Répertoire national de l’Offre et des Ressources en santé et accompagnement médico-social
0.2.0 - trial-use France flag

This page is part of the Répertoire national de l’Offre et des Ressources en santé et accompagnement médico-social (v0.2.0: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 0.5.0. For a full list of available versions, see the Directory of published versions

Resource Profile: RORHealthcareService - Detailed Descriptions

Active as of 2024-01-12

Definitions for the ror-healthcareservice resource profile.

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

0. HealthcareService
2. HealthcareService.meta
4. HealthcareService.meta.lastUpdated
Control1..?
6. HealthcareService.meta.tag
SlicingThis element introduces a set of slices on HealthcareService.meta.tag. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
8. HealthcareService.meta.tag:codeRegion
Slice NamecodeRegion
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR
10. HealthcareService.extension
Control3..?
12. HealthcareService.extension:ror-territorial-division
Slice Nameror-territorial-division
ShortzoneIntervention (OffreOperationnelle) : Périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite
Control0..*
TypeExtension(RORTerritorialDivision) (Complex Extension)
14. HealthcareService.extension:ror-healthcareservice-sensitive-unit
Slice Nameror-healthcareservice-sensitive-unit
ShortuniteSensible (OffreOperationnelle) : Permet de signaler que toutes les informations de description d'une offre sont confidentielles
Control1..1
TypeExtension(RORHealthcareServiceSensitiveUnit) (Extension Type: boolean)
16. HealthcareService.extension:ror-healthcareservice-no-consent-habilitation
Slice Nameror-healthcareservice-no-consent-habilitation
ShorthabilitationAuxSoinsSansConsentement (OffreOperationnelle) : permet d'identifier les offres pour lesquelles un établissement est autorisé à prendre en charge des patients sans leur consentement
Control0..1
TypeExtension(RORHealthcareServiceNoConsentHabilitation) (Extension Type: boolean)
18. HealthcareService.extension:ror-healthcareservice-psychiatric-sector
Slice Nameror-healthcareservice-psychiatric-sector
ShortsecteurPsychiatrique (OffreOperationnelle) : aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur
Control0..*
TypeExtension(RORHealthcareServicePsychiatricSector) (Extension Type: string)
20. HealthcareService.extension:ror-healthcareservice-patient-type
Slice Nameror-healthcareservice-patient-type
ShortpublicPrisEnCharge (Patientele) : Ensemble de personnes qui présentent des caractéristiques psychologiques, intellectuelles, physiques, psycho-motrices, comportementales leur permettant de bénéficier de la prestation décrite
Control1..1
TypeExtension(RORHealthcareServicePatientType) (Complex Extension)
22. HealthcareService.extension:ror-healthcareservice-contact
Slice Nameror-healthcareservice-contact
Shortcontact (OffreOperationnelle) : Personne ou service qui agit comme point de contact auprès d'une autre personne ou d'un autre service
Control0..*
TypeExtension(RORHealthcareServiceContact) (Complex Extension)
24. HealthcareService.extension:ror-meta-creation-date
Slice Nameror-meta-creation-date
ShortdateCreation (Metadonnee)
Control1..1
TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
26. HealthcareService.identifier
ShortidentifiantOffre (OffreOperationnelle) : Identifiant de l'offre, unique et persistant au niveau national
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
28. HealthcareService.category
ShorttypeOffre (OffreOperationnelle) : Permet de distinguer les offres et de les classer en fonction de leur nature particulière
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-ROR
30. HealthcareService.type
ShortchampActivite (OffreOperationnelle) : Domaine dans lequel s'inscrit l'offre
Control1..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-ROR
32. HealthcareService.specialty
Control1..?
SlicingThis element introduces a set of slices on HealthcareService.specialty. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
34. HealthcareService.specialty:operationalActivity
Slice NameoperationalActivity
ShortactiviteOperationnelle (ActiviteOperationnelle) : ensemble cohérent d’actions et de pratiques mises en œuvre pour répondre aux besoins en Santé de la personne
Control1..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-ROR
36. HealthcareService.specialty:operationalActivityFamily
Slice NameoperationalActivityFamily
ShortfamilleActiviteOperationnelle (ActiviteOperationnelle) : regroupement cohérent d’activités délivrées dans le cadre d'une prestation, répondant à un besoin de la personne
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-ROR
38. HealthcareService.name
ShortnomOffre (OffreOpérationnelle) : Dénomination sous laquelle l'offre est identifiée par le porteur d'offre
40. HealthcareService.comment
Shortcommentaire (Metadonnee) : Commentaire qui peut être associé à chaque objet
42. HealthcareService.telecom
ShortboiteLettreMSS (OffreOperationnelle) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) à l’offre opérationnelle
44. HealthcareService.telecom.extension
Control2..?
46. HealthcareService.telecom.extension:ror-telecom-communication-channel
Slice Nameror-telecom-communication-channel
Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control1..1
TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
48. HealthcareService.telecom.extension:ror-telecom-usage
Slice Nameror-telecom-usage
Shortutilisation (Telecommunication) : Utilisation du canal de communication
Control0..1
TypeExtension(RORTelecomUsage) (Extension Type: string)
50. HealthcareService.telecom.extension:ror-telecom-confidentiality-level
Slice Nameror-telecom-confidentiality-level
ShortniveauConfidentialite (Telecommunication) : Niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control1..1
TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
52. HealthcareService.telecom.value
ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
Control1..?
54. HealthcareService.characteristic
Control1..?
SlicingThis element introduces a set of slices on HealthcareService.characteristic. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
  • value @ extension(https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type)
56. HealthcareService.characteristic.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..1
TypeExtension(RORActType) (Extension Type: code)
58. HealthcareService.characteristic:receptionType
Slice NamereceptionType
ShorttemporaliteAccueil (OffreOperationnelle) : Précision sur le mode de prise en charge
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR
60. HealthcareService.characteristic:receptionType.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
62. HealthcareService.characteristic:careMode
Slice NamecareMode
