Release 4 FHIR CI-Build

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Responsible Owner: Patient Administration icon Work Group Maturity Level : 2   Trial Use Security Category : Business Compartments : Not linked to any No defined compartments

Detailed Descriptions for the elements in the HealthcareService resource.

HealthcareService.availableTime Cardinality 0..* Terminology Binding DaysOfWeek ( Required ) Type code The opening time of day. Note: If the AllDay flag is set, then this time is ignored. Cardinality 0..1 Type time Comments HealthcareService.availableTime.availableEndTime Definition The HealthcareService is not available during this period of time due to the provided reason. Cardinality 0..1
Element Id HealthcareService
Definition

The details of a healthcare service available at a location.

Short Display The details of a healthcare service available at a location
Cardinality 0..*
Type DomainResource
Summary false
Element Id HealthcareService.identifier
Definition

External identifiers for this item.

Note Short Display External identifiers for this item
Note This is a business identifier, not a resource identifier (see discussion )
Cardinality 0..*
Type Identifier
Summary true
Element Id HealthcareService.active
Definition

This flag is used to mark the record to not be used. This is not used when a center is closed for maintenance, or for holidays, the notAvailable period is to be used for this.

Short Display Whether this HealthcareService record is in active use
Cardinality 0..1
Type boolean
Is Modifier true (Reason: This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid)
Meaning if Missing This resource is generally assumed to be active if no value is provided for the active element
Summary true
Comments

This element is labeled as a modifier because it may be used to mark that the resource was created in error.

Element Id HealthcareService.providedBy
Definition

The organization that provides this healthcare service.

Short Display Organization that provides this service
Cardinality 0..1
Type Reference ( Organization )
Summary true
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.

Element Id HealthcareService.offeredIn
Definition

When the HealthcareService is representing a specific, schedulable service, the availableIn property can refer to a generic service.

Short Display The service within which this service is offered
Cardinality 0..*
Type Reference ( HealthcareService )
Summary false
Comments

For example, if there is a generic Radiology service that offers CT Scans, MRIs, etc. You could have HealthcareService resources for the CT Scans and MRIs, which have an offeredIn reference to the Radiology HealthcareService.

Element Id HealthcareService.category
Definition

Identifies the broad category of service being performed or delivered.

Short Display Broad category of service being performed or delivered
Cardinality 0..*
Terminology Binding Service category Category ( Example )
Type CodeableConcept
Alternate Names service category
Summary true
Comments

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

Element Id HealthcareService.type
Definition

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

Short Display Type of service that may be delivered or performed
Cardinality 0..*
Terminology Binding Service type Type ( Example )
Type CodeableConcept
Alternate Names service type
Summary true
Element Id HealthcareService.specialty
Definition

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

Short Display Specialties handled by the HealthcareService
Cardinality 0..*
Terminology Binding Practice Setting Code Value Set ( Preferred Example )
Type CodeableConcept
Summary true
Element Id HealthcareService.location
Definition

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

Short Display Location(s) where service may be provided
Cardinality 0..*
Type Reference ( Location )
Summary true
Element Id HealthcareService.name
Definition

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

Short Display Description of service as presented to a consumer while searching
Cardinality 0..1
Type string
Summary true
Element Id HealthcareService.comment
Definition

Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.

Short Display Additional description and/or any specific issues not covered elsewhere
Cardinality 0..1
Type string markdown
Summary true
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.

Element Id HealthcareService.extraDetails
Definition

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

Short Display Extra details about the service that can't be placed in the other fields
Cardinality 0..1
Type markdown
Summary false
Element Id HealthcareService.photo
Definition

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

Short Display Facilitates quick identification of the service
Cardinality 0..1
Type Attachment
Summary true
Element Id HealthcareService.telecom HealthcareService.contact
Definition

List The contact details of contacts related communication devices available relevant to this the specific healthcare service. HealthcareService. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

Short Display Official contact details for the HealthcareService
Cardinality 0..*
Type ExtendedContactDetail
Requirements ContactPoint

Need to keep track of both simple contact details and also assigned contacts within larger organizations.

Summary false
Comments

The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the HealthcareService itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

If this is empty, then empty (or the type of interest is empty), refer to the location's contacts.

Element Id HealthcareService.coverageArea
Definition

The location(s) that this service is available to (not where the service is provided).

Short Display Location(s) service is intended for/available to
Cardinality 0..*
Type Reference ( Location )
Comments Summary false
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".

Element Id HealthcareService.serviceProvisionCode
Definition

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

Short Display Conditions under which service is available/offered
Cardinality 0..*
Terminology Binding ServiceProvisionConditions Service Provision Conditions ( Example )
Type CodeableConcept
Comments Summary false
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.

Element Id HealthcareService.eligibility
Definition

Does this service have specific eligibility requirements that need to be met in order to use the service?

Short Display Specific eligibility requirements required to use the service
Cardinality 0..*
Summary false
Constraints
Defined on this element
hcs-1 Rule To use an eligibility value a code must also be provided to determine the type of eligibility the value applies to. value.exists() implies code.exists()
Element Id HealthcareService.eligibility.code
Definition

Coded value for the eligibility.

Short Display Coded value for the eligibility
Cardinality 0..1
Terminology Binding ServiceEligibility : Eligibility Characteristics ( Example )
Type CodeableConcept
Summary false
Constraints
Affect this element
hcs-1 Rule To use an eligibility value a code must also be provided to determine the type of eligibility the value applies to. value.exists() implies code.exists()
Element Id HealthcareService.eligibility.value[x]
Definition

Sometimes an eligibility code requires additional data to calculate the eligibility rules.

