National Directory of Healthcare Providers & Services (NDH) Implementation Guide
1.0.0-ballot - ballot United States of America flag

National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions

Resource Profile: NdhHealthcareService - Detailed Descriptions

Active as of 2024-06-17

Definitions for the ndh-HealthcareService resource profile.

Guidance on how to interpret the contents of this table can be found here

0. HealthcareService
2. HealthcareService.meta
4. HealthcareService.meta.lastUpdated
Control1..?
6. HealthcareService.extension
SlicingThis element introduces a set of slices on HealthcareService.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. HealthcareService.extension:rating
    Slice Namerating
    ShortEvaluations or reviews for the service.
    Control0..*
    TypeExtension(NDH Rating) (Complex Extension)
    10. HealthcareService.extension:newpatients
    Slice Namenewpatients
    ShortIs the service currently accepting new patients?
    Control0..*
    TypeExtension(NDH New Patients) (Complex Extension)
    12. HealthcareService.extension:deliverymethod
    Slice Namedeliverymethod
    ShortMethod of providing the service.
    Control0..*
    TypeExtension(NDH Delivery Method) (Complex Extension)
    14. HealthcareService.extension:paymentaccepted
    Slice Namepaymentaccepted
    ShortForms of payment accepted.
    Control0..*
    TypeExtension(NDH Payment Accepted) (Extension Type: CodeableConcept)
    16. HealthcareService.extension:requiredDocument
    Slice NamerequiredDocument
    ShortDocuments required for the service.
    Control0..*
    TypeExtension(NDH Required Document) (Complex Extension)
    18. HealthcareService.extension:fundingSource
    Slice NamefundingSource
    ShortFunding source for the service.
    Control0..*
    TypeExtension(NDH Funding Source) (Complex Extension)
    20. HealthcareService.extension:usage-restriction
    Slice Nameusage-restriction
    ShortUsage Restriction
    Control0..*
    TypeExtension(NDH Usage Restriction) (Extension Type: Reference(NDH Base Restriction)contained)
    22. HealthcareService.extension:verification-status
    Slice Nameverification-status
    ShortVerification Status
    Control0..1
    TypeExtension(NDH Verification Status) (Extension Type: CodeableConcept)
    24. HealthcareService.extension:network
    Slice Namenetwork
    ShortNetwork associated with social service.
    Control0..*
    TypeExtension(NDH Network Reference) (Extension Type: Reference(NDH Base Network Profile))
    26. HealthcareService.extension:social-service-requirement
    Slice Namesocial-service-requirement
    ShortSocial Service Requirement
    Control0..*
    TypeExtension(NDH HealthcareService or Program Requirement) (Complex Extension)
    28. HealthcareService.extension:logo
    Slice Namelogo
    ShortService Logo
    Control0..1
    TypeExtension(NDH Logo) (Extension Type: Attachment)
    30. HealthcareService.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    32. HealthcareService.identifier.extension:identifier-status
    Slice Nameidentifier-status
    ShortIdentifier Status
    Control0..1
    TypeExtension(NDH Identifier Status) (Extension Type: code)
    34. HealthcareService.identifier.assigner
    TypeReference(NDH Base Organization Profile)
    36. HealthcareService.active
    Control1..?
    Must Supporttrue
    Pattern Valuetrue
    38. HealthcareService.providedBy
    TypeReference(NDH Base Organization Profile)
    Must Supporttrue
    40. HealthcareService.category
    Control1..?
    Must Supporttrue
    SlicingThis element introduces a set of slices on HealthcareService.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 42. HealthcareService.category:HSC
      Slice NameHSC
      ShortNDH HealthcareService Category
      Control0..1
      BindingThe codes SHALL be taken from Healthcare Service Category Value Set
      (required to http://hl7.org/fhir/us/ndh/ValueSet/HealthcareServiceCategoryVS)
      Must Supporttrue
      44. HealthcareService.type
      BindingUnless not suitable, these codes SHALL be taken from HealthcareService Type Value Set
      (extensible to http://hl7.org/fhir/us/ndh/ValueSet/HealthcareServiceTypeVS)
      Must Supporttrue
      46. HealthcareService.specialty
      BindingUnless not suitable, these codes SHALL be taken from Healthcare Provider Taxonomy .
      (extensible to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066)
      Must Supporttrue
      48. HealthcareService.location
      TypeReference(NDH Base Location Profile)
      Must Supporttrue
      50. HealthcareService.name
      Must Supporttrue
      52. HealthcareService.telecom
      54. HealthcareService.telecom.extension:contactpoint-availabletime
      Slice Namecontactpoint-availabletime
      ShortAvailability Hours for the Contact Point
      Control0..*
      TypeExtension(NDH Contactpoint Availabletime) (Complex Extension)
      56. HealthcareService.telecom.extension:via-intermediary
      Slice Namevia-intermediary
      ShortVia Intermediary
      Control0..1
      TypeExtension(NDH Via Intermediary) (Extension Type: Reference(NDH Base PractitionerRole, NDH Base OrganizationAffiliation Profile, NDH Base Location Profile, NDH Base Organization Profile))
      58. HealthcareService.telecom.extension:language-speak
      Slice Namelanguage-speak
      ShortLanguage Speak
      Control0..*
      TypeExtension(NDH Language Speak) (Extension Type: code)
      60. HealthcareService.coverageArea
      TypeReference(NDH Base Location Profile)
      Must Supporttrue
      62. HealthcareService.serviceProvisionCode
      BindingUnless not suitable, these codes SHALL be taken from ServiceProvisionConditions
      (extensible to http://hl7.org/fhir/ValueSet/service-provision-conditions)
      64. HealthcareService.eligibility
      66. HealthcareService.eligibility.code
      BindingUnless not suitable, these codes SHALL be taken from Healthcare Service Eligibility Code Value Set
      (extensible to http://hl7.org/fhir/us/ndh/ValueSet/HealthcareServiceEligibilityCodeVS)
      68. HealthcareService.program
      BindingUnless not suitable, these codes SHALL be taken from Program
      (extensible to http://hl7.org/fhir/ValueSet/program)
      70. HealthcareService.program.extension:program-requirement
      Slice Nameprogram-requirement
      ShortProgram Requirement
      Control0..*
      TypeExtension(NDH HealthcareService or Program Requirement) (Complex Extension)
      72. HealthcareService.endpoint
      TypeReference(NDH Base Endpoint Profile)
      Must Supporttrue

