Répertoire national de l’Offre et des Ressources en santé et accompagnement médico-social
0.3.0 - ci-build France flag

Répertoire national de l’Offre et des Ressources en santé et accompagnement médico-social - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: RORHealthcareService - Detailed Descriptions

Active as of 2024-06-04

Definitions for the ror-healthcareservice resource profile.

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

0. HealthcareService
2. HealthcareService.meta
4. HealthcareService.meta.lastUpdated
Control1..?
Must Supporttrue
6. HealthcareService.meta.tag
SlicingThis element introduces a set of slices on HealthcareService.meta.tag. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 8. HealthcareService.meta.tag:codeRegion
    Slice NamecodeRegion
    Control0..1
    BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR
    (required to https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR)
    Must Supporttrue
    10. HealthcareService.extension
    Control3..?
    12. HealthcareService.extension:ror-territorial-division
    Slice Nameror-territorial-division
    ShortzoneIntervention (OffreOperationnelle) : Périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite
    Control0..*
    TypeExtension(RORTerritorialDivision) (Complex Extension)
    Must Supporttrue
    14. HealthcareService.extension:ror-healthcareservice-sensitive-unit
    Slice Nameror-healthcareservice-sensitive-unit
    ShortuniteSensible (OffreOperationnelle) : Permet de signaler que toutes les informations de description d'une offre sont confidentielles
    Control1..1
    TypeExtension(RORHealthcareServiceSensitiveUnit) (Extension Type: boolean)
    Must Supporttrue
    16. HealthcareService.extension:ror-healthcareservice-no-consent-habilitation
    Slice Nameror-healthcareservice-no-consent-habilitation
    ShorthabilitationAuxSoinsSansConsentement (OffreOperationnelle) : permet d'identifier les offres pour lesquelles un établissement est autorisé à prendre en charge des patients sans leur consentement
    Control0..1
    TypeExtension(RORHealthcareServiceNoConsentHabilitation) (Extension Type: boolean)
    Must Supporttrue
    18. HealthcareService.extension:ror-healthcareservice-psychiatric-sector
    Slice Nameror-healthcareservice-psychiatric-sector
    ShortsecteurPsychiatrique (OffreOperationnelle) : aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur
    Control0..*
    TypeExtension(RORHealthcareServicePsychiatricSector) (Extension Type: string)
    Must Supporttrue
    20. HealthcareService.extension:ror-healthcareservice-patient-type
    Slice Nameror-healthcareservice-patient-type
    ShortpublicPrisEnCharge (Patientele) : Ensemble de personnes qui présentent des caractéristiques psychologiques, intellectuelles, physiques, psycho-motrices, comportementales leur permettant de bénéficier de la prestation décrite
    Control1..1
    TypeExtension(RORHealthcareServicePatientType) (Complex Extension)
    Must Supporttrue
    22. HealthcareService.extension:ror-healthcareservice-contact
    Slice Nameror-healthcareservice-contact
    Shortcontact (OffreOperationnelle) : Personne ou service qui agit comme point de contact auprès d'une autre personne ou d'un autre service
    Control0..*
    TypeExtension(RORHealthcareServiceContact) (Complex Extension)
    Must Supporttrue
    24. HealthcareService.extension:ror-meta-creation-date
    Slice Nameror-meta-creation-date
    ShortdateCreation (Metadonnee)
    Control1..1
    TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
    Must Supporttrue
    26. HealthcareService.identifier
    ShortidentifiantOffre (OffreOperationnelle) : Identifiant de l'offre, unique et persistant au niveau national
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..1
    Must Supporttrue
    28. HealthcareService.providedBy
    TypeReference(FrOrganization, ROROrganization)
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    30. HealthcareService.category
    ShorttypeOffre (OffreOperationnelle) : Permet de distinguer les offres et de les classer en fonction de leur nature particulière
    Control0..1
    BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-ROR
    (required to https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-ROR)
    Must Supporttrue
    32. HealthcareService.type
    ShortchampActivite (OffreOperationnelle) : Domaine dans lequel s'inscrit l'offre
    Control1..1
    BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-ROR
    (required to https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-ROR)
    Must Supporttrue
    34. HealthcareService.specialty
    Control1..?
    Must Supporttrue
    36. HealthcareService.specialty.coding
    Control1..?
    SlicingThis element introduces a set of slices on HealthcareService.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ system
    • 38. HealthcareService.specialty.coding:operationalActivity
      Slice NameoperationalActivity
      ShortactiviteOperationnelle (ActiviteOperationnelle) : ensemble cohérent d’actions et de pratiques mises en œuvre pour répondre aux besoins en Santé de la personne
      Control1..1
      BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-ROR
      (required to https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-ROR)
      Must Supporttrue
      40. HealthcareService.specialty.coding:operationalActivityFamily
      Slice NameoperationalActivityFamily
      ShortfamilleActiviteOperationnelle (ActiviteOperationnelle) : regroupement cohérent d’activités délivrées dans le cadre d'une prestation, répondant à un besoin de la personne
      Control0..1
      BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-ROR
      (required to https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-ROR)
      Must Supporttrue
      42. HealthcareService.location
      TypeReference(Location, RORLocation)
      Must Supporttrue
      Must Support TypesNo must-support rules about the choice of types/profiles
      44. HealthcareService.name
      ShortnomOffre (OffreOpérationnelle) : Dénomination sous laquelle l'offre est identifiée par le porteur d'offre
      Must Supporttrue
      46. HealthcareService.comment
      Shortcommentaire (Metadonnee) : Commentaire qui peut être associé à chaque objet
      48. HealthcareService.telecom
      ShortboiteLettreMSS (OffreOperationnelle) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) à l’offre opérationnelle
      50. HealthcareService.telecom.extension
      Control2..?
      52. HealthcareService.telecom.extension:ror-telecom-communication-channel
      Slice Nameror-telecom-communication-channel
      Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
      Control1..1
      TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
      Must Supporttrue
      54. HealthcareService.telecom.extension:ror-telecom-usage
      Slice Nameror-telecom-usage
      Shortutilisation (Telecommunication) : Utilisation du canal de communication
      Control0..1
      TypeExtension(RORTelecomUsage) (Extension Type: string)
      Must Supporttrue
      56. HealthcareService.telecom.extension:ror-telecom-confidentiality-level
      Slice Nameror-telecom-confidentiality-level
      ShortniveauConfidentialite (Telecommunication) : Niveau de restriction de l'accès aux attributs de la classe Télécommunication
      Control1..1
      TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
      Must Supporttrue
      58. HealthcareService.telecom.value
      ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
      Control1..?
      Must Supporttrue
      60. HealthcareService.coverageArea
      TypeReference(Location, RORLocation)
      62. HealthcareService.characteristic
      Control1..?
      Must Supporttrue
      SlicingThis element introduces a set of slices on HealthcareService.characteristic. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ coding.system
      • value @ extension(https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type)
      • 64. HealthcareService.characteristic.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..1
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        66. HealthcareService.characteristic:receptionType
        Slice NamereceptionType
        ShorttemporaliteAccueil (OffreOperationnelle) : Précision sur le mode de prise en charge
        Control0..1
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR)
        Must Supporttrue
        68. HealthcareService.characteristic:receptionType.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        70. HealthcareService.characteristic:careMode
        Slice NamecareMode
        ShortmodePriseEnCharge (OffreOperationnelle) : Caractérise l'hébergement ainsi que le niveau de technicité et d'intensité des soins
        Control1..1
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR)
        Must Supporttrue
        72. HealthcareService.characteristic:careMode.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        74. HealthcareService.characteristic:receptionModality
        Slice NamereceptionModality
        ShortmodaliteAccueil (OffreOperationnelle) : Permet de préciser le mode de prise en charge géographiquement
        Control0..*
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR)
        Must Supporttrue
        76. HealthcareService.characteristic:receptionModality.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        78. HealthcareService.characteristic:managementType
        Slice NamemanagementType
        ShortmodeGestion (OffreOperationnelle) : Mode d’intervention des aides à domicile en fonction de la nature de la relation contractuelle
        Control0..*
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR)
        Must Supporttrue
        80. HealthcareService.characteristic:managementType.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        82. HealthcareService.characteristic:specificAct
        Slice NamespecificAct
        ShortacteSpecifique (OffreOperationnelle) : Action menée par un ou plusieurs acteur(s) de santé dans le cadre d’une activité
        Control0..*
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR)
        Must Supporttrue
        84. HealthcareService.characteristic:specificAct.extension
        Control1..?
        86. HealthcareService.characteristic:specificAct.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control1..1
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        88. HealthcareService.characteristic:specificAct.extension:ror-act-type.value[x]
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Pattern ValuespecificAct
        90. HealthcareService.characteristic:outsideOfficeAct
        Slice NameoutsideOfficeAct
        ShortacteRealiseHorsCabinet (OffreOperationnelle) : Permet de décrire l’offre de santé des médecins libéraux réalisée en dehors du cabinet, au sein d’un établissement
        Control0..*
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR)
        Must Supporttrue
        92. HealthcareService.characteristic:outsideOfficeAct.extension
        Control1..?
        94. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control1..1
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        96. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.value[x]
        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
        Pattern ValueoutsideOfficeAct
        98. HealthcareService.characteristic:takingCareSpeciality
        Slice NametakingCareSpeciality
        ShortspecialisationPriseEnCharge (OffreOperationnelle) : Regroupement de troubles, de pathologies ou de déficiences qui nécessitent la mobilisation d'expertises, de compétences et/ou d'équipements spécifiques
        Control0..*
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR)
        Must Supporttrue
        100. HealthcareService.characteristic:takingCareSpeciality.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        102. HealthcareService.characteristic:annualOpening
        Slice NameannualOpening
        ShortouvertureAnnuelle (OffreOperationnelle) : Nombre de jours maximum dans l’année au cours desquels la prestation peut être proposée par l'établissement
        Control0..1
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR)
        Must Supporttrue
        104. HealthcareService.characteristic:annualOpening.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        106. HealthcareService.characteristic:ressourceProfession
        Slice NameressourceProfession
        ShortprofessionRessource (OffreOperationnelle) : Traduit la mobilisation de métiers qui constituent un facteur différenciant dans la réalisation de la prestation
        Control0..*
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR)
        Must Supporttrue
        108. HealthcareService.characteristic:ressourceProfession.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        110. HealthcareService.characteristic:specificCompetence
        Slice NamespecificCompetence
        ShortcompetenceSpecifique (OffreOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personne
        Control0..*
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR)
        Must Supporttrue
        112. HealthcareService.characteristic:specificCompetence.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        114. HealthcareService.characteristic:expertiseLevel
        Slice NameexpertiseLevel
        ShortniveauExpertise (OffreOperationnelle) : Niveau de ressources humaines et matérielles engagées dans la réalisation de l'offre
        Control0..*
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR)
        Must Supporttrue
        116. HealthcareService.characteristic:expertiseLevel.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        118. HealthcareService.characteristic:temporalityStopService
        Slice NametemporalityStopService
        ShorttypeFermeture (OffreOperationnelle) : Temporalité d'arrêt de réalisation de la prestation
        Control0..1
        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR
        (required to https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR)
        Must Supporttrue
        120. HealthcareService.characteristic:temporalityStopService.extension:ror-act-type
        Slice Nameror-act-type
        ShortType d'acte
        Control0..0
        TypeExtension(RORActType) (Extension Type: code)
        Must Supporttrue
        122. HealthcareService.availableTime
        Shorthoraire (OffreOperationnelle) : heureDebut + heureFin
        Control0..1
        Must Supporttrue
        124. HealthcareService.availableTime.extension:ror-available-time-type-of-time
        Slice Nameror-available-time-type-of-time
        ShorttypePlageHoraire (Horaire) : apporte un contexte à la plage horaire définie par la suite
        Control0..1
        TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
        Must Supporttrue
        126. HealthcareService.availableTime.extension:ror-available-time-effective-opening-closing-date
        Slice Nameror-available-time-effective-opening-closing-date
        ShortdebutDateEffective + finDateEffective (Horaire)
        Control0..1
        TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
        Must Supporttrue
        128. HealthcareService.availableTime.extension:ror-available-time-number-days-of-week
        Slice Nameror-available-time-number-days-of-week
        ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
        Control0..1
        TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
        Must Supporttrue
        130. HealthcareService.availableTime.availableStartTime
        ShortheureDebut (Horaire) : Heure de début de la plage horaire
        Must Supporttrue
        132. HealthcareService.availableTime.availableEndTime
        ShortheureFin (Horaire) : Heure de fin de la plage horaire
        Must Supporttrue
        134. HealthcareService.notAvailable
        Must Supporttrue
        SlicingThis element introduces a set of slices on HealthcareService.notAvailable. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ id
        • 136. HealthcareService.notAvailable:closingReopeningDate
          Slice NameclosingReopeningDate
          ShortPériode de fermeture (during.start) et de réouverture prévisionnelle (during.end).
          Control0..1
          Must Supporttrue
          138. HealthcareService.notAvailable:closingReopeningDate.id
          Control1..?
          Pattern ValueclosingReopeningDate
          140. HealthcareService.notAvailable:closingReopeningDate.description
          Pattern ValuePériode de fermeture et de réouverture prévisionnelle
          142. HealthcareService.notAvailable:closingReopeningDate.during
          144. HealthcareService.notAvailable:closingReopeningDate.during.start
          ShortdateFermeture (OffreOperationnelle) : Date effective à partir de laquelle la prestation n'est plus assurée
          146. HealthcareService.notAvailable:closingReopeningDate.during.end
          ShortDatePrevisionnelleReouverture (OffreOperationnelle) : date prévisionnelle à partir de laquelle la prestation sera de nouveau assurée

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

          0. HealthcareService
          Definition

          The details of a healthcare service available at a location.

