ISiK Terminplanung Implementierungsleitfaden
Version 6.0.0-rc - ci-build

Resource Profile: ISiKMedizinischeBehandlungseinheit

Official URL: https://gematik.de/fhir/isik/StructureDefinition/ISiKMedizinischeBehandlungseinheit Version: 6.0.0-rc
Active as of 2025-12-17 Computable Name: ISiKMedizinischeBehandlungseinheit

Unter einer medizinischen Behandlungseinheit wird hier im weiteren Sinne eine Dienstleistung (diagnostisch, therapeutisch, im weiten Sinne gesundheitsfördernd etc.) zum Zweck einer Terminbuchung verstanden. Hierfür können von der Fachabteilung (Organization) unabhängige Kalender gepflegt werden. Im Kontext der Terminplanung können somit angebotene Leistungen (z.B. CT/MRT-Untersuchungen, chirurgische Eingriffe, Beratungsstunden zur Geburt etc.) abgebildet werden.

Der Kontext zu diesem Profil wird mit folgender User Story veranschaulicht:

User Story: Ein Patient erhält von seiner Hausärztin einen Überweisungsschein für eine weitere diagnostische Untersuchung in Form einer Kapselendoskopie der Speiseröhre. Der Patient nutzt ein Patientenportal, um unter Angabe der benötigten diagnostische Leistung nach einem verfügbaren Termin zu suchen und findet einen passenden Termin bei der Fachabteilung für Gastroenterologie eines örtlichen Krankenhauses.

Hintergrund: Die Suche nach verfügbaren Terminblöcken (Slot) unter Einbeziehung der Dienstleistung entspricht der Angabe des Überweisungsscheins, ermöglicht hier zugleich eine präzisere Suche und vergrößert darüber hinaus den Raum möglicher Termine über verschiedene Abteilungen (und Institutionen im Patientenportal) hinweg.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type SΣ 1..* CodeableConcept Die Art der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
Binding: ServiceType (example): Additional details about where the content was created (e.g. clinical specialty).
... specialty SΣ 1..* CodeableConcept Die Fachrichtung der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
Binding: PracticeSettingCodeValueSet (preferred): A specialty that a healthcare service may provide.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachrichtung SΣ 1..1 Coding Code defined by a terminology system
Binding: IHE XDS practiceSettingCode (required)
..... coding:ErweiterterFachabteilungsschluessel Σ 0..1 Coding Code defined by a terminology system
Binding: FachabteilungsschluesselErweitert ValueSet (required)
... name SΣ 1..1 string Description of service as presented to a consumer while searching

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
HealthcareService.type Base example Service type 📍4.0.1 FHIR Std.
HealthcareService.specialty Base preferred Practice Setting Code Value Set 📍4.0.1 FHIR Std.
HealthcareService.specialty.​coding:Fachrichtung Base required IHE XDS practiceSettingCode 📦2019-05-17T13:46:31 de.ihe-d.terminology v3.0
HealthcareService.specialty.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5

Constraints

Id Grade Path(s) Description Expression
dom-2 error HealthcareService If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error HealthcareService If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error HealthcareService If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error HealthcareService If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice HealthcareService A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from HealthcareService

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... id S 0..1 id serverseitige, interne ID des Datensatzes
... meta
.... versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated 0..1 instant Zeitpunkt der letzten Änderung
... active S 1..1 boolean Gibt an, ob die Behandlungseinheit aktiv ist
... specialty S 1..* CodeableConcept Die Fachrichtung der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachrichtung S 1..1 Coding Code defined by a terminology system
Binding: IHE XDS practiceSettingCode (required)
..... coding:ErweiterterFachabteilungsschluessel 0..1 Coding Code defined by a terminology system
Binding: FachabteilungsschluesselErweitert ValueSet (required)
... name S 1..1 string Description of service as presented to a consumer while searching