ShortmodePriseEnCharge (OffreOperationnelle) : Caractérise l'hébergement ainsi que le niveau de technicité et d'intensité des soins
Control1..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR
64. HealthcareService.characteristic:careMode.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
66. HealthcareService.characteristic:receptionModality
Slice NamereceptionModality
ShortmodaliteAccueil (OffreOperationnelle) : Permet de préciser le mode de prise en charge géographiquement
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR
68. HealthcareService.characteristic:receptionModality.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
70. HealthcareService.characteristic:managementType
Slice NamemanagementType
ShortmodeGestion (OffreOperationnelle) : Mode d’intervention des aides à domicile en fonction de la nature de la relation contractuelle
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR
72. HealthcareService.characteristic:managementType.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
74. HealthcareService.characteristic:specificAct
Slice NamespecificAct
ShortacteSpecifique (OffreOperationnelle) : Action menée par un ou plusieurs acteur(s) de santé dans le cadre d’une activité
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
76. HealthcareService.characteristic:specificAct.extension
Control1..?
78. HealthcareService.characteristic:specificAct.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control1..1
TypeExtension(RORActType) (Extension Type: code)
80. HealthcareService.characteristic:specificAct.extension:ror-act-type.value[x]
[x] NoteSee Choice of Data Types for further information about how to use [x]
Pattern ValuespecificAct
82. HealthcareService.characteristic:outsideOfficeAct
Slice NameoutsideOfficeAct
ShortacteRealiseHorsCabinet (OffreOperationnelle) : Permet de décrire l’offre de santé des médecins libéraux réalisée en dehors du cabinet, au sein d’un établissement
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
84. HealthcareService.characteristic:outsideOfficeAct.extension
Control1..?
86. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control1..1
TypeExtension(RORActType) (Extension Type: code)
88. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.value[x]
[x] NoteSee Choice of Data Types for further information about how to use [x]
Pattern ValueoutsideOfficeAct
90. HealthcareService.characteristic:takingCareSpeciality
Slice NametakingCareSpeciality
ShortspecialisationPriseEnCharge (OffreOperationnelle) : Regroupement de troubles, de pathologies ou de déficiences qui nécessitent la mobilisation d'expertises, de compétences et/ou d'équipements spécifiques
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR
92. HealthcareService.characteristic:takingCareSpeciality.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
94. HealthcareService.characteristic:annualOpening
Slice NameannualOpening
ShortouvertureAnnuelle (OffreOperationnelle) : Nombre de jours maximum dans l’année au cours desquels la prestation peut être proposée par l'établissement
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR
96. HealthcareService.characteristic:annualOpening.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
98. HealthcareService.characteristic:ressourceProfession
Slice NameressourceProfession
ShortprofessionRessource (OffreOperationnelle) : Traduit la mobilisation de métiers qui constituent un facteur différenciant dans la réalisation de la prestation
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR
100. HealthcareService.characteristic:ressourceProfession.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
102. HealthcareService.characteristic:specificCompetence
Slice NamespecificCompetence
ShortcompetenceSpecifique (OffreOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personne
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR
104. HealthcareService.characteristic:specificCompetence.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
106. HealthcareService.characteristic:expertiseLevel
Slice NameexpertiseLevel
ShortniveauExpertise (OffreOperationnelle) : Niveau de ressources humaines et matérielles engagées dans la réalisation de l'offre
Control0..*
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR
108. HealthcareService.characteristic:expertiseLevel.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
110. HealthcareService.characteristic:temporalityStopService
Slice NametemporalityStopService
ShorttypeFermeture (OffreOperationnelle) : Temporalité d'arrêt de réalisation de la prestation
Control0..1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR
112. HealthcareService.characteristic:temporalityStopService.extension:ror-act-type
Slice Nameror-act-type
ShortType d'acte
Control0..0
TypeExtension(RORActType) (Extension Type: code)
114. HealthcareService.availableTime
Shorthoraire (OffreOperationnelle) : heureDebut + heureFin
Control0..1
116. HealthcareService.availableTime.extension:ror-available-time-type-of-time
Slice Nameror-available-time-type-of-time
ShorttypePlageHoraire (Horaire) : apporte un contexte à la plage horaire définie par la suite
Control0..1
TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
118. HealthcareService.availableTime.extension:ror-available-time-effective-opening-closing-date
Slice Nameror-available-time-effective-opening-closing-date
ShortdebutDateEffective + finDateEffective (Horaire)
Control0..1
TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
120. HealthcareService.availableTime.extension:ror-available-time-number-days-of-week
Slice Nameror-available-time-number-days-of-week
ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
Control0..1
TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
122. HealthcareService.notAvailable
SlicingThis element introduces a set of slices on HealthcareService.notAvailable. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ id
124. HealthcareService.notAvailable:closingRepoeningDate
Slice NameclosingRepoeningDate
ShortPériode de fermeture (during.start) et de réouverture prévisionnelle (during.end).
Control0..1
126. HealthcareService.notAvailable:closingRepoeningDate.id
Control1..?
Pattern ValueclosingRepoeningDate
128. HealthcareService.notAvailable:closingRepoeningDate.description
Pattern ValuePériode de fermeture et de réouverture prévisionnelle
130. HealthcareService.notAvailable:closingRepoeningDate.during
132. HealthcareService.notAvailable:closingRepoeningDate.during.start
ShortdateFermeture (OffreOperationnelle) : Date effective à partir de laquelle la prestation n'est plus assurée
134. HealthcareService.notAvailable:closingRepoeningDate.during.end
ShortDatePrevisionnelleReouverture (OffreOperationnelle) : date prévisionnelle à partir de laquelle la prestation sera de nouveau assurée

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

0. HealthcareService
Definition

The details of a healthcare service available at a location.

