Guía de Implementación Core de Costa Rica
0.1.0 - ci-build Costa Rica bandera

Guía de Implementación Core de Costa Rica - Versión en desarrollo (v0.1.0): borrador de trabajo de la Iniciativa HL7® Costa Rica, que puede cambiar sin aviso.

Perfil de los recursos: Servicio de salud - Descripciones detalladas

Estado de las normas de la página: Draft

Definiciones del cr-healthcare-service perfil de los recursos.

Las indicaciones para interpretar el contenido de esta tabla estánaquí

0. HealthcareService
Definición

Servicio de salud que ofrece una organización en Costa Rica en una o varias ubicaciones: qué se ofrece, con qué especialidad o modalidad de imagen, qué requisitos pide, en qué horario y cómo contactarlo.


The details of a healthcare service available at a location.

ResumenServicio de salud: qué se ofrece, dónde, en qué horario y con qué requisitosThe details of a healthcare service available at a location
Control0..*
Es modificadorfalse
Must Supportfalse
Resumenfalse
Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
cr-servicio-especialidad: Una consulta especializada indica su especialidad. (type.coding.where(system = 'https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud' and code = 'consulta-especializada').exists() implies specialty.exists())
cr-servicio-modalidad: Un servicio de imágenes médicas indica sus modalidades de imagen DICOM, y solo él las lleva. (type.coding.where(system = 'https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud' and code = 'imagenes-medicas').exists() = characteristic.coding.where(system = 'http://dicom.nema.org/resources/ontology/DCM').exists())
cr-identificador-unico: No hay dos identificadores con el mismo system y el mismo valor. (identifier.select(system & '|' & value).isDistinct())
2. HealthcareService.implicitRules
Definición

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.

ResumenA set of rules under which this content was created
Comentarios

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 its narrative along with other profiles, value sets, etc.

Control0..1
Tipouri
Es modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Must Supportfalse
Resumentrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. HealthcareService.contained
Definición

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ResumenContained, inline Resources
Comentarios

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..*
Este elemento está afectado por las siguientes invariantes: dom-2, dom-4, dom-3, dom-5
TipoResource
Es modificadorfalse
Must Supportfalse
Resumenfalse
Nombres alternativosinline resources, anonymous resources, contained resources
6. HealthcareService.modifierExtension
Definición

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 managable, 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).

ResumenExtensions that cannot be ignored
Comentarios

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..*
TipoExtension
Es modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Must Supportfalse
Resumentrue
Requisitos

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.

Nombres alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. HealthcareService.identifier
Definición

Código con que la organización identifica el servicio en sus sistemas, por ejemplo en la agenda de citas. Es opcional: no hay un catálogo nacional de servicios.


External identifiers for this item.

ResumenCódigo interno del servicio (agenda de citas)External identifiers for this item
NotaThis is a business identifier, not a resource identifier (see discusión)
Control0..*
TipoIdentifier
Es modificadorfalse
Must Supporttrue
Resumentrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cr-servicio-system: El system del identificador es https://hl7.or.cr/fhir/sid/servicio/ seguido del código del establecimiento (cj-, cn- o dimex- y el identificador del titular). (system.matches('^https://hl7\\.or\\.cr/fhir/sid/servicio/(cj-[1-9][0-9]{9}|cn-[1-9][0-9]{8}|dimex-[1-9][0-9]{10,11})$'))
10. HealthcareService.identifier.use
Definición

The purpose of this identifier.

Resumenofficial (valor fijo)usual | official | temp | secondary | old (If known)
Comentarios

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

Control0..1
VinculaciónLos códigos DEBEN tomarse de IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0
(required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

Identifies the purpose for this identifier, if known .

Tipocode
Es modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Resumentrue
Requisitos

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Pattern Valueofficial
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. HealthcareService.identifier.system
Definición

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

Resumenhttps://hl7.or.cr/fhir/sid/servicio/{código del establecimiento}The namespace for the identifier value
Comentarios

Identifier.system is always case sensitive.

Control10..1
Tipouri
Es modificadorfalse
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Must Supporttrue
Resumentrue
Requisitos

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

ExampleGeneral: http://www.acme.com/identifiers/patient
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. HealthcareService.identifier.value
Definición

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

ResumenCódigo del servicio en el sistema de la organizaciónThe value that is unique
Comentarios

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Control10..1
Este elemento está afectado por las siguientes invariantes: ident-1
Tipostring
Es modificadorfalse
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Must Supporttrue
Resumentrue
Max Length:64
ExampleGeneral: 123456
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cr-codigo-interno-value: Un código interno tiene de 1 a 64 caracteres, sin espacios. (matches('^\\S{1,64}$'))
16. HealthcareService.active
Definición

Indica si el servicio se está ofreciendo. Un servicio que se cierra pasa a no activo y no se borra, porque las citas y referencias anteriores lo siguen citando.


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.

ResumenSi el servicio se está ofreciendoWhether this HealthcareService record is in active use
Comentarios

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

Control10..1
Tipoboolean
Es modificadortrue porque 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
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Must Supporttrue
Resumentrue
Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. HealthcareService.providedBy
Definición

The organization that provides this healthcare service.

ResumenOrganización que presta el servicio y responde por élOrganization that provides this service
Comentarios

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.