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
HealthcareService.specialty.​coding:Fachrichtung Base required IHE XDS practiceSettingCode 📦2019-05-17T13:46:31 de.ihe-d.terminology v3.0
HealthcareService.specialty.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifiers for this item
... active ?!SΣ 1..1 boolean Gibt an, ob die Behandlungseinheit aktiv ist
... providedBy Σ 0..1 Reference(Organization) Organization that provides this service
... category Σ 0..* CodeableConcept Broad category of service being performed or delivered
Binding: ServiceCategory (example): A category of the service(s) that could be provided.
... type SΣ 1..* CodeableConcept Die Art der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
Binding: ServiceType (example): Additional details about where the content was created (e.g. clinical specialty).
... specialty SΣ 1..* CodeableConcept Die Fachrichtung der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
Binding: PracticeSettingCodeValueSet (preferred): A specialty that a healthcare service may provide.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachrichtung SΣ 1..1 Coding Code defined by a terminology system
Binding: IHE XDS practiceSettingCode (required)
..... coding:ErweiterterFachabteilungsschluessel Σ 0..1 Coding Code defined by a terminology system
Binding: FachabteilungsschluesselErweitert ValueSet (required)
.... text Σ 0..1 string Plain text representation of the concept
... location Σ 0..* Reference(Location) Location(s) where service may be provided
... name SΣ 1..1 string Description of service as presented to a consumer while searching
... comment Σ 0..1 string Additional description and/or any specific issues not covered elsewhere
... extraDetails 0..1 markdown Extra details about the service that can't be placed in the other fields
... photo Σ 0..1 Attachment Facilitates quick identification of the service
... telecom 0..* ContactPoint Contacts related to the healthcare service
... coverageArea 0..* Reference(Location) Location(s) service is intended for/available to
... serviceProvisionCode 0..* CodeableConcept Conditions under which service is available/offered
Binding: ServiceProvisionConditions (example): The code(s) that detail the conditions under which the healthcare service is available/offered.
... eligibility 0..* BackboneElement Specific eligibility requirements required to use the service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Coded value for the eligibility
Binding Description: (example): Coded values underwhich a specific service is made available.
.... comment 0..1 markdown Describes the eligibility conditions for the service
... program 0..* CodeableConcept Programs that this service is applicable to
Binding: Program (example): Government or local programs that this service applies to.
... characteristic 0..* CodeableConcept Collection of characteristics (attributes)
Binding Description: (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).
... communication 0..* CodeableConcept The language that this service is offered in
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

... referralMethod 0..* CodeableConcept Ways that the service accepts referrals
Binding: ReferralMethod (example): The methods of referral can be used when referring to a specific HealthCareService resource.
... appointmentRequired 0..1 boolean If an appointment is required for access to this service
... availableTime 0..* BackboneElement Times the Service Site is available
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.
.... allDay 0..1 boolean Always available? e.g. 24 hour service
.... availableStartTime 0..1 time Opening time of day (ignored if allDay = true)
.... availableEndTime 0..1 time Closing time of day (ignored if allDay = true)
... notAvailable 0..* BackboneElement Not available during this time due to provided reason
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... description 1..1 string Reason presented to the user explaining why time not available
.... during 0..1 Period Service not available from this date
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to electronic services operated for the healthcare service

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
HealthcareService.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
HealthcareService.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
HealthcareService.language Base preferred Common Languages 📍4.0.1 FHIR Std.
HealthcareService.category Base example Service category 📍4.0.1 FHIR Std.
HealthcareService.type Base example Service type 📍4.0.1 FHIR Std.
HealthcareService.specialty Base preferred Practice Setting Code Value Set 📍4.0.1 FHIR Std.
HealthcareService.specialty.​coding:Fachrichtung Base required IHE XDS practiceSettingCode 📦2019-05-17T13:46:31 de.ihe-d.terminology v3.0
HealthcareService.specialty.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
HealthcareService.serviceProvisionCode Base example ServiceProvisionConditions 📍4.0.1 FHIR Std.
HealthcareService.eligibility.​code Base example Not State Unknown
HealthcareService.program Base example Program 📍4.0.1 FHIR Std.
HealthcareService.characteristic Base example Not State Unknown
HealthcareService.communication Base preferred Common Languages 📍4.0.1 FHIR Std.
HealthcareService.referralMethod Base example ReferralMethod 📍4.0.1 FHIR Std.
HealthcareService.availableTime.​daysOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error HealthcareService If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error HealthcareService If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error HealthcareService If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error HealthcareService If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice HealthcareService A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ElementShort descriptionNotes
HealthcareService.active Gibt an, ob die Behandlungseinheit aktiv ist

Bedeutung: Ist der HealthcareService in aktiver Verwendung.

