Pan-Canadian eReferral-eConsult (CA:eReC) v1.1.0-DFT-Ballot

preBallot - The specification is currently in ballot review and subject to change. . . . For a full list of available versions, see the Directory of published versions

HealthcareService (CA:eReC)

Description

The HealthcareService resources contains details around the service being provided to the patient.

References to this resource

Communication, ServiceProviderPreference, ServiceRequest, Task

Resource Content

HealthcareService			HealthcareService	There are no (further) constraints on this element Data type HealthcareService
identifier	S			There are no (further) constraints on this element Element id HealthcareService.identifier
system	S	1..		There are no (further) constraints on this element Element id HealthcareService.identifier.system
value	S	1..		There are no (further) constraints on this element Element id HealthcareService.identifier.value
type	S	1..1		There are no (further) constraints on this element Element id HealthcareService.type
name	S			There are no (further) constraints on this element Element id HealthcareService.name

HealthcareService	I		HealthcareService	There are no (further) constraints on this element Element id HealthcareService Short description The details of a healthcare service available at a location Definition The details of a healthcare service available at a location. Data type HealthcareService Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-5: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() Mappings rim: Entity. Role, or Act rim: act[classCode=ACT][moodCode=DEF]
id	Σ	0..1	string	There are no (further) constraints on this element Element id HealthcareService.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. 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. Data type string
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id HealthcareService.meta Short description Metadata about the resource 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. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id HealthcareService.implicitRules Short description A set of rules under which this content was created 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. 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. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id HealthcareService.language Short description Language of the resource content Definition The base language in which the resource is written. 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). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id HealthcareService.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display 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. 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. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id HealthcareService.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources 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. 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. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. 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. Data type Extension Constraints ele-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()` Mappings rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content 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). 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. 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. Data type Extension Constraints ele-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()` Mappings rim: N/A
identifier	S Σ	0..*	Identifier	There are no (further) constraints on this element Element id HealthcareService.identifier Short description External identifiers for this item Definition External identifiers for this item. Data type Identifier Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.identifier rim: .id
id		0..1	string	There are no (further) constraints on this element Element id HealthcareService.identifier.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.identifier.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-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()` Mappings rim: n/a
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element id HealthcareService.identifier.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: N/A rim: Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element id HealthcareService.identifier.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. Data type CodeableConcept Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.5 rim: Role.code or implied by context
system	S Σ	1..1	uri	There are no (further) constraints on this element Element id HealthcareService.identifier.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. Comments Identifier.system is always case sensitive. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General http://www.acme.com/identifiers/patient Mappings v2: CX.4 / EI-2-4 rim: II.root or Role.id.root servd: ./IdentifierType
value	S Σ	1..1	string	There are no (further) constraints on this element Element id HealthcareService.identifier.value Short description The value that is unique Definition The portion of the identifier typically relevant to the user and which is unique within the context of the system. Comments If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings v2: CX.1 / EI.1 rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd: ./Value
period	Σ	0..1	Period	There are no (further) constraints on this element Element id HealthcareService.identifier.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.7 + CX.8 rim: Role.effectiveTime or implied by context servd: ./StartDate and ./EndDate
assigner	Σ	0..1	Reference(Organization)	There are no (further) constraints on this element Element id HealthcareService.identifier.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CX.4 / (CX.4,CX.9,CX.10) rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd: ./IdentifierIssuingAuthority
active	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element id HealthcareService.active Short description Whether this HealthcareService record is in active use 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. Comments This element is labeled as a modifier because it may be used to mark that the resource was created in error. Meaning when missing This resource is generally assumed to be active if no value is provided for the active element Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.status rim: .statusCode
providedBy	Σ	0..1	Reference(Organization)	There are no (further) constraints on this element Element id HealthcareService.providedBy Short description Organization that provides this service Definition The organization that provides this healthcare 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. Data type Reference(Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .scopingRole.Organization
category	Σ	0..*	CodeableConcept	There are no (further) constraints on this element Element id HealthcareService.category Short description Broad category of service being performed or delivered Alternate names service category Definition Identifies the broad category of service being performed or delivered. Comments Selecting a Service Category then determines the list of relevant service types that can be selected in the primary service type. Data type CodeableConcept Binding A category of the service(s) that could be provided. ServiceCategory (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.class rim: .code
