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Annuaire Santé
1.1.0-snapshot-5 - final-text France flag

This page is part of the Guide d'implémentation FHIR - Annuaire de santé (v1.1.0-snapshot-5: 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: AsHealthcareServiceHealthcareActivityProfile - Detailed Descriptions

Active as of 2025-02-12

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

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..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
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
TypeMeta
Is Modifierfalse
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
TypeExtension(AS Data Trace Extension) (Complex Extension)
Is Modifierfalse
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*
TypeExtension
Is Modifierfalse
Summaryfalse
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*
TypeExtension
Is Modifierfalse
Summaryfalse
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
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    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*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    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*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    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
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      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*
      TypeExtension
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      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*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      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
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        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
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        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
        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
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summaryfalse
        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
        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
        Definition

        An Extension


        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.

        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..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        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
        • 32. 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)
          Is Modifierfalse
          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..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
          Summaryfalse
          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())
          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..*
          TypeIdentifier
          Is Modifierfalse
          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:
          • value @ 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*
            TypeIdentifier
            Is Modifierfalse
            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
            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
            Typeuri
            Is Modifierfalse
            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.

            Control0..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
            TypeReference(FR Core Organization Profile, AS Organization Profile, Organization)
            Is Modifierfalse
            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()))
            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..*
            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
            Is Modifierfalse
            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.type
            Definition

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

            ShortType of service that may be delivered or performed
            Control0..*
            BindingFor example codes, see ServiceTypehttp://hl7.org/fhir/ValueSet/service-type
            (example to http://hl7.org/fhir/ValueSet/service-type)

            Additional details about where the content was created (e.g. clinical specialty).

            TypeCodeableConcept
            Is Modifierfalse
            Summarytrue
            Alternate Namesservice type
            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.type. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ $this
            • 52. HealthcareService.type:category
              Slice Namecategory
              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 contractuelleType of service that may be delivered or performed
              Control0..1*
              BindingThe codes SHALL be taken from For example codes, see JDV_J131-CategorieActiviteSanitaireRegulee-RASShttp://hl7.org/fhir/ValueSet/service-type
              (required to https://mos.esante.gouv.fr/NOS/JDV_J131-CategorieActiviteSanitaireRegulee-RASS/FHIR/JDV-J131-CategorieActiviteSanitaireRegulee-RASS)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Alternate Namesservice type
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. HealthcareService.type:activity
              Slice Nameactivity
              Definition

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

              ShortLa discipline déterminant la nature de l’activité (CODE_ACT_SOIN).Type of service that may be delivered or performed
              Control0..1*
              BindingThe codes SHALL be taken from For example codes, see JDV_J133-ActiviteSanitaireRegulee-RASShttp://hl7.org/fhir/ValueSet/service-type
              (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Alternate Namesservice type
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. 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
              Control0..*
              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
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. 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..*
              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
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

              0. HealthcareService
              2. HealthcareService.meta
              4. HealthcareService.meta.extension:as-ext-data-trace
              Slice Nameas-ext-data-trace
              Control0..1
              TypeExtension(AS Data Trace Extension) (Complex Extension)
              Must Supporttrue
              6. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae
              Slice Namedate-maj-ae
              ShortDate maj de l'activité selon l'autorité d'enregistrement
              Must Supporttrue
              8. HealthcareService.extension
              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
              • 10. HealthcareService.extension:as-ext-authorization
                Slice Nameas-ext-authorization
                Control0..*
                TypeExtension(AS Authorization Extension) (Complex Extension)
                Must Supporttrue
                12. HealthcareService.identifier
                NoteThis is a business identifier, not a resource identifier (see discussion)
                SlicingThis element introduces a set of slices on HealthcareService.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ system
                • 14. HealthcareService.identifier:numAutorisationArhgos
                  Slice NamenumAutorisationArhgos
                  ShortIdentifiant fonctionnel, numéro d'autorisation ARHGOS (numeroAutorisationARHGOS).
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1
                  Must Supporttrue
                  16. HealthcareService.identifier:numAutorisationArhgos.system
                  Control1..?
                  Pattern Valuehttps://arhgos.ars.sante.fr
                  18. HealthcareService.providedBy
                  ShortRéférence vers l'id de la structure FINESS ET à laquelle est rattachée cette activité sanitaire (idNat_Struct).
                  TypeReference(FR Core Organization Profile, AS Organization Profile)
                  Must Supporttrue
                  Must Support TypesNo must-support rules about the choice of types/profiles
                  20. HealthcareService.category
                  ShortLa modalité étant un mode d’application ou un type de soin prévu par les textes réglementaires encadrant chaque activité de soins (modalite).
                  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)
                  Must Supporttrue
                  22. HealthcareService.type
                  SlicingThis element introduces a set of slices on HealthcareService.type. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ $this
                  • 24. HealthcareService.type:category
                    Slice Namecategory
                    ShortCatégorie d'activité de soin autorisée. Exemple : Activités de soins Soumises à Reconnaissance contractuelle
                    Control0..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)
                    26. HealthcareService.type:activity
                    Slice Nameactivity
                    ShortLa discipline déterminant la nature de l’activité (CODE_ACT_SOIN).
                    Control0..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)
                    28. HealthcareService.specialty
                    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
                    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)
                    Must Supporttrue
                    30. HealthcareService.characteristic
                    ShortLa forme d'activité étant un type d’organisation de prise en charge (forme).
                    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)
                    Must Supporttrue

