Annuaire Santé
1.1.0-snapshot-2 - qa-preview France flag

This page is part of the Guide d'implémentation FHIR - Annuaire de santé (v1.1.0-snapshot-2: QA Preview) 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: AsDpHealthcareServiceHealthcareActivityProfile - Detailed Descriptions

Active as of 2024-08-22

Definitions for the as-dp-healthcareservice-healthcare-activity resource profile.

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

0. HealthcareService
2. HealthcareService.active
Control1..?
4. HealthcareService.specialty
Control0..0
6. HealthcareService.location
Control0..0
8. HealthcareService.name
Control0..0
10. HealthcareService.comment
Control0..0
12. HealthcareService.extraDetails
Control0..0
14. HealthcareService.photo
Control0..0
16. HealthcareService.telecom
Control0..0
18. HealthcareService.coverageArea
Control0..0
20. HealthcareService.serviceProvisionCode
Control0..0
22. HealthcareService.eligibility
Control0..0
24. HealthcareService.program
Control0..0
26. HealthcareService.communication
Control0..0
28. HealthcareService.referralMethod
Control0..0
30. HealthcareService.appointmentRequired
Control0..0
32. HealthcareService.availableTime
Control0..0
34. HealthcareService.notAvailable
Control0..0
36. HealthcareService.availabilityExceptions
Control0..0
38. 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.meta.extension:as-ext-data-trace.extension:autorite-enregistrement
Slice Nameautorite-enregistrement
Definition

An Extension

ShortAutorité d'enregistrement de la ressource.Additional content defined by implementations
Control0..1*
This element is affected by the following invariants: ele-1
TypeExtension
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())
8. HealthcareService.meta.extension:as-ext-data-trace.extension:autorite-enregistrement.extension
Definition

An Extension


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.

ShortExtensionAdditional 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..0*
This element is affected by the following invariants: ele-1
TypeExtension
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.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 10. HealthcareService.meta.extension:as-ext-data-trace.extension:autorite-enregistrement.url
    Definition

    Source of the definition for the extension code - a logical name or a URL.

    Shortidentifies the meaning of the extension
    Comments

    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

    Control1..1
    Typeuri
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed Valueautorite-enregistrement
    12. HealthcareService.meta.extension:as-ext-data-trace.extension:systeme-information
    Slice Namesysteme-information
    Definition

    An Extension

    ShortSystème d'information de la ressource.Additional content defined by implementations
    Control0..1*
    This element is affected by the following invariants: ele-1
    TypeExtension
    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.meta.extension:as-ext-data-trace.extension:systeme-information.extension
    Definition

    An Extension


    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.

    ShortExtensionAdditional 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..0*
    This element is affected by the following invariants: ele-1
    TypeExtension
    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.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 16. HealthcareService.meta.extension:as-ext-data-trace.extension:systeme-information.url
      Definition

      Source of the definition for the extension code - a logical name or a URL.

      Shortidentifies the meaning of the extension
      Comments

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Control1..1
      Typeuri
      XML FormatIn the XML format, this property is represented as an attribute.
      Fixed Valuesysteme-information
      18. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae
      Slice Namedate-maj-ae
      Definition

      An Extension

      ShortDate maj de l'activité selon l'autorité d'enregistrementAdditional content defined by implementations
      Control0..1*
      This element is affected by the following invariants: ele-1
      TypeExtension
      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())
      20. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae.extension
      Definition

      An Extension


      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.

      ShortExtensionAdditional 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..0*
      This element is affected by the following invariants: ele-1
      TypeExtension
      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.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 22. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed Valuedate-maj-ae
        24. HealthcareService.meta.extension:as-ext-data-trace.url
        Definition

        Source of the definition for the extension code - a logical name or a URL.

        Shortidentifies the meaning of the extension
        Comments

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Control1..1
        Typeuri
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-data-trace
        26. HealthcareService.meta.extension:as-ext-data-trace.value[x]
        Definition

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        ShortValue of extension
        Control0..01
        This element is affected by the following invariants: ele-1
        TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
        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.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()))
        30. HealthcareService.extension:as-ext-authorization
        Slice Nameas-ext-authorization
        Definition

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

        ShortAS Authorization Extension
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(AS Authorization 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())
        32. HealthcareService.extension:as-ext-installation
        Slice Nameas-ext-installation
        Definition

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

        ShortAS Installation Extension
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(AS Installation 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())
        34. 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
        Standard 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 areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 36. 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..*
          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()))
          SlicingThis element introduces a set of slices on HealthcareService.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • pattern @ system
          • 38. 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..1*
            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()))
            40. HealthcareService.identifier:numAutorisationArhgos.use
            Definition

            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control0..1
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

            Identifies the purpose for this identifier, if known .