Hinweis: Historische HealthcareServices können ebenfalls über die ISiK-Schnittstelle ausgetauscht werden. Für diese dürfen jedoch keine Termine vereinbart werden. Das terminführende System MUSS dies bei der Buchung überprüfen.

Begründung Kardinalität und Must-Support-Flag (MS): Die Kardinalität 1..1 und das Must-Support-Flag (MS) für das ‘active’-Element stellen sicher, dass jede Behandlungseinheit eindeutig als aktiv oder inaktiv gekennzeichnet ist. Dies ist entscheidend für die Ressourcenplanung und Verfügbarkeit von Behandlungseinheiten.
HealthcareService.id serverseitige, interne ID des Datensatzes

bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine id verfügen. Von Clients erzeugte Ressourcen, die im Kontext einer CREATE-Interaktion übermittelt werden, MÜSSEN NICHT über eine idverfügen.
HealthcareService.name

Bedeutung: Informeller Name der Behandlungseinheit

Hinweis: Es wird im Rahmen dieser Spezifikation davon ausgegangen, dass für einen HealthcareService keine natürlichen Identifier vorliegen, die in einem realen Kontext vergeben werden. Somit kann durch den Namen ein informeller, jedoch identifizierender Bezeichner vergeben werden.

Begründung Kardinalität: Eine Behandlungseinheit muss mindestens einen Namen haben, um eine Wiedererkennbarkeit im Rahmen der Terminplanung zu gewährleisten.
HealthcareService.specialty Die Fachrichtung der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird

Bedeutung: Fachrichtung der Behandlungsleistung welche durch den HealthcareService erbracht wird

Hinweis: Diese Fachrichtung SOLL stets auch in Appointment.specialty und Schedule.specialty angegeben werden.

Begründung Kardinalität: Eine Behandlungseinheit kann multiprofessionell sein und mehere Fachbereiche abdecken. Sie muss jedoch mindestens einem Fachbereich zugeordnet sein, sodass die Behandlungseinheit während der Terminplanung als Akteur für passende Termine miteinbezogen wird.
HealthcareService.specialty.coding

Begründung Kardinalität Fachrichtung: Die Kardinalität der Fachrichtung-Eigenschaft wird auf 1..1 festgelegt, um sicherzustellen, dass genau eine Fachrichtung per IHE-XDS-Kodierung vorhanden ist. Dies ist notwendig, um die Spezialisierung der Behandlungseinheit eindeutig zu definieren und eine korrekte Zuordnung zu gewährleisten.

Begründung Kardinalität ErweiterterFachabteilungsschluessel: Die Kardinalität der ErweiterterFachabteilungsschluessel-Eigenschaft wird auf 0..1 festgelegt, um sicherzustellen, dass optional ein erweiterter Fachabteilungsschlüssel vorhanden sein kann.
HealthcareService.specialty.coding:Fachrichtung

Die Wahl des hinterlegten ValueSets (http://ihe-d.de/ValueSets/IHEXDSpracticeSettingCode) wurde mit einem Mitglied der IHE Deutschland Arbeitsgruppe XDS ValueSets (https://www.ihe-d.de/projekte/xds-value-sets-fuer-deutschland/) sowie mit der KBV abgestimmt (Stand:13.6.2024).
HealthcareService.type Die Art der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird

Bedeutung: Klassifikation der Behandlungsleistung welche durch den HealthcareService erbracht wird

Hinweis: Diese Klassifikation SOLL stets auch in Appointment.serviceType und Schedule.serviceType angegeben werden. Seitens der aktuellen Spezifikation werden keine Vorgaben bezüglich der zu verwendenden Terminologie gemacht. Entsprechend verwendete Kataloge müssen als CodeSystem- und ValueSet-Ressourcen exponiert werden. Siehe Suchparameter ‘context-type-value’ in ISiK Basis - Datenobjekt ValueSet.