          ShortThe details of a healthcare service available at a location
          Control0..*
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-6: A resource should have narrative for robust management (text.`div`.exists())
          dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          2. HealthcareService.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          This element is affected by the following invariants: ele-1
          TypeMeta
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          4. HealthcareService.meta.lastUpdated
          Definition

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

          ShortWhen the resource version last changed
          Comments

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

          Control10..1
          This element is affected by the following invariants: ele-1
          Typeinstant
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. HealthcareService.meta.tag
          Definition

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

          ShortTags applied to this resource
          Comments

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

          Control0..*
          This element is affected by the following invariants: ele-1
          BindingFor example codes, see CommonTagshttp://hl7.org/fhir/ValueSet/common-tags
          (example to http://hl7.org/fhir/ValueSet/common-tags)

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

          TypeCoding
          Summarytrue
          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.meta.tag. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 8. HealthcareService.meta.tag:codeRegion
            Slice NamecodeRegion
            Definition

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

            ShortTags applied to this resource
            Comments

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

            Control0..1*
            This element is affected by the following invariants: ele-1
            BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-RORhttp://hl7.org/fhir/ValueSet/common-tags
            (required to https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR)
            TypeCoding
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            10. HealthcareService.implicitRules
            Definition

            A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

            ShortA set of rules under which this content was created
            Comments

            Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

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

            An Extension


            May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortExtensionAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control30..*
            This element is affected by the following invariants: ele-1
            TypeExtension
            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
            • 14. HealthcareService.extension:ror-territorial-division
              Slice Nameror-territorial-division
              Definition

              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.

              ShortzoneIntervention (OffreOperationnelle) : Périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(RORTerritorialDivision) (Complex Extension)
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              16. HealthcareService.extension:ror-healthcareservice-sensitive-unit
              Slice Nameror-healthcareservice-sensitive-unit
              Definition

              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.

              ShortuniteSensible (OffreOperationnelle) : Permet de signaler que toutes les informations de description d'une offre sont confidentielles
              Control1..1
              This element is affected by the following invariants: ele-1
              TypeExtension(RORHealthcareServiceSensitiveUnit) (Extension Type: boolean)
              Must Supporttrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              18. HealthcareService.extension:ror-healthcareservice-no-consent-habilitation
              Slice Nameror-healthcareservice-no-consent-habilitation
              Definition

              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.

              ShorthabilitationAuxSoinsSansConsentement (OffreOperationnelle) : permet d'identifier les offres pour lesquelles un établissement est autorisé à prendre en charge des patients sans leur consentement
              Control0..1
              This element is affected by the following invariants: ele-1
              TypeExtension(RORHealthcareServiceNoConsentHabilitation) (Extension Type: boolean)
              Must Supporttrue
              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.extension:ror-healthcareservice-psychiatric-sector
              Slice Nameror-healthcareservice-psychiatric-sector
              Definition

              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.

              ShortsecteurPsychiatrique (OffreOperationnelle) : aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(RORHealthcareServicePsychiatricSector) (Extension Type: string)
              Must Supporttrue
              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())
              22. HealthcareService.extension:ror-healthcareservice-patient-type
              Slice Nameror-healthcareservice-patient-type
              Definition

              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

              ShortpublicPrisEnCharge (Patientele) : Ensemble de personnes qui présentent des caractéristiques psychologiques, intellectuelles, physiques, psycho-motrices, comportementales leur permettant de bénéficier de la prestation décrite
              Control1..1
              This element is affected by the following invariants: ele-1
              TypeExtension(RORHealthcareServicePatientType) (Complex Extension)
              Must Supporttrue
              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())
              24. HealthcareService.extension:ror-healthcareservice-contact
              Slice Nameror-healthcareservice-contact
              Definition

              Extension créée dans le cadre du ROR pour décrire la personne ou le service qui agit comme point de contact de l'offre.

              Shortcontact (OffreOperationnelle) : Personne ou service qui agit comme point de contact auprès d'une autre personne ou d'un autre service
              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension(RORHealthcareServiceContact) (Complex Extension)
              Must Supporttrue
              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())
              26. HealthcareService.extension:ror-meta-creation-date
              Slice Nameror-meta-creation-date
              Definition

              Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.

              ShortdateCreation (Metadonnee)
              Control1..1
              This element is affected by the following invariants: ele-1
              TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
              Must Supporttrue
              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())
              28. HealthcareService.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              This element is affected by the following invariants: ele-1
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
              Standard StatusNormative (from Trial Use)
              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())
              SlicingThis element introduces a set of slices on HealthcareService.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 30. HealthcareService.identifier
                Definition

                External identifiers for this item.

                ShortidentifiantOffre (OffreOperationnelle) : Identifiant de l'offre, unique et persistant au niveau nationalExternal identifiers for this item
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control10..1*
                This element is affected by the following invariants: ele-1
                TypeIdentifier
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                32. HealthcareService.active
                Definition

                This flag is used to mark the record to not be used. This is not used when a center is closed for maintenance, or for holidays, the notAvailable period is to be used for this.

                ShortWhether this HealthcareService record is in active use
                Comments

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

                Control0..1
                This element is affected by the following invariants: ele-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
                Summarytrue
                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()))
                34. HealthcareService.providedBy
                Definition

                The organization that provides this healthcare service.

                ShortOrganization that provides this service
                Comments

                This property is recommended to be the same as the Location's managingOrganization, and if not provided should be interpreted as such. If the Location does not have a managing Organization, then this property should be populated.

                Control0..1
                This element is affected by the following invariants: ele-1
                TypeReference(FrOrganization, ROROrganization, Organization)
                Must Supporttrue
                Must Support TypesNo must-support rules about the choice of types/profiles
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ref-1: 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')))
                36. HealthcareService.category
                Definition

                Identifies the broad category of service being performed or delivered.

                ShorttypeOffre (OffreOperationnelle) : Permet de distinguer les offres et de les classer en fonction de leur nature particulièreBroad category of service being performed or delivered
                Comments

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

                Control0..1*
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-RORhttp://hl7.org/fhir/ValueSet/service-category
                (required to https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-ROR)
                TypeCodeableConcept
                Must Supporttrue
                Summarytrue
                Alternate Namesservice category
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                38. HealthcareService.type
                Definition

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

                ShortchampActivite (OffreOperationnelle) : Domaine dans lequel s'inscrit l'offreType of service that may be delivered or performed
                Comments

                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.

                Control10..1*
                This element is affected by the following invariants: ele-1
                BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-RORhttp://hl7.org/fhir/ValueSet/service-type
                (required to https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-ROR)
                TypeCodeableConcept
                Must Supporttrue
                Summarytrue
                Alternate Namesservice type
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                40. HealthcareService.specialty
                Definition

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

                ShortSpecialties handled by the HealthcareService
                Comments

                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.

                Control10..*
                This element is affected by the following invariants: ele-1
                BindingThe codes SHOULD be taken from PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codes
                (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

                A specialty that a healthcare service may provide.

                TypeCodeableConcept
                Must Supporttrue
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                42. HealthcareService.specialty.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

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

                Control10..*
                This element is affected by the following invariants: ele-1
                TypeCoding
                Summarytrue
                Requirements

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

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on HealthcareService.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ system
                • 44. HealthcareService.specialty.coding:operationalActivity
                  Slice NameoperationalActivity
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortactiviteOperationnelle (ActiviteOperationnelle) : ensemble cohérent d’actions et de pratiques mises en œuvre pour répondre aux besoins en Santé de la personneCode defined by a terminology system
                  Comments

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

                  Control10..1*
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from For codes, see https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-ROR
                  (required to https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-ROR)
                  TypeCoding
                  Must Supporttrue
                  Summarytrue
                  Requirements

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

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  46. HealthcareService.specialty.coding:operationalActivityFamily
                  Slice NameoperationalActivityFamily
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortfamilleActiviteOperationnelle (ActiviteOperationnelle) : regroupement cohérent d’activités délivrées dans le cadre d'une prestation, répondant à un besoin de la personneCode defined by a terminology system
                  Comments

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

                  Control0..1*
                  This element is affected by the following invariants: ele-1
                  BindingThe codes SHALL be taken from For codes, see https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-ROR
                  (required to https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-ROR)
                  TypeCoding
                  Must Supporttrue
                  Summarytrue
                  Requirements

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

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

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

                  ShortLocation(s) where service may be provided
                  Comments

                  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.

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  TypeReference(Location, RORLocation)
                  Must Supporttrue
                  Must Support TypesNo must-support rules about the choice of types/profiles
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ref-1: 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')))
                  50. HealthcareService.name
                  Definition

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

                  ShortnomOffre (OffreOpérationnelle) : Dénomination sous laquelle l'offre est identifiée par le porteur d'offreDescription of service as presented to a consumer while searching
                  Comments

                  Note that FHIR strings SHALL NOT exceed 1MB in size

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  52. HealthcareService.comment
                  Definition

                  Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.

                  Shortcommentaire (Metadonnee) : Commentaire qui peut être associé à chaque objetAdditional description and/or any specific issues not covered elsewhere
                  Comments

                  Would expect that a user would not see this information on a search results, and it would only be available when viewing the complete details of the service.

                  Control0..1
                  This element is affected by the following invariants: ele-1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  54. HealthcareService.telecom
                  Definition

                  List of contacts related to this specific healthcare service.

                  ShortboiteLettreMSS (OffreOperationnelle) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) à l’offre opérationnelleContacts related to the healthcare service
                  Comments

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

                  Control0..*
                  This element is affected by the following invariants: ele-1
                  TypeContactPoint
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                  56. HealthcareService.telecom.extension
                  Definition

                  An Extension


                  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.

                  ShortExtensionAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control20..*
                  This element is affected by the following invariants: ele-1
                  TypeExtension
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on HealthcareService.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 58. HealthcareService.telecom.extension:ror-telecom-communication-channel
                    Slice Nameror-telecom-communication-channel
                    Definition

                    Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication

                    Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
                    Control1..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
                    Must Supporttrue
                    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())
                    60. HealthcareService.telecom.extension:ror-telecom-usage
                    Slice Nameror-telecom-usage
                    Definition

                    Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication

                    Shortutilisation (Telecommunication) : Utilisation du canal de communication
                    Control0..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(RORTelecomUsage) (Extension Type: string)
                    Must Supporttrue
                    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())
                    62. HealthcareService.telecom.extension:ror-telecom-confidentiality-level
                    Slice Nameror-telecom-confidentiality-level
                    Definition

                    Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.

