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Annuaire Santé
1.1.0 - final-text France flag

Annuaire Santé, published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ansforge/IG-fhir-annuaire/ and changes regularly. See the Directory of published versions

Resource Profile: AsHealthcareServiceHealthcareActivityProfile - Detailed Descriptions

Active as of 2025-10-10

Definitions for the as-healthcareservice-healthcare-activity resource profile.

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

0. HealthcareService
2. 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
  • 4. HealthcareService.extension:as-ext-authorization
    Nom de la sliceas-ext-authorization
    Control0..*
    TypeExtension(AS Authorization Extension) (Complex Extension)
    6. HealthcareService.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    SlicingThis element introduces a set of slices on HealthcareService.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 8. HealthcareService.identifier:numAutorisationArhgos
      Nom de la slicenumAutorisationArhgos
      ShortIdentifiant fonctionnel, numéro d'autorisation ARHGOS (numeroAutorisationARHGOS).
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      10. HealthcareService.identifier:numAutorisationArhgos.system
      Control1..?
      Pattern Valuehttps://arhgos.ars.sante.fr
      12. HealthcareService.providedBy
      ShortRéférence vers l'id de la structure FINESS ET à laquelle est rattachée cette activité sanitaire (idNat_Struct).
      TypeReference(FR Core Organization Profile, AS Organization Profile)
      14. HealthcareService.category
      ShortLa modalité étant un mode d’application ou un type de soin prévu par les textes réglementaires encadrant chaque activité de soins (modalite).
      BindingThe codes SHALL be taken from JDV_J132-ModaliteActivite-RASS
      (required to https://mos.esante.gouv.fr/NOS/JDV_J132-ModaliteActivite-RASS/FHIR/JDV-J132-ModaliteActivite-RASS)
      16. HealthcareService.type
      SlicingThis element introduces a set of slices on HealthcareService.type. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ $this
      • 18. HealthcareService.type:category
        Nom de la slicecategory
        ShortCatégorie d'activité de soin autorisée. Exemple : Activités de soins Soumises à Reconnaissance contractuelle
        Control0..1
        BindingThe codes SHALL be taken from JDV_J131-CategorieActiviteSanitaireRegulee-RASS
        (required to https://mos.esante.gouv.fr/NOS/JDV_J131-CategorieActiviteSanitaireRegulee-RASS/FHIR/JDV-J131-CategorieActiviteSanitaireRegulee-RASS)
        20. HealthcareService.type:activity
        Nom de la sliceactivity
        ShortLa discipline déterminant la nature de l’activité (CODE_ACT_SOIN).
        Control0..1
        BindingThe codes SHALL be taken from JDV_J133-ActiviteSanitaireRegulee-RASS
        (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
        22. HealthcareService.specialty
        ShortCode définissant l'activité de soins autorisée -AS- (article L.6122-1 du CSP), la liste des activités de soins soumises à autorisation est fixée par décret en Conseil d'Etat (article L.6122-25 du CSP). activite
        BindingThe codes SHALL be taken from JDV_J133-ActiviteSanitaireRegulee-RASS
        (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
        24. HealthcareService.characteristic
        ShortLa forme d'activité étant un type d’organisation de prise en charge (forme).
        BindingThe codes SHALL be taken from JDV_J134-FormeActivite-RASS
        (required to https://mos.esante.gouv.fr/NOS/JDV_J134-FormeActivite-RASS/FHIR/JDV-J134-FormeActivite-RASS)

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

        0. HealthcareService
        Définition

        The details of a healthcare service available at a location.

        ShortThe details of a healthcare service available at a location
        Control0..*
        Is Modifierfalse
        Résuméfalse
        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
        Définition

        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
        Commentaires

        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
        Résumétrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        4. HealthcareService.extension
        Définition

        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
        Commentaires

        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
        Résuméfalse
        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:as-ext-authorization
          Nom de la sliceas-ext-authorization
          Définition

          Extension créée dans le cadre de l'Annuaire Santé pour décrire les autorisations des activités (HealthcareService) sanitaires, sociales, médico-sociales et d'enseignement et des équipements matériels (Device) lourds autorisés.

