{
  "resourceType": "StructureDefinition",
  "id": "HealthcareServiceDirectory",
  "url": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory",
  "version": "1.1.1",
  "name": "HealthcareServiceDirectory",
  "title": "HealthcareService in gematik Directory",
  "status": "active",
  "experimental": false,
  "date": "2025-02-26",
  "publisher": "gematik GmbH",
  "description": "Defines the data structure for medical, regulatory and technical\norganisations specific for german Healthcare and Telematics Infrastructure.",
  "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",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.meta.tag",
        "path": "HealthcareService.meta.tag",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "constraint": [
          {
            "key": "CodingSytemCodeInv",
            "severity": "warning",
            "human": "System and Code SHOULD be present",
            "expression": "system.exists() and code.exists()",
            "source": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.meta.tag:Origin",
        "path": "HealthcareService.meta.tag",
        "sliceName": "Origin",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/directory/ValueSet/OriginVS"
        }
      },
      {
        "id": "HealthcareService.meta.tag:Origin.system",
        "path": "HealthcareService.meta.tag.system",
        "min": 1,
        "patternUri": "https://gematik.de/fhir/directory/CodeSystem/Origin"
      },
      {
        "id": "HealthcareService.extension",
        "path": "HealthcareService.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "HealthcareService.extension:holderId",
        "path": "HealthcareService.extension",
        "sliceName": "holderId",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/directory/StructureDefinition/holder-id-ex"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.extension:ownerTelematikId",
        "path": "HealthcareService.extension",
        "sliceName": "ownerTelematikId",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/directory/StructureDefinition/OwnerTelematikIdEx"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier",
        "path": "HealthcareService.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "HealthcareService.identifier:TelematikID",
        "path": "HealthcareService.identifier",
        "sliceName": "TelematikID",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "http://fhir.de/StructureDefinition/identifier-telematik-id"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.providedBy",
        "path": "HealthcareService.providedBy",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "HealthcareService.category",
        "path": "HealthcareService.category",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/directory/ValueSet/healthcare-service-category-codes"
        }
      },
      {
        "id": "HealthcareService.category.coding",
        "path": "HealthcareService.category.coding",
        "constraint": [
          {
            "key": "CodingSytemCodeInv",
            "severity": "warning",
            "human": "System and Code SHOULD be present",
            "expression": "system.exists() and code.exists()",
            "source": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory"
          }
        ]
      },
      {
        "id": "HealthcareService.type",
        "path": "HealthcareService.type",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/directory/ValueSet/HealthcareServiceTypeVS"
        }
      },
      {
        "id": "HealthcareService.type.coding",
        "path": "HealthcareService.type.coding",
        "constraint": [
          {
            "key": "CodingSytemCodeInv",
            "severity": "warning",
            "human": "System and Code SHOULD be present",
            "expression": "system.exists() and code.exists()",
            "source": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory"
          }
        ]
      },
      {
        "id": "HealthcareService.specialty",
        "path": "HealthcareService.specialty",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/directory/ValueSet/HealthcareSpecialtyTypeVS"
        }
      },
      {
        "id": "HealthcareService.specialty.coding",
        "path": "HealthcareService.specialty.coding",
        "constraint": [
          {
            "key": "CodingSytemCodeInv",
            "severity": "warning",
            "human": "System and Code SHOULD be present",
            "expression": "system.exists() and code.exists()",
            "source": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory"
          }
        ]
      },
      {
        "id": "HealthcareService.location",
        "path": "HealthcareService.location",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.name",
        "path": "HealthcareService.name",
        "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.use",
        "path": "HealthcareService.telecom.use",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.coverageArea",
        "path": "HealthcareService.coverageArea",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.coverageArea.extension",
        "path": "HealthcareService.coverageArea.extension",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.coverageArea.extension:serviceCoverageArea",
        "path": "HealthcareService.coverageArea.extension",
        "sliceName": "serviceCoverageArea",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/directory/StructureDefinition/ServiceCoverageArea"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.coverageArea.extension:serviceCoveragePostalCode",
        "path": "HealthcareService.coverageArea.extension",