      Guidance on how to interpret the contents of this table can be found here

      0. HealthcareService
      Definition

      The details of a healthcare service available at a location.

      ShortThe details of a healthcare service available at a location
      Control0..*
      Is Modifierfalse
      Summaryfalse
      Invariantsdom-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())
      2. HealthcareService.implicitRules
      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.

      ShortA set of rules under which this content was created
      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.

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      4. HealthcareService.extension
      Definition

      An Extension


      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.

      ShortExtensionAdditional content defined by implementations
      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.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-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())
      SlicingThis element introduces a set of slices on HealthcareService.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. HealthcareService.extension:rating
        Slice Namerating
        Definition

        Rating

        ShortEvaluations or reviews for the service.
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Rating) (Complex Extension)
        Is Modifierfalse
        Invariantsele-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())
        8. HealthcareService.extension:newpatients
        Slice Namenewpatients
        Definition

        New Patients indicates whether new patients are being accepted in general, or from a specific network.
        This extension is included in the PractitionerRole, HealthcareService, and Location profiles.
        This provides needed flexibility for specifying whether a provider accepts new patients by location and network.

        ShortIs the service currently accepting new patients?
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH New Patients) (Complex Extension)
        Is Modifierfalse
        Invariantsele-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())
        new-patients-characteristics: If no new patients are accepted, no characteristics are allowed (extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients').value.coding.exists(code = 'nopt') implies extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients-characteristics').empty())
        10. HealthcareService.extension:deliverymethod
        Slice Namedeliverymethod
        Definition

        An extension describing the service delivery method. If service delivery is virtual, one or more delivery modalities should be specified.

        ShortMethod of providing the service.
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Delivery Method) (Complex Extension)
        Is Modifierfalse
        Invariantsele-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())
        12. HealthcareService.extension:paymentaccepted
        Slice Namepaymentaccepted
        Definition

        Methods of payment that can be used for a healthcare service

        ShortForms of payment accepted.
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Payment Accepted) (Extension Type: CodeableConcept)
        Is Modifierfalse
        Invariantsele-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())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        14. HealthcareService.extension:requiredDocument
        Slice NamerequiredDocument
        Definition

        Documents that are required in order to access or use services (eg. Gov't issued ID, passport)

        ShortDocuments required for the service.
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Required Document) (Complex Extension)
        Is Modifierfalse
        Invariantsele-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())
        16. HealthcareService.extension:fundingSource
        Slice NamefundingSource
        Definition

        The sources of funding for a service or organization

        ShortFunding source for the service.
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Funding Source) (Complex Extension)
        Is Modifierfalse
        Invariantsele-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())
        18. HealthcareService.extension:usage-restriction
        Slice Nameusage-restriction
        Definition