                    ShortniveauConfidentialite (Telecommunication) : Niveau de restriction de l'accès aux attributs de la classe Télécommunication
                    Control1..1
                    This element is affected by the following invariants: ele-1
                    TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
                    Must Supporttrue
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    64. HealthcareService.telecom.system
                    Definition

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

                    Shortphone | fax | email | pager | url | sms | other
                    Comments

                    Note that FHIR strings SHALL NOT exceed 1MB in size

                    Control0..1
                    This element is affected by the following invariants: ele-1, cpt-2
                    BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                    (required to http://hl7.org/fhir/ValueSet/contact-point-system|4.0.1)

                    Telecommunications form for contact point.

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

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

                    ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communicationThe actual contact point details
                    Comments

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

                    Control10..1
                    This element is affected by the following invariants: ele-1
                    Typestring
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Summarytrue
                    Requirements

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

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

                    Identifies the purpose for the contact point.

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

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

                    Control0..1
                    This element is affected by the following invariants: ele-1
                    BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                    (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                    Use of contact point.

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

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

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

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

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

                    The locations referenced by the coverage area can include both specific locations, including areas, and also conceptual domains too (mode = kind), such as a physical area (tri-state area) and some other attribute (covered by Example Care Organization). These types of Locations are often not managed by any specific organization. This could also include generic locations such as "in-home".

                    Control0..*
                    This element is affected by the following invariants: ele-1
                    TypeReference(Location, RORLocation)
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ref-1: 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')))
                    72. HealthcareService.characteristic
                    Definition

                    Collection of characteristics (attributes).

                    ShortCollection of characteristics (attributes)
                    Comments

                    These could be such things as is wheelchair accessible.

                    Control10..*
                    This element is affected by the following invariants: ele-1
                    Binding

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

                    TypeCodeableConcept
                    Must Supporttrue
                    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.characteristic. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ coding.system
                    • value @ extension(https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type)
                    • 74. HealthcareService.characteristic.extension:ror-act-type
                      Slice Nameror-act-type
                      Definition

                      Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                      ShortType d'acte
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      TypeExtension(RORActType) (Extension Type: code)
                      Must Supporttrue
                      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.characteristic:receptionType
                      Slice NamereceptionType
                      Definition

                      Collection of characteristics (attributes).

                      ShorttemporaliteAccueil (OffreOperationnelle) : Précision sur le mode de prise en chargeCollection of characteristics (attributes)
                      Comments

                      These could be such things as is wheelchair accessible.

                      Control0..1*
                      This element is affected by the following invariants: ele-1
                      BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR)
                      TypeCodeableConcept
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      78. HealthcareService.characteristic:receptionType.extension:ror-act-type
                      Slice Nameror-act-type
                      Definition

                      Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                      ShortType d'acte
                      Control0..0
                      This element is affected by the following invariants: ele-1
                      TypeExtension(RORActType) (Extension Type: code)
                      Must Supporttrue
                      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())
                      80. HealthcareService.characteristic:careMode
                      Slice NamecareMode
                      Definition

                      Collection of characteristics (attributes).

                      ShortmodePriseEnCharge (OffreOperationnelle) : Caractérise l'hébergement ainsi que le niveau de technicité et d'intensité des soinsCollection of characteristics (attributes)
                      Comments

                      These could be such things as is wheelchair accessible.

                      Control10..1*
                      This element is affected by the following invariants: ele-1
                      BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR)
                      TypeCodeableConcept
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      82. HealthcareService.characteristic:careMode.extension:ror-act-type
                      Slice Nameror-act-type
                      Definition

                      Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                      ShortType d'acte
                      Control0..0
                      This element is affected by the following invariants: ele-1
                      TypeExtension(RORActType) (Extension Type: code)
                      Must Supporttrue
                      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())
                      84. HealthcareService.characteristic:receptionModality
                      Slice NamereceptionModality
                      Definition

                      Collection of characteristics (attributes).

                      ShortmodaliteAccueil (OffreOperationnelle) : Permet de préciser le mode de prise en charge géographiquementCollection of characteristics (attributes)
                      Comments

                      These could be such things as is wheelchair accessible.

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR)
                      TypeCodeableConcept
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      86. HealthcareService.characteristic:receptionModality.extension:ror-act-type
                      Slice Nameror-act-type
                      Definition

                      Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                      ShortType d'acte
                      Control0..0
                      This element is affected by the following invariants: ele-1
                      TypeExtension(RORActType) (Extension Type: code)
                      Must Supporttrue
                      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())
                      88. HealthcareService.characteristic:managementType
                      Slice NamemanagementType
                      Definition

                      Collection of characteristics (attributes).

                      ShortmodeGestion (OffreOperationnelle) : Mode d’intervention des aides à domicile en fonction de la nature de la relation contractuelleCollection of characteristics (attributes)
                      Comments

                      These could be such things as is wheelchair accessible.

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR)
                      TypeCodeableConcept
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      90. HealthcareService.characteristic:managementType.extension:ror-act-type
                      Slice Nameror-act-type
                      Definition

                      Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                      ShortType d'acte
                      Control0..0
                      This element is affected by the following invariants: ele-1
                      TypeExtension(RORActType) (Extension Type: code)
                      Must Supporttrue
                      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())
                      92. HealthcareService.characteristic:specificAct
                      Slice NamespecificAct
                      Definition

                      Collection of characteristics (attributes).

                      ShortacteSpecifique (OffreOperationnelle) : Action menée par un ou plusieurs acteur(s) de santé dans le cadre d’une activitéCollection of characteristics (attributes)
                      Comments

                      These could be such things as is wheelchair accessible.

                      Control0..*
                      This element is affected by the following invariants: ele-1
                      BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
                      (required to https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR)
                      TypeCodeableConcept
                      Must Supporttrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      94. HealthcareService.characteristic:specificAct.extension
                      Definition

                      An Extension


                      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.

                      ShortExtensionAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control10..*
                      This element is affected by the following invariants: ele-1
                      TypeExtension
                      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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 96. HealthcareService.characteristic:specificAct.extension:ror-act-type
                        Slice Nameror-act-type
                        Definition

                        Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                        ShortType d'acte
                        Control1..1
                        This element is affected by the following invariants: ele-1
                        TypeExtension(RORActType) (Extension Type: code)
                        Must Supporttrue
                        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.characteristic:specificAct.extension:ror-act-type.extension
                        Definition

                        An Extension


                        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.

                        ShortExtensionAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..0*
                        This element is affected by the following invariants: ele-1
                        TypeExtension
                        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.characteristic.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 100. HealthcareService.characteristic:specificAct.extension:ror-act-type.url
                          Definition

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

                          Shortidentifies the meaning of the extension
                          Comments

                          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.

                          Control1..1
                          Typeuri
                          XML FormatIn the XML format, this property is represented as an attribute.
                          Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type
                          102. HealthcareService.characteristic:specificAct.extension:ror-act-type.value[x]
                          Definition

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

                          ShortValue of extension
                          Control0..1
                          This element is affected by the following invariants: ele-1
                          BindingThe codes SHALL be taken from For codes, see Valueset type d'acte
                          (required to https://interop.esante.gouv.fr/ig/fhir/ror/ValueSet/act-type-ror-valueset)
                          Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Pattern ValuespecificAct
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          104. HealthcareService.characteristic:outsideOfficeAct
                          Slice NameoutsideOfficeAct
                          Definition

                          Collection of characteristics (attributes).

                          ShortacteRealiseHorsCabinet (OffreOperationnelle) : Permet de décrire l’offre de santé des médecins libéraux réalisée en dehors du cabinet, au sein d’un établissementCollection of characteristics (attributes)
                          Comments

                          These could be such things as is wheelchair accessible.

                          Control0..*
                          This element is affected by the following invariants: ele-1
                          BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
                          (required to https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR)
                          TypeCodeableConcept
                          Must Supporttrue
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          106. HealthcareService.characteristic:outsideOfficeAct.extension
                          Definition

                          An Extension


                          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.

                          ShortExtensionAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control10..*
                          This element is affected by the following invariants: ele-1
                          TypeExtension
                          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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • 108. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type
                            Slice Nameror-act-type
                            Definition

                            Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                            ShortType d'acte
                            Control1..1
                            This element is affected by the following invariants: ele-1
                            TypeExtension(RORActType) (Extension Type: code)
                            Must Supporttrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            110. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.extension
                            Definition

                            An Extension


                            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.

                            ShortExtensionAdditional content defined by implementations
                            Comments

                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                            Control0..0*
                            This element is affected by the following invariants: ele-1
                            TypeExtension
                            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.characteristic.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ url
                            • 112. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.url
                              Definition

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

                              Shortidentifies the meaning of the extension
                              Comments

                              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.

                              Control1..1
                              Typeuri
                              XML FormatIn the XML format, this property is represented as an attribute.
                              Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type
                              114. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.value[x]
                              Definition

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

                              ShortValue of extension
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from For codes, see Valueset type d'acte
                              (required to https://interop.esante.gouv.fr/ig/fhir/ror/ValueSet/act-type-ror-valueset)
                              Typecode, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
                              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Pattern ValueoutsideOfficeAct
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              116. HealthcareService.characteristic:takingCareSpeciality
                              Slice NametakingCareSpeciality
                              Definition

                              Collection of characteristics (attributes).

                              ShortspecialisationPriseEnCharge (OffreOperationnelle) : Regroupement de troubles, de pathologies ou de déficiences qui nécessitent la mobilisation d'expertises, de compétences et/ou d'équipements spécifiquesCollection of characteristics (attributes)
                              Comments

                              These could be such things as is wheelchair accessible.

                              Control0..*
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR)
                              TypeCodeableConcept
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              118. HealthcareService.characteristic:takingCareSpeciality.extension:ror-act-type
                              Slice Nameror-act-type
                              Definition

                              Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                              ShortType d'acte
                              Control0..0
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORActType) (Extension Type: code)
                              Must Supporttrue
                              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())
                              120. HealthcareService.characteristic:annualOpening
                              Slice NameannualOpening
                              Definition

                              Collection of characteristics (attributes).

                              ShortouvertureAnnuelle (OffreOperationnelle) : Nombre de jours maximum dans l’année au cours desquels la prestation peut être proposée par l'établissementCollection of characteristics (attributes)
                              Comments

                              These could be such things as is wheelchair accessible.

                              Control0..1*
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR)
                              TypeCodeableConcept
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              122. HealthcareService.characteristic:annualOpening.extension:ror-act-type
                              Slice Nameror-act-type
                              Definition

                              Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                              ShortType d'acte
                              Control0..0
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORActType) (Extension Type: code)
                              Must Supporttrue
                              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())
                              124. HealthcareService.characteristic:ressourceProfession
                              Slice NameressourceProfession
                              Definition

                              Collection of characteristics (attributes).

                              ShortprofessionRessource (OffreOperationnelle) : Traduit la mobilisation de métiers qui constituent un facteur différenciant dans la réalisation de la prestationCollection of characteristics (attributes)
                              Comments

                              These could be such things as is wheelchair accessible.

                              Control0..*
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR)
                              TypeCodeableConcept
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              126. HealthcareService.characteristic:ressourceProfession.extension:ror-act-type
                              Slice Nameror-act-type
                              Definition

                              Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                              ShortType d'acte
                              Control0..0
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORActType) (Extension Type: code)
                              Must Supporttrue
                              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())
                              128. HealthcareService.characteristic:specificCompetence
                              Slice NamespecificCompetence
                              Definition

                              Collection of characteristics (attributes).

                              ShortcompetenceSpecifique (OffreOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personneCollection of characteristics (attributes)
                              Comments

                              These could be such things as is wheelchair accessible.

                              Control0..*
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR)
                              TypeCodeableConcept
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              130. HealthcareService.characteristic:specificCompetence.extension:ror-act-type
                              Slice Nameror-act-type
                              Definition

                              Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                              ShortType d'acte
                              Control0..0
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORActType) (Extension Type: code)
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              132. HealthcareService.characteristic:expertiseLevel
                              Slice NameexpertiseLevel
                              Definition

                              Collection of characteristics (attributes).

                              ShortniveauExpertise (OffreOperationnelle) : Niveau de ressources humaines et matérielles engagées dans la réalisation de l'offreCollection of characteristics (attributes)
                              Comments

                              These could be such things as is wheelchair accessible.