Begründung Kardinalität: Eine Behandlungseinheit muss mindestens einen Typ haben, sodass im Rahmen der Terminplanung ermittelt werden kann, welcher Akteur für die Durchführung eines Termins zur Verfügung steht.

This structure is derived from HealthcareService

Summary

Mandatory: 6 elements
Must-Support: 7 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of HealthcareService.specialty.coding

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type SΣ 1..* CodeableConcept Die Art der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
Binding: ServiceType (example): Additional details about where the content was created (e.g. clinical specialty).
... specialty SΣ 1..* CodeableConcept Die Fachrichtung der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
Binding: PracticeSettingCodeValueSet (preferred): A specialty that a healthcare service may provide.
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachrichtung SΣ 1..1 Coding Code defined by a terminology system
Binding: IHE XDS practiceSettingCode (required)
..... coding:ErweiterterFachabteilungsschluessel Σ 0..1 Coding Code defined by a terminology system
Binding: FachabteilungsschluesselErweitert ValueSet (required)
... name SΣ 1..1 string Description of service as presented to a consumer while searching

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
HealthcareService.type Base example Service type 📍4.0.1 FHIR Std.
HealthcareService.specialty Base preferred Practice Setting Code Value Set 📍4.0.1 FHIR Std.
HealthcareService.specialty.​coding:Fachrichtung Base required IHE XDS practiceSettingCode 📦2019-05-17T13:46:31 de.ihe-d.terminology v3.0
HealthcareService.specialty.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5

Constraints

Id Grade Path(s) Description Expression
dom-2 error HealthcareService If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error HealthcareService If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error HealthcareService If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error HealthcareService If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice HealthcareService A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from HealthcareService

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... id S 0..1 id serverseitige, interne ID des Datensatzes
... meta
.... versionId 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated 0..1 instant Zeitpunkt der letzten Änderung
... active S 1..1 boolean Gibt an, ob die Behandlungseinheit aktiv ist
... specialty S 1..* CodeableConcept Die Fachrichtung der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
.... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachrichtung S 1..1 Coding Code defined by a terminology system
Binding: IHE XDS practiceSettingCode (required)
..... coding:ErweiterterFachabteilungsschluessel 0..1 Coding Code defined by a terminology system
Binding: FachabteilungsschluesselErweitert ValueSet (required)
... name S 1..1 string Description of service as presented to a consumer while searching