            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            42. HealthcareService.identifier:numAutorisationArhgos.system
            Definition

            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

            ShortThe namespace for the identifier value
            Comments

            Identifier.system is always case sensitive.

            Control10..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
            Requirements

            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

            Pattern Valuehttps://arhgos.ars.sante.fr
            Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            44. 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()))
            46. HealthcareService.providedBy
            Definition

            The organization that provides this healthcare service.

            ShortRéférence vers l'id de la structure FINESS ET à laquelle est rattachée cette activité sanitaire (idNat_Struct).Organization that provides this service
            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(FR Core Organization Profile, AS Organization Profile, Organization)
            Must Supporttrue
            Must Support TypesNo must-support rules about the choice of types/profiles
            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')))
            48. HealthcareService.category
            Definition

            Identifies the broad category of service being performed or delivered.

            ShortLa modalité étant un mode d’application ou un type de soin prévu par les textes réglementaires encadrant chaque activité de soins (modalite).Broad 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..*
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from For example codes, see JDV_J132-ModaliteActivite-RASShttp://hl7.org/fhir/ValueSet/service-category
            (required to https://mos.esante.gouv.fr/NOS/JDV_J132-ModaliteActivite-RASS/FHIR/JDV-J132-ModaliteActivite-RASS)
            TypeCodeableConcept
            Must Supporttrue
            Summarytrue
            Alternate Namesservice category
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            50. HealthcareService.specialty
            Definition

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

            ShortCode définissant l'activité de soins autorisée -AS- (article L.6122-1 du CSP), la liste des activités de soins soumises à autorisation est fixée par décret en Conseil d'Etat (article L.6122-25 du CSP). activiteSpecialties 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 SHALL be taken from The codes SHOULD be taken from JDV_J133-ActiviteSanitaireRegulee-RASShttp://hl7.org/fhir/ValueSet/c80-practice-codes
            (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
            TypeCodeableConcept
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            52. 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')))
            54. 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()))
            56. 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()))
            58. 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()))
            60. 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())
            62. 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())
            64. 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')))
            66. 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()))
            68. HealthcareService.eligibility
            Definition

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

            ShortSpecific eligibility requirements required to use the service
            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()))
            71. 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()))
            73. HealthcareService.characteristic
            Definition

            Collection of characteristics (attributes).

            ShortLa forme d'activité étant un type d’organisation de prise en charge (forme).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
            BindingThe codes SHALL be taken from For example codes, see JDV_J134-FormeActivite-RASS
            (required to https://mos.esante.gouv.fr/NOS/JDV_J134-FormeActivite-RASS/FHIR/JDV-J134-FormeActivite-RASS)
            TypeCodeableConcept
            Must Supporttrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            75. 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()))
            77. 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()))
            79. 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()))
            81. 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()))
            84. 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()))
            88. 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()))
            90. 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
            Standard 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 areUnordered 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.extension:as-ext-data-trace.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.
              14. HealthcareService.meta.extension:as-ext-data-trace.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
              Standard 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.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 16. HealthcareService.meta.extension:as-ext-data-trace.extension:autorite-enregistrement
                Slice Nameautorite-enregistrement
                Definition

                An Extension

                ShortAutorité d'enregistrement de la ressource.
                Control0..1
                This element is affected by the following invariants: ele-1
                TypeExtension
                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())
                18. HealthcareService.meta.extension:as-ext-data-trace.extension:autorite-enregistrement.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.
                20. HealthcareService.meta.extension:as-ext-data-trace.extension:autorite-enregistrement.extension
                Definition

                An Extension

                ShortExtension
                Control0..0
                This element is affected by the following invariants: ele-1
                TypeExtension
                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.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 22. HealthcareService.meta.extension:as-ext-data-trace.extension:autorite-enregistrement.url
                  Definition

                  Source of the definition for the extension code - a logical name or a URL.