type	S Σ	1..1	CodeableConcept	There are no (further) constraints on this element Element id HealthcareService.type Short description Type of service that may be delivered or performed Alternate names service type Definition The specific type of service that may be delivered or performed. Data type CodeableConcept Binding Additional details about where the content was created (e.g. clinical specialty). ServiceType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].code
specialty	Σ	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id HealthcareService.specialty Short description Specialties handled by the HealthcareService Definition Collection of specialties handled by the service site. This is more of a medical term. Data type CodeableConcept Binding A specialty that a healthcare service may provide. PracticeSettingCodeValueSet (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].code
location	Σ	0..*	Reference(Location)	There are no (further) constraints on this element Element id HealthcareService.location Short description Location(s) where service may be provided Definition The location(s) where this healthcare service may be provided. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.where[x] rim: .location.role[classCode=SDLOC]
name	S Σ	0..1	string	There are no (further) constraints on this element Element id HealthcareService.name Short description Description of service as presented to a consumer while searching Definition Further description of the service as it would be presented to a consumer while searching. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .name
comment	Σ	0..1	string	There are no (further) constraints on this element Element id HealthcareService.comment Short description Additional description and/or any specific issues not covered elsewhere 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. 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .location.role[classCode=SDLOC].desc
extraDetails		0..1	markdown	There are no (further) constraints on this element Element id HealthcareService.extraDetails Short description Extra details about the service that can't be placed in the other fields Definition Extra details about the service that can't be placed in the other fields. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].text
photo	Σ	0..1	Attachment	There are no (further) constraints on this element Element id HealthcareService.photo Short description Facilitates quick identification of the service 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. Data type Attachment Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=SBJ].observation.value
telecom		0..*	ContactPoint	There are no (further) constraints on this element Element id HealthcareService.telecom Short description Contacts related to the healthcare service Definition List of contacts related to this specific healthcare service. Comments If this is empty, then refer to the location's contacts. Data type ContactPoint Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .telecom
coverageArea		0..*	Reference(Location)	There are no (further) constraints on this element Element id HealthcareService.coverageArea Short description Location(s) service is intended for/available to Definition The location(s) that this service is available to (not where the service is provided). 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". Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .location.role[classCode=SDLOC].subjectOf.A_SpatialCoordinate
serviceProvisionCode		0..*	CodeableConcept	There are no (further) constraints on this element Element id HealthcareService.serviceProvisionCode Short description Conditions under which service is available/offered Definition The code(s) that detail the conditions under which the healthcare 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. Data type CodeableConcept Binding The code(s) that detail the conditions under which the healthcare service is available/offered. ServiceProvisionConditions (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT]
eligibility		0..*	BackboneElement	There are no (further) constraints on this element Element id HealthcareService.eligibility Short description Specific eligibility requirements required to use the service Definition Does this service have specific eligibility requirements that need to be met in order to use the service? Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
id		0..1	string	There are no (further) constraints on this element Element id HealthcareService.eligibility.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.eligibility.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Constraints ele-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()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.eligibility.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers 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). 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. 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. Data type Extension Constraints ele-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()` Mappings rim: N/A
code		0..1	CodeableConcept	There are no (further) constraints on this element Element id HealthcareService.eligibility.code Short description Coded value for the eligibility Definition Coded value for the eligibility. Data type CodeableConcept Binding Coded values underwhich a specific service is made available. (unbound) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT]
comment		0..1	markdown	There are no (further) constraints on this element Element id HealthcareService.eligibility.comment Short description Describes the eligibility conditions for the service Definition Describes 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. Data type markdown Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT].text
program		0..*	CodeableConcept	There are no (further) constraints on this element Element id HealthcareService.program Short description Programs that this service is applicable to Definition Programs 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, …. Data type CodeableConcept Binding Government or local programs that this service applies to. Program (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=PERT].observation
characteristic		0..*	CodeableConcept	There are no (further) constraints on this element Element id HealthcareService.characteristic Short description Collection of characteristics (attributes) Definition Collection of characteristics (attributes). Comments These could be such things as is wheelchair accessible. Data type CodeableConcept Binding A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy). (unbound) (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=PERT].observation
communication		0..*	CodeableConceptBinding	There are no (further) constraints on this element Element id HealthcareService.communication Short description The language that this service is offered in 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. 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. Data type CodeableConcept Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
referralMethod		0..*	CodeableConcept	There are no (further) constraints on this element Element id HealthcareService.referralMethod Short description Ways that the service accepts referrals Definition Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required. Data type CodeableConcept Binding The methods of referral can be used when referring to a specific HealthCareService resource. ReferralMethod (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=PERT].observation
appointmentRequired		0..1	boolean	There are no (further) constraints on this element Element id HealthcareService.appointmentRequired Short description If an appointment is required for access to this service 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. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .actrelationship[typeCode=PERT].observation
