Health Connect Australia Provider Directory FHIR Implementation Guide

Health Connect entry for a healthcare service at a location by an organisation.

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.

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.

An Extension

Indicates the IAR (Initial Assessment and Referral) Levels of Care for a healthcare service.

Indicates if Healthcare service is accepting new patients. A value of True means the service is accepting new patients.

Information for referrers about referral requirements for this healthcare service.

When present on a resource, identifies the party responsible for setting the resource to inactive or suspended state. Uses the same coded values as the Suppressed extension to indicate whether a practitioner or an organisation administrator initiated the change.

An Extension

An Extension

An Extension

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

A reference to a code defined by a terminology system.

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.

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

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Indicates if Healthcare service is suppressed.

An Extension

An Extension

An Extension

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

A reference to a code defined by a terminology system.

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.

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

When true, this Organization and all child resources (HealthcareService, Location, PractitionerRole, Endpoint) are suppressed via cascade. When false, this Organization remains visible while child resources are suppressed via cascade. Only applies to Organization resources.

An Extension

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

The time period during which the HealthcareService is considered active in the HealthConnect directory.

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).

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.

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.

Identifier for the HealthCare Service that is used to identify the HealthCare Service across multiple disparate systems.

Unique identifier for the HealthcareService attributed from source system. Not exposed externally but can be used for system reference or internal business logic.

Local identifier for the HealthcareService attributed by Health Connect. Used for system reference and internal business logic.

When provided, it will show if the service is currently active and ensure that only active services are made discoverable/visible in the directory.

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

The organization that provides this healthcare service.

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.

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

A reference to a code defined by a terminology system.

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.

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

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Need to refer to a particular code in the system.

A representation of the meaning of the code in the system, following the rules of the system.

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

The location where this healthcare service may be provided.

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

Additional details, that the service provider can add for their directory listing, as a free text, that is not covered by other available data elements.

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.

List of contacts related to this specific healthcare service.

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

Indicates a purpose for which the contact can be reached.

An Extension

Source of the definition for the extension code - a logical name or a URL.

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Identifies the purpose for the contact point.

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

Use of contact point.

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

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

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".

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

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.

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

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).

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.

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.

Eligibility requirements for the healthcare service, bound to the HealthConnect Service Eligibility ValueSet.

Including the languages that the service is offered in, will help assist the requester / searcher in making informed decision and choose the service that meet their requirement when seeking healthcare service.

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.

Whether an appointment is required for this service, or walk-in accepted – Yes or No (Null value represent ‘no data available’).

A collection of times that the Service Site is available.

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

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).

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.

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.

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

The days of the week.

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

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

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

An IANA timezone code for the timezone offset per BCP 175. For data types allowing the offset (all except date and time), this extension SHALL agree with the offset if provided and cannot be used in place of the offset if the precision expressed requires an offset. Where an offset is provided, this extension provides a more legible display of the zone associated with the offset. Where an offset is not present, this extension can be used to provide zone information not otherwise available.

These are codes like "America/New_York" or "America/Los_Angeles". See https://www.iana.org/time-zones for the official source, and https://en.wikipedia.org/wiki/List_of_tz_database_time_zones for more information.

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

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

An IANA timezone code for the timezone offset per BCP 175. For data types allowing the offset (all except date and time), this extension SHALL agree with the offset if provided and cannot be used in place of the offset if the precision expressed requires an offset. Where an offset is provided, this extension provides a more legible display of the zone associated with the offset. Where an offset is not present, this extension can be used to provide zone information not otherwise available.

These are codes like "America/New_York" or "America/Los_Angeles". See https://www.iana.org/time-zones for the official source, and https://en.wikipedia.org/wiki/List_of_tz_database_time_zones for more information.

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

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).

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.

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.

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

Date range that the service is not available - can be open-ended if service is closing.

This will provide the linked endpoints that are related to this healthcare service, that can be discovered by other organisations for system-to-system electronic communication.

Health Connect entry for a healthcare service at a location by an organisation.

Indicates if Healthcare service is accepting new patients. A value of True means the service is accepting new patients.

Information for referrers about referral requirements for this healthcare service.

Indicates if Healthcare service is suppressed.

The time period during which the HealthcareService is considered active in the HealthConnect directory.

Identifier for the HealthCare Service that is used to identify the HealthCare Service across multiple disparate systems.

Unique identifier for the HealthcareService attributed from source system. Not exposed externally but can be used for system reference or internal business logic.

Local identifier for the HealthcareService attributed by Health Connect. Used for system reference and internal business logic.

When provided, it will show if the service is currently active and ensure that only active services are made discoverable/visible in the directory.

The location where this healthcare service may be provided.

Additional details, that the service provider can add for their directory listing, as a free text, that is not covered by other available data elements.

Eligibility requirements for the healthcare service, bound to the HealthConnect Service Eligibility ValueSet.

Including the languages that the service is offered in, will help assist the requester / searcher in making informed decision and choose the service that meet their requirement when seeking healthcare service.

Whether an appointment is required for this service, or walk-in accepted – Yes or No (Null value represent ‘no data available’).

Date range that the service is not available - can be open-ended if service is closing.

This will provide the linked endpoints that are related to this healthcare service, that can be discovered by other organisations for system-to-system electronic communication.

Health Connect entry for a healthcare service at a location by an organisation.

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

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

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.

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.

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.