                    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..*
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                    dom-6: A resource should have narrative for robust management (text.`div`.exists())
                    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
                    Is Modifierfalse
                    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
                    TypeMeta
                    Is Modifierfalse
                    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
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    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..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    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
                      TypeExtension(AS Data Trace Extension) (Complex Extension)
                      Is Modifierfalse
                      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
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      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..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      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
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        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
                        Is Modifierfalse
                        XML FormatIn the XML format, this property is represented as an attribute.
                        Summaryfalse
                        20. HealthcareService.meta.extension:as-ext-data-trace.extension:autorite-enregistrement.extension
                        Definition

                        An Extension

                        ShortExtension
                        Control0..0
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        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
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          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
                          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]
                          Is Modifierfalse
                          Summaryfalse
                          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
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          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
                          Is Modifierfalse
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Summaryfalse
                          30. HealthcareService.meta.extension:as-ext-data-trace.extension:systeme-information.extension
                          Definition

                          An Extension

                          ShortExtension
                          Control0..0
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          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
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            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 | FINESS | MSS | CG
                            Control0..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]
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Summaryfalse
                            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
                            TypeExtension
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            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
                            Is Modifierfalse
                            XML FormatIn the XML format, this property is represented as an attribute.
                            Summaryfalse
                            40. HealthcareService.meta.extension:as-ext-data-trace.extension:date-maj-ae.extension
                            Definition

                            An Extension

                            ShortExtension
                            Control0..0
                            TypeExtension
                            Is Modifierfalse
                            Summaryfalse
                            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
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              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
                              Typedate
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              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
                              Is Modifierfalse
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Summaryfalse
                              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
                              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
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              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
                              Typeid
                              Is Modifierfalse
                              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
                              Typeinstant
                              Is Modifierfalse
                              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
                              Typeuri
                              Is Modifierfalse
                              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..*
                              Typecanonical(StructureDefinition)
                              Is Modifierfalse
                              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..*
                              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
                              Is Modifierfalse
                              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..*
                              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
                              Is Modifierfalse
                              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
                              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
                              BindingThe codes SHOULD be taken from CommonLanguages
                              (preferred to http://hl7.org/fhir/ValueSet/languages)

                              A human language.

                              Additional BindingsPurpose
                              AllLanguagesMax Binding
                              Typecode
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summaryfalse
                              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
                              TypeNarrative
                              Is Modifierfalse
                              Summaryfalse
                              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
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesinline resources, anonymous resources, contained resources
                              70. HealthcareService.extension
                              Definition

                              An Extension

                              ShortExtension
                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              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)
                                Is Modifierfalse
                                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.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..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                Summaryfalse
                                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())
                                76. 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..*
                                TypeIdentifier
                                Is Modifierfalse
                                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:
                                • value @ system
                                • 78. 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
                                  TypeIdentifier
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  80. 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
                                  Is Modifierfalse
                                  XML FormatIn the XML format, this property is represented as an attribute.
                                  Summaryfalse
                                  82. 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..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  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
                                  • 84. 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
                                    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()))
                                    86. 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
                                    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
                                    Is Modifierfalse
                                    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()))
                                    88. 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
                                    Typeuri
                                    Is Modifierfalse
                                    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()))
                                    90. 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
                                    Typestring
                                    Is Modifierfalse
                                    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()))
                                    92. HealthcareService.identifier:numAutorisationArhgos.period
                                    Definition

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

                                    ShortTime period when id is/was valid for use
                                    Control0..1
                                    TypePeriod
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    94. 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
                                    TypeReference(Organization)
                                    Is Modifierfalse
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    96. 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.

                                    Control0..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()))
                                    98. 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
                                    TypeReference(FR Core Organization Profile, AS Organization Profile)
                                    Is Modifierfalse
                                    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()))
                                    100. 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..*
                                    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
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Alternate Namesservice category
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    102. HealthcareService.type
                                    Definition

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

                                    ShortType of service that may be delivered or performed
                                    Control0..*
                                    BindingFor example codes, see ServiceType
                                    (example to http://hl7.org/fhir/ValueSet/service-type)

                                    Additional details about where the content was created (e.g. clinical specialty).

