Narratif généré : DéfinitionStructure ror-healthcareservice Nom Drapeaux Card. Type Description et contraintes HealthcareService 0..* HealthcareService The details of a healthcare service available at a location #xD; id 0..1 id Logical id of this artifact #xD; meta 0..1 Meta Metadata about the resource #xD; lastUpdated S 1..1 instant When the resource version last changed #xD; Slices pour tag 0..* Coding Tags applied to this resource Slice: Unordered, Open by value:url #xD; tag:codeRegion S 0..1 Coding Tags applied to this resource Binding: JDV_J237_RegionOM_ROR (required) #xD; extension 3..* Extension Extension #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-territorial-division S 0..* (Complex) zoneIntervention (OffreOperationnelle) : Périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-territorial-division #xD; extension:ror-healthcareservice-sensitive-unit S 1..1 boolean uniteSensible (OffreOperationnelle) : Permet de signaler que toutes les informations de description d'une offre sont confidentielles URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-healthcareservice-sensitive-unit #xD; extension:ror-healthcareservice-no-consent-habilitation S 0..1 boolean habilitationAuxSoinsSansConsentement (OffreOperationnelle) : permet d'identifier les offres pour lesquelles un établissement est autorisé à prendre en charge des patients sans leur consentement URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-healthcareservice-no-consent-habilitation #xD; extension:ror-healthcareservice-psychiatric-sector S 0..* string secteurPsychiatrique (OffreOperationnelle) : aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-healthcareservice-psychiatric-sector #xD; extension:ror-healthcareservice-patient-type S 1..1 (Complex) publicPrisEnCharge (Patientele) : Ensemble de personnes qui présentent des caractéristiques psychologiques, intellectuelles, physiques, psycho-motrices, comportementales leur permettant de bénéficier de la prestation décrite URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-healthcareservice-patient-type #xD; extension:ror-healthcareservice-contact S 0..* (Complex) contact (OffreOperationnelle) : Personne ou service qui agit comme point de contact auprès d'une autre personne ou d'un autre service URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-healthcareservice-contact #xD; extension:ror-meta-creation-date S 1..1 dateTime dateCreation (Metadonnee) URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-meta-creation-date #xD; identifier S 1..1 Identifier identifiantOffre (OffreOperationnelle) : Identifiant de l'offre, unique et persistant au niveau national #xD; active 0..1 boolean Whether this HealthcareService record is in active use #xD; providedBy S 0..1 Reference(FrOrganization | ROROrganization) Organization that provides this service #xD; category S 0..1 CodeableConcept typeOffre (OffreOperationnelle) : Permet de distinguer les offres et de les classer en fonction de leur nature particulière Binding: JDV_J238_TypeOffre_ROR (required) #xD; type S 1..1 CodeableConcept champActivite (OffreOperationnelle) : Domaine dans lequel s'inscrit l'offre Binding: JDV_J20_ChampActivite_ROR (required) #xD; Slices pour specialty S 1..* CodeableConcept Specialties handled by the HealthcareService Slice: Unordered, Open by value:coding.system #xD; specialty:operationalActivity S 1..1 CodeableConcept activiteOperationnelle (ActiviteOperationnelle) : ensemble cohérent d’actions et de pratiques mises en œuvre pour répondre aux besoins en Santé de la personne Binding: JDV_J17_ActiviteOperationnelle_ROR (required) #xD; specialty:operationalActivityFamily S 0..1 CodeableConcept familleActiviteOperationnelle (ActiviteOperationnelle) : regroupement cohérent d’activités délivrées dans le cadre d'une prestation, répondant à un besoin de la personne Binding: JDV_J51_FamilleActiviteOperationnelle_ROR (required) #xD; location S 0..* Reference(Location | RORLocation) Location(s) where service may be provided #xD; name S 0..1 string nomOffre (OffreOpérationnelle) : Dénomination sous laquelle l'offre est identifiée par le porteur d'offre #xD; comment 0..1 string commentaire (Metadonnee) : Commentaire qui peut être associé à chaque objet #xD; telecom 0..* ContactPoint boiteLettreMSS (OffreOperationnelle) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) à l’offre opérationnelle #xD; extension 2..