          ShortAS Authorization Extension
          Control0..*
          This element is affected by the following invariants: ele-1
          TypeExtension(AS Authorization Extension) (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.modifierExtension
          Définition

          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
          Commentaires

          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
          Résuméfalse
          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())
          10. HealthcareService.identifier
          Définition

          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
          Résumétrue
          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.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ system
          • 12. HealthcareService.identifier:numAutorisationArhgos
            Nom de la slicenumAutorisationArhgos
            Définition

            External identifiers for this item.

            ShortIdentifiant fonctionnel, numéro d'autorisation ARHGOS (numeroAutorisationARHGOS).External identifiers for this item
            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control0..1*
            TypeIdentifier
            Is Modifierfalse
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            14. HealthcareService.identifier:numAutorisationArhgos.use
            Définition

            The purpose of this identifier.

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

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

            Control0..1
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (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
            Résumétrue
            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()))
            16. HealthcareService.identifier:numAutorisationArhgos.system
            Définition

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

            ShortThe namespace for the identifier value
            Commentaires

            Identifier.system is always case sensitive.

            Control10..1
            Typeuri
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Résumétrue
            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.

            Pattern Valuehttps://arhgos.ars.sante.fr
            ExempleGeneral: http://www.acme.com/identifiers/patient
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            18. HealthcareService.active
            Définition

            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
            Commentaires

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

            Control0..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
            Résumétrue
            Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. HealthcareService.providedBy
            Définition

            The organization that provides this healthcare service.

            ShortRéférence vers l'id de la structure FINESS ET à laquelle est rattachée cette activité sanitaire (idNat_Struct).Organization that provides this service
            Commentaires

            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(FR Core Organization Profile, AS Organization Profile, Organization)
            Is Modifierfalse
            Résumétrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. HealthcareService.category
            Définition

            Identifies the broad category of service being performed or delivered.

            ShortLa modalité étant un mode d’application ou un type de soin prévu par les textes réglementaires encadrant chaque activité de soins (modalite).Broad category of service being performed or delivered
            Commentaires

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

            Control0..*
            BindingThe codes SHALL be taken from For example codes, see JDV_J132-ModaliteActivite-RASShttp://hl7.org/fhir/ValueSet/service-category|4.0.1
            (required to https://mos.esante.gouv.fr/NOS/JDV_J132-ModaliteActivite-RASS/FHIR/JDV-J132-ModaliteActivite-RASS)
            TypeCodeableConcept
            Is Modifierfalse
            Résumétrue
            Alternate Namesservice category
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. HealthcareService.type
            Définition

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

            ShortType of service that may be delivered or performed
            Control0..*
            BindingFor example codes, see ServiceTypehttp://hl7.org/fhir/ValueSet/service-type|4.0.1
            (example to http://hl7.org/fhir/ValueSet/service-type|4.0.1)

            Additional details about where the content was created (e.g. clinical specialty).

            TypeCodeableConcept
            Is Modifierfalse
            Résumétrue
            Alternate Namesservice type
            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.type. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ $this
            • 26. HealthcareService.type:category
              Nom de la slicecategory
              Définition

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

              ShortCatégorie d'activité de soin autorisée. Exemple : Activités de soins Soumises à Reconnaissance contractuelleType of service that may be delivered or performed
              Control0..1*
              BindingThe codes SHALL be taken from For example codes, see JDV_J131-CategorieActiviteSanitaireRegulee-RASShttp://hl7.org/fhir/ValueSet/service-type|4.0.1
              (required to https://mos.esante.gouv.fr/NOS/JDV_J131-CategorieActiviteSanitaireRegulee-RASS/FHIR/JDV-J131-CategorieActiviteSanitaireRegulee-RASS)
              TypeCodeableConcept
              Is Modifierfalse
              Résumétrue
              Alternate Namesservice type
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              28. HealthcareService.type:activity
              Nom de la sliceactivity
              Définition

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

              ShortLa discipline déterminant la nature de l’activité (CODE_ACT_SOIN).Type of service that may be delivered or performed
              Control0..1*
              BindingThe codes SHALL be taken from For example codes, see JDV_J133-ActiviteSanitaireRegulee-RASShttp://hl7.org/fhir/ValueSet/service-type|4.0.1
              (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
              TypeCodeableConcept
              Is Modifierfalse
              Résumétrue
              Alternate Namesservice type
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              30. HealthcareService.specialty
              Définition

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

              ShortCode définissant l'activité de soins autorisée -AS- (article L.6122-1 du CSP), la liste des activités de soins soumises à autorisation est fixée par décret en Conseil d'Etat (article L.6122-25 du CSP). activiteSpecialties handled by the HealthcareService
              Control0..*
              BindingThe codes SHALL be taken from The codes SHOULD be taken from JDV_J133-ActiviteSanitaireRegulee-RASShttp://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1
              (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
              TypeCodeableConcept
              Is Modifierfalse
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              32. HealthcareService.characteristic
              Définition

              Collection of characteristics (attributes).