ShortThe details of a healthcare service available at a location
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. HealthcareService.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. 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.

Control30..*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
6. HealthcareService.extension:ror-territorial-division
Slice Nameror-territorial-division
Definition

Extension créée dans le cadre du ROR qui correspond au périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite. Cela inclut notamment les divisions territoriales dans lesquelles les professionnels se déplacent.

ShortzoneIntervention (OffreOperationnelle) : Périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(RORTerritorialDivision) (Complex Extension)
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.extension:ror-healthcareservice-sensitive-unit
Slice Nameror-healthcareservice-sensitive-unit
Definition

Extension créée dans le cadre du ROR pour signaler que toutes les informations de description d'une offre sont confidentielles car elles présentent un risque d'utilisation à des fins malveillantes.

ShortuniteSensible (OffreOperationnelle) : Permet de signaler que toutes les informations de description d'une offre sont confidentielles
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServiceSensitiveUnit) (Extension Type: boolean)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. HealthcareService.extension:ror-healthcareservice-no-consent-habilitation
Slice Nameror-healthcareservice-no-consent-habilitation
Definition

Extension créée dans le cadre du ROR qui permet d'identifier les offres pour lesquelles un établissement est autorisé par le directeur général de l’ARS après avis du préfet, à prendre en charge des patients sans leur consentement.

ShorthabilitationAuxSoinsSansConsentement (OffreOperationnelle) : permet d'identifier les offres pour lesquelles un établissement est autorisé à prendre en charge des patients sans leur consentement
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServiceNoConsentHabilitation) (Extension Type: boolean)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. HealthcareService.extension:ror-healthcareservice-psychiatric-sector
Slice Nameror-healthcareservice-psychiatric-sector
Definition

Extension créée dans le cadre du ROR qui correspond à une aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur.

ShortsecteurPsychiatrique (OffreOperationnelle) : aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServicePsychiatricSector) (Extension Type: string)
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.extension:ror-healthcareservice-patient-type
Slice Nameror-healthcareservice-patient-type
Definition

Extension créée dans le cadre du ROR pour décrire un ensemble de personnes qui répondent à des critères leur permettant de bénéficier de la prestation décrite

ShortpublicPrisEnCharge (Patientele) : Ensemble de personnes qui présentent des caractéristiques psychologiques, intellectuelles, physiques, psycho-motrices, comportementales leur permettant de bénéficier de la prestation décrite
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServicePatientType) (Complex Extension)
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())
16. HealthcareService.extension:ror-healthcareservice-contact
Slice Nameror-healthcareservice-contact
Definition

Extension créée dans le cadre du ROR pour décrire la personne ou le service qui agit comme point de contact de l'offre.

Shortcontact (OffreOperationnelle) : Personne ou service qui agit comme point de contact auprès d'une autre personne ou d'un autre service
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServiceContact) (Complex Extension)
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.extension:ror-meta-creation-date
Slice Nameror-meta-creation-date
Definition

Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.

ShortdateCreation (Metadonnee)
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
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.modifierExtension
Definition

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

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

ShortExtensions that cannot be ignored
Comments

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

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

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

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

External identifiers for this item.

ShortidentifiantOffre (OffreOperationnelle) : Identifiant de l'offre, unique et persistant au niveau nationalExternal identifiers for this item
NoteThis is a business identifier, not a resource identifier (see discussion)
Control10..1*
This element is affected by the following invariants: ele-1
TypeIdentifier
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. 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
This element is affected by the following invariants: ele-1
Typeboolean
Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. HealthcareService.category
Definition

Identifies the broad category of service being performed or delivered.

ShorttypeOffre (OffreOperationnelle) : Permet de distinguer les offres et de les classer en fonction de leur nature particulièreBroad 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..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-RORhttp://hl7.org/fhir/ValueSet/service-category
TypeCodeableConcept
Summarytrue
Alternate Namesservice category
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. HealthcareService.type
Definition

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

ShortchampActivite (OffreOperationnelle) : Domaine dans lequel s'inscrit l'offreType of service that may be delivered or performed
Comments

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

Control10..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-RORhttp://hl7.org/fhir/ValueSet/service-type
TypeCodeableConcept
Summarytrue
Alternate Namesservice type
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. HealthcareService.specialty
Definition

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

ShortSpecialties handled by the HealthcareService
Comments

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

Control10..*
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes

A specialty that a healthcare service may provide.

TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on HealthcareService.specialty. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
32. HealthcareService.specialty:operationalActivity
Slice NameoperationalActivity
Definition

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

ShortactiviteOperationnelle (ActiviteOperationnelle) : ensemble cohérent d’actions et de pratiques mises en œuvre pour répondre aux besoins en Santé de la personneSpecialties handled by the HealthcareService
Comments

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

Control10..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. HealthcareService.specialty:operationalActivityFamily
Slice NameoperationalActivityFamily
Definition

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

ShortfamilleActiviteOperationnelle (ActiviteOperationnelle) : regroupement cohérent d’activités délivrées dans le cadre d'une prestation, répondant à un besoin de la personneSpecialties handled by the HealthcareService
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from The codes SHOULD be taken from https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-RORhttp://hl7.org/fhir/ValueSet/c80-practice-codes
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. HealthcareService.name
Definition

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

ShortnomOffre (OffreOpérationnelle) : Dénomination sous laquelle l'offre est identifiée par le porteur d'offreDescription of service as presented to a consumer while searching
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

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

Shortcommentaire (Metadonnee) : Commentaire qui peut être associé à chaque objetAdditional 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
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. HealthcareService.telecom
Definition

List of contacts related to this specific healthcare service.