availableTime		0..*	BackboneElement	There are no (further) constraints on this element Element id HealthcareService.availableTime Short description Times the Service Site is available Definition A collection of times that the Service Site is available. Comments More detailed availability information may be provided in associated Schedule/Slot resources. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id HealthcareService.availableTime.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.availableTime.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Constraints ele-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()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.availableTime.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers 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). 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. 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. Data type Extension Constraints ele-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()` Mappings rim: N/A
daysOfWeek		0..*	codeBinding	There are no (further) constraints on this element Element id HealthcareService.availableTime.daysOfWeek Short description mon \| tue \| wed \| thu \| fri \| sat \| sun Definition Indicates which days of the week are available between the start and end Times. Data type code Binding The days of the week. DaysOfWeek (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
allDay		0..1	boolean	There are no (further) constraints on this element Element id HealthcareService.availableTime.allDay Short description Always available? e.g. 24 hour service Definition Is this always available? (hence times are irrelevant) e.g. 24 hour service. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
availableStartTime		0..1	time	There are no (further) constraints on this element Element id HealthcareService.availableTime.availableStartTime Short description Opening time of day (ignored if allDay = true) Definition The opening time of day. Note: If the AllDay flag is set, then this time is ignored. Comments The time zone is expected to be for where this HealthcareService is provided at. Data type time Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
availableEndTime		0..1	time	There are no (further) constraints on this element Element id HealthcareService.availableTime.availableEndTime Short description Closing time of day (ignored if allDay = true) Definition The closing time of day. Note: If the AllDay flag is set, then this time is ignored. Comments The time zone is expected to be for where this HealthcareService is provided at. Data type time Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
notAvailable		0..*	BackboneElement	There are no (further) constraints on this element Element id HealthcareService.notAvailable Short description Not available during this time due to provided reason Definition The HealthcareService is not available during this period of time due to the provided reason. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
id		0..1	string	There are no (further) constraints on this element Element id HealthcareService.notAvailable.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.notAvailable.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Constraints ele-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()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id HealthcareService.notAvailable.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers 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). 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. 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. Data type Extension Constraints ele-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()` Mappings rim: N/A
description		1..1	string	There are no (further) constraints on this element Element id HealthcareService.notAvailable.description Short description Reason presented to the user explaining why time not available Definition The reason that can be presented to the user as to why this time is not available. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
during		0..1	Period	There are no (further) constraints on this element Element id HealthcareService.notAvailable.during Short description Service not available from this date Definition Service is not available (seasonally or for a public holiday) from this date. Data type Period Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
availabilityExceptions		0..1	string	There are no (further) constraints on this element Element id HealthcareService.availabilityExceptions Short description Description of availability exceptions 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. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .effectiveTime
endpoint		0..*	Reference(Endpoint)	There are no (further) constraints on this element Element id HealthcareService.endpoint Short description Technical endpoints providing access to electronic services operated for the healthcare service Definition Technical endpoints providing access to services operated for the specific healthcare services defined at this resource. Data type Reference(Endpoint) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="CA-eReC-HealthcareService" />
    <url value="http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-HealthcareService" />
    <name value="HealthcareService" />
    <status value="draft" />
    <description value="The HealthcareService resources contains details around the service being provided to the patient." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="HealthcareService" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/HealthcareService" />
    <derivation value="constraint" />
    <differential>
        <element id="HealthcareService.identifier">
            <path value="HealthcareService.identifier" />
            <mustSupport value="true" />
        </element>
        <element id="HealthcareService.identifier.system">
            <path value="HealthcareService.identifier.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="HealthcareService.identifier.value">
            <path value="HealthcareService.identifier.value" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="HealthcareService.type">
            <path value="HealthcareService.type" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="HealthcareService.name">
            <path value="HealthcareService.name" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "CA-eReC-HealthcareService",
    "url": "http://fhir.infoway-inforoute.ca/io/CA-eReC/StructureDefinition/CA-eReC-HealthcareService",
    "name": "HealthcareService",
    "status": "draft",
    "description": "The HealthcareService resources contains details around the service being provided to the patient.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "HealthcareService",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/HealthcareService",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "HealthcareService.identifier",
                "path": "HealthcareService.identifier",
                "mustSupport": true
            },
            {
                "id": "HealthcareService.identifier.system",
                "path": "HealthcareService.identifier.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "HealthcareService.identifier.value",
                "path": "HealthcareService.identifier.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "HealthcareService.type",
                "path": "HealthcareService.type",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "HealthcareService.name",
                "path": "HealthcareService.name",
                "mustSupport": true
            }
        ]
    }
}