* Extension Extension #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-telecom-communication-channel S 1..1 CodeableConcept canal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-telecom-communication-channel Binding: JDV_J225_CanalCommunication_ROR (required) #xD; extension:ror-telecom-usage S 0..1 string utilisation (Telecommunication) : Utilisation du canal de communication URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-telecom-usage #xD; extension:ror-telecom-confidentiality-level S 1..1 CodeableConcept niveauConfidentialite (Telecommunication) : Niveau de restriction de l'accès aux attributs de la classe Télécommunication URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-telecom-confidentiality-level Binding: JDV_J222_NiveauConfidentialite_ROR (required) #xD; value S 1..1 string adresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication #xD; coverageArea 0..* Reference(Location | RORLocation) Location(s) service is intended for/available to #xD; Slices pour characteristic S 1..* CodeableConcept Collection of characteristics (attributes) Slice: Unordered, Open by value:coding.system, value:extension(https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type) #xD; characteristic:All Slices Content/Rules for all slices #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..1 code Type d'acte URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type Binding: Valueset type d'acte (required) #xD; characteristic:receptionType S 0..1 CodeableConcept temporaliteAccueil (OffreOperationnelle) : Précision sur le mode de prise en charge Binding: JDV_J30_TemporaliteAccueil_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:careMode S 1..1 CodeableConcept modePriseEnCharge (OffreOperationnelle) : Caractérise l'hébergement ainsi que le niveau de technicité et d'intensité des soins Binding: JDV_J19_ModePriseEnCharge_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:receptionModality S 0..* CodeableConcept modaliteAccueil (OffreOperationnelle) : Permet de préciser le mode de prise en charge géographiquement Binding: JDV_J226_ModaliteAccueil_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:managementType S 0..* CodeableConcept modeGestion (OffreOperationnelle) : Mode d’intervention des aides à domicile en fonction de la nature de la relation contractuelle Binding: JDV_J26_ModeGestion_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:specificAct S 0..* CodeableConcept acteSpecifique (OffreOperationnelle) : Action menée par un ou plusieurs acteur(s) de santé dans le cadre d’une activité Binding: JDV_J16_ActeSpecifique_ROR (required) #xD; extension 1..* Extension Extension #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 1..1 (Complex) Type d'acte URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type #xD; value[x] 0..1 code Value of extension Required Pattern: specificAct #xD; characteristic:outsideOfficeAct S 0..* CodeableConcept acteRealiseHorsCabinet (OffreOperationnelle) : Permet de décrire l’offre de santé des médecins libéraux réalisée en dehors du cabinet, au sein d’un établissement Binding: JDV_J16_ActeSpecifique_ROR (required) #xD; extension 1..* Extension Extension #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 1..1 (Complex) Type d'acte URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type #xD; value[x] 0..1 code Value of extension Required Pattern: outsideOfficeAct #xD; characteristic:takingCareSpeciality S 0..* CodeableConcept specialisationPriseEnCharge (OffreOperationnelle) : Regroupement de troubles, de pathologies ou de déficiences qui nécessitent la mobilisation d'expertises, de compétences et/ou d'équipements spécifiques Binding: JDV_J35_SpecialisationDePriseEnCharge_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:annualOpening S 0..1 CodeableConcept ouvertureAnnuelle (OffreOperationnelle) : Nombre de jours maximum dans l’année au cours desquels la prestation peut être proposée par l'établissement Binding: JDV_J28_OuvertureAnnuelle_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:ressourceProfession S 0..* CodeableConcept professionRessource (OffreOperationnelle) : Traduit la mobilisation de métiers qui constituent un facteur différenciant dans la réalisation de la prestation Binding: JDV_J186_ProfessionRessource_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:specificCompetence S 0..* CodeableConcept competenceSpecifique (OffreOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personne Binding: JDV_J33_CompetenceSpecifique_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:expertiseLevel S 0..