Narratif généré : DéfinitionStructure as-dp-healthcareservice-social-equipment Nom Drapeaux Card. Type Description et contraintes HealthcareService 0..* AsHealthcareServiceSocialEquipmentProfile The details of a healthcare service available at a location #xD; meta #xD; Slices pour extension Contenu/Règles pour toutes les slices #xD; extension:as-ext-data-trace S 0..1 (Complexe) DataTrace : Informe sur l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI). URL: https://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-ext-data-trace #xD; Slices pour profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to Slice: Non ordonné, Ouvert par value:$this #xD; profile:as-dp-canonical 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to Motif requis: https://interop.esante.gouv.fr/ig/fhir/annuaire/StructureDefinition/as-dp-healthcareservice-social-equipment #xD; Slices pour extension Contenu/Règles pour toutes les slices #xD; extension:as-ext-authorization S 0..* AsAuthorizationExtension AS Authorization Extension #xD; extension:as-ext-installation S 0..* AsInstallationExtension AS Installation Extension #xD; extension:as-ext-patient-type S 0..* AsPatientTypeExtension AS Patient Type Extension #xD; extension:as-ext-supported-capacity S 0..* AsSupportedCapacityExtension AS Supported Capacity Extension #xD; identifier S 0..0 External identifiers for this item #xD; Slices pour identifier Contenu/Règles pour toutes les slices #xD; identifier:numAutorisationArhgos 0..0 Identifiant fonctionnel, numéro d'autorisation ARHGOS (numeroAutorisationARHGOS). #xD; active 1..1 boolean Whether this HealthcareService record is in active use #xD; category 0..0 Broad category of service being performed or delivered #xD; type S 0..* CodeableConcept Type of service that may be delivered or performed #xD; specialty 0..0 Specialties handled by the HealthcareService #xD; name 0..0 Description of service as presented to a consumer while searching #xD; comment 0..0 Additional description and/or any specific issues not covered elsewhere #xD; extraDetails 0..0 Extra details about the service that can't be placed in the other fields #xD; photo 0..0 Facilitates quick identification of the service #xD; telecom 0..0 Contacts related to the healthcare service #xD; coverageArea 0..0 Location(s) service is intended for/available to #xD; serviceProvisionCode 0..0 Conditions under which service is available/offered #xD; eligibility S 0..* BackboneElement Population prise en charge par l’établissement dans le cadre de l’activité associée à la discipline (clientele, public, patientele). #xD; comment 0..0 Describes the eligibility conditions for the service #xD; program 0..0 Programs that this service is applicable to #xD; characteristic S 0..* CodeableConcept Le mode de fonctionnement précisant la modalité d’accueil, d’hébergement et/ou d’ouverture de l'activité associée à la discipline (modeFonctionnement, typeActivite). #xD; communication 0..0 The language that this service is offered in #xD; referralMethod 0..0 Ways that the service accepts referrals #xD; appointmentRequired 0..0 If an appointment is required for access to this service #xD; availableTime 0..0 Times the Service Site is available #xD; notAvailable 0..0 Not available during this time due to provided reason #xD; availabilityExceptions 0..0 Description of availability exceptions #xD; endpoint 0..0 Technical endpoints providing access to electronic services operated for the healthcare service #xD; Documentation pour ce format
AS Donnée Publique HealthcareService Social Equipment Profile
Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris
Profil public applicatif créé à partir du profil générique as-healthcareservice-social-equipment dans le contexte des données en accès libre de l'Annuaire Santé. Pour connaître les paramètres de recherches associés à ce profil, il suffit de consulter le CapabilityStatement AsServerCapabilityStatement.
AsHealthcareServiceSocialEquipmentProfile to MOS - ActiviteSociale
The details of a healthcare service available at a location
The details of a healthcare service available at a location.
If the resource is contained in another resource, it SHALL NOT contain nested Resources
not(parent::f:contained and f:contained)
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()
not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
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()
not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
If a resource is contained in another resource, it SHALL NOT have a security label
When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.
A resource should have narrative for robust management
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.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
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.
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.
Must have either extensions or value[x], not both
exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
DataTrace : Informe sur l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI).
Extension créée dans le cadre de l'Annuaire Santé pour tracer l'origine de la donnée (Autorité d'Enregistrement (AE) et Système d'Information (SI)). Des études complémentaires vont être initiées pour envisager l'usage de la ressource Provenance ou meta.source.
The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.
The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
When the resource last changed - e.g. when the version changed.
This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.
Identifies where the resource comes from
A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.
In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
Profiles this resource claims to conform to
A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).
It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.
Security Labels applied to this resource
Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.
The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.
Security Labels from the Healthcare Privacy and Security Classification System.
Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.
The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.
Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
A set of rules under which this content was created
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.
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
The base language in which the resource is written.
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).
Text summary of the resource, for human interpretation
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.
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.
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.
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.
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.
exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
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](http://hl7.org/fhir/R4/extensibility.html) for a list).
The start of the period. The boundary is inclusive.