        Identifies and conveys information about restrictions on the use or release of exchanged information, e.g. information that can only be shared under particular condition, such as a signed data use agreement between parties

        ShortUsage Restriction
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Usage Restriction) (Extension Type: Reference(NDH Base Restriction)contained)
        Is Modifierfalse
        Invariantsele-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())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        20. HealthcareService.extension:verification-status
        Slice Nameverification-status
        Definition

        Indicates a resource instance verification status

        ShortVerification Status
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Verification Status) (Extension Type: CodeableConcept)
        Is Modifierfalse
        Invariantsele-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())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        22. HealthcareService.extension:network
        Slice Namenetwork
        Definition

        A reference to the healthcare provider insurance networks (NdhNetwork) the practitioner participates in through their role

        ShortNetwork associated with social service.
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Network Reference) (Extension Type: Reference(NDH Base Network Profile))
        Is Modifierfalse
        Invariantsele-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())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        24. HealthcareService.extension:social-service-requirement
        Slice Namesocial-service-requirement
        Definition

        Service or Program requirement indicates whether the program is available to anyone, or only to those meeting certain criteria.

        ShortSocial Service Requirement
        Control0..*
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH HealthcareService or Program Requirement) (Complex Extension)
        Is Modifierfalse
        Invariantsele-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())
        agerange-or-agegroup: a service or program only allow to have either age-range or age-group but not both (extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-ndh-age-range').empty() or extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-ndh-age-group').empty() or (extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-ndh-age-range').empty() and extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-ndh-age-group').empty()))
        26. HealthcareService.extension:logo
        Slice Namelogo
        Definition

        Logo

        ShortService Logo
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(NDH Logo) (Extension Type: Attachment)
        Is Modifierfalse
        Invariantsele-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())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        28. HealthcareService.modifierExtension
        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).

        ShortExtensions that cannot be ignored
        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.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        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.

        Alternate Namesextensions, user content
        Invariantsele-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())
        30. 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.

        ShortWhether this HealthcareService record is in active use
        Comments

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

        Control10..1
        Typeboolean
        Is Modifiertrue because 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
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
        Pattern Valuetrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        32. HealthcareService.providedBy
        Definition

        The organization that provides this healthcare service.

        ShortOrganization that provides this 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.

        Control0..1
        TypeReference(NDH Base Organization Profile, Organization)
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. HealthcareService.category
        Definition

        Identifies the broad category of service being performed or delivered.

        ShortBroad 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.

        Control10..*
        BindingFor example codes, see ServiceCategoryhttp://hl7.org/fhir/ValueSet/service-category
        (example to http://hl7.org/fhir/ValueSet/service-category)

        A category of the service(s) that could be provided.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Alternate Namesservice category
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on HealthcareService.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ $this
        • 36. HealthcareService.category:HSC
          Slice NameHSC
          Definition

          Identifies the broad category of service being performed or delivered.

          ShortNDH HealthcareService CategoryBroad 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.

          Control0..1*
          BindingThe codes SHALL be taken from For example codes, see Healthcare Service Category Value Sethttp://hl7.org/fhir/ValueSet/service-category
          (required to http://hl7.org/fhir/us/ndh/ValueSet/HealthcareServiceCategoryVS)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Alternate Namesservice category
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. HealthcareService.type
          Definition

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

          ShortType of service that may be delivered or performed
          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see HealthcareService Type Value Sethttp://hl7.org/fhir/ValueSet/service-type
          (extensible to http://hl7.org/fhir/us/ndh/ValueSet/HealthcareServiceTypeVS)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Alternate Namesservice type
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          40. HealthcareService.specialty
          Definition

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

          ShortSpecialties handled by the HealthcareService
          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from The codes SHOULD be taken from Healthcare Provider Taxonomy .http://hl7.org/fhir/ValueSet/c80-practice-codes
          (extensible to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          42. HealthcareService.location
          Definition

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

          ShortLocation(s) where service may be provided
          Control0..*
          TypeReference(NDH Base Location Profile, Location)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. HealthcareService.name
          Definition

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

          ShortDescription of service as presented to a consumer while searching
          Control0..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. HealthcareService.coverageArea
          Definition

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

          ShortLocation(s) service is intended for/available to
          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".

          Control0..*
          TypeReference(NDH Base Location Profile, Location)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. HealthcareService.serviceProvisionCode
          Definition

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

          ShortConditions under which 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.

          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see ServiceProvisionConditionshttp://hl7.org/fhir/ValueSet/service-provision-conditions
          (extensible to http://hl7.org/fhir/ValueSet/service-provision-conditions)
          TypeCodeableConcept
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          50. HealthcareService.program
          Definition

          Programs that this service is applicable to.