Control10..1
TipoReference(Organización, Organization)
Es modificadorfalse
Must Supporttrue
Resumentrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. HealthcareService.type
Definición

Qué servicio se ofrece, del catálogo multisectorial de tipos de servicio de salud. Un servicio puede tener varios tipos.


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

ResumenTipo de servicio del catálogo de Costa RicaType of service that may be delivered or performed
Control10..*
VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Para códigos de ejemplo, vea Tipos de servicio de saludhttp://hl7.org/fhir/ValueSet/service-type|5.0.0
(extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-tipo-servicio-salud)
TipoCodeableConcept
Es modificadorfalse
Must Supporttrue
Resumentrue
Nombres alternativosservice type
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. HealthcareService.specialty
Definición

Especialidades del servicio. Obligatoria en una consulta especializada.


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

ResumenEspecialidades del servicioSpecialties handled by the HealthcareService
Control0..*
VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Los códigos DEBERÍAN tomarse de Especialidades en saludhttp://hl7.org/fhir/ValueSet/c80-practice-codes|5.0.0
(extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-especialidad-salud)
TipoCodeableConcept
Es modificadorfalse
Must Supporttrue
Resumentrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. HealthcareService.location
Definición

Lugares donde se presta el servicio. Se recomienda la ubicación más específica (el servicio de radiología, no toda la sede).


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

ResumenUbicaciones donde se prestaLocation(s) where service may be provided
Control10..*
TipoReference(Ubicación, Location)
Es modificadorfalse
Must Supporttrue
Resumentrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. HealthcareService.name
Definición

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

ResumenNombre del servicio (Consulta externa de cardiología)Description of service as presented to a consumer while searching
Control10..1
Tipostring
Es modificadorfalse
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Must Supporttrue
Resumentrue
Max Length:250
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. HealthcareService.comment
Definición

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.

ResumenInformación para el paciente o quien refiere: preparación, avisosAdditional description and/or any specific issues not covered elsewhere
Comentarios

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
Tipomarkdown
Es modificadorfalse
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Must Supporttrue
Resumentrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. HealthcareService.contact
Definición

Teléfono y correo electrónico de trabajo del servicio, por ejemplo para pedir citas. El contacto general no lleva purpose.


The contact details of communication devices available relevant to the specific HealthcareService. This can include addresses, phone numbers, fax numbers, mobile numbers, email addresses and web sites.

ResumenContacto de trabajo del servicio, por ejemplo para pedir citasOfficial contact details for the HealthcareService
Comentarios

The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the HealthcareService itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

If this is empty (or the type of interest is empty), refer to the location's contacts.

Control0..*
TipoExtendedContactDetail
Es modificadorfalse
Must Supporttrue
Resumenfalse
Requisitos

Need to keep track of both simple contact details and also assigned contacts within larger organizations.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. HealthcareService.contact.telecom
Definición

Teléfono o correo electrónico de trabajo: system dice cuál es (phone, email). Los teléfonos van en formato E.164: en Costa Rica, +506 y 8 dígitos, con una extensión interna opcional después de ;ext=.


The contact details application for the purpose defined.

ResumenTeléfono (+506 y 8 dígitos; extensión interna con ;ext=) o correo electrónicoContact details (e.g.phone/fax/url)
Control0..*
TipoContactPoint
Es modificadorfalse
Must Supporttrue
Resumentrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cr-telefono: Un teléfono está en formato E.164 (+ y de 8 a 15 dígitos, sin espacios ni guiones), con una extensión interna opcional después de ;ext=. En Costa Rica (+506) tiene 8 dígitos que empiezan de 2 a 8, o es un número 800 o 900 de 10 dígitos. ((system = 'phone' or system = 'fax' or system = 'sms') implies (value.matches('^\\+[1-9][0-9]{7,14}(;ext=[0-9]{1,6})?$') and (value.startsWith('+506') implies value.matches('^\\+506([2-8][0-9]{7}|[89]00[0-9]{7})(;ext=[0-9]{1,6})?$'))))
34. HealthcareService.contact.telecom.use
Definición

Identifies the purpose for the contact point.

Resumenwork (valor fijo)home | work | temp | old | mobile - purpose of this contact point
Comentarios

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

Control0..1
VinculaciónLos códigos DEBEN tomarse de ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|5.0.0
(required to http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0)

Use of contact point.

Tipocode
Es modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Resumentrue
Requisitos

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

Pattern Valuework
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. HealthcareService.eligibility
Definición

Qué necesita el paciente para usar el servicio, uno por ocurrencia: una referencia, una orden médica o una cobertura. Sin requisitos, el servicio es de acceso directo.


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

ResumenRequisitos de acceso: referencia, orden médica o coberturaSpecific eligibility requirements required to use the service
Control0..*
TipoBackboneElement
Es modificadorfalse
Must Supporttrue
Resumenfalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. HealthcareService.eligibility.modifierExtension
Definición

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 managable, 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).

ResumenExtensions that cannot be ignored even if unrecognized
Comentarios

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..*
TipoExtension
Es modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumentrue
Requisitos

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.

Nombres alternativosextensions, user content, modifiers
Invariantesele-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.eligibility.code
Definición

Coded value for the eligibility.