ShortboiteLettreMSS (OffreOperationnelle) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) à l’offre opérationnelleContacts related to the healthcare service
Comments

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

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

Control20..*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
44. HealthcareService.telecom.extension:ror-telecom-communication-channel
Slice Nameror-telecom-communication-channel
Definition

Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication

Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
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())
46. HealthcareService.telecom.extension:ror-telecom-usage
Slice Nameror-telecom-usage
Definition

Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication

Shortutilisation (Telecommunication) : Utilisation du canal de communication
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomUsage) (Extension Type: string)
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())
48. HealthcareService.telecom.extension:ror-telecom-confidentiality-level
Slice Nameror-telecom-confidentiality-level
Definition

Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.

ShortniveauConfidentialite (Telecommunication) : Niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
50. HealthcareService.telecom.system
Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Shortphone | fax | email | pager | url | sms | other
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control0..1
This element is affected by the following invariants: ele-1, cpt-2
BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1

Telecommunications form for contact point.

Typecode
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.telecom.value
Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communicationThe actual contact point details
Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Control10..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

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

Identifies the purpose for the contact point.

Shorthome | work | temp | old | mobile - purpose of this contact point
Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1

Use of contact point.

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

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

Collection of characteristics (attributes).

ShortCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control10..*
This element is affected by the following invariants: ele-1
Binding

A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).

TypeCodeableConcept
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.characteristic. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
  • value @ extension(https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type)
58. HealthcareService.characteristic.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
60. HealthcareService.characteristic:receptionType
Slice NamereceptionType
Definition

Collection of characteristics (attributes).

ShorttemporaliteAccueil (OffreOperationnelle) : Précision sur le mode de prise en chargeCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. HealthcareService.characteristic:receptionType.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
64. HealthcareService.characteristic:careMode
Slice NamecareMode
Definition

Collection of characteristics (attributes).

ShortmodePriseEnCharge (OffreOperationnelle) : Caractérise l'hébergement ainsi que le niveau de technicité et d'intensité des soinsCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control10..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. HealthcareService.characteristic:careMode.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
68. HealthcareService.characteristic:receptionModality
Slice NamereceptionModality
Definition

Collection of characteristics (attributes).

ShortmodaliteAccueil (OffreOperationnelle) : Permet de préciser le mode de prise en charge géographiquementCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. HealthcareService.characteristic:receptionModality.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
72. HealthcareService.characteristic:managementType
Slice NamemanagementType
Definition

Collection of characteristics (attributes).

ShortmodeGestion (OffreOperationnelle) : Mode d’intervention des aides à domicile en fonction de la nature de la relation contractuelleCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. HealthcareService.characteristic:managementType.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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.characteristic:specificAct
Slice NamespecificAct
Definition

Collection of characteristics (attributes).

ShortacteSpecifique (OffreOperationnelle) : Action menée par un ou plusieurs acteur(s) de santé dans le cadre d’une activitéCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. HealthcareService.characteristic:specificAct.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.

Control10..*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.characteristic.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
80. HealthcareService.characteristic:specificAct.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
82. HealthcareService.characteristic:specificAct.extension:ror-act-type.extension
Definition

An Extension


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

ShortExtensionAdditional content defined by implementations
Comments

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

Control0..0*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.characteristic.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
84. HealthcareService.characteristic:specificAct.extension:ror-act-type.url
Definition

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

Shortidentifies the meaning of the extension
Comments

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

Control1..1
Typeuri
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type
86. HealthcareService.characteristic:specificAct.extension:ror-act-type.value[x]
Definition

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

ShortValue of extension
Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For codes, see Valueset type d'acte
Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] NoteSee Choice of Data Types for further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Pattern ValuespecificAct
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. HealthcareService.characteristic:outsideOfficeAct
Slice NameoutsideOfficeAct
Definition

Collection of characteristics (attributes).

ShortacteRealiseHorsCabinet (OffreOperationnelle) : Permet de décrire l’offre de santé des médecins libéraux réalisée en dehors du cabinet, au sein d’un établissementCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. HealthcareService.characteristic:outsideOfficeAct.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.

Control10..*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.characteristic.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
92. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
94. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.extension
Definition

An Extension


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

ShortExtensionAdditional content defined by implementations
Comments

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

Control0..0*
This element is affected by the following invariants: ele-1
TypeExtension
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.characteristic.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
96. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.url
Definition

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

Shortidentifies the meaning of the extension
Comments

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

Control1..1
Typeuri
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type
98. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.value[x]
Definition

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

ShortValue of extension
Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For codes, see Valueset type d'acte
Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
[x] NoteSee Choice of Data Types for further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Pattern ValueoutsideOfficeAct
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. HealthcareService.characteristic:takingCareSpeciality
Slice NametakingCareSpeciality
Definition

Collection of characteristics (attributes).

ShortspecialisationPriseEnCharge (OffreOperationnelle) : Regroupement de troubles, de pathologies ou de déficiences qui nécessitent la mobilisation d'expertises, de compétences et/ou d'équipements spécifiquesCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. HealthcareService.characteristic:takingCareSpeciality.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
104. HealthcareService.characteristic:annualOpening
Slice NameannualOpening
Definition

Collection of characteristics (attributes).

ShortouvertureAnnuelle (OffreOperationnelle) : Nombre de jours maximum dans l’année au cours desquels la prestation peut être proposée par l'établissementCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. HealthcareService.characteristic:annualOpening.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
108. HealthcareService.characteristic:ressourceProfession
Slice NameressourceProfession
Definition

Collection of characteristics (attributes).

ShortprofessionRessource (OffreOperationnelle) : Traduit la mobilisation de métiers qui constituent un facteur différenciant dans la réalisation de la prestationCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
110. HealthcareService.characteristic:ressourceProfession.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
112. HealthcareService.characteristic:specificCompetence
Slice NamespecificCompetence
Definition

Collection of characteristics (attributes).