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summarytrue
                                    Alternate Namesservice type
                                    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.type. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ $this
                                    • 104. HealthcareService.type:category
                                      Slice Namecategory
                                      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
                                      Control0..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
                                      Is Modifierfalse
                                      Summarytrue
                                      Alternate Namesservice type
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      106. HealthcareService.type:activity
                                      Slice Nameactivity
                                      Definition

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

                                      ShortLa discipline déterminant la nature de l’activité (CODE_ACT_SOIN).
                                      Control0..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
                                      Is Modifierfalse
                                      Summarytrue
                                      Alternate Namesservice type
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      108. 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
                                      Control0..*
                                      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
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      110. HealthcareService.location
                                      Definition

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

                                      ShortLocation(s) where service may be provided
                                      Control0..*
                                      TypeReference(Location)
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      112. 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
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      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.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..1
                                      Typestring
                                      Is Modifierfalse
                                      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()))
                                      116. 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
                                      Control0..1
                                      Typemarkdown
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      118. 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
                                      Control0..1
                                      TypeAttachment
                                      Is Modifierfalse
                                      Summarytrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      120. 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..*
                                      TypeContactPoint
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      122. 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..*
                                      TypeReference(Location)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      124. 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..*
                                      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
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      126. 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..*
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      128. HealthcareService.eligibility.id
                                      Definition

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

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

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

                                      ShortAdditional content defined by implementations
                                      Comments

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

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      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())
                                      132. HealthcareService.eligibility.modifierExtension
                                      Definition

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

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

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

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

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

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

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

                                      Coded value for the eligibility.

                                      ShortCoded value for the eligibility
                                      Control0..1
                                      Binding

                                      Coded values underwhich a specific service is made available.

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

                                      Describes the eligibility conditions for the service.

                                      ShortDescribes the eligibility conditions for the service
                                      Comments

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

                                      Control0..1
                                      Typemarkdown
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      138. 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..*
                                      BindingFor example codes, see Program
                                      (example to http://hl7.org/fhir/ValueSet/program)

                                      Government or local programs that this service applies to.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      140. 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..*
                                      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
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      142. 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..*
                                      BindingThe codes SHOULD be taken from CommonLanguages
                                      (preferred to http://hl7.org/fhir/ValueSet/languages)

                                      A human language.

                                      Additional BindingsPurpose
                                      AllLanguagesMax Binding
                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      144. 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
                                      Control0..*
                                      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
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      146. 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..1
                                      Typeboolean
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      148. 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..*
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      150. HealthcareService.availableTime.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
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      152. HealthcareService.availableTime.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..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      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())
                                      154. HealthcareService.availableTime.modifierExtension
                                      Definition

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

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

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

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

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

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

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

                                      Indicates which days of the week are available between the start and end Times.

                                      Shortmon | tue | wed | thu | fri | sat | sun
                                      Control0..*
                                      BindingThe codes SHALL be taken from DaysOfWeek
                                      (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

                                      The days of the week.

                                      Typecode
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      158. HealthcareService.availableTime.allDay
                                      Definition

                                      Is this always available? (hence times are irrelevant) e.g. 24 hour service.

                                      ShortAlways available? e.g. 24 hour service
                                      Control0..1
                                      Typeboolean
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      160. HealthcareService.availableTime.availableStartTime
                                      Definition

                                      The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

                                      ShortOpening time of day (ignored if allDay = true)
                                      Comments

                                      The time zone is expected to be for where this HealthcareService is provided at.

                                      Control0..1
                                      Typetime
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      162. HealthcareService.availableTime.availableEndTime
                                      Definition

                                      The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

                                      ShortClosing time of day (ignored if allDay = true)
                                      Comments

                                      The time zone is expected to be for where this HealthcareService is provided at.

                                      Control0..1
                                      Typetime
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      164. 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..*
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      166. HealthcareService.notAvailable.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
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      168. HealthcareService.notAvailable.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..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      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())
                                      170. HealthcareService.notAvailable.modifierExtension
                                      Definition

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

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

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

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

                                      Control0..*
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                      Summarytrue
                                      Requirements

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

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

                                      The reason that can be presented to the user as to why this time is not available.

                                      ShortReason presented to the user explaining why time not available
                                      Control1..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      174. HealthcareService.notAvailable.during
                                      Definition

                                      Service is not available (seasonally or for a public holiday) from this date.

                                      ShortService not available from this date
                                      Control0..1
                                      TypePeriod
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      176. 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
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      178. 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
                                      Control0..*
                                      TypeReference(Endpoint)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))