                              Control0..*
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR)
                              TypeCodeableConcept
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              134. HealthcareService.characteristic:expertiseLevel.extension:ror-act-type
                              Slice Nameror-act-type
                              Definition

                              Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                              ShortType d'acte
                              Control0..0
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORActType) (Extension Type: code)
                              Must Supporttrue
                              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())
                              136. HealthcareService.characteristic:temporalityStopService
                              Slice NametemporalityStopService
                              Definition

                              Collection of characteristics (attributes).

                              ShorttypeFermeture (OffreOperationnelle) : Temporalité d'arrêt de réalisation de la prestationCollection of characteristics (attributes)
                              Comments

                              These could be such things as is wheelchair accessible.

                              Control0..1*
                              This element is affected by the following invariants: ele-1
                              BindingThe codes SHALL be taken from For example codes, see https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR
                              (required to https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR)
                              TypeCodeableConcept
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              138. HealthcareService.characteristic:temporalityStopService.extension:ror-act-type
                              Slice Nameror-act-type
                              Definition

                              Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                              ShortType d'acte
                              Control0..0
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORActType) (Extension Type: code)
                              Must Supporttrue
                              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())
                              140. HealthcareService.availableTime
                              Definition

                              A collection of times that the Service Site is available.

                              Shorthoraire (OffreOperationnelle) : heureDebut + heureFinTimes the Service Site is available
                              Comments

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

                              Control0..1*
                              This element is affected by the following invariants: ele-1
                              TypeBackboneElement
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              142. HealthcareService.availableTime.extension:ror-available-time-type-of-time
                              Slice Nameror-available-time-type-of-time
                              Definition

                              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.

                              ShorttypePlageHoraire (Horaire) : apporte un contexte à la plage horaire définie par la suite
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              144. HealthcareService.availableTime.extension:ror-available-time-effective-opening-closing-date
                              Slice Nameror-available-time-effective-opening-closing-date
                              Definition

                              Extension créée dans le cadre du ROR pour décrire le planning d'activité d'un professionnel ou d'une offre.

                              ShortdebutDateEffective + finDateEffective (Horaire)
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
                              Must Supporttrue
                              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())
                              146. HealthcareService.availableTime.extension:ror-available-time-number-days-of-week
                              Slice Nameror-available-time-number-days-of-week
                              Definition

                              Extension créée dans le cadre du ROR pour indiquer le numéro du jour dans la semaine.

                              ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
                              Must Supporttrue
                              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())
                              148. HealthcareService.availableTime.modifierExtension
                              Definition

                              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                              ShortExtensions that cannot be ignored even if unrecognized
                              Comments

                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                              Control0..*
                              This element is affected by the following invariants: ele-1
                              TypeExtension
                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                              Summarytrue
                              Requirements

                              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                              Alternate Namesextensions, user content, modifiers
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              150. HealthcareService.availableTime.availableStartTime
                              Definition

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

                              ShortheureDebut (Horaire) : Heure de début de la plage horaireOpening time of day (ignored if allDay = true)
                              Comments

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

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typetime
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              152. HealthcareService.availableTime.availableEndTime
                              Definition

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

                              ShortheureFin (Horaire) : Heure de fin de la plage horaireClosing time of day (ignored if allDay = true)
                              Comments

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

                              Control0..1
                              This element is affected by the following invariants: ele-1
                              Typetime
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              154. HealthcareService.notAvailable
                              Definition

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

                              ShortNot available during this time due to provided reason
                              Control0..*
                              This element is affected by the following invariants: ele-1
                              TypeBackboneElement
                              Must Supporttrue
                              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.notAvailable. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ id
                              • 156. HealthcareService.notAvailable.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                This element is affected by the following invariants: ele-1
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                158. HealthcareService.notAvailable.description
                                Definition

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

                                ShortReason presented to the user explaining why time not available
                                Comments

                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                Control1..1
                                This element is affected by the following invariants: ele-1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                160. HealthcareService.notAvailable:closingReopeningDate
                                Slice NameclosingReopeningDate
                                Definition

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

                                ShortPériode de fermeture (during.start) et de réouverture prévisionnelle (during.end).Not available during this time due to provided reason
                                Control0..1*
                                This element is affected by the following invariants: ele-1
                                TypeBackboneElement
                                Must Supporttrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                162. HealthcareService.notAvailable:closingReopeningDate.id
                                Definition

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

                                ShortUnique id for inter-element referencing
                                Control10..1
                                Typestring
                                XML FormatIn the XML format, this property is represented as an attribute.
                                Pattern ValueclosingReopeningDate
                                164. HealthcareService.notAvailable:closingReopeningDate.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                This element is affected by the following invariants: ele-1
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                166. HealthcareService.notAvailable:closingReopeningDate.description
                                Definition

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

                                ShortReason presented to the user explaining why time not available
                                Comments

                                Note that FHIR strings SHALL NOT exceed 1MB in size

                                Control1..1
                                This element is affected by the following invariants: ele-1
                                Typestring
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Pattern ValuePériode de fermeture et de réouverture prévisionnelle
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

                                0. HealthcareService
                                Definition

                                The details of a healthcare service available at a location.

                                ShortThe details of a healthcare service available at a location
                                Control0..*
                                Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.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-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-6: A resource should have narrative for robust management (text.`div`.exists())
                                dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                2. HealthcareService.id
                                Definition

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

                                ShortLogical id of this artifact
                                Comments

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

                                Control0..1
                                Typeid
                                Summarytrue
                                4. HealthcareService.meta
                                Definition

                                The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                ShortMetadata about the resource
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeMeta
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                6. HealthcareService.meta.id
                                Definition

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

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

                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                ShortAdditional content defined by implementations
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                This element is affected by the following invariants: ele-1
                                TypeExtension
                                Standard StatusNormative (from Trial Use)
                                Alternate Namesextensions, user content
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                SlicingThis element introduces a set of slices on HealthcareService.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ url
                                • 10. HealthcareService.meta.versionId
                                  Definition

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

                                  ShortVersion specific identifier
                                  Comments

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

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

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

                                  ShortWhen the resource version last changed
                                  Comments

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

                                  Control1..1
                                  This element is affected by the following invariants: ele-1
                                  Typeinstant
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Must Supporttrue
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  14. HealthcareService.meta.source
                                  Definition

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

                                  ShortIdentifies where the resource comes from
                                  Comments

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

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

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

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

                                  ShortProfiles this resource claims to conform to
                                  Comments

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

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

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

                                  ShortSecurity Labels applied to this resource
                                  Comments

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

                                  Control0..*
                                  This element is affected by the following invariants: ele-1
                                  BindingUnless not suitable, these codes SHALL be taken from All Security Labels
                                  (extensible to http://hl7.org/fhir/ValueSet/security-labels)

                                  Security Labels from the Healthcare Privacy and Security Classification System.

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

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

                                  ShortTags applied to this resource
                                  Comments

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

                                  Control0..*
                                  This element is affected by the following invariants: ele-1
                                  BindingFor example codes, see CommonTags
                                  (example to http://hl7.org/fhir/ValueSet/common-tags)

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

                                  TypeCoding
                                  Summarytrue
                                  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.meta.tag. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • 22. HealthcareService.meta.tag:codeRegion
                                    Slice NamecodeRegion
                                    Definition

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

                                    ShortTags applied to this resource
                                    Comments

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

                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR
                                    (required to https://mos.esante.gouv.fr/NOS/JDV_J237-RegionOM-ROR/FHIR/JDV-J237-RegionOM-ROR)
                                    TypeCoding
                                    Must Supporttrue
                                    Summarytrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    24. HealthcareService.implicitRules
                                    Definition

                                    A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                    ShortA set of rules under which this content was created
                                    Comments

                                    Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

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

                                    The base language in which the resource is written.

                                    ShortLanguage of the resource content
                                    Comments

                                    Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    BindingThe codes SHOULD be taken from CommonLanguages
                                    (preferred to http://hl7.org/fhir/ValueSet/languages)

                                    A human language.

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

                                    A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                    ShortText summary of the resource, for human interpretation
                                    Comments

                                    Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    TypeNarrative
                                    Alternate Namesnarrative, html, xhtml, display
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    30. HealthcareService.contained
                                    Definition

                                    These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                    ShortContained, inline Resources
                                    Comments

                                    This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                    Control0..*
                                    TypeResource
                                    Alternate Namesinline resources, anonymous resources, contained resources
                                    32. HealthcareService.extension
                                    Definition

                                    An Extension

                                    ShortExtension
                                    Control3..*
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension
                                    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
                                    • 34. HealthcareService.extension:ror-territorial-division
                                      Slice Nameror-territorial-division
                                      Definition

                                      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.

                                      ShortzoneIntervention (OffreOperationnelle) : Périmètre géographique dans lequel habitent les personnes pouvant être prises en charge pour la prestation décrite
                                      Control0..*
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(RORTerritorialDivision) (Complex Extension)
                                      Must Supporttrue
                                      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())
                                      36. HealthcareService.extension:ror-healthcareservice-sensitive-unit
                                      Slice Nameror-healthcareservice-sensitive-unit
                                      Definition

                                      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.

                                      ShortuniteSensible (OffreOperationnelle) : Permet de signaler que toutes les informations de description d'une offre sont confidentielles
                                      Control1..1
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(RORHealthcareServiceSensitiveUnit) (Extension Type: boolean)
                                      Must Supporttrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      38. HealthcareService.extension:ror-healthcareservice-no-consent-habilitation
                                      Slice Nameror-healthcareservice-no-consent-habilitation
                                      Definition

                                      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.

                                      ShorthabilitationAuxSoinsSansConsentement (OffreOperationnelle) : permet d'identifier les offres pour lesquelles un établissement est autorisé à prendre en charge des patients sans leur consentement
                                      Control0..1
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(RORHealthcareServiceNoConsentHabilitation) (Extension Type: boolean)
                                      Must Supporttrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      40. HealthcareService.extension:ror-healthcareservice-psychiatric-sector
                                      Slice Nameror-healthcareservice-psychiatric-sector
                                      Definition

                                      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.

                                      ShortsecteurPsychiatrique (OffreOperationnelle) : aire géographique à laquelle sont rattachées des structures de relais et de soins qui prennent en charge des patients résidants sur ce secteur
                                      Control0..*
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(RORHealthcareServicePsychiatricSector) (Extension Type: string)
                                      Must Supporttrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      42. HealthcareService.extension:ror-healthcareservice-patient-type
                                      Slice Nameror-healthcareservice-patient-type
                                      Definition

                                      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

                                      ShortpublicPrisEnCharge (Patientele) : Ensemble de personnes qui présentent des caractéristiques psychologiques, intellectuelles, physiques, psycho-motrices, comportementales leur permettant de bénéficier de la prestation décrite
                                      Control1..1
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(RORHealthcareServicePatientType) (Complex Extension)
                                      Must Supporttrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      44. HealthcareService.extension:ror-healthcareservice-contact
                                      Slice Nameror-healthcareservice-contact
                                      Definition

                                      Extension créée dans le cadre du ROR pour décrire la personne ou le service qui agit comme point de contact de l'offre.

                                      Shortcontact (OffreOperationnelle) : Personne ou service qui agit comme point de contact auprès d'une autre personne ou d'un autre service
                                      Control0..*
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(RORHealthcareServiceContact) (Complex Extension)
                                      Must Supporttrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      46. HealthcareService.extension:ror-meta-creation-date
                                      Slice Nameror-meta-creation-date
                                      Definition

                                      Extension créée dans le cadre du ROR qui correspond à la date de création (dans le ROR régional) présente dans les métadonnées.

                                      ShortdateCreation (Metadonnee)
                                      Control1..1
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension(RORMetaCreationDate) (Extension Type: dateTime)
                                      Must Supporttrue
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      48. HealthcareService.modifierExtension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                      ShortExtensions that cannot be ignored
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      This element is affected by the following invariants: ele-1
                                      TypeExtension
                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                      Standard StatusNormative (from Trial Use)
                                      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())
                                      SlicingThis element introduces a set of slices on HealthcareService.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 50. HealthcareService.identifier
                                        Definition

                                        External identifiers for this item.