          ShortPrograms 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, ….

          Control0..*
          BindingUnless not suitable, these codes SHALL be taken from For example codes, see Programhttp://hl7.org/fhir/ValueSet/program
          (extensible to http://hl7.org/fhir/ValueSet/program)
          TypeCodeableConcept
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. HealthcareService.program.extension:program-requirement
          Slice Nameprogram-requirement
          Definition

          Service or Program requirement indicates whether the program is available to anyone, or only to those meeting certain criteria.

          ShortProgram Requirement
          Control0..*
          TypeExtension(NDH HealthcareService or Program Requirement) (Complex Extension)
          Is Modifierfalse
          Invariantsele-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())
          54. HealthcareService.endpoint
          Definition

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

          ShortTechnical endpoints providing access to electronic services operated for the healthcare service
          Control0..*
          TypeReference(NDH Base Endpoint Profile, Endpoint)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

          Guidance on how to interpret the contents of this table can be found here

          0. HealthcareService
          Definition

          The details of a healthcare service available at a location.

          ShortThe details of a healthcare service available at a location
          Control0..*
          Is Modifierfalse
          Summaryfalse
          Invariantsdom-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())
          2. HealthcareService.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          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.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. HealthcareService.meta
          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.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. HealthcareService.meta.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          8. HealthcareService.meta.extension
          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.

          ShortAdditional content defined by implementations
          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.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-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())
          SlicingThis element introduces a set of slices on HealthcareService.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 10. HealthcareService.meta.versionId
            Definition

            The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

            ShortVersion specific identifier
            Comments

            The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

            Control0..1
            Typeid
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            12. HealthcareService.meta.lastUpdated
            Definition

            When the resource last changed - e.g. when the version changed.

            ShortWhen the resource version last changed
            Comments

            This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

            Control1..1
            Typeinstant
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            14. HealthcareService.meta.source
            Definition

            A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

            ShortIdentifies where the resource comes from
            Comments

            In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

            This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

            Control0..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            16. HealthcareService.meta.profile
            Definition

            A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

            ShortProfiles this resource claims to conform to
            Comments

            It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

            Control0..*
            Typecanonical(StructureDefinition)
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            18. HealthcareService.meta.security
            Definition

            Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

            ShortSecurity Labels applied to this resource
            Comments

            The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

            Control0..*
            BindingUnless not suitable, these codes SHALL be taken from All Security Labels
            (extensible to http://hl7.org/fhir/ValueSet/security-labels)

            Security Labels from the Healthcare Privacy and Security Classification System.

            TypeCoding
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. HealthcareService.meta.tag
            Definition

            Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

            ShortTags applied to this resource
            Comments

            The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

            Control0..*
            BindingFor example codes, see CommonTags
            (example to http://hl7.org/fhir/ValueSet/common-tags)

            Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

            TypeCoding
            Is Modifierfalse
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. HealthcareService.implicitRules
            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.

            ShortA set of rules under which this content was created
            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.

            Control0..1
            Typeuri
            Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. HealthcareService.language
            Definition

            The base language in which the resource is written.

            ShortLanguage of the resource content
            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).

            Control0..1
            BindingThe codes SHOULD be taken from CommonLanguages
            (preferred to http://hl7.org/fhir/ValueSet/languages)

            A human language.

            Additional BindingsPurpose
            AllLanguagesMax Binding
            Typecode
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. HealthcareService.text
            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.

            ShortText summary of the resource, for human interpretation
            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.

            Control0..1
            TypeNarrative
            Is Modifierfalse
            Summaryfalse
            Alternate Namesnarrative, html, xhtml, display
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            28. HealthcareService.contained
            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.

            ShortContained, inline Resources
            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.

            Control0..*
            TypeResource
            Is Modifierfalse
            Summaryfalse
            Alternate Namesinline resources, anonymous resources, contained resources
            30. HealthcareService.extension
            Definition

            An Extension

            ShortExtension
            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Invariantsele-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())
            SlicingThis element introduces a set of slices on HealthcareService.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 32. HealthcareService.extension:rating
              Slice Namerating
              Definition

              Rating

              ShortEvaluations or reviews for the service.
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Rating) (Complex Extension)
              Is Modifierfalse
              Invariantsele-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())
              34. HealthcareService.extension:newpatients
              Slice Namenewpatients
              Definition

              New Patients indicates whether new patients are being accepted in general, or from a specific network.
              This extension is included in the PractitionerRole, HealthcareService, and Location profiles.
              This provides needed flexibility for specifying whether a provider accepts new patients by location and network.