                  Shortidentifies the meaning of the extension
                  Comments

                  The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                  Control1..1
                  Typeuri
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed Valueautorite-enregistrement
                  24. HealthcareService.meta.extension:as-ext-data-trace.extension:autorite-enregistrement.value[x]
                  Definition

                  Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                  ShortValue of extension
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from JDV_J83-AutoriteEnregistrement-RASS
                  (required to https://mos.esante.gouv.fr/NOS/JDV_J83-AutoriteEnregistrement-RASS/FHIR/JDV-J83-AutoriteEnregistrement-RASS)
                  TypeCodeableConcept
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  26. HealthcareService.meta.extension:as-ext-data-trace.extension:systeme-information
                  Slice Namesysteme-information
                  Definition

                  An Extension

                  ShortSystème d'information de la ressource.
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  TypeExtension
                  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())
                  28. HealthcareService.meta.extension:as-ext-data-trace.extension:systeme-information.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.
                  30. HealthcareService.meta.extension:as-ext-data-trace.extension:systeme-information.extension
                  Definition

                  An Extension

                  ShortExtension
                  Control0..0
                  This element is affected by the following invariants: ele-1
                  TypeExtension
                  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.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 32. HealthcareService.meta.extension:as-ext-data-trace.extension:systeme-information.url
                    Definition

                    Source of the definition for the extension code - a logical name or a URL.

                    Shortidentifies the meaning of the extension
                    Comments

                    The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                    Control1..1
                    Typeuri
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Fixed Valuesysteme-information
                    34. HealthcareService.meta.extension:as-ext-data-trace.extension:systeme-information.value[x]
                    Definition

                    Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                    ShortRPPS | ADELI | FINESS | MSS | CG
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    BindingUnless not suitable, these codes SHALL be taken from AS ValueSet type de système d'information
                    (extensible to https://interop.esante.gouv.fr/ig/fhir/annuaire/ValueSet/as-vs-type-systeme-information)
                    Typecode
                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                    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()))
                    36. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae
                    Slice Namedate-maj-ae
                    Definition

                    An Extension

                    ShortDate maj de l'activité selon l'autorité d'enregistrement
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension
                    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.meta.extension:as-ext-data-trace.extension:date-maj-ae.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.
                    40. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae.extension
                    Definition

                    An Extension

                    ShortExtension
                    Control0..0
                    This element is affected by the following invariants: ele-1
                    TypeExtension
                    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.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 42. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae.url
                      Definition

                      Source of the definition for the extension code - a logical name or a URL.

                      Shortidentifies the meaning of the extension
                      Comments

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                      Control1..1
                      Typeuri
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed Valuedate-maj-ae
                      44. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae.value[x]
                      Definition

                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                      ShortValue of extension
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typedate
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      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()))
                      46. HealthcareService.meta.extension:as-ext-data-trace.url
                      Definition

                      Source of the definition for the extension code - a logical name or a URL.

                      Shortidentifies the meaning of the extension
                      Comments

                      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

                      Control1..1
                      Typeuri
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-data-trace
                      48. HealthcareService.meta.extension:as-ext-data-trace.value[x]
                      Definition

                      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

                      ShortValue of extension
                      Control0..0
                      This element is affected by the following invariants: ele-1
                      TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
                      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()))
                      50. 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()))
                      52. 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()))
                      54. 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()))
                      56. 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()))
                      58. 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()))
                      60. 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()))
                      62. 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()))
                      64. 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()))
                      66. 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()))
                      68. 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
                      70. 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
                      Standard 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 areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 72. HealthcareService.extension:as-ext-authorization
                        Slice Nameas-ext-authorization
                        Definition

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

                        ShortAS Authorization Extension
                        Control0..*
                        This element is affected by the following invariants: ele-1
                        TypeExtension(AS Authorization 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())
                        74. HealthcareService.extension:as-ext-installation
                        Slice Nameas-ext-installation
                        Definition

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

                        ShortAS Installation Extension
                        Control0..*
                        This element is affected by the following invariants: ele-1
                        TypeExtension(AS Installation 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())
                        76. 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
                        Standard 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 areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 78. 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..*
                          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()))
                          SlicingThis element introduces a set of slices on HealthcareService.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • pattern @ system
                          • 80. 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..1
                            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()))
                            82. HealthcareService.identifier:numAutorisationArhgos.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.identifier:numAutorisationArhgos.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
                            Standard 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.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 86. HealthcareService.identifier:numAutorisationArhgos.use
                              Definition

                              The purpose of this identifier.