        "sliceName": "serviceCoveragePostalCode",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/directory/StructureDefinition/ServiceCoveragePostalCode"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.characteristic",
        "path": "HealthcareService.characteristic",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "short": "Physical Features & Technical Services",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.characteristic.coding",
        "path": "HealthcareService.characteristic.coding",
        "constraint": [
          {
            "key": "CodingSytemCodeInv",
            "severity": "warning",
            "human": "System and Code SHOULD be present",
            "expression": "system.exists() and code.exists()",
            "source": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory"
          }
        ]
      },
      {
        "id": "HealthcareService.characteristic:technicalCharacteristic",
        "path": "HealthcareService.characteristic",
        "sliceName": "technicalCharacteristic",
        "short": "Technical Services",
        "min": 0,
        "max": "*",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/directory/ValueSet/healthcareservice-technical-characteristic-vs"
        }
      },
      {
        "id": "HealthcareService.characteristic:physicalFeatures",
        "path": "HealthcareService.characteristic",
        "sliceName": "physicalFeatures",
        "short": "Physical Features",
        "min": 0,
        "max": "*",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://gematik.de/fhir/directory/ValueSet/PhysicalFeaturesHealthCareServiceVS"
        }
      },
      {
        "id": "HealthcareService.characteristic:physicalFeatures.extension:additionalNote",
        "path": "HealthcareService.characteristic.extension",
        "sliceName": "additionalNote",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/directory/StructureDefinition/PhysicalFeaturesAdditionalNoteEX"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.communication",
        "path": "HealthcareService.communication",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.communication.coding",
        "path": "HealthcareService.communication.coding",
        "constraint": [
          {
            "key": "CodingSytemCodeInv",
            "severity": "warning",
            "human": "System and Code SHOULD be present",
            "expression": "system.exists() and code.exists()",
            "source": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory"
          }
        ]
      },
      {
        "id": "HealthcareService.appointmentRequired",
        "path": "HealthcareService.appointmentRequired",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.availableTime",
        "path": "HealthcareService.availableTime",
        "constraint": [
          {
            "key": "VZD-Service-Opening-TimeInv-1",
            "severity": "error",
            "human": "If the specialOpeningTimes extension is set, daysOfWeek, availableStartTime, and availableEndTime must not be set.",
            "expression": "extension('https://gematik.de/fhir/directory/StructureDefinition/SpecialOpeningTimesEX').exists() implies (daysOfWeek.empty() and availableStartTime.empty() and availableEndTime.empty())",
            "source": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory"
          },
          {
            "key": "VZD-Service-Opening-TimeInv-2",
            "severity": "error",
            "human": "If the specialOpeningTimes extension is not set, daysOfWeek, availableStartTime, and availableEndTime all must be set.",
            "expression": "extension('https://gematik.de/fhir/directory/StructureDefinition/SpecialOpeningTimesEX').empty() implies (daysOfWeek.exists() and availableStartTime.exists() and availableEndTime.exists())",
            "source": "https://gematik.de/fhir/directory/StructureDefinition/HealthcareServiceDirectory"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.availableTime.extension",
        "path": "HealthcareService.availableTime.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "HealthcareService.availableTime.extension:specialOpeningTimes",
        "path": "HealthcareService.availableTime.extension",
        "sliceName": "specialOpeningTimes",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://gematik.de/fhir/directory/StructureDefinition/SpecialOpeningTimesEX"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "HealthcareService.availableTime.daysOfWeek",
        "path": "HealthcareService.availableTime.daysOfWeek",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.availableTime.allDay",
        "path": "HealthcareService.availableTime.allDay",
        "max": "0"
      },
      {
        "id": "HealthcareService.availableTime.availableStartTime",
        "path": "HealthcareService.availableTime.availableStartTime",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.availableTime.availableEndTime",
        "path": "HealthcareService.availableTime.availableEndTime",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.notAvailable",
        "path": "HealthcareService.notAvailable",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.notAvailable.description",
        "path": "HealthcareService.notAvailable.description",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.notAvailable.during",
        "path": "HealthcareService.notAvailable.during",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.availabilityExceptions",
        "path": "HealthcareService.availabilityExceptions",
        "mustSupport": true
      },
      {
        "id": "HealthcareService.endpoint",
        "path": "HealthcareService.endpoint",
        "mustSupport": true
      }
    ]
  }
}