ResumenRequisito (referencia | orden-medica | cobertura)Coded value for the eligibility
Control10..1
VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Para códigos de ejemplo, vea Requisitos de acceso
(extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-requisito-acceso)
TipoCodeableConcept
Es modificadorfalse
Must Supporttrue
Resumenfalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. HealthcareService.eligibility.comment
Definición

Describes the eligibility conditions for the service.

ResumenDetalle del requisito: qué cobertura se acepta, de qué nivel viene la referenciaDescribes the eligibility conditions for the service
Comentarios

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
Tipomarkdown
Es modificadorfalse
Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
Must Supporttrue
Resumenfalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. HealthcareService.characteristic
Definición

Collection of characteristics (attributes).

ResumenModalidades de imagen DICOM del servicioCollection of characteristics (attributes)
Comentarios

These could be such things as is wheelchair accessible.

Control0..*
VinculaciónPara códigos de ejemplo, vea ServiceModehttp://hl7.org/fhir/ValueSet/service-mode|5.0.0
(example to http://hl7.org/fhir/ValueSet/service-mode|5.0.0)

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

TipoCodeableConcept
Es modificadorfalse
Must Supporttrue
Resumenfalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingEste elemento introduce un conjunto de slices en HealthcareService.characteristic. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
  • value @ coding.system
  • 46. HealthcareService.characteristic:modalidadImagen
    Slice NamemodalidadImagen
    Definición

    Collection of characteristics (attributes).

    ResumenModalidad de imagen DICOM: CT, MR, US, MG, DX, CR, NM, PT, XA, RFCollection of characteristics (attributes)
    Comentarios

    These could be such things as is wheelchair accessible.

    Control0..*
    VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Para códigos de ejemplo, vea Modality .http://hl7.org/fhir/ValueSet/service-mode|5.0.0
    (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html)
    TipoCodeableConcept
    Es modificadorfalse
    Must Supporttrue
    Resumenfalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. HealthcareService.communication
    Definición

    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.

    ResumenIdiomas en que se atiende, además del españolThe language that this service is offered in
    Comentarios

    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..*
    VinculaciónLos códigos DEBEN tomarse de AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0
    (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

    IETF language tag for a human language

    TipoCodeableConcept
    Es modificadorfalse
    Must Supporttrue
    Resumenfalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. HealthcareService.appointmentRequired
    Definición

    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.

    ResumenSi se atiende solo con cita previaIf an appointment is required for access to this service
    Control0..1
    Tipoboolean
    Es modificadorfalse
    Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
    Must Supporttrue
    Resumenfalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    52. HealthcareService.availability
    Definición

    A collection of times that the healthcare service is available.

    ResumenHorario del servicioTimes the healthcare service is available (including exceptions)
    Comentarios

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

    Systems may choose to render availability differently than it is exchanged on the interface. For example, rather than "Mon, Tue, Wed, Thur, Fri from 9am-12am; Mon, Tue, Wed, Thur, Fri from 1pm-5pm" as would be implied by two availableTime repetitions, an application could render this information as "Mon-Fri 9-12am and 1-5pm".

    The NotAvailableTime(s) included indicate the general days/periods where the service is not available (for things such as public holidays).

    Control0..1*
    TipoAvailability
    Es modificadorfalse
    Must Supporttrue
    Resumenfalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    54. HealthcareService.availability.availableTime
    Definición

    Times the {item} is available.

    ResumenBloque de días con el mismo horarioTimes the {item} is available
    Control0..*
    TipoElement
    Es modificadorfalse
    Must Supporttrue
    Resumentrue
    Requisitos

    A collection of times that the {item} is available.

    Invariantesav-1: Cannot include start/end times when selecting all day availability. (allDay.exists().not() or (allDay implies availableStartTime.exists().not() and availableEndTime.exists().not()))
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    cr-servicio-horario: Un bloque de horario es de todo el día, sin horas, o tiene hora de inicio y de fin, con el inicio antes del fin. ((allDay.where($this = true).exists() and availableStartTime.empty() and availableEndTime.empty()) or (allDay.where($this = true).empty() and availableStartTime.exists() and availableEndTime.exists() and availableStartTime < availableEndTime))
    56. HealthcareService.availability.availableTime.daysOfWeek
    Definición

    mon | tue | wed | thu | fri | sat | sun.

    ResumenDías del bloque: mon | tue | wed | thu | fri | sat | sunmon | tue | wed | thu | fri | sat | sun
    Control10..*
    VinculaciónLos códigos DEBEN tomarse de DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|5.0.0
    (required to http://hl7.org/fhir/ValueSet/days-of-week|5.0.0)

    The purpose for which an extended contact detail should be used.

    Tipocode
    Es modificadorfalse
    Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
    Must Supporttrue
    Resumentrue
    Requisitos

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

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. HealthcareService.availability.availableTime.allDay
    Definición

    Always available? i.e. 24 hour service.

    ResumenSi atiende las 24 horas esos díasAlways available? i.e. 24 hour service
    Control0..1
    Este elemento está afectado por las siguientes invariantes: av-1
    Tipoboolean
    Es modificadorfalse
    Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
    Must Supporttrue
    Resumentrue
    Requisitos

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

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. HealthcareService.availability.availableTime.availableStartTime
    Definición

    Opening time of day (ignored if allDay = true).