ShortcompetenceSpecifique (OffreOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personneCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. HealthcareService.characteristic:specificCompetence.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
116. HealthcareService.characteristic:expertiseLevel
Slice NameexpertiseLevel
Definition

Collection of characteristics (attributes).

ShortniveauExpertise (OffreOperationnelle) : Niveau de ressources humaines et matérielles engagées dans la réalisation de l'offreCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
118. HealthcareService.characteristic:expertiseLevel.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
120. HealthcareService.characteristic:temporalityStopService
Slice NametemporalityStopService
Definition

Collection of characteristics (attributes).

ShorttypeFermeture (OffreOperationnelle) : Temporalité d'arrêt de réalisation de la prestationCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control0..1*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. HealthcareService.characteristic:temporalityStopService.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
124. HealthcareService.availableTime
Definition

A collection of times that the Service Site is available.

Shorthoraire (OffreOperationnelle) : heureDebut + heureFinTimes the Service Site is available
Comments

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

Control0..1*
This element is affected by the following invariants: ele-1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
126. HealthcareService.availableTime.extension:ror-available-time-type-of-time
Slice Nameror-available-time-type-of-time
Definition

Extension créée dans le cadre du ROR pour apporter un contexte à la plage horaire définie par la suite. Un planning peut être constitué de plusieurs plages horaires du même type ou de type différent.

ShorttypePlageHoraire (Horaire) : apporte un contexte à la plage horaire définie par la suite
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
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())
128. HealthcareService.availableTime.extension:ror-available-time-effective-opening-closing-date
Slice Nameror-available-time-effective-opening-closing-date
Definition

Extension créée dans le cadre du ROR pour décrire le planning d'activité d'un professionnel ou d'une offre.

ShortdebutDateEffective + finDateEffective (Horaire)
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
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())
130. HealthcareService.availableTime.extension:ror-available-time-number-days-of-week
Slice Nameror-available-time-number-days-of-week
Definition

Extension créée dans le cadre du ROR pour indiquer le numéro du jour dans la semaine.

ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
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.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..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
134. 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..*
This element is affected by the following invariants: ele-1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on HealthcareService.notAvailable. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ id
136. 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..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
138. 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
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control1..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
140. HealthcareService.notAvailable:closingRepoeningDate
Slice NameclosingRepoeningDate
Definition

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

ShortPériode de fermeture (during.start) et de réouverture prévisionnelle (during.end).Not available during this time due to provided reason
Control0..1*
This element is affected by the following invariants: ele-1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
142. HealthcareService.notAvailable:closingRepoeningDate.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
Control10..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
Pattern ValueclosingRepoeningDate
144. HealthcareService.notAvailable:closingRepoeningDate.modifierExtension
Definition

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

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

ShortExtensions that cannot be ignored even if unrecognized
Comments

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

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

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

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

Note that FHIR strings SHALL NOT exceed 1MB in size

Control1..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Pattern ValuePériode de fermeture et de réouverture prévisionnelle
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
Definition

The details of a healthcare service available at a location.

ShortThe details of a healthcare service available at a location
Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
2. HealthcareService.id
Definition

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

ShortLogical id of this artifact
Comments

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

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

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

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

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

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

ShortVersion specific identifier
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
Typeid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. 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.

Control1..1
This element is affected by the following invariants: ele-1
Typeinstant
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. HealthcareService.meta.source
Definition

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

ShortIdentifies where the resource comes from
Comments

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

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

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

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

ShortProfiles this resource claims to conform to
Comments

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

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

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

ShortSecurity Labels applied to this resource
Comments

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

Control0..*
This element is affected by the following invariants: ele-1
BindingUnless not suitable, these codes SHALL be taken from All Security Labels

Security Labels from the Healthcare Privacy and Security Classification System.

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

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

ShortTags applied to this resource
Comments

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

Control0..*
This element is affected by the following invariants: ele-1
BindingFor example codes, see CommonTags

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

TypeCoding
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on HealthcareService.meta.tag. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
22. HealthcareService.meta.tag:codeRegion
Slice NamecodeRegion
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..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR
TypeCoding
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. HealthcareService.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

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

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

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from CommonLanguages

A human language.

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

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

ShortText summary of the resource, for human interpretation
Comments

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

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

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

ShortContained, inline Resources
Comments

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

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

An Extension

ShortExtension
Control3..*
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
34. HealthcareService.extension:ror-territorial-division
Slice Nameror-territorial-division
Definition

Extension créée dans le cadre du ROR qui correspond au périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite. Cela inclut notamment les divisions territoriales dans lesquelles les professionnels se déplacent.

ShortzoneIntervention (OffreOperationnelle) : Périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(RORTerritorialDivision) (Complex Extension)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
36. HealthcareService.extension:ror-healthcareservice-sensitive-unit
Slice Nameror-healthcareservice-sensitive-unit
Definition

Extension créée dans le cadre du ROR pour signaler que toutes les informations de description d'une offre sont confidentielles car elles présentent un risque d'utilisation à des fins malveillantes.

ShortuniteSensible (OffreOperationnelle) : Permet de signaler que toutes les informations de description d'une offre sont confidentielles
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServiceSensitiveUnit) (Extension Type: boolean)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. HealthcareService.extension:ror-healthcareservice-no-consent-habilitation
Slice Nameror-healthcareservice-no-consent-habilitation
Definition

Extension créée dans le cadre du ROR qui permet d'identifier les offres pour lesquelles un établissement est autorisé par le directeur général de l’ARS après avis du préfet, à prendre en charge des patients sans leur consentement.