              ShortIs the service currently accepting new patients?
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH New Patients) (Complex Extension)
              Is Modifierfalse
              Invariantsele-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())
              new-patients-characteristics: If no new patients are accepted, no characteristics are allowed (extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients').value.coding.exists(code = 'nopt') implies extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-newpatients-characteristics').empty())
              36. HealthcareService.extension:deliverymethod
              Slice Namedeliverymethod
              Definition

              An extension describing the service delivery method. If service delivery is virtual, one or more delivery modalities should be specified.

              ShortMethod of providing the service.
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Delivery Method) (Complex Extension)
              Is Modifierfalse
              Invariantsele-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())
              38. HealthcareService.extension:paymentaccepted
              Slice Namepaymentaccepted
              Definition

              Methods of payment that can be used for a healthcare service

              ShortForms of payment accepted.
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Payment Accepted) (Extension Type: CodeableConcept)
              Is Modifierfalse
              Invariantsele-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())
              40. HealthcareService.extension:requiredDocument
              Slice NamerequiredDocument
              Definition

              Documents that are required in order to access or use services (eg. Gov't issued ID, passport)

              ShortDocuments required for the service.
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Required Document) (Complex Extension)
              Is Modifierfalse
              Invariantsele-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())
              42. HealthcareService.extension:fundingSource
              Slice NamefundingSource
              Definition

              The sources of funding for a service or organization

              ShortFunding source for the service.
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Funding Source) (Complex Extension)
              Is Modifierfalse
              Invariantsele-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())
              44. HealthcareService.extension:usage-restriction
              Slice Nameusage-restriction
              Definition

              Identifies and conveys information about restrictions on the use or release of exchanged information, e.g. information that can only be shared under particular condition, such as a signed data use agreement between parties

              ShortUsage Restriction
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Usage Restriction) (Extension Type: Reference(NDH Base Restriction)contained)
              Is Modifierfalse
              Invariantsele-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())
              46. HealthcareService.extension:verification-status
              Slice Nameverification-status
              Definition

              Indicates a resource instance verification status

              ShortVerification Status
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Verification Status) (Extension Type: CodeableConcept)
              Is Modifierfalse
              Invariantsele-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())
              48. HealthcareService.extension:network
              Slice Namenetwork
              Definition

              A reference to the healthcare provider insurance networks (NdhNetwork) the practitioner participates in through their role

              ShortNetwork associated with social service.
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Network Reference) (Extension Type: Reference(NDH Base Network Profile))
              Is Modifierfalse
              Invariantsele-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())
              50. HealthcareService.extension:social-service-requirement
              Slice Namesocial-service-requirement
              Definition

              Service or Program requirement indicates whether the program is available to anyone, or only to those meeting certain criteria.

              ShortSocial Service Requirement
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH HealthcareService or Program Requirement) (Complex Extension)
              Is Modifierfalse
              Invariantsele-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())
              agerange-or-agegroup: a service or program only allow to have either age-range or age-group but not both (extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-ndh-age-range').empty() or extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-ndh-age-group').empty() or (extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-ndh-age-range').empty() and extension('http://hl7.org/fhir/us/ndh/StructureDefinition/base-ext-ndh-age-group').empty()))
              52. HealthcareService.extension:logo
              Slice Namelogo
              Definition

              Logo

              ShortService Logo
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(NDH Logo) (Extension Type: Attachment)
              Is Modifierfalse
              Invariantsele-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())
              54. HealthcareService.modifierExtension
              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).

              ShortExtensions that cannot be ignored
              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.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
              Summaryfalse
              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.

              Alternate Namesextensions, user content
              Invariantsele-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())
              56. HealthcareService.identifier
              Definition

              External identifiers for this item.

              ShortExternal identifiers for this item
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. HealthcareService.identifier.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              60. HealthcareService.identifier.extension
              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.

              ShortAdditional content defined by implementations
              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.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-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())
              SlicingThis element introduces a set of slices on HealthcareService.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 62. HealthcareService.identifier.extension:identifier-status
                Slice Nameidentifier-status
                Definition

                Describes the status of an identifier

                ShortIdentifier Status
                Control0..1
                TypeExtension(NDH Identifier Status) (Extension Type: code)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-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())
                64. HealthcareService.identifier.use
                Definition

                The purpose of this identifier.

                Shortusual | official | temp | secondary | old (If known)
                Comments

                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                Control0..1
                BindingThe codes SHALL be taken from IdentifierUse
                (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                Identifies the purpose for this identifier, if known .