    ResumenHora de inicio, en hora de Costa Rica (UTC−6)Opening time of day (ignored if allDay = true)
    Comentarios

    The timezone is expected to be specified or implied by the context this datatype is used.

    Control0..1
    Este elemento está afectado por las siguientes invariantes: av-1
    Tipotime
    Es modificadorfalse
    Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
    Must Supporttrue
    Resumentrue
    Requisitos

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

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. HealthcareService.availability.availableTime.availableEndTime
    Definición

    Closing time of day (ignored if allDay = true).

    ResumenHora de fin, en hora de Costa Rica (UTC−6)Closing time of day (ignored if allDay = true)
    Comentarios

    The timezone is expected to be specified or implied by the context this datatype is used.

    Control0..1
    Este elemento está afectado por las siguientes invariantes: av-1
    Tipotime
    Es modificadorfalse
    Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
    Must Supporttrue
    Resumentrue
    Requisitos

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

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

    Las indicaciones para interpretar el contenido de esta tabla estánaquí

    0. HealthcareService
    Definición

    Servicio de salud que ofrece una organización en Costa Rica en una o varias ubicaciones: qué se ofrece, con qué especialidad o modalidad de imagen, qué requisitos pide, en qué horario y cómo contactarlo.

    ResumenServicio de salud: qué se ofrece, dónde, en qué horario y con qué requisitos
    Invariantescr-servicio-especialidad: Una consulta especializada indica su especialidad. (type.coding.where(system = 'https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud' and code = 'consulta-especializada').exists() implies specialty.exists())
    cr-servicio-modalidad: Un servicio de imágenes médicas indica sus modalidades de imagen DICOM, y solo él las lleva. (type.coding.where(system = 'https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud' and code = 'imagenes-medicas').exists() = characteristic.coding.where(system = 'http://dicom.nema.org/resources/ontology/DCM').exists())
    cr-identificador-unico: No hay dos identificadores con el mismo system y el mismo valor. (identifier.select(system & '|' & value).isDistinct())
    2. HealthcareService.identifier
    Definición

    Código con que la organización identifica el servicio en sus sistemas, por ejemplo en la agenda de citas. Es opcional: no hay un catálogo nacional de servicios.

    ResumenCódigo interno del servicio (agenda de citas)
    NotaThis is a business identifier, not a resource identifier (see discusión)
    Must Supporttrue
    Invariantescr-servicio-system: El system del identificador es https://hl7.or.cr/fhir/sid/servicio/ seguido del código del establecimiento (cj-, cn- o dimex- y el identificador del titular). (system.matches('^https://hl7\\.or\\.cr/fhir/sid/servicio/(cj-[1-9][0-9]{9}|cn-[1-9][0-9]{8}|dimex-[1-9][0-9]{10,11})$'))
    4. HealthcareService.identifier.use
    Resumenofficial (valor fijo)
    Pattern Valueofficial
    6. HealthcareService.identifier.system
    Resumenhttps://hl7.or.cr/fhir/sid/servicio/{código del establecimiento}
    Control1..?
    Must Supporttrue
    8. HealthcareService.identifier.value
    ResumenCódigo del servicio en el sistema de la organización
    Control1..?
    Must Supporttrue
    Max Length:64
    Invariantescr-codigo-interno-value: Un código interno tiene de 1 a 64 caracteres, sin espacios. (matches('^\\S{1,64}$'))
    10. HealthcareService.active
    Definición

    Indica si el servicio se está ofreciendo. Un servicio que se cierra pasa a no activo y no se borra, porque las citas y referencias anteriores lo siguen citando.

    ResumenSi el servicio se está ofreciendo
    Control1..?
    Must Supporttrue
    12. HealthcareService.providedBy
    ResumenOrganización que presta el servicio y responde por él
    Control1..?
    TipoReference(Organización)
    Must Supporttrue
    14. HealthcareService.type
    Definición

    Qué servicio se ofrece, del catálogo multisectorial de tipos de servicio de salud. Un servicio puede tener varios tipos.

    ResumenTipo de servicio del catálogo de Costa Rica
    Control1..?
    VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Tipos de servicio de salud
    (extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-tipo-servicio-salud)
    Must Supporttrue
    16. HealthcareService.specialty
    Definición

    Especialidades del servicio. Obligatoria en una consulta especializada.

    ResumenEspecialidades del servicio
    VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Especialidades en salud
    (extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-especialidad-salud)
    Must Supporttrue
    18. HealthcareService.location
    Definición

    Lugares donde se presta el servicio. Se recomienda la ubicación más específica (el servicio de radiología, no toda la sede).

    ResumenUbicaciones donde se presta
    Control1..?
    TipoReference(Ubicación)
    Must Supporttrue
    20. HealthcareService.name
    ResumenNombre del servicio (Consulta externa de cardiología)
    Control1..?
    Must Supporttrue
    Max Length:250
    22. HealthcareService.comment
    ResumenInformación para el paciente o quien refiere: preparación, avisos
    Must Supporttrue
    24. HealthcareService.contact
    Definición

    Teléfono y correo electrónico de trabajo del servicio, por ejemplo para pedir citas. El contacto general no lleva purpose.