                                        ShortidentifiantOffre (OffreOperationnelle) : Identifiant de l'offre, unique et persistant au niveau national
                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                        Control1..1
                                        This element is affected by the following invariants: ele-1
                                        TypeIdentifier
                                        Must Supporttrue
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        52. HealthcareService.active
                                        Definition

                                        This flag is used to mark the record to not be used. This is not used when a center is closed for maintenance, or for holidays, the notAvailable period is to be used for this.

                                        ShortWhether this HealthcareService record is in active use
                                        Comments

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

                                        Control0..1
                                        This element is affected by the following invariants: ele-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
                                        Summarytrue
                                        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()))
                                        54. HealthcareService.providedBy
                                        Definition

                                        The organization that provides this healthcare service.

                                        ShortOrganization that provides this service
                                        Comments

                                        This property is recommended to be the same as the Location's managingOrganization, and if not provided should be interpreted as such. If the Location does not have a managing Organization, then this property should be populated.

                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        TypeReference(FrOrganization, ROROrganization)
                                        Must Supporttrue
                                        Must Support TypesNo must-support rules about the choice of types/profiles
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ref-1: 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')))
                                        56. HealthcareService.category
                                        Definition

                                        Identifies the broad category of service being performed or delivered.

                                        ShorttypeOffre (OffreOperationnelle) : Permet de distinguer les offres et de les classer en fonction de leur nature particulière
                                        Comments

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

                                        Control0..1
                                        This element is affected by the following invariants: ele-1
                                        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-ROR
                                        (required to https://mos.esante.gouv.fr/NOS/JDV_J238-TypeOffre-ROR/FHIR/JDV-J238-TypeOffre-ROR)
                                        TypeCodeableConcept
                                        Must Supporttrue
                                        Summarytrue
                                        Alternate Namesservice category
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        58. HealthcareService.type
                                        Definition

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

                                        ShortchampActivite (OffreOperationnelle) : Domaine dans lequel s'inscrit l'offre
                                        Comments

                                        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.

                                        Control1..1
                                        This element is affected by the following invariants: ele-1
                                        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-ROR
                                        (required to https://mos.esante.gouv.fr/NOS/JDV_J20-ChampActivite-ROR/FHIR/JDV-J20-ChampActivite-ROR)
                                        TypeCodeableConcept
                                        Must Supporttrue
                                        Summarytrue
                                        Alternate Namesservice type
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        60. HealthcareService.specialty
                                        Definition

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

                                        ShortSpecialties handled by the HealthcareService
                                        Comments

                                        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.

                                        Control1..*
                                        This element is affected by the following invariants: ele-1
                                        BindingThe codes SHOULD be taken from PracticeSettingCodeValueSet
                                        (preferred to http://hl7.org/fhir/ValueSet/c80-practice-codes)

                                        A specialty that a healthcare service may provide.

                                        TypeCodeableConcept
                                        Must Supporttrue
                                        Summarytrue
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        62. HealthcareService.specialty.id
                                        Definition

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

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        64. HealthcareService.specialty.extension
                                        Definition

                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                        ShortAdditional content defined by implementations
                                        Comments

                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                        Control0..*
                                        This element is affected by the following invariants: ele-1
                                        TypeExtension
                                        Standard StatusNormative (from Trial Use)
                                        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.specialty.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 66. HealthcareService.specialty.coding
                                          Definition

                                          A reference to a code defined by a terminology system.

                                          ShortCode defined by a terminology system
                                          Comments

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

                                          Control1..*
                                          This element is affected by the following invariants: ele-1
                                          TypeCoding
                                          Summarytrue
                                          Requirements

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

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          SlicingThis element introduces a set of slices on HealthcareService.specialty.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ system
                                          • 68. HealthcareService.specialty.coding:operationalActivity
                                            Slice NameoperationalActivity
                                            Definition

                                            A reference to a code defined by a terminology system.

                                            ShortactiviteOperationnelle (ActiviteOperationnelle) : ensemble cohérent d’actions et de pratiques mises en œuvre pour répondre aux besoins en Santé de la personne
                                            Comments

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

                                            Control1..1
                                            This element is affected by the following invariants: ele-1
                                            BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-ROR
                                            (required to https://mos.esante.gouv.fr/NOS/JDV_J17-ActiviteOperationnelle-ROR/FHIR/JDV-J17-ActiviteOperationnelle-ROR)
                                            TypeCoding
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

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

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            70. HealthcareService.specialty.coding:operationalActivityFamily
                                            Slice NameoperationalActivityFamily
                                            Definition

                                            A reference to a code defined by a terminology system.

                                            ShortfamilleActiviteOperationnelle (ActiviteOperationnelle) : regroupement cohérent d’activités délivrées dans le cadre d'une prestation, répondant à un besoin de la personne
                                            Comments

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

                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-ROR
                                            (required to https://mos.esante.gouv.fr/NOS/JDV_J51-FamilleActiviteOperationnelle-ROR/FHIR/JDV-J51-FamilleActiviteOperationnelle-ROR)
                                            TypeCoding
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

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

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

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

                                            ShortPlain text representation of the concept
                                            Comments

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

                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            Typestring
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

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

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

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

                                            ShortLocation(s) where service may be provided
                                            Comments

                                            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.

                                            Control0..*
                                            This element is affected by the following invariants: ele-1
                                            TypeReference(Location, RORLocation)
                                            Must Supporttrue
                                            Must Support TypesNo must-support rules about the choice of types/profiles
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ref-1: 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')))
                                            76. HealthcareService.name
                                            Definition

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

                                            ShortnomOffre (OffreOpérationnelle) : Dénomination sous laquelle l'offre est identifiée par le porteur d'offre
                                            Comments

                                            Note that FHIR strings SHALL NOT exceed 1MB in size

                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            Typestring
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            78. HealthcareService.comment
                                            Definition

                                            Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.

                                            Shortcommentaire (Metadonnee) : Commentaire qui peut être associé à chaque objet
                                            Comments

                                            Would expect that a user would not see this information on a search results, and it would only be available when viewing the complete details of the service.

                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            Typestring
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            80. HealthcareService.extraDetails
                                            Definition

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

                                            ShortExtra details about the service that can't be placed in the other fields
                                            Comments

                                            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/

                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            Typemarkdown
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            82. HealthcareService.photo
                                            Definition

                                            If there is a photo/symbol associated with this HealthcareService, it may be included here to facilitate quick identification of the service in a list.

                                            ShortFacilitates quick identification of the service
                                            Comments

                                            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".

                                            Control0..1
                                            This element is affected by the following invariants: ele-1
                                            TypeAttachment
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            att-1: If the Attachment has data, it SHALL have a contentType (data.empty() or contentType.exists())
                                            84. HealthcareService.telecom
                                            Definition

                                            List of contacts related to this specific healthcare service.

                                            ShortboiteLettreMSS (OffreOperationnelle) : Boîte(s) aux lettres du service de messagerie sécurisée de santé (MSS) rattachée(s) à l’offre opérationnelle
                                            Comments

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

                                            Control0..*
                                            This element is affected by the following invariants: ele-1
                                            TypeContactPoint
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            cpt-2: A system is required if a value is provided. (value.empty() or system.exists())
                                            86. HealthcareService.telecom.id
                                            Definition

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

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

                                            An Extension

                                            ShortExtension
                                            Control2..*
                                            This element is affected by the following invariants: ele-1
                                            TypeExtension
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on HealthcareService.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • 90. HealthcareService.telecom.extension:ror-telecom-communication-channel
                                              Slice Nameror-telecom-communication-channel
                                              Definition

                                              Extension créée dans le cadre du ROR spécifiant le canal ou la manière dont s'établit la communication

                                              Shortcanal (Telecommunication) : Code spécifiant le canal ou la manière dont s'établit la communication
                                              Control1..1
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(RORTelecomCommunicationChannel) (Extension Type: CodeableConcept)
                                              Must Supporttrue
                                              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())
                                              92. HealthcareService.telecom.extension:ror-telecom-usage
                                              Slice Nameror-telecom-usage
                                              Definition

                                              Extension créée dans le cadre du ROR qui précise l'utilisation du canal de communication

                                              Shortutilisation (Telecommunication) : Utilisation du canal de communication
                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(RORTelecomUsage) (Extension Type: string)
                                              Must Supporttrue
                                              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())
                                              94. HealthcareService.telecom.extension:ror-telecom-confidentiality-level
                                              Slice Nameror-telecom-confidentiality-level
                                              Definition

                                              Extension créée dans le cadre du ROR qui permet de définir le niveau de restriction de l'accès aux attributs de la classe Télécommunication.

                                              ShortniveauConfidentialite (Telecommunication) : Niveau de restriction de l'accès aux attributs de la classe Télécommunication
                                              Control1..1
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension(RORTelecomConfidentialityLevel) (Extension Type: CodeableConcept)
                                              Must Supporttrue
                                              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())
                                              96. HealthcareService.telecom.system
                                              Definition

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

                                              Shortphone | fax | email | pager | url | sms | other
                                              Comments

                                              Note that FHIR strings SHALL NOT exceed 1MB in size

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

                                              Telecommunications form for contact point.

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

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

                                              ShortadresseTelecom (Telecommunication) : Valeur de l'adresse de télécommunication dans le format induit par le canal de communication
                                              Comments

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

                                              Control1..1
                                              This element is affected by the following invariants: ele-1
                                              Typestring
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Summarytrue
                                              Requirements

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

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

                                              Identifies the purpose for the contact point.

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

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

                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              BindingThe codes SHALL be taken from ContactPointUse
                                              (required to http://hl7.org/fhir/ValueSet/contact-point-use|4.0.1)

                                              Use of contact point.

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

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

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

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

                                              ShortSpecify preferred order of use (1 = highest)
                                              Comments

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

                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              TypepositiveInt
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              104. HealthcareService.telecom.period
                                              Definition

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

                                              ShortTime period when the contact point was/is in use
                                              Comments

                                              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.

                                              Control0..1
                                              This element is affected by the following invariants: ele-1
                                              TypePeriod
                                              Summarytrue
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                              106. HealthcareService.coverageArea
                                              Definition

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

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

                                              The locations referenced by the coverage area can include both specific locations, including areas, and also conceptual domains too (mode = kind), such as a physical area (tri-state area) and some other attribute (covered by Example Care Organization). These types of Locations are often not managed by any specific organization. This could also include generic locations such as "in-home".

                                              Control0..*
                                              This element is affected by the following invariants: ele-1
                                              TypeReference(Location, RORLocation)
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ref-1: 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')))
                                              108. HealthcareService.serviceProvisionCode
                                              Definition

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

                                              ShortConditions under which service is available/offered
                                              Comments

                                              The provision means being commissioned by, contractually obliged or financially sourced. Types of costings that may apply to this healthcare service, such if the service may be available for free, some discounts available, or fees apply.

                                              Control0..*
                                              This element is affected by the following invariants: ele-1
                                              BindingFor example codes, see ServiceProvisionConditions
                                              (example to http://hl7.org/fhir/ValueSet/service-provision-conditions)

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

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

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

                                              ShortSpecific eligibility requirements required to use the service
                                              Control0..*
                                              This element is affected by the following invariants: ele-1
                                              TypeBackboneElement
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              112. HealthcareService.eligibility.id
                                              Definition

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

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

                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                              ShortAdditional content defined by implementations
                                              Comments

                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                              Control0..*
                                              This element is affected by the following invariants: ele-1
                                              TypeExtension
                                              Standard StatusNormative (from Trial Use)
                                              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.eligibility.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • 116. HealthcareService.eligibility.modifierExtension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                ShortExtensions that cannot be ignored even if unrecognized
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                This element is affected by the following invariants: ele-1
                                                TypeExtension
                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                Summarytrue
                                                Requirements

                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                Alternate Namesextensions, user content, modifiers
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                118. HealthcareService.eligibility.code
                                                Definition

                                                Coded value for the eligibility.

                                                ShortCoded value for the eligibility
                                                Comments

                                                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.

                                                Control0..1
                                                This element is affected by the following invariants: ele-1
                                                Binding

                                                Coded values underwhich a specific service is made available.

                                                TypeCodeableConcept
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                120. HealthcareService.eligibility.comment
                                                Definition

                                                Describes the eligibility conditions for the service.