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
HealthcareService.specialty.​coding:Fachrichtung Base required IHE XDS practiceSettingCode 📦2019-05-17T13:46:31 de.ihe-d.terminology v3.0
HealthcareService.specialty.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... id SΣ 0..1 id serverseitige, interne ID des Datensatzes
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Eindeutiger Name der serverseitigen Version des Datensatzes
.... lastUpdated Σ 0..1 instant Zeitpunkt der letzten Änderung
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier External identifiers for this item
... active ?!SΣ 1..1 boolean Gibt an, ob die Behandlungseinheit aktiv ist
... providedBy Σ 0..1 Reference(Organization) Organization that provides this service
... category Σ 0..* CodeableConcept Broad category of service being performed or delivered
Binding: ServiceCategory (example): A category of the service(s) that could be provided.
... type SΣ 1..* CodeableConcept Die Art der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
Binding: ServiceType (example): Additional details about where the content was created (e.g. clinical specialty).
... specialty SΣ 1..* CodeableConcept Die Fachrichtung der Behandlungsleistung welche durch die Behandlungseinheit erbracht wird
Binding: PracticeSettingCodeValueSet (preferred): A specialty that a healthcare service may provide.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:Fachrichtung SΣ 1..1 Coding Code defined by a terminology system
Binding: IHE XDS practiceSettingCode (required)
..... coding:ErweiterterFachabteilungsschluessel Σ 0..1 Coding Code defined by a terminology system
Binding: FachabteilungsschluesselErweitert ValueSet (required)
.... text Σ 0..1 string Plain text representation of the concept
... location Σ 0..* Reference(Location) Location(s) where service may be provided
... name SΣ 1..1 string Description of service as presented to a consumer while searching
... comment Σ 0..1 string Additional description and/or any specific issues not covered elsewhere
... extraDetails 0..1 markdown Extra details about the service that can't be placed in the other fields
... photo Σ 0..1 Attachment Facilitates quick identification of the service
... telecom 0..* ContactPoint Contacts related to the healthcare service
... coverageArea 0..* Reference(Location) Location(s) service is intended for/available to
... serviceProvisionCode 0..* CodeableConcept Conditions under which service is available/offered
Binding: ServiceProvisionConditions (example): The code(s) that detail the conditions under which the healthcare service is available/offered.
... eligibility 0..* BackboneElement Specific eligibility requirements required to use the service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Coded value for the eligibility
Binding Description: (example): Coded values underwhich a specific service is made available.
.... comment 0..1 markdown Describes the eligibility conditions for the service
... program 0..* CodeableConcept Programs that this service is applicable to
Binding: Program (example): Government or local programs that this service applies to.
... characteristic 0..* CodeableConcept Collection of characteristics (attributes)
Binding Description: (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).
... communication 0..* CodeableConcept The language that this service is offered in
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

... referralMethod 0..* CodeableConcept Ways that the service accepts referrals
Binding: ReferralMethod (example): The methods of referral can be used when referring to a specific HealthCareService resource.
... appointmentRequired 0..1 boolean If an appointment is required for access to this service
... availableTime 0..* BackboneElement Times the Service Site is available
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required): The days of the week.
.... allDay 0..1 boolean Always available? e.g. 24 hour service
.... availableStartTime 0..1 time Opening time of day (ignored if allDay = true)
.... availableEndTime 0..1 time Closing time of day (ignored if allDay = true)
... notAvailable 0..* BackboneElement Not available during this time due to provided reason
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... description 1..1 string Reason presented to the user explaining why time not available
.... during 0..1 Period Service not available from this date
... availabilityExceptions 0..1 string Description of availability exceptions
... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to electronic services operated for the healthcare service

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
HealthcareService.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
HealthcareService.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
HealthcareService.language Base preferred Common Languages 📍4.0.1 FHIR Std.
HealthcareService.category Base example Service category 📍4.0.1 FHIR Std.
HealthcareService.type Base example Service type 📍4.0.1 FHIR Std.
HealthcareService.specialty Base preferred Practice Setting Code Value Set 📍4.0.1 FHIR Std.
HealthcareService.specialty.​coding:Fachrichtung Base required IHE XDS practiceSettingCode 📦2019-05-17T13:46:31 de.ihe-d.terminology v3.0
HealthcareService.specialty.​coding:ErweiterterFachabteilungsschluessel Base required FachabteilungsschluesselErweitert ValueSet 📦1.5.4 de.basisprofil.r4 v1.5
HealthcareService.serviceProvisionCode Base example ServiceProvisionConditions 📍4.0.1 FHIR Std.
HealthcareService.eligibility.​code Base example Not State Unknown
HealthcareService.program Base example Program 📍4.0.1 FHIR Std.
HealthcareService.characteristic Base example Not State Unknown
HealthcareService.communication Base preferred Common Languages 📍4.0.1 FHIR Std.
HealthcareService.referralMethod Base example ReferralMethod 📍4.0.1 FHIR Std.
HealthcareService.availableTime.​daysOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error HealthcareService If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error HealthcareService If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error HealthcareService If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error HealthcareService If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice HealthcareService A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from HealthcareService

Summary

Mandatory: 6 elements
Must-Support: 7 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of HealthcareService.specialty.coding

 

Other representations of profile: CSV, Excel, Schematron