                Typecode
                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                66. HealthcareService.identifier.type
                Definition

                A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                ShortDescription of identifier
                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.

                Control0..1
                BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                (extensible to http://hl7.org/fhir/ValueSet/identifier-type)

                A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                TypeCodeableConcept
                Is Modifierfalse
                Summarytrue
                Requirements

                Allows users to make use of identifiers when the identifier system is not known.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                68. HealthcareService.identifier.system
                Definition

                Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                ShortThe namespace for the identifier value
                Comments

                Identifier.system is always case sensitive.

                Control0..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                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.

                Example<br/><b>General</b>:http://www.acme.com/identifiers/patient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                70. HealthcareService.identifier.value
                Definition

                The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                ShortThe value that is unique
                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.

                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Example<br/><b>General</b>:123456
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                72. HealthcareService.identifier.period
                Definition

                Time period during which identifier is/was valid for use.

                ShortTime period when id is/was valid for use
                Control0..1
                TypePeriod
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                74. HealthcareService.identifier.assigner
                Definition

                Organization that issued/manages the identifier.

                ShortOrganization that issued id (may be just text)
                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.

                Control0..1
                TypeReference(NDH Base Organization Profile)
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                76. 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.

                ShortWhether this HealthcareService record is in active use
                Comments

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

                Control1..1
                Typeboolean
                Is Modifiertrue because 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
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                Pattern Valuetrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                78. HealthcareService.providedBy
                Definition

                The organization that provides this healthcare service.

                ShortOrganization that provides this 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.

                Control0..1
                TypeReference(NDH Base Organization Profile)
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                80. HealthcareService.category
                Definition

                Identifies the broad category of service being performed or delivered.

                ShortBroad 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.

                Control1..*
                BindingFor example codes, see ServiceCategory
                (example to http://hl7.org/fhir/ValueSet/service-category)

                A category of the service(s) that could be provided.

                TypeCodeableConcept
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Alternate Namesservice category
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on HealthcareService.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • pattern @ $this
                • 82. HealthcareService.category:HSC
                  Slice NameHSC
                  Definition

                  Identifies the broad category of service being performed or delivered.

                  ShortNDH HealthcareService Category
                  Comments

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

                  Control0..1
                  BindingThe codes SHALL be taken from Healthcare Service Category Value Set
                  (required to http://hl7.org/fhir/us/ndh/ValueSet/HealthcareServiceCategoryVS)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Alternate Namesservice category
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  84. HealthcareService.type
                  Definition

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

                  ShortType of service that may be delivered or performed
                  Control0..*
                  BindingUnless not suitable, these codes SHALL be taken from HealthcareService Type Value Set
                  (extensible to http://hl7.org/fhir/us/ndh/ValueSet/HealthcareServiceTypeVS)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Alternate Namesservice type
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  86. HealthcareService.specialty
                  Definition

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

                  ShortSpecialties handled by the HealthcareService
                  Control0..*
                  BindingUnless not suitable, these codes SHALL be taken from Healthcare Provider Taxonomy .
                  (extensible to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.1066)
                  TypeCodeableConcept
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  88. HealthcareService.location
                  Definition

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

                  ShortLocation(s) where service may be provided
                  Control0..*
                  TypeReference(NDH Base Location Profile)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  90. HealthcareService.name
                  Definition

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

                  ShortDescription of service as presented to a consumer while searching
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  92. 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.

                  ShortAdditional description and/or any specific issues not covered elsewhere
                  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.

                  Control0..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  94. HealthcareService.extraDetails
                  Definition

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

                  ShortExtra details about the service that can't be placed in the other fields
                  Control0..1
                  Typemarkdown
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  96. 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.

                  ShortFacilitates quick identification of the service
                  Control0..1
                  TypeAttachment
                  Is Modifierfalse
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  98. HealthcareService.telecom
                  Definition

                  List of contacts related to this specific healthcare service.

                  ShortContacts related to the healthcare service
                  Comments

                  If this is empty, then refer to the location's contacts.

                  Control0..*
                  TypeContactPoint
                  Is Modifierfalse
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  100. HealthcareService.telecom.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  102. HealthcareService.telecom.extension
                  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.