                                                ShortDescribes the eligibility conditions for the service
                                                Comments

                                                The description of service eligibility should, in general, not exceed one or two paragraphs. It should be sufficient for a prospective consumer to determine if they are likely to be eligible or not. Where eligibility requirements and conditions are complex, it may simply be noted that an eligibility assessment is required. Where eligibility is determined by an outside source, such as an Act of Parliament, this should be noted, preferably with a reference to a commonly available copy of the source document such as a web page.

                                                Control0..1
                                                This element is affected by the following invariants: ele-1
                                                Typemarkdown
                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                122. HealthcareService.program
                                                Definition

                                                Programs that this service is applicable to.

                                                ShortPrograms that this service is applicable to
                                                Comments

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

                                                Control0..*
                                                This element is affected by the following invariants: ele-1
                                                BindingFor example codes, see Program
                                                (example to http://hl7.org/fhir/ValueSet/program)

                                                Government or local programs that this service applies to.

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

                                                Collection of characteristics (attributes).

                                                ShortCollection of characteristics (attributes)
                                                Comments

                                                These could be such things as is wheelchair accessible.

                                                Control1..*
                                                This element is affected by the following invariants: ele-1
                                                Binding

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

                                                TypeCodeableConcept
                                                Must Supporttrue
                                                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.characteristic. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ coding.system
                                                • value @ extension(https://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type)
                                                • 126. HealthcareService.characteristic.id
                                                  Definition

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

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

                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                  ShortAdditional content defined by implementations
                                                  Comments

                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                  Control0..*
                                                  This element is affected by the following invariants: ele-1
                                                  TypeExtension
                                                  Standard StatusNormative (from Trial Use)
                                                  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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • 130. HealthcareService.characteristic.extension:ror-act-type
                                                    Slice Nameror-act-type
                                                    Definition

                                                    Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                    ShortType d'acte
                                                    Control0..1
                                                    This element is affected by the following invariants: ele-1
                                                    TypeExtension(RORActType) (Extension Type: code)
                                                    Must Supporttrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    132. HealthcareService.characteristic.coding
                                                    Definition

                                                    A reference to a code defined by a terminology system.

                                                    ShortCode defined by a terminology system
                                                    Comments

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

                                                    Control0..*
                                                    This element is affected by the following invariants: ele-1
                                                    TypeCoding
                                                    Summarytrue
                                                    Requirements

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

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

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

                                                    ShortPlain text representation of the concept
                                                    Comments

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

                                                    Control0..1
                                                    This element is affected by the following invariants: ele-1
                                                    Typestring
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

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

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

                                                    Collection of characteristics (attributes).

                                                    ShorttemporaliteAccueil (OffreOperationnelle) : Précision sur le mode de prise en charge
                                                    Comments

                                                    These could be such things as is wheelchair accessible.

                                                    Control0..1
                                                    This element is affected by the following invariants: ele-1
                                                    BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR
                                                    (required to https://mos.esante.gouv.fr/NOS/JDV_J30-TemporaliteAccueil-ROR/FHIR/JDV-J30-TemporaliteAccueil-ROR)
                                                    TypeCodeableConcept
                                                    Must Supporttrue
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    138. HealthcareService.characteristic:receptionType.id
                                                    Definition

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

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    140. HealthcareService.characteristic:receptionType.extension
                                                    Definition

                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                    ShortAdditional content defined by implementations
                                                    Comments

                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                    Control0..*
                                                    This element is affected by the following invariants: ele-1
                                                    TypeExtension
                                                    Standard StatusNormative (from Trial Use)
                                                    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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • 142. HealthcareService.characteristic:receptionType.extension:ror-act-type
                                                      Slice Nameror-act-type
                                                      Definition

                                                      Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                      ShortType d'acte
                                                      Control0..0
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension(RORActType) (Extension Type: code)
                                                      Must Supporttrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      144. HealthcareService.characteristic:receptionType.coding
                                                      Definition

                                                      A reference to a code defined by a terminology system.

                                                      ShortCode defined by a terminology system
                                                      Comments

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

                                                      Control0..*
                                                      This element is affected by the following invariants: ele-1
                                                      TypeCoding
                                                      Summarytrue
                                                      Requirements

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

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

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

                                                      ShortPlain text representation of the concept
                                                      Comments

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

                                                      Control0..1
                                                      This element is affected by the following invariants: ele-1
                                                      Typestring
                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                      Summarytrue
                                                      Requirements

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

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

                                                      Collection of characteristics (attributes).

                                                      ShortmodePriseEnCharge (OffreOperationnelle) : Caractérise l'hébergement ainsi que le niveau de technicité et d'intensité des soins
                                                      Comments

                                                      These could be such things as is wheelchair accessible.

                                                      Control1..1
                                                      This element is affected by the following invariants: ele-1
                                                      BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR
                                                      (required to https://mos.esante.gouv.fr/NOS/JDV_J19-ModePriseEnCharge-ROR/FHIR/JDV-J19-ModePriseEnCharge-ROR)
                                                      TypeCodeableConcept
                                                      Must Supporttrue
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      150. HealthcareService.characteristic:careMode.id
                                                      Definition

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

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      Typestring
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      152. HealthcareService.characteristic:careMode.extension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                      ShortAdditional content defined by implementations
                                                      Comments

                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                      Control0..*
                                                      This element is affected by the following invariants: ele-1
                                                      TypeExtension
                                                      Standard StatusNormative (from Trial Use)
                                                      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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 154. HealthcareService.characteristic:careMode.extension:ror-act-type
                                                        Slice Nameror-act-type
                                                        Definition

                                                        Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                        ShortType d'acte
                                                        Control0..0
                                                        This element is affected by the following invariants: ele-1
                                                        TypeExtension(RORActType) (Extension Type: code)
                                                        Must Supporttrue
                                                        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())
                                                        156. HealthcareService.characteristic:careMode.coding
                                                        Definition

                                                        A reference to a code defined by a terminology system.

                                                        ShortCode defined by a terminology system
                                                        Comments

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

                                                        Control0..*
                                                        This element is affected by the following invariants: ele-1
                                                        TypeCoding
                                                        Summarytrue
                                                        Requirements

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

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

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

                                                        ShortPlain text representation of the concept
                                                        Comments

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

                                                        Control0..1
                                                        This element is affected by the following invariants: ele-1
                                                        Typestring
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Requirements

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

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

                                                        Collection of characteristics (attributes).

                                                        ShortmodaliteAccueil (OffreOperationnelle) : Permet de préciser le mode de prise en charge géographiquement
                                                        Comments

                                                        These could be such things as is wheelchair accessible.

                                                        Control0..*
                                                        This element is affected by the following invariants: ele-1
                                                        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR
                                                        (required to https://mos.esante.gouv.fr/NOS/JDV_J226-ModaliteAccueil-ROR/FHIR/JDV-J226-ModaliteAccueil-ROR)
                                                        TypeCodeableConcept
                                                        Must Supporttrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        162. HealthcareService.characteristic:receptionModality.id
                                                        Definition

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

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        164. HealthcareService.characteristic:receptionModality.extension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        This element is affected by the following invariants: ele-1
                                                        TypeExtension
                                                        Standard StatusNormative (from Trial Use)
                                                        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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 166. HealthcareService.characteristic:receptionModality.extension:ror-act-type
                                                          Slice Nameror-act-type
                                                          Definition

                                                          Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                          ShortType d'acte
                                                          Control0..0
                                                          This element is affected by the following invariants: ele-1
                                                          TypeExtension(RORActType) (Extension Type: code)
                                                          Must Supporttrue
                                                          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())
                                                          168. HealthcareService.characteristic:receptionModality.coding
                                                          Definition

                                                          A reference to a code defined by a terminology system.

                                                          ShortCode defined by a terminology system
                                                          Comments

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

                                                          Control0..*
                                                          This element is affected by the following invariants: ele-1
                                                          TypeCoding
                                                          Summarytrue
                                                          Requirements

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

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

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

                                                          ShortPlain text representation of the concept
                                                          Comments

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

                                                          Control0..1
                                                          This element is affected by the following invariants: ele-1
                                                          Typestring
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

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

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

                                                          Collection of characteristics (attributes).

                                                          ShortmodeGestion (OffreOperationnelle) : Mode d’intervention des aides à domicile en fonction de la nature de la relation contractuelle
                                                          Comments

                                                          These could be such things as is wheelchair accessible.

                                                          Control0..*
                                                          This element is affected by the following invariants: ele-1
                                                          BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR
                                                          (required to https://mos.esante.gouv.fr/NOS/JDV_J26-ModeGestion-ROR/FHIR/JDV-J26-ModeGestion-ROR)
                                                          TypeCodeableConcept
                                                          Must Supporttrue
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          174. HealthcareService.characteristic:managementType.id
                                                          Definition

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

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          176. HealthcareService.characteristic:managementType.extension
                                                          Definition

                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                          ShortAdditional content defined by implementations
                                                          Comments

                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                          Control0..*
                                                          This element is affected by the following invariants: ele-1
                                                          TypeExtension
                                                          Standard StatusNormative (from Trial Use)
                                                          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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • 178. HealthcareService.characteristic:managementType.extension:ror-act-type
                                                            Slice Nameror-act-type
                                                            Definition

                                                            Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                            ShortType d'acte
                                                            Control0..0
                                                            This element is affected by the following invariants: ele-1
                                                            TypeExtension(RORActType) (Extension Type: code)
                                                            Must Supporttrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            180. HealthcareService.characteristic:managementType.coding
                                                            Definition

                                                            A reference to a code defined by a terminology system.

                                                            ShortCode defined by a terminology system
                                                            Comments

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

                                                            Control0..*
                                                            This element is affected by the following invariants: ele-1
                                                            TypeCoding
                                                            Summarytrue
                                                            Requirements

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

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

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

                                                            ShortPlain text representation of the concept
                                                            Comments

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

                                                            Control0..1
                                                            This element is affected by the following invariants: ele-1
                                                            Typestring
                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                            Summarytrue
                                                            Requirements

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

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

                                                            Collection of characteristics (attributes).

                                                            ShortacteSpecifique (OffreOperationnelle) : Action menée par un ou plusieurs acteur(s) de santé dans le cadre d’une activité
                                                            Comments

                                                            These could be such things as is wheelchair accessible.

                                                            Control0..*
                                                            This element is affected by the following invariants: ele-1
                                                            BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
                                                            (required to https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR)
                                                            TypeCodeableConcept
                                                            Must Supporttrue
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            186. HealthcareService.characteristic:specificAct.id
                                                            Definition

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

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            188. HealthcareService.characteristic:specificAct.extension
                                                            Definition

                                                            An Extension

                                                            ShortExtension
                                                            Control1..*
                                                            This element is affected by the following invariants: ele-1
                                                            TypeExtension
                                                            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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 190. HealthcareService.characteristic:specificAct.extension:ror-act-type
                                                              Slice Nameror-act-type
                                                              Definition

                                                              Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                              ShortType d'acte
                                                              Control1..1
                                                              This element is affected by the following invariants: ele-1
                                                              TypeExtension(RORActType) (Extension Type: code)
                                                              Must Supporttrue
                                                              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())
                                                              192. HealthcareService.characteristic:specificAct.extension:ror-act-type.id
                                                              Definition

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

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              194. HealthcareService.characteristic:specificAct.extension:ror-act-type.extension
                                                              Definition

                                                              An Extension

                                                              ShortExtension
                                                              Control0..0
                                                              This element is affected by the following invariants: ele-1
                                                              TypeExtension
                                                              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.characteristic.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 196. HealthcareService.characteristic:specificAct.extension:ror-act-type.url
                                                                Definition

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

                                                                Shortidentifies the meaning of the extension
                                                                Comments

                                                                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.

                                                                Control1..1
                                                                Typeuri
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type
                                                                198. HealthcareService.characteristic:specificAct.extension:ror-act-type.value[x]
                                                                Definition

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

                                                                ShortValue of extension
                                                                Control0..1
                                                                This element is affected by the following invariants: ele-1
                                                                BindingThe codes SHALL be taken from Valueset type d'acte
                                                                (required to https://interop.esante.gouv.fr/ig/fhir/ror/ValueSet/act-type-ror-valueset)
                                                                Typecode
                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Pattern ValuespecificAct
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                200. HealthcareService.characteristic:specificAct.coding
                                                                Definition

                                                                A reference to a code defined by a terminology system.