* CodeableConcept niveauExpertise (OffreOperationnelle) : Niveau de ressources humaines et matérielles engagées dans la réalisation de l'offre Binding: JDV_J227_NiveauExpertise_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; characteristic:temporalityStopService S 0..1 CodeableConcept typeFermeture (OffreOperationnelle) : Temporalité d'arrêt de réalisation de la prestation Binding: JDV_J185_TypeFermeture_ROR (required) #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-act-type S 0..0 code #xD; availableTime S 0..* BackboneElement horaire (OffreOperationnelle) : heureDebut + heureFin #xD; Slices pour extension Content/Rules for all slices #xD; extension:ror-available-time-type-of-time S 0..1 CodeableConcept typePlageHoraire (Horaire) : apporte un contexte à la plage horaire définie par la suite URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-available-time-type-of-time Binding: JDV_J41_TypeHoraire_ROR (required) #xD; extension:ror-available-time-effective-opening-closing-date S 0..1 Period debutDateEffective + finDateEffective (Horaire) URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-available-time-effective-opening-closing-date #xD; extension:ror-available-time-number-days-of-week S 0..1 integer jourSemaine (Horaire) : Numéro du jour dans la semaine - Remarque : L'utilisation de cette extension est privilégiée à celle de l'élément natif daysOfWeek. URL: https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-available-time-number-days-of-week #xD; daysOfWeek 0..1 code Remarque : L'utilisation de l'extension ror-available-time-number-days-of-week est privilégiée. #xD; availableStartTime S 0..1 time heureDebut (Horaire) : Heure de début de la plage horaire #xD; availableEndTime S 0..1 time heureFin (Horaire) : Heure de fin de la plage horaire #xD; Slices pour notAvailable S 0..* BackboneElement Not available during this time due to provided reason Slice: Unordered, Open by value:id #xD; notAvailable:closingReopeningDate S 0..1 BackboneElement Période de fermeture (during.start) et de réouverture prévisionnelle (during.end). #xD; id 1..1 string Unique id for inter-element referencing Required Pattern: closingReopeningDate #xD; description 1..1 string Reason presented to the user explaining why time not available Required Pattern: Période de fermeture et de réouverture prévisionnelle #xD; during #xD; start 0..1 dateTime dateFermeture (OffreOperationnelle) : Date effective à partir de laquelle la prestation n'est plus assurée #xD; end 0..1 dateTime DatePrevisionnelleReouverture (OffreOperationnelle) : date prévisionnelle à partir de laquelle la prestation sera de nouveau assurée #xD; Documentation for this format
Profil créé dans le cadre du ROR pour décrire les prestations que peut réaliser une structure et qui permettent de répondre au besoin de santé d'une personne
HealthcareService du Modèle exposition ROR V3
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 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 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='#'])]))
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
If a resource is contained in another resource, it SHALL NOT have a security label
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')])
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.
CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
Slicing pour gérer le code région définissant la région source des données
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.
zoneIntervention (OffreOperationnelle) : Périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite
Extension créée dans le cadre du ROR qui correspond au périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite. Cela inclut notamment les divisions territoriales dans lesquelles les professionnels se déplacent.
Profil 1, Profil 2 (sauf si uniteSensible = Oui), Profil 3 (sauf si uniteSensible = Oui), Profil 0 (sauf si uniteSensible = Oui)
RORHealthcareService : Profil 1, Profil 2 (sauf si uniteSensible = Oui), Profil 3 (sauf si uniteSensible = Oui), Profil 0 (sauf si uniteSensible = Oui) / ROROrganization : Profil 1, Profil 2, Profil 3, Profil 0
uniteSensible (OffreOperationnelle) : Permet de signaler que toutes les informations de description d'une offre sont confidentielles
Extension créée dans le cadre du ROR pour signaler que toutes les informations de description d'une offre sont confidentielles car elles présentent un risque d'utilisation à des fins malveillantes.
