0..0*
      This element is affected by the following invariants: ele-1
      TypeBackboneElement
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      69. HealthcareService.availabilityExceptions
      Definition

      A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

      ShortDescription of availability exceptions
      Comments

      Note that FHIR strings SHALL NOT exceed 1MB in size

      Control0..01
      This element is affected by the following invariants: ele-1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      71. HealthcareService.endpoint
      Definition

      Technical endpoints providing access to services operated for the specific healthcare services defined at this resource.

      ShortTechnical endpoints providing access to electronic services operated for the healthcare service
      Comments

      References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

      Control0..0*
      This element is affected by the following invariants: ele-1
      TypeReference(Endpoint)
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))

      Guidance on how to interpret the contents of this table can be found here

      0. HealthcareService
      Definition

      The details of a healthcare service available at a location.

      ShortThe details of a healthcare service available at a location
      Control0..*
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-4: If 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-3: If 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-6: A resource should have narrative for robust management (text.`div`.exists())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      2. HealthcareService.id
      Definition

      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

      ShortLogical id of this artifact
      Comments

      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

      Control0..1
      Typeid
      Summarytrue
      4. HealthcareService.meta
      Definition

      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

      ShortMetadata about the resource
      Control0..1
      This element is affected by the following invariants: ele-1
      TypeMeta
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. HealthcareService.meta.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      XML FormatIn the XML format, this property is represented as an attribute.
      8. HealthcareService.meta.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      This element is affected by the following invariants: ele-1
      TypeExtension
      Standards StatusNormative (from Trial Use)
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on HealthcareService.meta.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 10. HealthcareService.meta.extension:as-ext-data-trace
        Slice Nameas-ext-data-trace
        Definition

        Extension créée dans le cadre de l'Annuaire Santé pour tracer l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI)). Des études complémentaires vont être initiées pour envisager l'usage de la ressource Provenance ou meta.source

        ShortDataTrace : Informe sur l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI).
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(AS Data Trace Extension) (Complex Extension)
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        12. HealthcareService.meta.versionId
        Definition

        The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

        ShortVersion specific identifier
        Comments

        The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

        Control0..1
        This element is affected by the following invariants: ele-1
        Typeid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        14. HealthcareService.meta.lastUpdated
        Definition

        When the resource last changed - e.g. when the version changed.

        ShortWhen the resource version last changed
        Comments

        This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

        Control0..1
        This element is affected by the following invariants: ele-1
        Typeinstant
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        16. HealthcareService.meta.source
        Definition

        A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

        ShortIdentifies where the resource comes from
        Comments

        In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

        This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

        Control0..1
        This element is affected by the following invariants: ele-1
        Typeuri
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        18. HealthcareService.meta.profile
        Definition

        A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

        ShortProfiles this resource claims to conform to
        Comments

        It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

        Control0..*
        This element is affected by the following invariants: ele-1
        Typecanonical(StructureDefinition)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        20. HealthcareService.meta.security
        Definition

        Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

        ShortSecurity Labels applied to this resource
        Comments

        The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

        Control0..*
        This element is affected by the following invariants: ele-1
        BindingUnless not suitable, these codes SHALL be taken from All Security Labels
        (extensible to http://hl7.org/fhir/ValueSet/security-labels)

        Security Labels from the Healthcare Privacy and Security Classification System.

        TypeCoding
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        22. HealthcareService.meta.tag
        Definition

        Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

        ShortTags applied to this resource
        Comments

        The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

        Control0..*
        This element is affected by the following invariants: ele-1
        BindingFor example codes, see CommonTags
        (example to http://hl7.org/fhir/ValueSet/common-tags)

        Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

        TypeCoding
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        24. HealthcareService.implicitRules
        Definition

        A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

        ShortA set of rules under which this content was created
        Comments

        Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

        Control0..1
        This element is affected by the following invariants: ele-1
        Typeuri
        Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        26. HealthcareService.language
        Definition

        The base language in which the resource is written.

        ShortLanguage of the resource content
        Comments

        Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

        Control0..1
        This element is affected by the following invariants: ele-1
        BindingThe codes SHOULD be taken from CommonLanguages
        (preferred to http://hl7.org/fhir/ValueSet/languages)

        A human language.