                                                                ShortCode defined by a terminology system
                                                                Comments

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

                                                                Control0..*
                                                                This element is affected by the following invariants: ele-1
                                                                TypeCoding
                                                                Summarytrue
                                                                Requirements

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

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

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

                                                                ShortPlain text representation of the concept
                                                                Comments

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

                                                                Control0..1
                                                                This element is affected by the following invariants: ele-1
                                                                Typestring
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Requirements

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

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

                                                                Collection of characteristics (attributes).

                                                                ShortacteRealiseHorsCabinet (OffreOperationnelle) : Permet de décrire l’offre de santé des médecins libéraux réalisée en dehors du cabinet, au sein d’un établissement
                                                                Comments

                                                                These could be such things as is wheelchair accessible.

                                                                Control0..*
                                                                This element is affected by the following invariants: ele-1
                                                                BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR
                                                                (required to https://mos.esante.gouv.fr/NOS/JDV_J16-ActeSpecifique-ROR/FHIR/JDV-J16-ActeSpecifique-ROR)
                                                                TypeCodeableConcept
                                                                Must Supporttrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                206. HealthcareService.characteristic:outsideOfficeAct.id
                                                                Definition

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

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                208. HealthcareService.characteristic:outsideOfficeAct.extension
                                                                Definition

                                                                An Extension

                                                                ShortExtension
                                                                Control1..*
                                                                This element is affected by the following invariants: ele-1
                                                                TypeExtension
                                                                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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 210. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type
                                                                  Slice Nameror-act-type
                                                                  Definition

                                                                  Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                                  ShortType d'acte
                                                                  Control1..1
                                                                  This element is affected by the following invariants: ele-1
                                                                  TypeExtension(RORActType) (Extension Type: code)
                                                                  Must Supporttrue
                                                                  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())
                                                                  212. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.id
                                                                  Definition

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

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  214. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.extension
                                                                  Definition

                                                                  An Extension

                                                                  ShortExtension
                                                                  Control0..0
                                                                  This element is affected by the following invariants: ele-1
                                                                  TypeExtension
                                                                  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.characteristic.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • 216. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.url
                                                                    Definition

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

                                                                    Shortidentifies the meaning of the extension
                                                                    Comments

                                                                    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.

                                                                    Control1..1
                                                                    Typeuri
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Fixed Valuehttps://interop.esante.gouv.fr/ig/fhir/ror/StructureDefinition/ror-act-type
                                                                    218. HealthcareService.characteristic:outsideOfficeAct.extension:ror-act-type.value[x]
                                                                    Definition

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

                                                                    ShortValue of extension
                                                                    Control0..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    BindingThe codes SHALL be taken from Valueset type d'acte
                                                                    (required to https://interop.esante.gouv.fr/ig/fhir/ror/ValueSet/act-type-ror-valueset)
                                                                    Typecode
                                                                    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Pattern ValueoutsideOfficeAct
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    220. HealthcareService.characteristic:outsideOfficeAct.coding
                                                                    Definition

                                                                    A reference to a code defined by a terminology system.

                                                                    ShortCode defined by a terminology system
                                                                    Comments

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

                                                                    Control0..*
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeCoding
                                                                    Summarytrue
                                                                    Requirements

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

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

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

                                                                    ShortPlain text representation of the concept
                                                                    Comments

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

                                                                    Control0..1
                                                                    This element is affected by the following invariants: ele-1
                                                                    Typestring
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Summarytrue
                                                                    Requirements

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

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

                                                                    Collection of characteristics (attributes).

                                                                    ShortspecialisationPriseEnCharge (OffreOperationnelle) : Regroupement de troubles, de pathologies ou de déficiences qui nécessitent la mobilisation d'expertises, de compétences et/ou d'équipements spécifiques
                                                                    Comments

                                                                    These could be such things as is wheelchair accessible.

                                                                    Control0..*
                                                                    This element is affected by the following invariants: ele-1
                                                                    BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR
                                                                    (required to https://mos.esante.gouv.fr/NOS/JDV_J35-SpecialisationDePriseEnCharge-ROR/FHIR/JDV-J35-SpecialisationDePriseEnCharge-ROR)
                                                                    TypeCodeableConcept
                                                                    Must Supporttrue
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    226. HealthcareService.characteristic:takingCareSpeciality.id
                                                                    Definition

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

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    228. HealthcareService.characteristic:takingCareSpeciality.extension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                    ShortAdditional content defined by implementations
                                                                    Comments

                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                    Control0..*
                                                                    This element is affected by the following invariants: ele-1
                                                                    TypeExtension
                                                                    Standard StatusNormative (from Trial Use)
                                                                    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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 230. HealthcareService.characteristic:takingCareSpeciality.extension:ror-act-type
                                                                      Slice Nameror-act-type
                                                                      Definition

                                                                      Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                                      ShortType d'acte
                                                                      Control0..0
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypeExtension(RORActType) (Extension Type: code)
                                                                      Must Supporttrue
                                                                      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())
                                                                      232. HealthcareService.characteristic:takingCareSpeciality.coding
                                                                      Definition

                                                                      A reference to a code defined by a terminology system.

                                                                      ShortCode defined by a terminology system
                                                                      Comments

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

                                                                      Control0..*
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypeCoding
                                                                      Summarytrue
                                                                      Requirements

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

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

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

                                                                      ShortPlain text representation of the concept
                                                                      Comments

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

                                                                      Control0..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      Typestring
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

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

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

                                                                      Collection of characteristics (attributes).

                                                                      ShortouvertureAnnuelle (OffreOperationnelle) : Nombre de jours maximum dans l’année au cours desquels la prestation peut être proposée par l'établissement
                                                                      Comments

                                                                      These could be such things as is wheelchair accessible.

                                                                      Control0..1
                                                                      This element is affected by the following invariants: ele-1
                                                                      BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR
                                                                      (required to https://mos.esante.gouv.fr/NOS/JDV_J28-OuvertureAnnuelle-ROR/FHIR/JDV-J28-OuvertureAnnuelle-ROR)
                                                                      TypeCodeableConcept
                                                                      Must Supporttrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      238. HealthcareService.characteristic:annualOpening.id
                                                                      Definition

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

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      240. HealthcareService.characteristic:annualOpening.extension
                                                                      Definition

                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                      ShortAdditional content defined by implementations
                                                                      Comments

                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                      Control0..*
                                                                      This element is affected by the following invariants: ele-1
                                                                      TypeExtension
                                                                      Standard StatusNormative (from Trial Use)
                                                                      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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • 242. HealthcareService.characteristic:annualOpening.extension:ror-act-type
                                                                        Slice Nameror-act-type
                                                                        Definition

                                                                        Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                                        ShortType d'acte
                                                                        Control0..0
                                                                        This element is affected by the following invariants: ele-1
                                                                        TypeExtension(RORActType) (Extension Type: code)
                                                                        Must Supporttrue
                                                                        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())
                                                                        244. HealthcareService.characteristic:annualOpening.coding
                                                                        Definition

                                                                        A reference to a code defined by a terminology system.

                                                                        ShortCode defined by a terminology system
                                                                        Comments

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

                                                                        Control0..*
                                                                        This element is affected by the following invariants: ele-1
                                                                        TypeCoding
                                                                        Summarytrue
                                                                        Requirements

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

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

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

                                                                        ShortPlain text representation of the concept
                                                                        Comments

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

                                                                        Control0..1
                                                                        This element is affected by the following invariants: ele-1
                                                                        Typestring
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Requirements

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

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

                                                                        Collection of characteristics (attributes).

                                                                        ShortprofessionRessource (OffreOperationnelle) : Traduit la mobilisation de métiers qui constituent un facteur différenciant dans la réalisation de la prestation
                                                                        Comments

                                                                        These could be such things as is wheelchair accessible.

                                                                        Control0..*
                                                                        This element is affected by the following invariants: ele-1
                                                                        BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR
                                                                        (required to https://mos.esante.gouv.fr/NOS/JDV_J186-ProfessionRessource-ROR/FHIR/JDV-J186-ProfessionRessource-ROR)
                                                                        TypeCodeableConcept
                                                                        Must Supporttrue
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        250. HealthcareService.characteristic:ressourceProfession.id
                                                                        Definition

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

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        252. HealthcareService.characteristic:ressourceProfession.extension
                                                                        Definition

                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                        ShortAdditional content defined by implementations
                                                                        Comments

                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                        Control0..*
                                                                        This element is affected by the following invariants: ele-1
                                                                        TypeExtension
                                                                        Standard StatusNormative (from Trial Use)
                                                                        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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • 254. HealthcareService.characteristic:ressourceProfession.extension:ror-act-type
                                                                          Slice Nameror-act-type
                                                                          Definition

                                                                          Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                                          ShortType d'acte
                                                                          Control0..0
                                                                          This element is affected by the following invariants: ele-1
                                                                          TypeExtension(RORActType) (Extension Type: code)
                                                                          Must Supporttrue
                                                                          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())
                                                                          256. HealthcareService.characteristic:ressourceProfession.coding
                                                                          Definition

                                                                          A reference to a code defined by a terminology system.

                                                                          ShortCode defined by a terminology system
                                                                          Comments

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

                                                                          Control0..*
                                                                          This element is affected by the following invariants: ele-1
                                                                          TypeCoding
                                                                          Summarytrue
                                                                          Requirements

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

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

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

                                                                          ShortPlain text representation of the concept
                                                                          Comments

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

                                                                          Control0..1
                                                                          This element is affected by the following invariants: ele-1
                                                                          Typestring
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Summarytrue
                                                                          Requirements

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

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

                                                                          Collection of characteristics (attributes).

                                                                          ShortcompetenceSpecifique (OffreOperationnelle) : Capacité ou connaissance reconnue qui permet ou facilite l’accueil d’une personne
                                                                          Comments

                                                                          These could be such things as is wheelchair accessible.

                                                                          Control0..*
                                                                          This element is affected by the following invariants: ele-1
                                                                          BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR
                                                                          (required to https://mos.esante.gouv.fr/NOS/JDV_J33-CompetenceSpecifique-ROR/FHIR/JDV-J33-CompetenceSpecifique-ROR)
                                                                          TypeCodeableConcept
                                                                          Must Supporttrue
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          262. HealthcareService.characteristic:specificCompetence.id
                                                                          Definition

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

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          264. HealthcareService.characteristic:specificCompetence.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          This element is affected by the following invariants: ele-1
                                                                          TypeExtension
                                                                          Standard StatusNormative (from Trial Use)
                                                                          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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 266. HealthcareService.characteristic:specificCompetence.extension:ror-act-type
                                                                            Slice Nameror-act-type
                                                                            Definition

                                                                            Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                                            ShortType d'acte
                                                                            Control0..0
                                                                            This element is affected by the following invariants: ele-1
                                                                            TypeExtension(RORActType) (Extension Type: code)
                                                                            Must Supporttrue
                                                                            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())
                                                                            268. HealthcareService.characteristic:specificCompetence.coding
                                                                            Definition

                                                                            A reference to a code defined by a terminology system.

                                                                            ShortCode defined by a terminology system
                                                                            Comments

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

                                                                            Control0..*
                                                                            This element is affected by the following invariants: ele-1
                                                                            TypeCoding
                                                                            Summarytrue
                                                                            Requirements

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

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

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

                                                                            ShortPlain text representation of the concept
                                                                            Comments

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

                                                                            Control0..1
                                                                            This element is affected by the following invariants: ele-1
                                                                            Typestring
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

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

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

                                                                            Collection of characteristics (attributes).

                                                                            ShortniveauExpertise (OffreOperationnelle) : Niveau de ressources humaines et matérielles engagées dans la réalisation de l'offre
                                                                            Comments

                                                                            These could be such things as is wheelchair accessible.