ShorthabilitationAuxSoinsSansConsentement (OffreOperationnelle) : permet d'identifier les offres pour lesquelles un établissement est autorisé à prendre en charge des patients sans leur consentement
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServiceNoConsentHabilitation) (Extension Type: boolean)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. HealthcareService.extension:ror-healthcareservice-psychiatric-sector
Slice Nameror-healthcareservice-psychiatric-sector
Definition

Extension créée dans le cadre du ROR qui correspond à une aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur.

ShortsecteurPsychiatrique (OffreOperationnelle) : aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServicePsychiatricSector) (Extension Type: string)
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())
42. HealthcareService.extension:ror-healthcareservice-patient-type
Slice Nameror-healthcareservice-patient-type
Definition

Extension créée dans le cadre du ROR pour décrire un ensemble de personnes qui répondent à des critères leur permettant de bénéficier de la prestation décrite

ShortpublicPrisEnCharge (Patientele) : Ensemble de personnes qui présentent des caractéristiques psychologiques, intellectuelles, physiques, psycho-motrices, comportementales leur permettant de bénéficier de la prestation décrite
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServicePatientType) (Complex Extension)
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())
44. HealthcareService.extension:ror-healthcareservice-contact
Slice Nameror-healthcareservice-contact
Definition

Extension créée dans le cadre du ROR pour décrire la personne ou le service qui agit comme point de contact de l'offre.

Shortcontact (OffreOperationnelle) : Personne ou service qui agit comme point de contact auprès d'une autre personne ou d'un autre service
Control0..*
This element is affected by the following invariants: ele-1
TypeExtension(RORHealthcareServiceContact) (Complex Extension)
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())
46. HealthcareService.extension:ror-meta-creation-date
Slice Nameror-meta-creation-date
Definition

Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.

ShortdateCreation (Metadonnee)
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
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())
48. HealthcareService.modifierExtension
Definition

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

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

ShortExtensions that cannot be ignored
Comments

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

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

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

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

External identifiers for this item.

ShortidentifiantOffre (OffreOperationnelle) : Identifiant de l'offre, unique et persistant au niveau national
NoteThis is a business identifier, not a resource identifier (see discussion)
Control1..1
This element is affected by the following invariants: ele-1
TypeIdentifier
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. 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
This element is affected by the following invariants: ele-1
Typeboolean
Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. HealthcareService.providedBy
Definition

The organization that provides this healthcare service.

ShortOrganization that provides this service
Comments

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

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

Identifies the broad category of service being performed or delivered.

ShorttypeOffre (OffreOperationnelle) : Permet de distinguer les offres et de les classer en fonction de leur nature particulière
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-ROR
TypeCodeableConcept
Summarytrue
Alternate Namesservice category
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. HealthcareService.type
Definition

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

ShortchampActivite (OffreOperationnelle) : Domaine dans lequel s'inscrit l'offre
Comments

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

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-ROR
TypeCodeableConcept
Summarytrue
Alternate Namesservice type
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. HealthcareService.specialty
Definition

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

ShortSpecialties handled by the HealthcareService
Comments

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

Control1..*
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet

A specialty that a healthcare service may provide.

TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on HealthcareService.specialty. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
62. HealthcareService.specialty:operationalActivity
Slice NameoperationalActivity
Definition

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

ShortactiviteOperationnelle (ActiviteOperationnelle) : ensemble cohérent d’actions et de pratiques mises en œuvre pour répondre aux besoins en Santé de la personne
Comments

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

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. HealthcareService.specialty:operationalActivityFamily
Slice NameoperationalActivityFamily
Definition

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

ShortfamilleActiviteOperationnelle (ActiviteOperationnelle) : regroupement cohérent d’activités délivrées dans le cadre d'une prestation, répondant à un besoin de la personne
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-ROR
TypeCodeableConcept
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. HealthcareService.location
Definition

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

ShortLocation(s) where service may be provided
Comments

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

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

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

ShortnomOffre (OffreOpérationnelle) : Dénomination sous laquelle l'offre est identifiée par le porteur d'offre
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

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

Shortcommentaire (Metadonnee) : Commentaire qui peut être associé à chaque objet
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
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. HealthcareService.extraDetails
Definition

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

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

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

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

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

ShortFacilitates quick identification of the service
Comments

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

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

List of contacts related to this specific healthcare service.

ShortboiteLettreMSS (OffreOperationnelle) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) à l’offre opérationnelle
Comments

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

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

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

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

An Extension

ShortExtension
Control2..*
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.telecom.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
82. HealthcareService.telecom.extension:ror-telecom-communication-channel
Slice Nameror-telecom-communication-channel
Definition

Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication

Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
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())
84. HealthcareService.telecom.extension:ror-telecom-usage
Slice Nameror-telecom-usage
Definition

Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication

Shortutilisation (Telecommunication) : Utilisation du canal de communication
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomUsage) (Extension Type: string)
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())
86. HealthcareService.telecom.extension:ror-telecom-confidentiality-level
Slice Nameror-telecom-confidentiality-level
Definition

Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.

ShortniveauConfidentialite (Telecommunication) : Niveau de restriction de l'accès aux attributs de la classe Télécommunication
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
88. HealthcareService.telecom.system
Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Shortphone | fax | email | pager | url | sms | other
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control0..1
This element is affected by the following invariants: ele-1, cpt-2
BindingThe codes SHALL be taken from ContactPointSystem

Telecommunications form for contact point.

Typecode
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()))
90. HealthcareService.telecom.value
Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Control1..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. HealthcareService.telecom.use
Definition

Identifies the purpose for the contact point.

Shorthome | work | temp | old | mobile - purpose of this contact point
Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from ContactPointUse

Use of contact point.

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

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

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

Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

ShortSpecify preferred order of use (1 = highest)
Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Control0..1
This element is affected by the following invariants: ele-1
TypepositiveInt
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()))
96. HealthcareService.telecom.period
Definition

Time period when the contact point was/is in use.