              ShortLa forme d'activité étant un type d’organisation de prise en charge (forme).Collection of characteristics (attributes)
              Commentaires

              These could be such things as is wheelchair accessible.

              Control0..*
              BindingThe codes SHALL be taken from For example codes, see JDV_J134-FormeActivite-RASS
              (required to https://mos.esante.gouv.fr/NOS/JDV_J134-FormeActivite-RASS/FHIR/JDV-J134-FormeActivite-RASS)
              TypeCodeableConcept
              Is Modifierfalse
              Résuméfalse
              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 foundhere

              0. HealthcareService
              Définition

              The details of a healthcare service available at a location.

              ShortThe details of a healthcare service available at a location
              Control0..*
              Is Modifierfalse
              Résuméfalse
              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
              Définition

              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
              Commentaires

              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
              Résumétrue
              4. HealthcareService.meta
              Définition

              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
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              6. HealthcareService.implicitRules
              Définition

              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
              Commentaires

              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
              Résumétrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              8. HealthcareService.language
              Définition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Commentaires

              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|4.0.1)

              A human language.

              Bindings AdditionnelsBut
              AllLanguagesBinding Max
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Résuméfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              10. HealthcareService.text
              Définition

              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
              Commentaires

              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
              Résuméfalse
              Alternate Namesnarrative, html, xhtml, display
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              12. HealthcareService.contained
              Définition

              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
              Commentaires

              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
              Résuméfalse
              Alternate Namesinline resources, anonymous resources, contained resources
              14. HealthcareService.extension
              Définition

              An Extension

              ShortExtension
              Control0..*
              TypeExtension
              Is Modifierfalse
              Résuméfalse
              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
              • 16. HealthcareService.extension:as-ext-authorization
                Nom de la sliceas-ext-authorization
                Définition

                Extension créée dans le cadre de l'Annuaire Santé pour décrire les autorisations des activités (HealthcareService) sanitaires, sociales, médico-sociales et d'enseignement et des équipements matériels (Device) lourds autorisés.

                ShortAS Authorization Extension
                Control0..*
                This element is affected by the following invariants: ele-1
                TypeExtension(AS Authorization Extension) (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.modifierExtension
                Définition

                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
                Commentaires

                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
                Résuméfalse
                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())
                20. HealthcareService.identifier
                Définition

                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
                Résumétrue
                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.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ system
                • 22. HealthcareService.identifier:numAutorisationArhgos
                  Nom de la slicenumAutorisationArhgos
                  Définition

                  External identifiers for this item.

                  ShortIdentifiant fonctionnel, numéro d'autorisation ARHGOS (numeroAutorisationARHGOS).
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1
                  TypeIdentifier
                  Is Modifierfalse
                  Résumétrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  24. HealthcareService.identifier:numAutorisationArhgos.id
                  Définition

                  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.
                  Résuméfalse
                  26. HealthcareService.identifier:numAutorisationArhgos.extension
                  Définition

                  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
                  Commentaires

                  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
                  Résuméfalse
                  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
                  • 28. HealthcareService.identifier:numAutorisationArhgos.use
                    Définition

                    The purpose of this identifier.

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

                    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
                    Résumétrue
                    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()))
                    30. HealthcareService.identifier:numAutorisationArhgos.type
                    Définition

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

                    ShortDescription of identifier
                    Commentaires

                    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|4.0.1)

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

                    TypeCodeableConcept
                    Is Modifierfalse
                    Résumétrue
                    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()))
                    32. HealthcareService.identifier:numAutorisationArhgos.system
                    Définition

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

                    ShortThe namespace for the identifier value
                    Commentaires

                    Identifier.system is always case sensitive.

