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{
  "resourceType": "StructureDefinition",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-phpd-profile-HealthcareService",
  "version": "1.0.0",
  "name": "PHPDHealthcareService",
  "status": "draft",
  "description": "HealthcareService contains the details of a healthcare service available at a location.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "HealthcareService",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/HealthcareService",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "HealthcareService.id",
        "path": "HealthcareService.id",
        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.\r\n* PHSD: epid"
      },
      {
        "id": "HealthcareService.meta",
        "path": "HealthcareService.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "HealthcareService.meta.profile",
        "path": "HealthcareService.meta.profile",
        "comment": "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.\r\n\r\n#### **_` FOR PHSD USAGE: The meta.profile = http://ontariohealth.ca/fhir/StructureDefinition/ca-on-phpd-profile-HealthcareService|1.0.0 `_**",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "HealthcareService.text",
        "path": "HealthcareService.text",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier",
        "path": "HealthcareService.identifier",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier.use",
        "path": "HealthcareService.identifier.use",
        "binding": {
          "strength": "required",
          "valueSet": "http://ehealthontario.ca/fhir/ValueSet/ereferral-identifier-use"
        }
      },
      {
        "id": "HealthcareService.identifier.type",
        "path": "HealthcareService.identifier.type",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://ehealthontario.ca/fhir/ValueSet/ereferral-identifier-type"
        }
      },
      {
        "id": "HealthcareService.identifier.type.coding",
        "path": "HealthcareService.identifier.type.coding",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier.type.coding.system",
        "path": "HealthcareService.identifier.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier.type.coding.code",
        "path": "HealthcareService.identifier.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier.type.coding.display",
        "path": "HealthcareService.identifier.type.coding.display",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier.system",
        "path": "HealthcareService.identifier.system",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier.value",
        "path": "HealthcareService.identifier.value",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier.assigner",
        "path": "HealthcareService.identifier.assigner",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.active",
        "path": "HealthcareService.active",
        "min": 1
      },
      {
        "id": "HealthcareService.providedBy",
        "path": "HealthcareService.providedBy",
        "comment": "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.\r\n- - - \r\n\r\n* PHSD-THLN: populate providedBy.display with Organization Name\r\n* PHSD-Connex:",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.providedBy.display",
        "path": "HealthcareService.providedBy.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "HealthcareService.category",
        "path": "HealthcareService.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "coding"
            }
          ],
          "rules": "open"
        },
        "comment": "Selecting a Service Category then determines the list of relevant service types that can be selected in the primary service type.\r\n- - - \r\n* eServices: SnomedCT Codes for - Acute care inpatient | Addiction service | Community Health services | Diagnostic Imaging service | Laboratory service | Long Term Care service | Mental Health service | Public health service | Rehabilitation service\r\n* eConsult: direct | group | base\r\n* eVisit: roombased | direct\r\n* PHSD-Connex: (probably not \"program\" - generic | specialized | restricted)\r\n* PHSD-THLN: \"Health Topics\" - Abuse and Sexual Assault | Addictions | Diseases and Conditions | Environmental and Workplace Health | Mental Health | Palliative and End-of-Life Care | People with Disabilities | Rehabilitative Care | Residential Care | Respite Care | Sexual and Reproductive Health\r\nAction Item - the THLN \"mid-category\", fariba to align w eServices.",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.category:eServices",
        "path": "HealthcareService.category",
        "sliceName": "eServices",
        "binding": {
          "strength": "extensible"
        }
      },
      {
        "id": "HealthcareService.category:eConsult",
        "path": "HealthcareService.category",
        "sliceName": "eConsult",
        "max": "1"
      },
      {
        "id": "HealthcareService.category:eVisit",
        "path": "HealthcareService.category",
        "sliceName": "eVisit",
        "max": "1"
      },
      {
        "id": "HealthcareService.category:Connex",
        "path": "HealthcareService.category",
        "sliceName": "Connex",
        "max": "1"
      },
      {
        "id": "HealthcareService.category:THLN",
        "path": "HealthcareService.category",
        "sliceName": "THLN",
        "max": "1"
      },
      {
        "id": "HealthcareService.category:AllCategory",
        "path": "HealthcareService.category",
        "sliceName": "AllCategory"
      },
      {
        "id": "HealthcareService.type",
        "path": "HealthcareService.type",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "comment": "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.\r\n- - - -\r\n* eServices: uses extensions for single/multi-tag faceted taxonomy; otherwise mapped to practitioner specialty\r\n* eConsult: OTN sub-categories can go here (sample values?) \r\n* PHSD-Connex: Local Connex Value Set (uri=http://ontariohealth.ca/fhir/CodeSystem/ca-on-connex-type)\r\n* PHSD-THLN:  Local THLN Value Set (uri=http://ontariohealth.ca/fhir/CodeSystem/ca-on-thln-type) - THLN Sub-Category",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.type.coding",
        "path": "HealthcareService.type.coding",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.type.coding.system",
        "path": "HealthcareService.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.type.coding.code",
        "path": "HealthcareService.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.type.coding.display",