Short Display Value associated with the eligibility code
Cardinality 0..1
Type CodeableConcept | boolean | Quantity | Range | Reference
[x] Note See Choice of Datatypes for further information about how to use [x]
Summary false
Comments

The example binding could utilize the value where the eligibility code is not sufficient alone.

  • pediatric-patients (with value age range)
  • existing-patients (bool value)
  • new-patients (bool value)
  • low-income-patients (maybe codeableconcept for ranges)
  • uninsured-patients (bool value)
  • renal-patients (e.g., for dialysis services)
  • speciailist-referral-required (value codeableconcept for type of referral)
  • assessment-required (bool/codeableconcept value)
Constraints
Affect this element
hcs-1 Rule To use an eligibility value a code must also be provided to determine the type of eligibility the value applies to. value.exists() implies code.exists()
Element Id HealthcareService.eligibility.comment
Definition

Describes the eligibility conditions for the service.

Short Display Describes the eligibility conditions for the service
Cardinality 0..1
Type markdown
Comments Summary false
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.

Element Id HealthcareService.eligibility.period
Definition

The period that this eligibility rule is a requirement for this service.

Short Display The period this eligibility rule applies
Cardinality 0..1
Type markdown
Summary false
Element Id HealthcareService.program
Definition

Programs that this service is applicable to.

Short Display Programs that this service is applicable to
Cardinality 0..*
Terminology Binding Program ( Example )
Type CodeableConcept
Comments Summary false
Comments

Programs are often defined externally to an Organization, commonly by governments; e.g. Home and Community Care Programs, Homeless Program, ….

Element Id HealthcareService.characteristic
Definition

Collection of characteristics (attributes).

Short Display Collection of characteristics (attributes)
Cardinality 0..*
Terminology Binding ServiceCharacteristic : Service Mode ( Example )
Type CodeableConcept
Comments Summary false
Comments

These could be such things as is wheelchair accessible.

Element Id HealthcareService.communication
Definition

Some services are specifically made available in multiple languages, this property permits a directory to declare the languages this is offered in. Typically this is only provided where a service operates in communities with mixed languages used.

Short Display The language that this service is offered in
Cardinality 0..*
Terminology Binding Common All Languages ( Preferred Required but limited to All )
Additional Bindings Purpose
Common Languages ) Starter
Type CodeableConcept
Comments Summary false
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.

Element Id HealthcareService.referralMethod
Definition

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

Short Display Ways that the service accepts referrals
Cardinality 0..*
Terminology Binding ReferralMethod Referral Method ( Example )
Type CodeableConcept
Summary false
Element Id HealthcareService.appointmentRequired HealthcareService.referralRequired
Definition

Indicates whether or not a prospective consumer will require an appointment a referral for a particular service at a site to be provided by the Organization. Indicates if an appointment

Short Display A referral is required for access to this service. service
Cardinality 0..1
Type boolean
Element Id HealthcareService.availableTime Definition A collection of times that the Service Site is available. Cardinality Summary 0..* false
Comments

More detailed availability information may be If more than just a general referral is required then you can combine this with the eligibility property to specify additional requirements, such as using the sample code specialist-referral-required or other textual details provided in associated Schedule/Slot resources. HealthcareService.availableTime.daysOfWeek Element Id HealthcareService.availableTime.daysOfWeek Definition Indicates which days of the week are available between the start and end Times. eligibility comment.

Element Id HealthcareService.availableTime.availableStartTime HealthcareService.appointmentRequired
Definition

The time zone is expected Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be for where this HealthcareService is provided at. by the Organization.

Element Id HealthcareService.availableTime.availableEndTime Definition Short Display The closing time of day. Note: If the AllDay flag An appointment is set, then required for access to this time is ignored. service
Cardinality 0..1
Type time boolean
Comments The time zone is expected to be for where this HealthcareService is provided at. Summary HealthcareService.notAvailable Element Id HealthcareService.notAvailable false
Element Id HealthcareService.notAvailable.description HealthcareService.availability
Definition

The reason A collection of times that can be presented to the user as to why this time healthcare service is not available.

Cardinality 1..1 Type string HealthcareService.notAvailable.during Element Id HealthcareService.notAvailable.during Definition Short Display Service Times the healthcare service is not available (seasonally or for a public holiday) from this date. (including exceptions)
Cardinality 0..1
Type Period Availability
Summary HealthcareService.availabilityExceptions Element Id HealthcareService.availabilityExceptions false
Definition Comments

A description of site More detailed availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions information may be provided in associated Schedule/Slot resources.

Systems may choose to normal site render availability as details in differently than it is exchanged on the available Times interface. For example, rather than "Mon, Tue, Wed, Thur, Fri from 9am-12am; Mon, Tue, Wed, Thur, Fri from 1pm-5pm" as would be implied by two availableTime repetitions, an application could render this information as "Mon-Fri 9-12am and 1-5pm".

The NotAvailableTime(s) included indicate the general days/periods where the service is not available Times. (for things such as public holidays).

Element Id HealthcareService.endpoint
Definition

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

Short Display Technical endpoints providing access to electronic services operated for the healthcare service
Cardinality 0..*
Type Reference ( Endpoint )
Summary false