                              Shortusual | official | temp | secondary | old (If known)
                              Comments

                              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from IdentifierUse
                              (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                              Identifies the purpose for this identifier, if known .

                              Typecode
                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              88. HealthcareService.identifier:numAutorisationArhgos.type
                              Definition

                              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                              ShortDescription of identifier
                              Comments

                              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                              (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                              A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                              TypeCodeableConcept
                              Summarytrue
                              Requirements

                              Allows users to make use of identifiers when the identifier system is not known.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              90. HealthcareService.identifier:numAutorisationArhgos.system
                              Definition

                              Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                              ShortThe namespace for the identifier value
                              Comments

                              Identifier.system is always case sensitive.

                              Control1..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
                              Requirements

                              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                              Pattern Valuehttps://arhgos.ars.sante.fr
                              Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              92. HealthcareService.identifier:numAutorisationArhgos.value
                              Definition

                              The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                              ShortThe value that is unique
                              Comments

                              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                              Control0..1
                              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
                              Example<br/><b>General</b>:123456
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              94. HealthcareService.identifier:numAutorisationArhgos.period
                              Definition

                              Time period during which identifier is/was valid for use.

                              ShortTime period when id is/was valid for use
                              Comments

                              A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

                              Period is not used for a duration (a measure of elapsed time). See Duration.

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypePeriod
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                              96. HealthcareService.identifier:numAutorisationArhgos.assigner
                              Definition

                              Organization that issued/manages the identifier.

                              ShortOrganization that issued id (may be just text)
                              Comments

                              The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeReference(Organization)
                              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')))
                              98. 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()))
                              100. HealthcareService.providedBy
                              Definition

                              The organization that provides this healthcare service.

                              ShortRéférence vers l'id de la structure FINESS ET à laquelle est rattachée cette activité sanitaire (idNat_Struct).
                              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(FR Core Organization Profile, AS Organization Profile)
                              Must Supporttrue
                              Must Support TypesNo must-support rules about the choice of types/profiles
                              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')))
                              102. HealthcareService.category
                              Definition

                              Identifies the broad category of service being performed or delivered.

                              ShortLa modalité étant un mode d’application ou un type de soin prévu par les textes réglementaires encadrant chaque activité de soins (modalite).
                              Comments

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

                              Control0..*
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from JDV_J132-ModaliteActivite-RASS
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J132-ModaliteActivite-RASS/FHIR/JDV-J132-ModaliteActivite-RASS)
                              TypeCodeableConcept
                              Must Supporttrue
                              Summarytrue
                              Alternate Namesservice category
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              104. HealthcareService.type
                              Definition

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

                              ShortCatégorie d'activité de soin autorisée. Exemple : Activités de soins Soumises à Reconnaissance contractuelle
                              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_J131-CategorieActiviteSanitaireRegulee-RASS
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J131-CategorieActiviteSanitaireRegulee-RASS/FHIR/JDV-J131-CategorieActiviteSanitaireRegulee-RASS)
                              TypeCodeableConcept
                              Summarytrue
                              Alternate Namesservice type
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              106. HealthcareService.specialty
                              Definition

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

                              ShortCode définissant l'activité de soins autorisée -AS- (article L.6122-1 du CSP), la liste des activités de soins soumises à autorisation est fixée par décret en Conseil d'Etat (article L.6122-25 du CSP). activite
                              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 SHALL be taken from JDV_J133-ActiviteSanitaireRegulee-RASS
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
                              TypeCodeableConcept
                              Must Supporttrue
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              108. 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')))
                              110. 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()))
                              112. 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()))
                              114. 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()))
                              116. 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())
                              118. 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())
                              120. 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')))
                              122. 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()))
                              124. HealthcareService.eligibility
                              Definition

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

                              ShortSpecific eligibility requirements required to use the service
                              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()))
                              131. 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()))
                              133. HealthcareService.characteristic
                              Definition

                              Collection of characteristics (attributes).

                              ShortLa forme d'activité étant un type d’organisation de prise en charge (forme).
                              Comments

                              These could be such things as is wheelchair accessible.

                              Control0..*
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from JDV_J134-FormeActivite-RASS
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J134-FormeActivite-RASS/FHIR/JDV-J134-FormeActivite-RASS)
                              TypeCodeableConcept
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              135. 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()))
                              137. 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()))
                              139. 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()))
                              141. 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()))
                              150. 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()))
                              157. 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()))
                              159. 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')))