Terminology bindings

Constraints

Path	Id	Grade	Details	Expression
HealthcareService; HealthcareService; HealthcareService; HealthcareService; HealthcareService; HealthcareService.meta; HealthcareService.implicitRules; HealthcareService.language; HealthcareService.text; HealthcareService.extension; HealthcareService.extension; HealthcareService.modifierExtension; HealthcareService.modifierExtension; HealthcareService.identifier; HealthcareService.identifier.extension; HealthcareService.identifier.extension; HealthcareService.identifier.use; HealthcareService.identifier.type; HealthcareService.identifier.system; HealthcareService.identifier.value; HealthcareService.identifier.period; HealthcareService.identifier.assigner; HealthcareService.active; HealthcareService.providedBy; HealthcareService.category; HealthcareService.type; HealthcareService.specialty; HealthcareService.location; HealthcareService.name; HealthcareService.comment; HealthcareService.extraDetails; HealthcareService.photo; HealthcareService.telecom; HealthcareService.coverageArea; HealthcareService.serviceProvisionCode; HealthcareService.eligibility; HealthcareService.eligibility.extension; HealthcareService.eligibility.extension; HealthcareService.eligibility.modifierExtension; HealthcareService.eligibility.modifierExtension; HealthcareService.eligibility.code; HealthcareService.eligibility.comment; HealthcareService.program; HealthcareService.characteristic; HealthcareService.communication; HealthcareService.referralMethod; HealthcareService.appointmentRequired; HealthcareService.availableTime; HealthcareService.availableTime.extension; HealthcareService.availableTime.extension; HealthcareService.availableTime.modifierExtension; HealthcareService.availableTime.modifierExtension; HealthcareService.availableTime.daysOfWeek; HealthcareService.availableTime.allDay; HealthcareService.availableTime.availableStartTime; HealthcareService.availableTime.availableEndTime; HealthcareService.notAvailable; HealthcareService.notAvailable.extension; HealthcareService.notAvailable.extension; HealthcareService.notAvailable.modifierExtension; HealthcareService.notAvailable.modifierExtension; HealthcareService.notAvailable.description; HealthcareService.notAvailable.during; HealthcareService.availabilityExceptions; HealthcareService.endpoint	dom-2; dom-3; dom-4; dom-5; dom-6; ele-1; ele-1; ele-1; ele-1; ele-1; ext-1; ele-1; ext-1; ele-1; ele-1; ext-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ext-1; ele-1; ext-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ext-1; ele-1; ext-1; ele-1; ele-1; ele-1; ele-1; ele-1; ele-1; ext-1; ele-1; ext-1; ele-1; ele-1; ele-1; ele-1	error; error; error; error; warning; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error; error	If the resource is contained in another resource, it SHALL NOT contain nested Resources; 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; If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated; If a resource is contained in another resource, it SHALL NOT have a security label; A resource should have narrative for robust management; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; Must have either extensions or value[x], not both; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children; All FHIR elements must have a @value or children	contained.contained.empty(); 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(); contained.meta.versionId.empty() and contained.meta.lastUpdated.empty(); contained.meta.security.empty(); text.`div`.exists(); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); extension.exists() != value.exists(); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count()); hasValue() or (children().count() > id.count())

Usage

The HealthcareService resource is used to describe a healthcare service provided by an organization at a location. This profile is referenced across the guide, mainly by ServiceRequest.performer. Please see below for additional guidance on the use of healthcareService.identifier on this profile and what types of healthcare services (healthcareService.type) can be used.

Notes

.identifier

Business identifier(s) that are specific to this HealthcareService
Identifiers corresponding to clinician qualifications (such as CPSO number) SHOULD be included in the Practitioner resource not HealthcareService
HealthcareService identifiers can be applied in a generic way, with no special constraints
MAY contain multiple identifiers such as directory identifiers (e.g., 211), industry issued identifiers (e.g., pharmacy IDs), local system identifiers, and master identifiers in a federated data sharing model.
Where present, business identifiers MAY be used to reference this resource in subsequent messages
identifier.system and identifier.value SHALL be mustSupport whenever there is a reference or identifier present

identifier.system

The namespace for the identifier value (i.e., the “source identifier issuer system”), where the value must be unique within the system.
Different HealthcareService directories MAY apply their own system to share their local identifier for the HealthcareService (e.g., www.hcs-directory-app.com/fhir/sid/listing-id)

identifier.value

SHOULD contain a unique value for the identifier within its system
Master Record identifiers (generated by a Master Record Holder, MRH) SHALL use UUIDs or some other globally unique naming convention.

type

P2P is the specific service needed (same value set as ServiceRequest.category), for CAT/CI the type is "CAT/CI service"
SHALL be used to classify HealthcareService directories into taxonomies
Supports single tag based, multi-tag, multi-tag with a primary tag, hierarchical, faceted or a combination of these taxonomy approaches
For additional information and implementation guidance on the Taxonomies supported in the .type element, please refer to the Taxonomy section in the ON eServices Guide

name

SHOULD contain the name of the healthcareService presented to the eReC requester & eReC performer (e.g., "Chronic Pain Care Program")