ShortTime period when the contact point was/is in use
Comments

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

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

Control0..1
This element is affected by the following invariants: ele-1
TypePeriod
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
98. 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..*
This element is affected by the following invariants: ele-1
TypeReference(Location)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: SHALL have a contained resource if a local reference is provided (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')))
100. 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..*
This element is affected by the following invariants: ele-1
BindingFor example codes, see ServiceProvisionConditions

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

TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. 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..*
This element is affected by the following invariants: ele-1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. HealthcareService.eligibility.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

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

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

ShortExtensions that cannot be ignored even if unrecognized
Comments

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

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

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

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

Coded value for the eligibility.

ShortCoded value for the eligibility
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
Binding

Coded values underwhich a specific service is made available.

TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. 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
This element is affected by the following invariants: ele-1
Typemarkdown
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. 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..*
This element is affected by the following invariants: ele-1
BindingFor example codes, see Program

Government or local programs that this service applies to.

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

Collection of characteristics (attributes).

ShortCollection of characteristics (attributes)
Comments

These could be such things as is wheelchair accessible.

Control1..*
This element is affected by the following invariants: ele-1
Binding

A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).

TypeCodeableConcept
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.characteristic. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ coding.system
  • value @ extension(https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type)
118. HealthcareService.characteristic.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
124. HealthcareService.characteristic.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShorttemporaliteAccueil (OffreOperationnelle) : Précision sur le mode de prise en charge
Comments

These could be such things as is wheelchair accessible.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
130. HealthcareService.characteristic:receptionType.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
136. HealthcareService.characteristic:receptionType.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortmodePriseEnCharge (OffreOperationnelle) : Caractérise l'hébergement ainsi que le niveau de technicité et d'intensité des soins
Comments

These could be such things as is wheelchair accessible.

Control1..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
142. HealthcareService.characteristic:careMode.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
148. HealthcareService.characteristic:careMode.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortmodaliteAccueil (OffreOperationnelle) : Permet de préciser le mode de prise en charge géographiquement
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
154. HealthcareService.characteristic:receptionModality.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
160. HealthcareService.characteristic:receptionModality.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortmodeGestion (OffreOperationnelle) : Mode d’intervention des aides à domicile en fonction de la nature de la relation contractuelle
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
166. HealthcareService.characteristic:managementType.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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.characteristic:managementType.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortacteSpecifique (OffreOperationnelle) : Action menée par un ou plusieurs acteur(s) de santé dans le cadre d’une activité
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
178. HealthcareService.characteristic:specificAct.id
Definition

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

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

An Extension

ShortExtension
Control1..*
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.characteristic.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
182. HealthcareService.characteristic:specificAct.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
184. HealthcareService.characteristic:specificAct.extension:ror-act-type.id
Definition

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

ShortUnique id for inter-element referencing
Control0..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
186. HealthcareService.characteristic:specificAct.extension:ror-act-type.extension
Definition

An Extension

ShortExtension
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.characteristic.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
188. HealthcareService.characteristic:specificAct.extension:ror-act-type.url
Definition

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

Shortidentifies the meaning of the extension
Comments

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

Control1..1
Typeuri
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type
190. HealthcareService.characteristic:specificAct.extension:ror-act-type.value[x]
Definition

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

ShortValue of extension
Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from Valueset type d'acte
Typecode
[x] NoteSee Choice of Data Types for further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Pattern ValuespecificAct
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
192. HealthcareService.characteristic:specificAct.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortacteRealiseHorsCabinet (OffreOperationnelle) : Permet de décrire l’offre de santé des médecins libéraux réalisée en dehors du cabinet, au sein d’un établissement
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
198. HealthcareService.characteristic:outsideOfficeAct.id
Definition

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

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

An Extension

ShortExtension
Control1..*
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.characteristic.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
202. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type
Slice Nameror-act-type
Definition

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control1..1
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
204. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.id
Definition

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

ShortUnique id for inter-element referencing
Control0..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
206. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.extension
Definition

An Extension

ShortExtension
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.characteristic.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
208. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.url
Definition

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

Shortidentifies the meaning of the extension
Comments

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

Control1..1
Typeuri
XML FormatIn the XML format, this property is represented as an attribute.
Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type
210. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.value[x]
Definition

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

ShortValue of extension
Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from Valueset type d'acte
Typecode
[x] NoteSee Choice of Data Types for further information about how to use [x]
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Pattern ValueoutsideOfficeAct
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
212. HealthcareService.characteristic:outsideOfficeAct.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortspecialisationPriseEnCharge (OffreOperationnelle) : Regroupement de troubles, de pathologies ou de déficiences qui nécessitent la mobilisation d'expertises, de compétences et/ou d'équipements spécifiques
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
218. HealthcareService.characteristic:takingCareSpeciality.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
224. HealthcareService.characteristic:takingCareSpeciality.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortouvertureAnnuelle (OffreOperationnelle) : Nombre de jours maximum dans l’année au cours desquels la prestation peut être proposée par l'établissement
Comments

These could be such things as is wheelchair accessible.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
230. HealthcareService.characteristic:annualOpening.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
236. HealthcareService.characteristic:annualOpening.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortprofessionRessource (OffreOperationnelle) : Traduit la mobilisation de métiers qui constituent un facteur différenciant dans la réalisation de la prestation
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
242. HealthcareService.characteristic:ressourceProfession.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
248. HealthcareService.characteristic:ressourceProfession.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortcompetenceSpecifique (OffreOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personne
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
254. HealthcareService.characteristic:specificCompetence.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
260. HealthcareService.characteristic:specificCompetence.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShortniveauExpertise (OffreOperationnelle) : Niveau de ressources humaines et matérielles engagées dans la réalisation de l'offre
Comments

These could be such things as is wheelchair accessible.