                  ShortAdditional content defined by implementations
                  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.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-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())
                  SlicingThis element introduces a set of slices on HealthcareService.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 104. HealthcareService.telecom.extension:contactpoint-availabletime
                    Slice Namecontactpoint-availabletime
                    Definition

                    An extension representing the days and times a contact point is available

                    ShortAvailability Hours for the Contact Point
                    Control0..*
                    TypeExtension(NDH Contactpoint Availabletime) (Complex Extension)
                    Is Modifierfalse
                    Invariantsele-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())
                    106. HealthcareService.telecom.extension:via-intermediary
                    Slice Namevia-intermediary
                    Definition

                    A reference to an alternative point of contact (NdhPractitionerRole, NdhOrganization, NdhOrganizationAffiliation, or NdhLocation) for this organization

                    ShortVia Intermediary
                    Control0..1
                    TypeExtension(NDH Via Intermediary) (Extension Type: Reference(NDH Base PractitionerRole, NDH Base OrganizationAffiliation Profile, NDH Base Location Profile, NDH Base Organization Profile))
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-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())
                    108. HealthcareService.telecom.extension:language-speak
                    Slice Namelanguage-speak
                    Definition

                    Language Speak

                    ShortLanguage Speak
                    Control0..*
                    TypeExtension(NDH Language Speak) (Extension Type: code)
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-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())
                    110. HealthcareService.telecom.system
                    Definition

                    Telecommunications form for contact point - what communications system is required to make use of the contact.

                    Shortphone | fax | email | pager | url | sms | other
                    Control0..1
                    This element is affected by the following invariants: cpt-2
                    BindingThe codes SHALL be taken from ContactPointSystem
                    (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                    Telecommunications form for contact point.

                    Typecode
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    112. HealthcareService.telecom.value
                    Definition

                    The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                    ShortThe actual contact point details
                    Comments

                    Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to support legacy numbers that are not in a tightly controlled format.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    114. HealthcareService.telecom.use
                    Definition

                    Identifies the purpose for the contact point.

                    Shorthome | work | temp | old | mobile - purpose of this contact point
                    Comments

                    Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                    Control0..1
                    BindingThe codes SHALL be taken from ContactPointUse
                    (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                    Use of contact point.

                    Typecode
                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    116. HealthcareService.telecom.rank
                    Definition

                    Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                    ShortSpecify preferred order of use (1 = highest)
                    Comments

                    Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                    Control0..1
                    TypepositiveInt
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    118. HealthcareService.telecom.period
                    Definition

                    Time period when the contact point was/is in use.

                    ShortTime period when the contact point was/is in use
                    Control0..1
                    TypePeriod
                    Is Modifierfalse
                    Summarytrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    120. HealthcareService.coverageArea
                    Definition

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

                    ShortLocation(s) service is intended for/available to
                    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".

                    Control0..*
                    TypeReference(NDH Base Location Profile)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    122. HealthcareService.serviceProvisionCode
                    Definition

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

                    ShortConditions under which 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.

                    Control0..*
                    BindingUnless not suitable, these codes SHALL be taken from ServiceProvisionConditions
                    (extensible to http://hl7.org/fhir/ValueSet/service-provision-conditions)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    124. HealthcareService.eligibility
                    Definition

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

                    ShortSpecific eligibility requirements required to use the service
                    Control0..*
                    TypeBackboneElement
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    126. HealthcareService.eligibility.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    128. HealthcareService.eligibility.extension
                    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.

                    ShortAdditional content defined by implementations
                    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.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-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())
                    130. HealthcareService.eligibility.modifierExtension
                    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).

                    ShortExtensions that cannot be ignored even if unrecognized
                    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.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    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.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-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())
                    132. HealthcareService.eligibility.code
                    Definition

                    Coded value for the eligibility.

                    ShortCoded value for the eligibility
                    Control0..1
                    BindingUnless not suitable, these codes SHALL be taken from Healthcare Service Eligibility Code Value Set
                    (extensible to http://hl7.org/fhir/us/ndh/ValueSet/HealthcareServiceEligibilityCodeVS)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    134. HealthcareService.eligibility.comment
                    Definition

                    Describes the eligibility conditions for the service.

                    ShortDescribes 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.

                    Control0..1
                    Typemarkdown
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    136. HealthcareService.program
                    Definition

                    Programs that this service is applicable to.

                    ShortPrograms 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, ….

                    Control0..*
                    BindingUnless not suitable, these codes SHALL be taken from Program
                    (extensible to http://hl7.org/fhir/ValueSet/program)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    138. HealthcareService.program.id
                    Definition

                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                    ShortUnique id for inter-element referencing
                    Control0..1
                    Typestring
                    Is Modifierfalse
                    XML FormatIn the XML format, this property is represented as an attribute.
                    Summaryfalse
                    140. HealthcareService.program.extension
                    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.

                    ShortAdditional content defined by implementations
                    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.

                    Control0..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-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())
                    SlicingThis element introduces a set of slices on HealthcareService.program.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 142. HealthcareService.program.extension:program-requirement
                      Slice Nameprogram-requirement
                      Definition

                      Service or Program requirement indicates whether the program is available to anyone, or only to those meeting certain criteria.