    ResumenContacto de trabajo del servicio, por ejemplo para pedir citas
    Must Supporttrue
    26. HealthcareService.contact.telecom
    Definición

    Teléfono o correo electrónico de trabajo: system dice cuál es (phone, email). Los teléfonos van en formato E.164: en Costa Rica, +506 y 8 dígitos, con una extensión interna opcional después de ;ext=.

    ResumenTeléfono (+506 y 8 dígitos; extensión interna con ;ext=) o correo electrónico
    Must Supporttrue
    Invariantescr-telefono: Un teléfono está en formato E.164 (+ y de 8 a 15 dígitos, sin espacios ni guiones), con una extensión interna opcional después de ;ext=. En Costa Rica (+506) tiene 8 dígitos que empiezan de 2 a 8, o es un número 800 o 900 de 10 dígitos. ((system = 'phone' or system = 'fax' or system = 'sms') implies (value.matches('^\\+[1-9][0-9]{7,14}(;ext=[0-9]{1,6})?$') and (value.startsWith('+506') implies value.matches('^\\+506([2-8][0-9]{7}|[89]00[0-9]{7})(;ext=[0-9]{1,6})?$'))))
    28. HealthcareService.contact.telecom.use
    Resumenwork (valor fijo)
    Pattern Valuework
    30. HealthcareService.eligibility
    Definición

    Qué necesita el paciente para usar el servicio, uno por ocurrencia: una referencia, una orden médica o una cobertura. Sin requisitos, el servicio es de acceso directo.

    ResumenRequisitos de acceso: referencia, orden médica o cobertura
    Must Supporttrue
    32. HealthcareService.eligibility.code
    ResumenRequisito (referencia | orden-medica | cobertura)
    Control1..?
    VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Requisitos de acceso
    (extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-requisito-acceso)
    Must Supporttrue
    34. HealthcareService.eligibility.comment
    ResumenDetalle del requisito: qué cobertura se acepta, de qué nivel viene la referencia
    Must Supporttrue
    36. HealthcareService.characteristic
    ResumenModalidades de imagen DICOM del servicio
    Must Supporttrue
    SlicingEste elemento introduce un conjunto de slices en HealthcareService.characteristic. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
    • value @ coding.system
    • 38. HealthcareService.characteristic:modalidadImagen
      Slice NamemodalidadImagen
      ResumenModalidad de imagen DICOM: CT, MR, US, MG, DX, CR, NM, PT, XA, RF
      Control0..*
      VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Modality .
      (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html)
      Must Supporttrue
      40. HealthcareService.characteristic:modalidadImagen.coding
      42. HealthcareService.characteristic:modalidadImagen.coding.system
      ResumenSistema de códigos del slice (valor fijo)
      Control1..?
      Pattern Valuehttp://dicom.nema.org/resources/ontology/DCM
      44. HealthcareService.communication
      ResumenIdiomas en que se atiende, además del español
      VinculaciónLos códigos DEBEN tomarse de AllLanguages
      (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

      IETF language tag for a human language

      Must Supporttrue
      46. HealthcareService.appointmentRequired
      ResumenSi se atiende solo con cita previa
      Must Supporttrue
      48. HealthcareService.availability
      ResumenHorario del servicio
      Control0..1
      Must Supporttrue
      50. HealthcareService.availability.availableTime
      ResumenBloque de días con el mismo horario
      Must Supporttrue
      Invariantescr-servicio-horario: Un bloque de horario es de todo el día, sin horas, o tiene hora de inicio y de fin, con el inicio antes del fin. ((allDay.where($this = true).exists() and availableStartTime.empty() and availableEndTime.empty()) or (allDay.where($this = true).empty() and availableStartTime.exists() and availableEndTime.exists() and availableStartTime < availableEndTime))
      52. HealthcareService.availability.availableTime.daysOfWeek
      ResumenDías del bloque: mon | tue | wed | thu | fri | sat | sun
      Control1..?
      Must Supporttrue
      54. HealthcareService.availability.availableTime.allDay
      ResumenSi atiende las 24 horas esos días
      Must Supporttrue
      56. HealthcareService.availability.availableTime.availableStartTime
      ResumenHora de inicio, en hora de Costa Rica (UTC−6)
      Must Supporttrue
      58. HealthcareService.availability.availableTime.availableEndTime
      ResumenHora de fin, en hora de Costa Rica (UTC−6)
      Must Supporttrue

      Las indicaciones para interpretar el contenido de esta tabla estánaquí

      0. HealthcareService
      Definición

      Servicio de salud que ofrece una organización en Costa Rica en una o varias ubicaciones: qué se ofrece, con qué especialidad o modalidad de imagen, qué requisitos pide, en qué horario y cómo contactarlo.