        Additional BindingsPurpose
        AllLanguagesMax Binding
        Typecode
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. HealthcareService.text
        Definition

        A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

        ShortText summary of the resource, for human interpretation
        Comments

        Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

        Control0..1
        This element is affected by the following invariants: ele-1
        TypeNarrative
        Alternate Namesnarrative, html, xhtml, display
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. HealthcareService.contained
        Definition

        These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

        ShortContained, inline Resources
        Comments

        This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

        Control0..*
        TypeResource
        Alternate Namesinline resources, anonymous resources, contained resources
        32. HealthcareService.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension
        Standards StatusNormative (from Trial Use)
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on HealthcareService.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 34. HealthcareService.extension:as-ext-healthcareservice-authorization
          Slice Nameas-ext-healthcareservice-authorization
          Definition

          Extension créée dans le cadre de l'Annuaire Santé pour décrire les autorisations des activités sanitaires, sociales, médico-sociales et d'enseignement et des équipements matériels lourds autorisés.

          ShortAS HealthcareService Autorization Extension
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(AS HealthcareService Autorization Extension) (Complex Extension)
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          36. HealthcareService.extension:as-ext-patient-type
          Slice Nameas-ext-patient-type
          Definition

          Extension créée dans le cadre de l'Annuaire Santé pour décrire un ensemble de personnes qui répondent à des critères leur permettant de bénéficier de la discipline décrite.

          ShortAS Patient Type Extension
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(AS Patient Type Extension) (Complex Extension)
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          38. HealthcareService.extension:as-ext-supported-capacity
          Slice Nameas-ext-supported-capacity
          Definition

          Extension créée dans le cadre de l'Annuaire Santé pour indiquer le nombre de personnes pouvant être accueillies en même temps et les capacités d'hébergement.

          ShortAS Supported Capacity Extension
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(AS Supported Capacity Extension) (Complex Extension)
          Must Supporttrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          40. HealthcareService.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Standards StatusNormative (from Trial Use)
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on HealthcareService.modifierExtension. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 42. HealthcareService.identifier
            Definition

            External identifiers for this item.

            ShortExternal identifiers for this item
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..0
            This element is affected by the following invariants: ele-1
            TypeIdentifier
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on HealthcareService.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • pattern @ system
            • 44. HealthcareService.identifier:numAutorisationArhgos
              Slice NamenumAutorisationArhgos
              Definition

              External identifiers for this item.

              ShortIdentifiant fonctionnel, numéro d'autorisation ARHGOS (numeroAutorisationARHGOS).
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..0
              This element is affected by the following invariants: ele-1
              TypeIdentifier
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. HealthcareService.active
              Definition

              This flag is used to mark the record to not be used. This is not used when a center is closed for maintenance, or for holidays, the notAvailable period is to be used for this.

              ShortWhether this HealthcareService record is in active use
              Comments

              This element is labeled as a modifier because it may be used to mark that the resource was created in error.

              Control1..1
              This element is affected by the following invariants: ele-1
              Typeboolean
              Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. HealthcareService.providedBy
              Definition

              The organization that provides this healthcare service.

              ShortRéférence vers l'id de la structure FINESS ET à laquelle est rattaché cet équipement social (idNat_Struct, identifiantEJ, identifiantEG).
              Comments

              This property is recommended to be the same as the Location's managingOrganization, and if not provided should be interpreted as such. If the Location does not have a managing Organization, then this property should be populated.

              Control0..1
              This element is affected by the following invariants: ele-1
              TypeReference(FrOrganization, AS Organization Profile)
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
              58. HealthcareService.category
              Definition

              Identifies the broad category of service being performed or delivered.

              ShortBroad category of service being performed or delivered
              Comments

              Selecting a Service Category then determines the list of relevant service types that can be selected in the primary service type.

              Control0..0
              This element is affected by the following invariants: ele-1
              BindingFor example codes, see ServiceCategory
              (example to http://hl7.org/fhir/ValueSet/service-category)

              A category of the service(s) that could be provided.

              TypeCodeableConcept
              Summarytrue
              Alternate Namesservice category
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              60. HealthcareService.type
              Definition

              The specific type of service that may be delivered or performed.

              ShortLa discipline déterminant la nature de l’activité (disciplineEquipementSociale).
              Comments

              Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

              Control0..*
              This element is affected by the following invariants: ele-1
              BindingThe codes SHALL be taken from JDV_J136-DisciplineEquipementSocial-RASS
              (required to https://mos.esante.gouv.fr/NOS/JDV_J136-DisciplineEquipementSocial-RASS/FHIR/JDV-J136-DisciplineEquipementSocial-RASS)
              TypeCodeableConcept
              Must Supporttrue
              Summarytrue
              Alternate Namesservice type
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              62. HealthcareService.specialty
              Definition

              Collection of specialties handled by the service site. This is more of a medical term.