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
266. HealthcareService.characteristic:expertiseLevel.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
272. HealthcareService.characteristic:expertiseLevel.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

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

Collection of characteristics (attributes).

ShorttypeFermeture (OffreOperationnelle) : Temporalité d'arrêt de réalisation de la prestation
Comments

These could be such things as is wheelchair accessible.

Control0..1
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR
TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
278. HealthcareService.characteristic:temporalityStopService.id
Definition

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

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

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

ShortAdditional content defined by implementations
Comments

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

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

Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

ShortType d'acte
Control0..0
This element is affected by the following invariants: ele-1
TypeExtension(RORActType) (Extension Type: code)
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())
284. HealthcareService.characteristic:temporalityStopService.coding
Definition

A reference to a code defined by a terminology system.

ShortCode defined by a terminology system
Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
This element is affected by the following invariants: ele-1
TypeCoding
Summarytrue
Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

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

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

ShortPlain text representation of the concept
Comments

Very often the text is the same as a displayName of one of the codings.

Control0..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
288. 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..*
This element is affected by the following invariants: ele-1
BindingThe codes SHOULD be taken from CommonLanguages

A human language.

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

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

ShortWays that the service accepts referrals
Comments

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

Control0..*
This element is affected by the following invariants: ele-1
BindingFor example codes, see ReferralMethod

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

TypeCodeableConcept
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
292. 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
This element is affected by the following invariants: ele-1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
294. HealthcareService.availableTime
Definition

A collection of times that the Service Site is available.

Shorthoraire (OffreOperationnelle) : heureDebut + heureFin
Comments

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

Control0..1
This element is affected by the following invariants: ele-1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
296. 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
XML FormatIn the XML format, this property is represented as an attribute.
298. 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..*
This element is affected by the following invariants: ele-1
TypeExtension
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.availableTime.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
300. HealthcareService.availableTime.extension:ror-available-time-type-of-time
Slice Nameror-available-time-type-of-time
Definition

Extension créée dans le cadre du ROR pour apporter un contexte à la plage horaire définie par la suite. Un planning peut être constitué de plusieurs plages horaires du même type ou de type différent.

ShorttypePlageHoraire (Horaire) : apporte un contexte à la plage horaire définie par la suite
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
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())
302. HealthcareService.availableTime.extension:ror-available-time-effective-opening-closing-date
Slice Nameror-available-time-effective-opening-closing-date
Definition

Extension créée dans le cadre du ROR pour décrire le planning d'activité d'un professionnel ou d'une offre.

ShortdebutDateEffective + finDateEffective (Horaire)
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
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())
304. HealthcareService.availableTime.extension:ror-available-time-number-days-of-week
Slice Nameror-available-time-number-days-of-week
Definition

Extension créée dans le cadre du ROR pour indiquer le numéro du jour dans la semaine.

ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
Control0..1
This element is affected by the following invariants: ele-1
TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
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())
306. 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..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
308. 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
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control0..*
This element is affected by the following invariants: ele-1
BindingThe codes SHALL be taken from DaysOfWeek

The days of the week.

Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
310. 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
This element is affected by the following invariants: ele-1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
312. 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
This element is affected by the following invariants: ele-1
Typetime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
314. 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
This element is affected by the following invariants: ele-1
Typetime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
316. 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..*
This element is affected by the following invariants: ele-1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on HealthcareService.notAvailable. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ id
318. 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
XML FormatIn the XML format, this property is represented as an attribute.
320. 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..*
This element is affected by the following invariants: ele-1
TypeExtension
Standards StatusNormative (from Trial Use)
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on HealthcareService.notAvailable.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
322. 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..*
This element is affected by the following invariants: ele-1
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

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

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
324. 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
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Control1..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
326. HealthcareService.notAvailable.during
Definition

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

ShortService not available from this date
Comments

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

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

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

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

ShortPériode de fermeture (during.start) et de réouverture prévisionnelle (during.end).
Control0..1
This element is affected by the following invariants: ele-1
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
330. HealthcareService.notAvailable:closingRepoeningDate.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
Control1..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
Pattern ValueclosingRepoeningDate
332. HealthcareService.notAvailable:closingRepoeningDate.extension
Definition

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

ShortAdditional content defined by implementations
Comments

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

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

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

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

ShortExtensions that cannot be ignored even if unrecognized
Comments

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

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

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

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

Note that FHIR strings SHALL NOT exceed 1MB in size

Control1..1
This element is affected by the following invariants: ele-1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Pattern ValuePériode de fermeture et de réouverture prévisionnelle
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
338. HealthcareService.notAvailable:closingRepoeningDate.during
Definition

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

ShortService not available from this date
Comments

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

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

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

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

ShortUnique id for inter-element referencing
Control0..1
Typestring
XML FormatIn the XML format, this property is represented as an attribute.
342. HealthcareService.notAvailable:closingRepoeningDate.during.extension
Definition

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

ShortAdditional content defined by implementations
Comments

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

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

The start of the period. The boundary is inclusive.

ShortdateFermeture (OffreOperationnelle) : Date effective à partir de laquelle la prestation n'est plus assurée
Comments

If the low element is missing, the meaning is that the low boundary is not known.

Control0..1
This element is affected by the following invariants: ele-1, per-1
TypedateTime
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()))
346. HealthcareService.notAvailable:closingRepoeningDate.during.end
Definition

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

ShortDatePrevisionnelleReouverture (OffreOperationnelle) : date prévisionnelle à partir de laquelle la prestation sera de nouveau assurée
Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Control0..1
This element is affected by the following invariants: ele-1, per-1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
348. HealthcareService.availabilityExceptions
Definition

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

ShortDescription of availability exceptions
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

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

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

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

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

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