                                                                            Control0..*
                                                                            This element is affected by the following invariants: ele-1
                                                                            BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR
                                                                            (required to https://mos.esante.gouv.fr/NOS/JDV_J227-NiveauExpertise-ROR/FHIR/JDV-J227-NiveauExpertise-ROR)
                                                                            TypeCodeableConcept
                                                                            Must Supporttrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            274. HealthcareService.characteristic:expertiseLevel.id
                                                                            Definition

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

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            276. HealthcareService.characteristic:expertiseLevel.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            This element is affected by the following invariants: ele-1
                                                                            TypeExtension
                                                                            Standard StatusNormative (from Trial Use)
                                                                            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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 278. HealthcareService.characteristic:expertiseLevel.extension:ror-act-type
                                                                              Slice Nameror-act-type
                                                                              Definition

                                                                              Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                                              ShortType d'acte
                                                                              Control0..0
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeExtension(RORActType) (Extension Type: code)
                                                                              Must Supporttrue
                                                                              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())
                                                                              280. HealthcareService.characteristic:expertiseLevel.coding
                                                                              Definition

                                                                              A reference to a code defined by a terminology system.

                                                                              ShortCode defined by a terminology system
                                                                              Comments

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

                                                                              Control0..*
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeCoding
                                                                              Summarytrue
                                                                              Requirements

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

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

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

                                                                              ShortPlain text representation of the concept
                                                                              Comments

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

                                                                              Control0..1
                                                                              This element is affected by the following invariants: ele-1
                                                                              Typestring
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

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

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

                                                                              Collection of characteristics (attributes).

                                                                              ShorttypeFermeture (OffreOperationnelle) : Temporalité d'arrêt de réalisation de la prestation
                                                                              Comments

                                                                              These could be such things as is wheelchair accessible.

                                                                              Control0..1
                                                                              This element is affected by the following invariants: ele-1
                                                                              BindingThe codes SHALL be taken from https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR
                                                                              (required to https://mos.esante.gouv.fr/NOS/JDV_J185-TypeFermeture-ROR/FHIR/JDV-J185-TypeFermeture-ROR)
                                                                              TypeCodeableConcept
                                                                              Must Supporttrue
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              286. HealthcareService.characteristic:temporalityStopService.id
                                                                              Definition

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

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              288. HealthcareService.characteristic:temporalityStopService.extension
                                                                              Definition

                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                              ShortAdditional content defined by implementations
                                                                              Comments

                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                              Control0..*
                                                                              This element is affected by the following invariants: ele-1
                                                                              TypeExtension
                                                                              Standard StatusNormative (from Trial Use)
                                                                              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.characteristic.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • 290. HealthcareService.characteristic:temporalityStopService.extension:ror-act-type
                                                                                Slice Nameror-act-type
                                                                                Definition

                                                                                Extension créée dans le cadre du ROR pour discriminer le type d'acte (spécifique ou hors cabinet)

                                                                                ShortType d'acte
                                                                                Control0..0
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeExtension(RORActType) (Extension Type: code)
                                                                                Must Supporttrue
                                                                                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())
                                                                                292. HealthcareService.characteristic:temporalityStopService.coding
                                                                                Definition

                                                                                A reference to a code defined by a terminology system.

                                                                                ShortCode defined by a terminology system
                                                                                Comments

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

                                                                                Control0..*
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeCoding
                                                                                Summarytrue
                                                                                Requirements

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

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

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

                                                                                ShortPlain text representation of the concept
                                                                                Comments

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

                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                Typestring
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Summarytrue
                                                                                Requirements

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

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

                                                                                Some services are specifically made available in multiple languages, this property permits a directory to declare the languages this is offered in. Typically this is only provided where a service operates in communities with mixed languages used.

                                                                                ShortThe language that this service is offered in
                                                                                Comments

                                                                                When using this property it indicates that the service is available with this language, it is not derived from the practitioners, and not all are required to use this language, just that this language is available while scheduling.

                                                                                Control0..*
                                                                                This element is affected by the following invariants: ele-1
                                                                                BindingThe codes SHOULD be taken from CommonLanguages
                                                                                (preferred to http://hl7.org/fhir/ValueSet/languages)

                                                                                A human language.

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

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

                                                                                ShortWays that the service accepts referrals
                                                                                Comments

                                                                                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.

                                                                                Control0..*
                                                                                This element is affected by the following invariants: ele-1
                                                                                BindingFor example codes, see ReferralMethod
                                                                                (example to http://hl7.org/fhir/ValueSet/service-referral-method)

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

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

                                                                                Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be provided by the Organization. Indicates if an appointment is required for access to this service.

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

                                                                                A collection of times that the Service Site is available.

                                                                                Shorthoraire (OffreOperationnelle) : heureDebut + heureFin
                                                                                Comments

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

                                                                                Control0..1
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeBackboneElement
                                                                                Must Supporttrue
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                304. HealthcareService.availableTime.id
                                                                                Definition

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

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

                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                This element is affected by the following invariants: ele-1
                                                                                TypeExtension
                                                                                Standard StatusNormative (from Trial Use)
                                                                                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.availableTime.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 308. HealthcareService.availableTime.extension:ror-available-time-type-of-time
                                                                                  Slice Nameror-available-time-type-of-time
                                                                                  Definition

                                                                                  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.

                                                                                  ShorttypePlageHoraire (Horaire) : apporte un contexte à la plage horaire définie par la suite
                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  TypeExtension(RORAvailableTimeTypeOfTime) (Extension Type: CodeableConcept)
                                                                                  Must Supporttrue
                                                                                  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())
                                                                                  310. HealthcareService.availableTime.extension:ror-available-time-effective-opening-closing-date
                                                                                  Slice Nameror-available-time-effective-opening-closing-date
                                                                                  Definition

                                                                                  Extension créée dans le cadre du ROR pour décrire le planning d'activité d'un professionnel ou d'une offre.

                                                                                  ShortdebutDateEffective + finDateEffective (Horaire)
                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  TypeExtension(RORAvailableTimeEffectiveOpeningClosingDate) (Extension Type: Period)
                                                                                  Must Supporttrue
                                                                                  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())
                                                                                  312. HealthcareService.availableTime.extension:ror-available-time-number-days-of-week
                                                                                  Slice Nameror-available-time-number-days-of-week
                                                                                  Definition

                                                                                  Extension créée dans le cadre du ROR pour indiquer le numéro du jour dans la semaine.

                                                                                  ShortjourSemaine (Horaire) : Numéro du jour dans la semaine
                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  TypeExtension(RORAvailableTimeNumberDaysofWeek) (Extension Type: integer)
                                                                                  Must Supporttrue
                                                                                  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())
                                                                                  314. HealthcareService.availableTime.modifierExtension
                                                                                  Definition

                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                  Comments

                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                  Control0..*
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  TypeExtension
                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  316. HealthcareService.availableTime.daysOfWeek
                                                                                  Definition

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

                                                                                  Shortmon | tue | wed | thu | fri | sat | sun
                                                                                  Comments

                                                                                  Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                  Control0..*
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  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
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  318. HealthcareService.availableTime.allDay
                                                                                  Definition

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

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

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

                                                                                  ShortheureDebut (Horaire) : Heure de début de la plage horaire
                                                                                  Comments

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

                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  Typetime
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  322. HealthcareService.availableTime.availableEndTime
                                                                                  Definition

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

                                                                                  ShortheureFin (Horaire) : Heure de fin de la plage horaire
                                                                                  Comments

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

                                                                                  Control0..1
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  Typetime
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  324. HealthcareService.notAvailable
                                                                                  Definition

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

                                                                                  ShortNot available during this time due to provided reason
                                                                                  Control0..*
                                                                                  This element is affected by the following invariants: ele-1
                                                                                  TypeBackboneElement
                                                                                  Must Supporttrue
                                                                                  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.notAvailable. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ id
                                                                                  • 326. HealthcareService.notAvailable.id
                                                                                    Definition

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

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

                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                    ShortAdditional content defined by implementations
                                                                                    Comments

                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                    Control0..*
                                                                                    This element is affected by the following invariants: ele-1
                                                                                    TypeExtension
                                                                                    Standard StatusNormative (from Trial Use)
                                                                                    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.notAvailable.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • 330. HealthcareService.notAvailable.modifierExtension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                      ShortExtensions that cannot be ignored even if unrecognized
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      TypeExtension
                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                      Alternate Namesextensions, user content, modifiers
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      332. HealthcareService.notAvailable.description
                                                                                      Definition

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

                                                                                      ShortReason presented to the user explaining why time not available
                                                                                      Comments

                                                                                      Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                      Control1..1
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      Typestring
                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      334. HealthcareService.notAvailable.during
                                                                                      Definition

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

                                                                                      ShortService not available from this date
                                                                                      Comments

                                                                                      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.

                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      TypePeriod
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                                      336. HealthcareService.notAvailable:closingReopeningDate
                                                                                      Slice NameclosingReopeningDate
                                                                                      Definition

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

                                                                                      ShortPériode de fermeture (during.start) et de réouverture prévisionnelle (during.end).
                                                                                      Control0..1
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      TypeBackboneElement
                                                                                      Must Supporttrue
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      338. HealthcareService.notAvailable:closingReopeningDate.id
                                                                                      Definition

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

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control1..1
                                                                                      Typestring
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Pattern ValueclosingReopeningDate
                                                                                      340. HealthcareService.notAvailable:closingReopeningDate.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      This element is affected by the following invariants: ele-1
                                                                                      TypeExtension
                                                                                      Standard StatusNormative (from Trial Use)
                                                                                      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.notAvailable.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 342. HealthcareService.notAvailable:closingReopeningDate.modifierExtension
                                                                                        Definition

                                                                                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                        Comments

                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                        Control0..*
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        TypeExtension
                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                        344. HealthcareService.notAvailable:closingReopeningDate.description
                                                                                        Definition

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

                                                                                        ShortReason presented to the user explaining why time not available
                                                                                        Comments

                                                                                        Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                        Control1..1
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        Typestring
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Pattern ValuePériode de fermeture et de réouverture prévisionnelle
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        346. HealthcareService.notAvailable:closingReopeningDate.during
                                                                                        Definition

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

                                                                                        ShortService not available from this date
                                                                                        Comments

                                                                                        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.

                                                                                        Control0..1
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        TypePeriod
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        per-1: If present, start SHALL have a lower value than end (start.hasValue().not() or end.hasValue().not() or (start <= end))
                                                                                        348. HealthcareService.notAvailable:closingReopeningDate.during.id
                                                                                        Definition

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

                                                                                        ShortUnique id for inter-element referencing
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                        350. HealthcareService.notAvailable:closingReopeningDate.during.extension
                                                                                        Definition

                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                        ShortAdditional content defined by implementations
                                                                                        Comments

                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                        Control0..*
                                                                                        This element is affected by the following invariants: ele-1
                                                                                        TypeExtension
                                                                                        Standard StatusNormative (from Trial Use)
                                                                                        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.notAvailable.during.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ url
                                                                                        • 352. HealthcareService.notAvailable:closingReopeningDate.during.start
                                                                                          Definition

                                                                                          The start of the period. The boundary is inclusive.

                                                                                          ShortdateFermeture (OffreOperationnelle) : Date effective à partir de laquelle la prestation n'est plus assurée
                                                                                          Comments

                                                                                          If the low element is missing, the meaning is that the low boundary is not known.

                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: ele-1, per-1
                                                                                          TypedateTime
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          354. HealthcareService.notAvailable:closingReopeningDate.during.end
                                                                                          Definition

                                                                                          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.

                                                                                          ShortDatePrevisionnelleReouverture (OffreOperationnelle) : date prévisionnelle à partir de laquelle la prestation sera de nouveau assurée
                                                                                          Comments

                                                                                          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.

                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: ele-1, per-1
                                                                                          TypedateTime
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Summarytrue
                                                                                          Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          356. HealthcareService.availabilityExceptions
                                                                                          Definition

                                                                                          A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

                                                                                          ShortDescription of availability exceptions
                                                                                          Comments

                                                                                          Note that FHIR strings SHALL NOT exceed 1MB in size

                                                                                          Control0..1
                                                                                          This element is affected by the following invariants: ele-1
                                                                                          Typestring
                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          358. HealthcareService.endpoint
                                                                                          Definition

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

                                                                                          ShortTechnical endpoints providing access to electronic services operated for the healthcare service
                                                                                          Comments

                                                                                          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.

                                                                                          Control0..*
                                                                                          This element is affected by the following invariants: ele-1
                                                                                          TypeReference(Endpoint)
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ref-1: 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')))