              ShortSpecialties handled by the HealthcareService
              Comments

              Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

              Control0..0
              This element is affected by the following invariants: ele-1
              BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
              (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

              A specialty that a healthcare service may provide.

              TypeCodeableConcept
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              64. HealthcareService.location
              Definition

              The location(s) where this healthcare service may be provided.

              ShortLocation(s) where service may be provided
              Comments

              References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

              Control0..0
              This element is affected by the following invariants: ele-1
              TypeReference(Location)
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
              66. HealthcareService.name
              Definition

              Further description of the service as it would be presented to a consumer while searching.

              ShortDescription of service as presented to a consumer while searching
              Comments

              Note that FHIR strings SHALL NOT exceed 1MB in size

              Control0..0
              This element is affected by the following invariants: ele-1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              68. HealthcareService.comment
              Definition

              Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.

              ShortAdditional description and/or any specific issues not covered elsewhere
              Comments

              Would expect that a user would not see this information on a search results, and it would only be available when viewing the complete details of the service.

              Control0..0
              This element is affected by the following invariants: ele-1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              70. HealthcareService.extraDetails
              Definition

              Extra details about the service that can't be placed in the other fields.

              ShortExtra details about the service that can't be placed in the other fields
              Comments

              Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/

              Control0..0
              This element is affected by the following invariants: ele-1
              Typemarkdown
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              72. HealthcareService.photo
              Definition

              If there is a photo/symbol associated with this HealthcareService, it may be included here to facilitate quick identification of the service in a list.

              ShortFacilitates quick identification of the service
              Comments

              When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".

              Control0..0
              This element is affected by the following invariants: ele-1
              TypeAttachment
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              att-1: If the Attachment has data, it SHALL have a contentType (data.empty() or contentType.exists())
              74. HealthcareService.telecom
              Definition

              List of contacts related to this specific healthcare service.

              ShortContacts related to the healthcare service
              Comments

              If this is empty, then refer to the location's contacts.

              Control0..0
              This element is affected by the following invariants: ele-1
              TypeContactPoint
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
              76. HealthcareService.coverageArea
              Definition

              The location(s) that this service is available to (not where the service is provided).

              ShortLocation(s) service is intended for/available to
              Comments

              The locations referenced by the coverage area can include both specific locations, including areas, and also conceptual domains too (mode = kind), such as a physical area (tri-state area) and some other attribute (covered by Example Care Organization). These types of Locations are often not managed by any specific organization. This could also include generic locations such as "in-home".

              Control0..0
              This element is affected by the following invariants: ele-1
              TypeReference(Location)
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
              78. HealthcareService.serviceProvisionCode
              Definition

              The code(s) that detail the conditions under which the healthcare service is available/offered.

              ShortConditions under which service is available/offered
              Comments

              The provision means being commissioned by, contractually obliged or financially sourced. Types of costings that may apply to this healthcare service, such if the service may be available for free, some discounts available, or fees apply.

              Control0..0
              This element is affected by the following invariants: ele-1
              BindingFor example codes, see ServiceProvisionConditions
              (example to http://hl7.org/fhir/ValueSet/service-provision-conditions)

              The code(s) that detail the conditions under which the healthcare service is available/offered.

              TypeCodeableConcept
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              80. HealthcareService.eligibility
              Definition

              Does this service have specific eligibility requirements that need to be met in order to use the service?

              ShortPopulation prise en charge par l’établissement dans le cadre de l’activité associée à la discipline (clientele, public, patientele).
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeBackboneElement
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. HealthcareService.eligibility.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              XML FormatIn the XML format, this property is represented as an attribute.
              84. HealthcareService.eligibility.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension
              Standards StatusNormative (from Trial Use)
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on HealthcareService.eligibility.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 86. HealthcareService.eligibility.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored even if unrecognized
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content, modifiers
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                88. HealthcareService.eligibility.code
                Definition

                Coded value for the eligibility.

                ShortCoded value for the eligibility
                Comments

                Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                Control0..1
                This element is affected by the following invariants: ele-1
                BindingUnless not suitable, these codes SHALL be taken from JDV_J137-Clientele-RASS
                (extensible to https://mos.esante.gouv.fr/NOS/JDV_J137-Clientele-RASS/FHIR/JDV-J137-Clientele-RASS)
                TypeCodeableConcept
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                90. HealthcareService.eligibility.comment
                Definition

                Describes the eligibility conditions for the service.