habilitationAuxSoinsSansConsentement (OffreOperationnelle) : permet d'identifier les offres pour lesquelles un établissement est autorisé à prendre en charge des patients sans leur consentement
Extension créée dans le cadre du ROR qui permet d'identifier les offres pour lesquelles un établissement est autorisé par le directeur général de l’ARS après avis du préfet, à prendre en charge des patients sans leur consentement.
secteurPsychiatrique (OffreOperationnelle) : aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur
Extension créée dans le cadre du ROR qui correspond à une aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur.
publicPrisEnCharge (Patientele) : Ensemble de personnes qui présentent des caractéristiques psychologiques, intellectuelles, physiques, psycho-motrices, comportementales leur permettant de bénéficier de la prestation décrite
Extension créée dans le cadre du ROR pour décrire un ensemble de personnes qui répondent à des critères leur permettant de bénéficier de la prestation décrite
contact (OffreOperationnelle) : Personne ou service qui agit comme point de contact auprès d'une autre personne ou d'un autre service
Extension créée dans le cadre du ROR pour décrire la personne ou le service qui agit comme point de contact de l'offre.
Profil 1, Profil 2 si niveau de confidentialité du contact = public ou restreint (sauf si uniteSensible = Oui), Profil 3 si champ d'activité MCO, PSY, SSR ou AMBULATOIRE et si niveau de confidentialité du contact = public (sauf si uniteSensible = Oui) Profil 3 si champ d'activité MS et si niveau de confidentialité du contact = public ou restreint (sauf si uniteSensible = Oui) Profil 0 si niveau de confidentialité du contact= public (sauf si uniteSensible = Oui)
Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.
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
identifiantOffre (OffreOperationnelle) : Identifiant de l'offre, unique et persistant au niveau national
CX / EI (occasionally, more often EI maps to a resource id or a URL)
II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
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
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.
SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])
The target of a resource reference is a RIM entry point (Act, Role, or Entity)
typeOffre (OffreOperationnelle) : Permet de distinguer les offres et de les classer en fonction de leur nature particulière
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.
fhir:CodeableConcept rdfs:subClassOf dt:CD
champActivite (OffreOperationnelle) : Domaine dans lequel s'inscrit l'offre
The specific type of service that may be delivered or performed.
Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
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.
activiteOperationnelle (ActiviteOperationnelle) : ensemble cohérent d’actions et de pratiques mises en œuvre pour répondre aux besoins en Santé de la personne
familleActiviteOperationnelle (ActiviteOperationnelle) : regroupement cohérent d’activités délivrées dans le cadre d'une prestation, répondant à un besoin de la personne
Location(s) where service may be provided
The location(s) where this healthcare service may be provided.
References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
nomOffre (OffreOpérationnelle) : Dénomination sous laquelle l'offre est identifiée par le porteur d'offre
Further description of the service as it would be presented to a consumer while searching.
Note that FHIR strings SHALL NOT exceed 1MB in size
commentaire (Metadonnee) : Commentaire qui peut être associé à chaque objet
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.
Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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.
When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as "Signed Procedure Consent".
If the Attachment has data, it SHALL have a contentType
not(exists(f:data)) or exists(f:contentType)
boiteLettreMSS (OffreOperationnelle) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) à l’offre opérationnelle
List of contacts related to this specific healthcare service.
If this is empty, then refer to the location's contacts.
A system is required if a value is provided.
not(exists(f:value)) or exists(f:system)
canal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication
utilisation (Telecommunication) : Utilisation du canal de communication
Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication
niveauConfidentialite (Telecommunication) : Niveau de restriction de l'accès aux attributs de la classe Télécommunication
Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.
phone | fax | email | pager | url | sms | other
Telecommunications form for contact point - what communications system is required to make use of the contact.
Telecommunications form for contact point.
adresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Need to support legacy numbers that are not in a tightly controlled format.
home | work | temp | old | mobile - purpose of this contact point
Identifies the purpose for the contact point.
Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Specify preferred order of use (1 = highest)
Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.