If the low element is missing, the meaning is that the low boundary is not known.
The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.
The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.
If the end of the period is missing, it means that the period is ongoing
Date de dernière mise à jour de l’autorisation.
Extension créée dans le cadre de l'Annuaire Santé pour décrire les dates d'installation des équipements (HealthcareService) sanitaires, sociaux, médico-sociaux et d'enseignements
dateDerniereInstallation : Date à laquelle le dernier constat d’installation des places est réalisé.
sourceInformationInstallation : Source ayant permis le constat d'installation.
Extension créée dans le cadre de l'Annuaire Santé pour décrire un ensemble de personnes qui répondent à des critères leur permettant de bénéficier de la discipline décrite.
The low limit. The boundary is inclusive.
If the low element is missing, the low boundary is not known.
The high limit. The boundary is inclusive.
If the high element is missing, the high boundary is not known.
Extension créée dans le cadre de l'Annuaire Santé pour indiquer le nombre de personnes pouvant être accueillies en même temps et les capacités d'hébergement.
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).
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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Slice based on the identifier.system value
Identifiant fonctionnel, numéro d'autorisation ARHGOS (numeroAutorisationARHGOS).
usual | official | temp | secondary | old (If known)
Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Identifies the purpose for this identifier, if known .
A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
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.
Allows users to make use of identifiers when the identifier system is not known.
A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Identifier.system is always case sensitive.
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.
The portion of the identifier typically relevant to the user and which is unique within the context of the system.
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](http://hl7.org/fhir/R4/extension-rendered-value.html). 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.
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
Time period when id is/was valid for use
Time period during which identifier is/was valid for use.
Role.effectiveTime or implied by context
Organization that issued id (may be just text)
Organization that issued/manages the identifier.
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.
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
Whether this HealthcareService record is in active use
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.
This element is labeled as a modifier because it may be used to mark that the resource was created in error.
This resource is generally assumed to be active if no value is provided for the active element
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
Référence vers l'id de la structure FINESS ET à laquelle est rattaché cet équipement social (idNat_Struct, identifiantEJ, identifiantEG).
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.
Broad category of service being performed or delivered
Identifies the broad category of service being performed or delivered.
Selecting a Service Category then determines the list of relevant service types that can be selected in the primary service type.
A category of the service(s) that could be provided.
Type of service that may be delivered or performed
The specific type of service that may be delivered or performed.
Additional details about where the content was created (e.g. clinical specialty).
La catégorie de la discipline déterminant la nature de l’activité (disciplineEquipementSociale).
Specialties handled by the HealthcareService
Collection of specialties handled by the service site. This is more of a medical term.
A specialty that a healthcare service may provide.
Location(s) where service may be provided
The location(s) where this healthcare service may be provided.
Description of service as presented to a consumer while searching
Further description of the service as it would be presented to a consumer while searching.
Additional description and/or any specific issues not covered elsewhere
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.
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.
Extra details about the service that can't be placed in the other fields
Extra details about the service that can't be placed in the other fields.
Facilitates quick identification of the service
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.
Contacts related to the healthcare service
List of contacts related to this specific healthcare service.
If this is empty, then refer to the location's contacts.
Location(s) service is intended for/available to
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".
Conditions under which service is available/offered
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.
Population prise en charge par l’établissement dans le cadre de l’activité associée à la discipline (clientele, public, patientele).
Does this service have specific eligibility requirements that need to be met in order to use the service?
Extensions that cannot be ignored even if unrecognized
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).
Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Describes the eligibility conditions for the service
Describes the eligibility conditions for the service.
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.
Programs that this service is applicable to
Programs that this service is applicable to.
Programs are often defined externally to an Organization, commonly by governments; e.g. Home and Community Care Programs, Homeless Program, ….
Government or local programs that this service applies to.
Le mode de fonctionnement précisant la modalité d’accueil, d’hébergement et/ou d’ouverture de l'activité associée à la discipline (modeFonctionnement, typeActivite).
Collection of characteristics (attributes).
These could be such things as is wheelchair accessible.
The language that this service is offered in
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.
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.
Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required.
The methods of referral can be used when referring to a specific HealthCareService resource.
If an appointment is required for access to this service
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.
A collection of times that the Service Site is available.
More detailed availability information may be provided in associated Schedule/Slot resources.
Indicates which days of the week are available between the start and end Times.
Is this always available? (hence times are irrelevant) e.g. 24 hour service.
Opening time of day (ignored if allDay = true)
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.
Closing time of day (ignored if allDay = true)
The closing time of day. Note: If the AllDay flag is set, then this time is ignored.
Not available during this time due to provided reason
The HealthcareService is not available during this period of time due to the provided reason.
Reason presented to the user explaining why time not available
The reason that can be presented to the user as to why this time is not available.
Service is not available (seasonally or for a public holiday) from this date.
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.
Technical endpoints providing access to electronic services operated for the healthcare service
Technical endpoints providing access to services operated for the specific healthcare services defined at this resource.