                      ShortProgram Requirement
                      Control0..*
                      TypeExtension(NDH HealthcareService or Program Requirement) (Complex Extension)
                      Is Modifierfalse
                      Invariantsele-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())
                      144. HealthcareService.program.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control0..*
                      TypeCoding
                      Is Modifierfalse
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      146. HealthcareService.program.text
                      Definition

                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                      ShortPlain text representation of the concept
                      Comments

                      Very often the text is the same as a displayName of one of the codings.

                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      148. HealthcareService.characteristic
                      Definition

                      Collection of characteristics (attributes).

                      ShortCollection of characteristics (attributes)
                      Comments

                      These could be such things as is wheelchair accessible.

                      Control0..*
                      Binding

                      A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).

                      TypeCodeableConcept
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      150. 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.

                      ShortThe language that this service is offered in
                      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.

                      Control0..*
                      BindingThe codes SHOULD be taken from CommonLanguages
                      (preferred to http://hl7.org/fhir/ValueSet/languages)

                      A human language.

                      Additional BindingsPurpose
                      AllLanguagesMax Binding
                      TypeCodeableConcept
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      152. HealthcareService.referralMethod
                      Definition

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

                      ShortWays that the service accepts referrals
                      Control0..*
                      BindingFor example codes, see ReferralMethod
                      (example to http://hl7.org/fhir/ValueSet/service-referral-method)

                      The methods of referral can be used when referring to a specific HealthCareService resource.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      154. HealthcareService.appointmentRequired
                      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.

                      ShortIf an appointment is required for access to this service
                      Control0..1
                      Typeboolean
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      156. HealthcareService.availableTime
                      Definition

                      A collection of times that the Service Site is available.

                      ShortTimes the Service Site is available
                      Comments

                      More detailed availability information may be provided in associated Schedule/Slot resources.

                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      158. HealthcareService.availableTime.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      160. HealthcareService.availableTime.extension
                      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.

                      ShortAdditional content defined by implementations
                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-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())
                      162. HealthcareService.availableTime.modifierExtension
                      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).

                      ShortExtensions that cannot be ignored even if unrecognized
                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      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.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-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())
                      164. HealthcareService.availableTime.daysOfWeek
                      Definition

                      Indicates which days of the week are available between the start and end Times.

                      Shortmon | tue | wed | thu | fri | sat | sun
                      Control0..*
                      BindingThe codes SHALL be taken from DaysOfWeek
                      (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1)

                      The days of the week.

                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      166. HealthcareService.availableTime.allDay
                      Definition

                      Is this always available? (hence times are irrelevant) e.g. 24 hour service.

                      ShortAlways available? e.g. 24 hour service
                      Control0..1
                      Typeboolean
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      168. HealthcareService.availableTime.availableStartTime
                      Definition

                      The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

                      ShortOpening time of day (ignored if allDay = true)
                      Comments

                      The time zone is expected to be for where this HealthcareService is provided at.

                      Control0..1
                      Typetime
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      170. HealthcareService.availableTime.availableEndTime
                      Definition

                      The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

                      ShortClosing time of day (ignored if allDay = true)
                      Comments

                      The time zone is expected to be for where this HealthcareService is provided at.

                      Control0..1
                      Typetime
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      172. HealthcareService.notAvailable
                      Definition

                      The HealthcareService is not available during this period of time due to the provided reason.

                      ShortNot available during this time due to provided reason
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      174. HealthcareService.notAvailable.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      176. HealthcareService.notAvailable.extension
                      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.

                      ShortAdditional content defined by implementations
                      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.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-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())
                      178. HealthcareService.notAvailable.modifierExtension
                      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).

                      ShortExtensions that cannot be ignored even if unrecognized
                      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.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      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.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-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())
                      180. HealthcareService.notAvailable.description
                      Definition

                      The reason that can be presented to the user as to why this time is not available.

                      ShortReason presented to the user explaining why time not available
                      Control1..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      182. HealthcareService.notAvailable.during
                      Definition

                      Service is not available (seasonally or for a public holiday) from this date.

                      ShortService not available from this date
                      Control0..1
                      TypePeriod
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      184. HealthcareService.availabilityExceptions
                      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.

                      ShortDescription of availability exceptions
                      Control0..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      186. HealthcareService.endpoint
                      Definition

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

                      ShortTechnical endpoints providing access to electronic services operated for the healthcare service
                      Control0..*
                      TypeReference(NDH Base Endpoint Profile)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))