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