                ShortDescribes the eligibility conditions for the service
                Comments

                The description of service eligibility should, in general, not exceed one or two paragraphs. It should be sufficient for a prospective consumer to determine if they are likely to be eligible or not. Where eligibility requirements and conditions are complex, it may simply be noted that an eligibility assessment is required. Where eligibility is determined by an outside source, such as an Act of Parliament, this should be noted, preferably with a reference to a commonly available copy of the source document such as a web page.

                Control0..0
                This element is affected by the following invariants: ele-1
                Typemarkdown
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                92. HealthcareService.program
                Definition

                Programs that this service is applicable to.

                ShortPrograms that this service is applicable to
                Comments

                Programs are often defined externally to an Organization, commonly by governments; e.g. Home and Community Care Programs, Homeless Program, ….

                Control0..0
                This element is affected by the following invariants: ele-1
                BindingFor example codes, see Program
                (example to http://hl7.org/fhir/ValueSet/program)

                Government or local programs that this service applies to.

                TypeCodeableConcept
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                94. HealthcareService.characteristic
                Definition

                Collection of characteristics (attributes).

                ShortLe mode de fonctionnement précisant la modalité d’accueil, d’hébergement et/ou d’ouverture de l'activité associée à la discipline (modeFonctionnement, typeActivite).
                Comments

                These could be such things as is wheelchair accessible.

                Control0..*
                This element is affected by the following invariants: ele-1
                BindingUnless not suitable, these codes SHALL be taken from JDV_J138-TypeActivite-RASS
                (extensible to https://mos.esante.gouv.fr/NOS/JDV_J138-TypeActivite-RASS/FHIR/JDV-J138-TypeActivite-RASS)
                TypeCodeableConcept
                Must Supporttrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                96. HealthcareService.communication
                Definition

                Some services are specifically made available in multiple languages, this property permits a directory to declare the languages this is offered in. Typically this is only provided where a service operates in communities with mixed languages used.

                ShortThe language that this service is offered in
                Comments

                When using this property it indicates that the service is available with this language, it is not derived from the practitioners, and not all are required to use this language, just that this language is available while scheduling.

                Control0..0
                This element is affected by the following invariants: ele-1
                BindingThe codes SHOULD be taken from CommonLanguages
                (preferred to http://hl7.org/fhir/ValueSet/languages)

                A human language.

                Additional BindingsPurpose
                AllLanguagesMax Binding
                TypeCodeableConcept
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                98. HealthcareService.referralMethod
                Definition

                Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required.

                ShortWays that the service accepts referrals
                Comments

                Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

                Control0..0
                This element is affected by the following invariants: ele-1
                BindingFor example codes, see ReferralMethod
                (example to http://hl7.org/fhir/ValueSet/service-referral-method)

                The methods of referral can be used when referring to a specific HealthCareService resource.

                TypeCodeableConcept
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                100. HealthcareService.appointmentRequired
                Definition

                Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be provided by the Organization. Indicates if an appointment is required for access to this service.

                ShortIf an appointment is required for access to this service
                Control0..0
                This element is affected by the following invariants: ele-1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                102. HealthcareService.availableTime
                Definition

                A collection of times that the Service Site is available.

                ShortTimes the Service Site is available
                Comments

                More detailed availability information may be provided in associated Schedule/Slot resources.

                Control0..0
                This element is affected by the following invariants: ele-1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                111. HealthcareService.notAvailable
                Definition

                The HealthcareService is not available during this period of time due to the provided reason.

                ShortNot available during this time due to provided reason
                Control0..0
                This element is affected by the following invariants: ele-1
                TypeBackboneElement
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                118. HealthcareService.availabilityExceptions
                Definition

                A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

                ShortDescription of availability exceptions
                Comments

                Note that FHIR strings SHALL NOT exceed 1MB in size

                Control0..0
                This element is affected by the following invariants: ele-1
                Typestring
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                120. HealthcareService.endpoint
                Definition

                Technical endpoints providing access to services operated for the specific healthcare services defined at this resource.

                ShortTechnical endpoints providing access to electronic services operated for the healthcare service
                Comments

                References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

                Control0..0
                This element is affected by the following invariants: ele-1
                TypeReference(Endpoint)
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))