      ResumenServicio de salud: qué se ofrece, dónde, en qué horario y con qué requisitos
      Control0..*
      Es modificadorfalse
      Must Supportfalse
      Resumenfalse
      Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
      dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
      dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      cr-servicio-especialidad: Una consulta especializada indica su especialidad. (type.coding.where(system = 'https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud' and code = 'consulta-especializada').exists() implies specialty.exists())
      cr-servicio-modalidad: Un servicio de imágenes médicas indica sus modalidades de imagen DICOM, y solo él las lleva. (type.coding.where(system = 'https://hl7.or.cr/fhir/terminology/CodeSystem/cr-tipo-servicio-salud' and code = 'imagenes-medicas').exists() = characteristic.coding.where(system = 'http://dicom.nema.org/resources/ontology/DCM').exists())
      cr-identificador-unico: No hay dos identificadores con el mismo system y el mismo valor. (identifier.select(system & '|' & value).isDistinct())
      2. HealthcareService.id
      Definición

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

      ResumenLogical id of this artifact
      Comentarios

      Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

      Control0..1
      Tipoid
      Es modificadorfalse
      Must Supportfalse
      Resumentrue
      4. HealthcareService.meta
      Definición

      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.

      ResumenMetadata about the resource
      Control0..1
      TipoMeta
      Es modificadorfalse
      Must Supportfalse
      Resumentrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      6. HealthcareService.implicitRules
      Definición

      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.

      ResumenA set of rules under which this content was created
      Comentarios

      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 its narrative along with other profiles, value sets, etc.

      Control0..1
      Tipouri
      Es modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
      Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
      Must Supportfalse
      Resumentrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      8. HealthcareService.language
      Definición

      The base language in which the resource is written.

      ResumenLanguage of the resource content
      Comentarios

      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
      VinculaciónLos códigos DEBEN tomarse de AllLanguages
      (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

      IETF language tag for a human language

      Tipocode
      Es modificadorfalse
      Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
      Must Supportfalse
      Resumenfalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      10. HealthcareService.text
      Definición

      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.

      ResumenText summary of the resource, for human interpretation
      Comentarios

      Contained resources do not have a 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
      Este elemento está afectado por las siguientes invariantes: dom-6
      TipoNarrative
      Es modificadorfalse
      Must Supportfalse
      Resumenfalse
      Nombres alternativosnarrative, html, xhtml, display
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      12. HealthcareService.contained
      Definición

      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

      ResumenContained, inline Resources
      Comentarios

      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..*
      Este elemento está afectado por las siguientes invariantes: dom-2, dom-4, dom-3, dom-5
      TipoResource
      Es modificadorfalse
      Must Supportfalse
      Resumenfalse
      Nombres alternativosinline resources, anonymous resources, contained resources
      14. HealthcareService.extension
      Definición

      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 managable, 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.

      ResumenAdditional content defined by implementations
      Comentarios

      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..*
      TipoExtension
      Es modificadorfalse
      Must Supportfalse
      Resumenfalse
      Nombres alternativosextensions, user content
      Invariantesele-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.modifierExtension
      Definición

      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 managable, 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).

      ResumenExtensions that cannot be ignored
      Comentarios

      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..*
      TipoExtension
      Es modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
      Must Supportfalse
      Resumentrue
      Requisitos

      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.

      Nombres alternativosextensions, user content
      Invariantesele-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.identifier
      Definición

      Código con que la organización identifica el servicio en sus sistemas, por ejemplo en la agenda de citas. Es opcional: no hay un catálogo nacional de servicios.

      ResumenCódigo interno del servicio (agenda de citas)
      NotaThis is a business identifier, not a resource identifier (see discusión)
      Control0..*
      TipoIdentifier
      Es modificadorfalse
      Must Supporttrue
      Resumentrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      cr-servicio-system: El system del identificador es https://hl7.or.cr/fhir/sid/servicio/ seguido del código del establecimiento (cj-, cn- o dimex- y el identificador del titular). (system.matches('^https://hl7\\.or\\.cr/fhir/sid/servicio/(cj-[1-9][0-9]{9}|cn-[1-9][0-9]{8}|dimex-[1-9][0-9]{10,11})$'))
      20. HealthcareService.identifier.id
      Definición

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

      ResumenUnique id for inter-element referencing
      Control0..1
      Este elemento está afectado por las siguientes invariantes: ele-1
      Tipoid
      Es modificadorfalse
      Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
      Resumenfalse
      22. HealthcareService.identifier.extension
      Definición

      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 managable, 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.

      ResumenAdditional content defined by implementations
      Comentarios

      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..*
      TipoExtension
      Es modificadorfalse
      Resumenfalse
      Nombres alternativosextensions, user content
      Invariantesele-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())
      SlicingEste elemento introduce un conjunto de slices en HealthcareService.identifier.extension. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
      • value @ url
      • 24. HealthcareService.identifier.use
        Definición

        The purpose of this identifier.

        Resumenofficial (valor fijo)
        Comentarios

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

        Control0..1
        VinculaciónLos códigos DEBEN tomarse de IdentifierUse
        (required to http://hl7.org/fhir/ValueSet/identifier-use|5.0.0)

        Identifies the purpose for this identifier, if known .

        Tipocode
        Es modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
        Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
        Resumentrue
        Requisitos

        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

        Pattern Valueofficial
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        26. HealthcareService.identifier.type
        Definición

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

        ResumenDescription of identifier
        Comentarios

        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

        Control0..1
        VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de IdentifierTypeCodes
        (extensible to http://hl7.org/fhir/ValueSet/identifier-type|5.0.0)

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

        TipoCodeableConcept
        Es modificadorfalse
        Resumentrue
        Requisitos

        Allows users to make use of identifiers when the identifier system is not known.