                    Control1..1
                    Typeuri
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Résumétrue
                    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.

                    Pattern Valuehttps://arhgos.ars.sante.fr
                    ExempleGeneral: http://www.acme.com/identifiers/patient
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    34. HealthcareService.identifier:numAutorisationArhgos.value
                    Définition

                    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
                    Commentaires

                    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
                    Résumétrue
                    ExempleGeneral: 123456
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    36. HealthcareService.identifier:numAutorisationArhgos.period
                    Définition

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

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

                    Organization that issued/manages the identifier.

                    ShortOrganization that issued id (may be just text)
                    Commentaires

                    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(Organization)
                    Is Modifierfalse
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    40. HealthcareService.active
                    Définition

                    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
                    Commentaires

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

                    Control0..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
                    Résumétrue
                    Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    42. HealthcareService.providedBy
                    Définition

                    The organization that provides this healthcare service.

                    ShortRéférence vers l'id de la structure FINESS ET à laquelle est rattachée cette activité sanitaire (idNat_Struct).
                    Commentaires

                    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(FR Core Organization Profile, AS Organization Profile)
                    Is Modifierfalse
                    Résumétrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    44. HealthcareService.category
                    Définition

                    Identifies the broad category of service being performed or delivered.

                    ShortLa modalité étant un mode d’application ou un type de soin prévu par les textes réglementaires encadrant chaque activité de soins (modalite).
                    Commentaires

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

                    Control0..*
                    BindingThe codes SHALL be taken from JDV_J132-ModaliteActivite-RASS
                    (required to https://mos.esante.gouv.fr/NOS/JDV_J132-ModaliteActivite-RASS/FHIR/JDV-J132-ModaliteActivite-RASS)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Résumétrue
                    Alternate Namesservice category
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    46. HealthcareService.type
                    Définition

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

                    ShortType of service that may be delivered or performed
                    Control0..*
                    BindingFor example codes, see ServiceType
                    (example to http://hl7.org/fhir/ValueSet/service-type|4.0.1)

                    Additional details about where the content was created (e.g. clinical specialty).

                    TypeCodeableConcept
                    Is Modifierfalse
                    Résumétrue
                    Alternate Namesservice type
                    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.type. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ $this
                    • 48. HealthcareService.type:category
                      Nom de la slicecategory
                      Définition

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

                      ShortCatégorie d'activité de soin autorisée. Exemple : Activités de soins Soumises à Reconnaissance contractuelle
                      Control0..1
                      BindingThe codes SHALL be taken from JDV_J131-CategorieActiviteSanitaireRegulee-RASS
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J131-CategorieActiviteSanitaireRegulee-RASS/FHIR/JDV-J131-CategorieActiviteSanitaireRegulee-RASS)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Résumétrue
                      Alternate Namesservice type
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      50. HealthcareService.type:activity
                      Nom de la sliceactivity
                      Définition

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

                      ShortLa discipline déterminant la nature de l’activité (CODE_ACT_SOIN).
                      Control0..1
                      BindingThe codes SHALL be taken from JDV_J133-ActiviteSanitaireRegulee-RASS
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Résumétrue
                      Alternate Namesservice type
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      52. HealthcareService.specialty
                      Définition

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

                      ShortCode définissant l'activité de soins autorisée -AS- (article L.6122-1 du CSP), la liste des activités de soins soumises à autorisation est fixée par décret en Conseil d'Etat (article L.6122-25 du CSP). activite
                      Control0..*
                      BindingThe codes SHALL be taken from JDV_J133-ActiviteSanitaireRegulee-RASS
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J133-ActiviteSanitaireRegulee-RASS/FHIR/JDV-J133-ActiviteSanitaireRegulee-RASS)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Résumétrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      54. HealthcareService.location
                      Définition

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

                      ShortLocation(s) where service may be provided
                      Control0..*
                      TypeReference(Location)
                      Is Modifierfalse
                      Résumétrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      56. HealthcareService.name
                      Définition

                      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
                      Résumétrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      58. HealthcareService.comment
                      Définition

                      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
                      Commentaires

                      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
                      Résumétrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      60. HealthcareService.extraDetails
                      Définition

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      62. HealthcareService.photo
                      Définition

                      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
                      Résumétrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      64. HealthcareService.telecom
                      Définition

                      List of contacts related to this specific healthcare service.