        "path": "HealthcareService.type.coding.display",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.type:eServices",
        "path": "HealthcareService.type",
        "sliceName": "eServices"
      },
      {
        "id": "HealthcareService.type:eConsult",
        "path": "HealthcareService.type",
        "sliceName": "eConsult"
      },
      {
        "id": "HealthcareService.type:eVisit",
        "path": "HealthcareService.type",
        "sliceName": "eVisit"
      },
      {
        "id": "HealthcareService.type:Connex",
        "path": "HealthcareService.type",
        "sliceName": "Connex"
      },
      {
        "id": "HealthcareService.type:THLN",
        "path": "HealthcareService.type",
        "sliceName": "THLN"
      },
      {
        "id": "HealthcareService.specialty",
        "path": "HealthcareService.specialty",
        "comment": "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.\r\n- - - - \r\neServices: not used for service site specialties - .type is used for speciality and sub-speciality via taxonomies\r\neConsult: BASE specialty/subspecialty available as list; direct/group subspecialty is self-declared, captued in Area of Interest field (same PractitionerRole specialty)\r\nPHSD-Connex: ? Snomed CT Specialties to align w/ PPR?\r\nPHSD-THLN: ? Snomed CT Specialties to align w/ PPR?\r\n\r\nExtension will be used to mark if a hcs.specialty is Specialty vs Subspecialty\r\nFind out if OTN.specialty is fixed to c80-practice-code or if flexible",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.location.reference",
        "path": "HealthcareService.location.reference",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.location.display",
        "path": "HealthcareService.location.display",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.name",
        "path": "HealthcareService.name",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.comment",
        "path": "HealthcareService.comment",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.extraDetails",
        "path": "HealthcareService.extraDetails",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.telecom",
        "path": "HealthcareService.telecom",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.telecom.system",
        "path": "HealthcareService.telecom.system",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.telecom.value",
        "path": "HealthcareService.telecom.value",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.telecom.period.start",
        "path": "HealthcareService.telecom.period.start",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.telecom.period.end",
        "path": "HealthcareService.telecom.period.end",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.coverageArea",
        "path": "HealthcareService.coverageArea",
        "comment": "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\".\r\n- - - \r\n* PHSD-Connex: County, LHIN, Municipality - all non-nullable 75-varchar + geocode\r\n* PHSD-THLN: string + hyperlink to map service\r\n* eConsult: \r\n* eServices: N/A",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.coverageArea.reference",
        "path": "HealthcareService.coverageArea.reference",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.serviceProvisionCode",
        "path": "HealthcareService.serviceProvisionCode",
        "comment": "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.\r\n--------\r\n* PHSD-Connex has \"additional cost\" field indicating fee for service &possible funding source\r\n* PHSD-THLN: Fee For Service\r\n* PHSD: likely extension to send actual fee information as freetext"
      },
      {
        "id": "HealthcareService.program",
        "path": "HealthcareService.program",
        "comment": "Programs are often defined externally to an Organization, commonly by governments; e.g. Home and Community Care Programs, Homeless Program, ….\r\nmapped to eServices | eConsult | eVisit | Connex | THLN for now",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/ca-on-phsd-programs"
        }
      },
      {
        "id": "HealthcareService.program.coding",
        "path": "HealthcareService.program.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/ca-on-phsd-programs"
        }
      },
      {
        "id": "HealthcareService.program.coding.system",
        "path": "HealthcareService.program.coding.system",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.program.coding.code",
        "path": "HealthcareService.program.coding.code",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.program.coding.display",
        "path": "HealthcareService.program.coding.display",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.characteristic",
        "path": "HealthcareService.characteristic",
        "comment": "These could be such things as is wheelchair accessible.\r\n---\r\nOTN: Accessibility 0..1, Accessibility Note 0..1"
      },
      {
        "id": "HealthcareService.communication",
        "path": "HealthcareService.communication",
        "comment": "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.\r\n\r\nLanguage goes into Communication",
        "binding": {
          "strength": "preferred",
          "description": "Languages understood or supported by Ontario clients and organizations. This value set represents the subset of all ISO living languages as of April 22, 2020.",
          "valueSet": "http://ehealthontario.ca/fhir/ValueSet/human-language"
        }
      },
      {
        "id": "HealthcareService.referralMethod",
        "path": "HealthcareService.referralMethod",
        "comment": "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.\r\n* eServices: \r\n* PHSD: Not Captured/Used\r\n* eConsult:"
      },
      {
        "id": "HealthcareService.availableTime",
        "path": "HealthcareService.availableTime",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.endpoint",
        "path": "HealthcareService.endpoint",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.endpoint.reference",
        "path": "HealthcareService.endpoint.reference",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.endpoint.type",
        "path": "HealthcareService.endpoint.type",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.endpoint.identifier",
        "path": "HealthcareService.endpoint.identifier",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.endpoint.display",
        "path": "HealthcareService.endpoint.display",
        "mustSupport": true
      }
    ]
  }
}

name : PHPDHealthcareService

{

}