        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        28. HealthcareService.identifier.system
        Definición

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

        Resumenhttps://hl7.or.cr/fhir/sid/servicio/{código del establecimiento}
        Comentarios

        Identifier.system is always case sensitive.

        Control1..1
        Tipouri
        Es modificadorfalse
        Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
        Must Supporttrue
        Resumentrue
        Requisitos

        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

        ExampleGeneral: http://www.acme.com/identifiers/patient
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        30. HealthcareService.identifier.value
        Definición

        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

        ResumenCódigo del servicio en el sistema de la organización
        Comentarios

        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the http://hl7.org/fhir/StructureDefinition/rendered-value). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

        Control1..1
        Este elemento está afectado por las siguientes invariantes: ident-1
        Tipostring
        Es modificadorfalse
        Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
        Must Supporttrue
        Resumentrue
        Max Length:64
        ExampleGeneral: 123456
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        cr-codigo-interno-value: Un código interno tiene de 1 a 64 caracteres, sin espacios. (matches('^\\S{1,64}$'))
        32. HealthcareService.identifier.period
        Definición

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

        ResumenTime period when id is/was valid for use
        Control0..1
        TipoPeriod
        Es modificadorfalse
        Resumentrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        34. HealthcareService.identifier.assigner
        Definición

        Organization that issued/manages the identifier.

        ResumenOrganization that issued id (may be just text)
        Comentarios

        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

        Control0..1
        TipoReference(Organization)
        Es modificadorfalse
        Resumentrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        36. HealthcareService.active
        Definición

        Indica si el servicio se está ofreciendo. Un servicio que se cierra pasa a no activo y no se borra, porque las citas y referencias anteriores lo siguen citando.

        ResumenSi el servicio se está ofreciendo
        Comentarios

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

        Control1..1
        Tipoboolean
        Es modificadortrue porque 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
        Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
        Must Supporttrue
        Resumentrue
        Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        38. HealthcareService.providedBy
        Definición

        The organization that provides this healthcare service.

        ResumenOrganización que presta el servicio y responde por él
        Comentarios

        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.

        Control1..1
        TipoReference(Organización)
        Es modificadorfalse
        Must Supporttrue
        Resumentrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        40. HealthcareService.offeredIn
        Definición

        When the HealthcareService is representing a specific, schedulable service, the availableIn property can refer to a generic service.

        ResumenThe service within which this service is offered
        Comentarios

        For example, if there is a generic Radiology service that offers CT Scans, MRIs, etc. You could have HealthcareService resources for the CT Scans and MRIs, which have an offeredIn reference to the Radiology HealthcareService.

        Control0..*
        TipoReference(HealthcareService)
        Es modificadorfalse
        Must Supportfalse
        Resumenfalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        42. HealthcareService.category
        Definición

        Identifies the broad category of service being performed or delivered.

        ResumenBroad category of service being performed or delivered
        Comentarios

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

        Control0..*
        VinculaciónPara códigos de ejemplo, vea ServiceCategory
        (example to http://hl7.org/fhir/ValueSet/service-category|5.0.0)

        A category of the service(s) that could be provided.

        TipoCodeableConcept
        Es modificadorfalse
        Must Supportfalse
        Resumentrue
        Nombres alternativosservice category
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        44. HealthcareService.type
        Definición

        Qué servicio se ofrece, del catálogo multisectorial de tipos de servicio de salud. Un servicio puede tener varios tipos.

        ResumenTipo de servicio del catálogo de Costa Rica
        Control1..*
        VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Tipos de servicio de salud
        (extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-tipo-servicio-salud)
        TipoCodeableConcept
        Es modificadorfalse
        Must Supporttrue
        Resumentrue
        Nombres alternativosservice type
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. HealthcareService.specialty
        Definición

        Especialidades del servicio. Obligatoria en una consulta especializada.

        ResumenEspecialidades del servicio
        Control0..*
        VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Especialidades en salud
        (extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-especialidad-salud)
        TipoCodeableConcept
        Es modificadorfalse
        Must Supporttrue
        Resumentrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. HealthcareService.location
        Definición

        Lugares donde se presta el servicio. Se recomienda la ubicación más específica (el servicio de radiología, no toda la sede).

        ResumenUbicaciones donde se presta
        Control1..*
        TipoReference(Ubicación)
        Es modificadorfalse
        Must Supporttrue
        Resumentrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        50. HealthcareService.name
        Definición

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

        ResumenNombre del servicio (Consulta externa de cardiología)
        Control1..1
        Tipostring
        Es modificadorfalse
        Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
        Must Supporttrue
        Resumentrue
        Max Length:250
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        52. HealthcareService.comment
        Definición

        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.

        ResumenInformación para el paciente o quien refiere: preparación, avisos
        Comentarios

        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
        Tipomarkdown
        Es modificadorfalse
        Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
        Must Supporttrue
        Resumentrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        54. HealthcareService.extraDetails
        Definición

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

        ResumenExtra details about the service that can't be placed in the other fields
        Control0..1
        Tipomarkdown
        Es modificadorfalse
        Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
        Must Supportfalse
        Resumenfalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        56. HealthcareService.photo
        Definición

        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.