                      ShortContacts related to the healthcare service
                      Commentaires

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

                      Control0..*
                      TypeContactPoint
                      Is Modifierfalse
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      66. HealthcareService.coverageArea
                      Définition

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

                      ShortLocation(s) service is intended for/available to
                      Commentaires

                      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(Location)
                      Is Modifierfalse
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      68. HealthcareService.serviceProvisionCode
                      Définition

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

                      ShortConditions under which service is available/offered
                      Commentaires

                      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..*
                      BindingFor example codes, see ServiceProvisionConditions
                      (example to http://hl7.org/fhir/ValueSet/service-provision-conditions|4.0.1)

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

                      TypeCodeableConcept
                      Is Modifierfalse
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      70. HealthcareService.eligibility
                      Définition

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      72. HealthcareService.eligibility.id
                      Définition

                      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.
                      Résuméfalse
                      74. HealthcareService.eligibility.extension
                      Définition

                      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
                      Commentaires

                      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
                      Résuméfalse
                      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())
                      76. HealthcareService.eligibility.modifierExtension
                      Définition

                      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
                      Commentaires

                      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
                      Résumétrue
                      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())
                      78. HealthcareService.eligibility.code
                      Définition

                      Coded value for the eligibility.

                      ShortCoded value for the eligibility
                      Control0..1
                      Binding

                      Coded values underwhich a specific service is made available.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      80. HealthcareService.eligibility.comment
                      Définition

                      Describes the eligibility conditions for the service.

                      ShortDescribes the eligibility conditions for the service
                      Commentaires

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      82. HealthcareService.program
                      Définition

                      Programs that this service is applicable to.

                      ShortPrograms that this service is applicable to
                      Commentaires

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

                      Control0..*
                      BindingFor example codes, see Program
                      (example to http://hl7.org/fhir/ValueSet/program|4.0.1)

                      Government or local programs that this service applies to.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      84. HealthcareService.characteristic
                      Définition

                      Collection of characteristics (attributes).

                      ShortLa forme d'activité étant un type d’organisation de prise en charge (forme).
                      Commentaires

                      These could be such things as is wheelchair accessible.

                      Control0..*
                      BindingThe codes SHALL be taken from JDV_J134-FormeActivite-RASS
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J134-FormeActivite-RASS/FHIR/JDV-J134-FormeActivite-RASS)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      86. HealthcareService.communication
                      Définition

                      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
                      Commentaires

                      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|4.0.1)

                      A human language.

                      Bindings AdditionnelsBut
                      AllLanguagesBinding Max
                      TypeCodeableConcept
                      Is Modifierfalse
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      88. HealthcareService.referralMethod
                      Définition

                      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|4.0.1)

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

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

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      92. HealthcareService.availableTime
                      Définition

                      A collection of times that the Service Site is available.

                      ShortTimes the Service Site is available
                      Commentaires

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

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

                      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.
                      Résuméfalse
                      96. HealthcareService.availableTime.extension
                      Définition

                      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
                      Commentaires

                      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
                      Résuméfalse
                      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())
                      98. HealthcareService.availableTime.modifierExtension
                      Définition

                      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
                      Commentaires

                      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
                      Résumétrue
                      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())
                      100. HealthcareService.availableTime.daysOfWeek
                      Définition

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      102. HealthcareService.availableTime.allDay
                      Définition

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      104. HealthcareService.availableTime.availableStartTime
                      Définition

                      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)
                      Commentaires

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      106. HealthcareService.availableTime.availableEndTime
                      Définition

                      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)
                      Commentaires

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      108. HealthcareService.notAvailable
                      Définition

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      110. HealthcareService.notAvailable.id
                      Définition

                      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.
                      Résuméfalse
                      112. HealthcareService.notAvailable.extension
                      Définition

                      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
                      Commentaires

                      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
                      Résuméfalse
                      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())
                      114. HealthcareService.notAvailable.modifierExtension
                      Définition

                      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
                      Commentaires

                      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
                      Résumétrue
                      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())
                      116. HealthcareService.notAvailable.description
                      Définition

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      118. HealthcareService.notAvailable.during
                      Définition

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

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

                      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
                      Résuméfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      122. HealthcareService.endpoint
                      Définition

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