Note that rank does not necessarily follow the order in which the contacts are represented in the instance.
Time period when the contact point was/is in use
Time period when the contact point was/is in use.
A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). Period is not used for a duration (a measure of elapsed time). See [Duration](http://hl7.org/fhir/R4/datatypes.html#Duration).
If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)
not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))
IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
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.
Specific eligibility requirements required to use the service
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
Coded values underwhich a specific service is made available.
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.
Collection of characteristics (attributes)
Collection of characteristics (attributes).
These could be such things as is wheelchair accessible.
A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).
Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)
A reference to a code defined by a terminology system.
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Allows for alternative encodings within a code system, and translations to other code systems.
fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Plain text representation of the concept
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Very often the text is the same as a displayName of one of the codings.
The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
C*E.9. But note many systems use C*E.2 for this
fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
temporaliteAccueil (OffreOperationnelle) : Précision sur le mode de prise en charge
modePriseEnCharge (OffreOperationnelle) : Caractérise l'hébergement ainsi que le niveau de technicité et d'intensité des soins
modaliteAccueil (OffreOperationnelle) : Permet de préciser le mode de prise en charge géographiquement
modeGestion (OffreOperationnelle) : Mode d’intervention des aides à domicile en fonction de la nature de la relation contractuelle
acteSpecifique (OffreOperationnelle) : Action menée par un ou plusieurs acteur(s) de santé dans le cadre d’une activité
Profil 1, Profil 2 (sauf si uniteSensible = Oui), Profil 3 si champ d'activité = MS (sauf si uniteSensible = Oui)
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).
acteRealiseHorsCabinet (OffreOperationnelle) : Permet de décrire l’offre de santé des médecins libéraux réalisée en dehors du cabinet, au sein d’un établissement
specialisationPriseEnCharge (OffreOperationnelle) : Regroupement de troubles, de pathologies ou de déficiences qui nécessitent la mobilisation d'expertises, de compétences et/ou d'équipements spécifiques
ouvertureAnnuelle (OffreOperationnelle) : Nombre de jours maximum dans l’année au cours desquels la prestation peut être proposée par l'établissement
professionRessource (OffreOperationnelle) : Traduit la mobilisation de métiers qui constituent un facteur différenciant dans la réalisation de la prestation
competenceSpecifique (OffreOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personne
niveauExpertise (OffreOperationnelle) : Niveau de ressources humaines et matérielles engagées dans la réalisation de l'offre
typeFermeture (OffreOperationnelle) : Temporalité d'arrêt de réalisation de la prestation
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.
horaire (OffreOperationnelle) : heureDebut + heureFin
A collection of times that the Service Site is available.
More detailed availability information may be provided in associated Schedule/Slot resources.
typePlageHoraire (Horaire) : apporte un contexte à la plage horaire définie par la suite
Extension créée dans le cadre du ROR pour apporter un contexte à la plage horaire définie par la suite. Un planning peut être constitué de plusieurs plages horaires du même type ou de type différent.
debutDateEffective + finDateEffective (Horaire)
Extension créée dans le cadre du ROR pour décrire le planning d'activité d'un professionnel ou d'une offre.
jourSemaine (Horaire) : Numéro du jour dans la semaine - Remarque : L'utilisation de cette extension est privilégiée à celle de l'élément natif daysOfWeek.
Extension créée dans le cadre du ROR pour indiquer le numéro du jour dans la semaine.
Remarque : L'utilisation de l'extension ror-available-time-number-days-of-week est privilégiée.
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.
heureDebut (Horaire) : Heure de début de la plage horaire
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.
heureFin (Horaire) : Heure de fin de la plage horaire
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.
Période de fermeture (during.start) et de réouverture prévisionnelle (during.end).
Période de fermeture et de réouverture prévisionnelle
dateFermeture (OffreOperationnelle) : Date effective à partir de laquelle la prestation n'est plus assurée
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.
DatePrevisionnelleReouverture (OffreOperationnelle) : date prévisionnelle à partir de laquelle la prestation sera de nouveau assurée
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
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.