        ResumenFacilitates quick identification of the service
        Control0..1
        TipoAttachment
        Es modificadorfalse
        Must Supportfalse
        Resumentrue
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        58. HealthcareService.contact
        Definición

        Teléfono y correo electrónico de trabajo del servicio, por ejemplo para pedir citas. El contacto general no lleva purpose.

        ResumenContacto de trabajo del servicio, por ejemplo para pedir citas
        Comentarios

        The address/telecom use code 'home' are not to be used. Note that these contacts are not the contact details of people who provide the service (that would be through PractitionerRole), these are official contacts for the HealthcareService itself for specific purposes. E.g. Mailing Addresses, Billing Addresses, Contact numbers for Booking or Billing Enquiries, general web address, web address for online bookings etc.

        If this is empty (or the type of interest is empty), refer to the location's contacts.

        Control0..*
        TipoExtendedContactDetail
        Es modificadorfalse
        Must Supporttrue
        Resumenfalse
        Requisitos

        Need to keep track of both simple contact details and also assigned contacts within larger organizations.

        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        60. HealthcareService.contact.id
        Definición

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

        ResumenUnique id for inter-element referencing
        Control0..1
        Este elemento está afectado por las siguientes invariantes: ele-1
        Tipoid
        Es modificadorfalse
        Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
        Resumenfalse
        62. HealthcareService.contact.extension
        Definición

        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 managable, 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.

        ResumenAdditional content defined by implementations
        Comentarios

        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..*
        TipoExtension
        Es modificadorfalse
        Resumenfalse
        Nombres alternativosextensions, user content
        Invariantesele-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())
        SlicingEste elemento introduce un conjunto de slices en HealthcareService.contact.extension. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
        • value @ url
        • 64. HealthcareService.contact.purpose
          Definición

          The purpose/type of contact.

          ResumenThe type of contact
          Comentarios

          If no purpose is defined, then these contact details may be used for any purpose.

          Control0..1
          VinculaciónLos códigos DEBERÍAN tomarse de Contact entity type
          (preferred to http://terminology.hl7.org/ValueSet/contactentity-type)

          The purpose for which an extended contact detail should be used.

          TipoCodeableConcept
          Es modificadorfalse
          Resumentrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          66. HealthcareService.contact.name
          Definición

          The name of an individual to contact, some types of contact detail are usually blank.

          ResumenName of an individual to contact
          Comentarios

          If there is no named individual, the telecom/address information is not generally monitored by a specific individual.

          Control0..*
          TipoHumanName
          Es modificadorfalse
          Resumentrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          68. HealthcareService.contact.telecom
          Definición

          Teléfono o correo electrónico de trabajo: system dice cuál es (phone, email). Los teléfonos van en formato E.164: en Costa Rica, +506 y 8 dígitos, con una extensión interna opcional después de ;ext=.

          ResumenTeléfono (+506 y 8 dígitos; extensión interna con ;ext=) o correo electrónico
          Control0..*
          TipoContactPoint
          Es modificadorfalse
          Must Supporttrue
          Resumentrue
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          cr-telefono: Un teléfono está en formato E.164 (+ y de 8 a 15 dígitos, sin espacios ni guiones), con una extensión interna opcional después de ;ext=. En Costa Rica (+506) tiene 8 dígitos que empiezan de 2 a 8, o es un número 800 o 900 de 10 dígitos. ((system = 'phone' or system = 'fax' or system = 'sms') implies (value.matches('^\\+[1-9][0-9]{7,14}(;ext=[0-9]{1,6})?$') and (value.startsWith('+506') implies value.matches('^\\+506([2-8][0-9]{7}|[89]00[0-9]{7})(;ext=[0-9]{1,6})?$'))))
          70. HealthcareService.contact.telecom.id
          Definición

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

          ResumenUnique id for inter-element referencing
          Control0..1
          Este elemento está afectado por las siguientes invariantes: ele-1
          Tipoid
          Es modificadorfalse
          Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
          Resumenfalse
          72. HealthcareService.contact.telecom.extension
          Definición

          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 managable, 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.

          ResumenAdditional content defined by implementations
          Comentarios

          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..*
          TipoExtension
          Es modificadorfalse
          Resumenfalse
          Nombres alternativosextensions, user content
          Invariantesele-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())
          SlicingEste elemento introduce un conjunto de slices en HealthcareService.contact.telecom.extension. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
          • value @ url
          • 74. HealthcareService.contact.telecom.system
            Definición

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

            Resumenphone | fax | email | pager | url | sms | other
            Control0..1
            Este elemento está afectado por las siguientes invariantes: cpt-2
            VinculaciónLos códigos DEBEN tomarse de ContactPointSystem
            (required to http://hl7.org/fhir/ValueSet/contact-point-system|5.0.0)

            Telecommunications form for contact point.

            Tipocode
            Es modificadorfalse
            Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
            Resumentrue
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            76. HealthcareService.contact.telecom.value
            Definición

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

            ResumenThe actual contact point details
            Comentarios

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

            Control0..1
            Este elemento está afectado por las siguientes invariantes: cpt-2
            Tipostring
            Es modificadorfalse
            Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
            Resumentrue
            Requisitos

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

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            78. HealthcareService.contact.telecom.use
            Definición

            Identifies the purpose for the contact point.

            Resumenwork (valor fijo)
            Comentarios

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

            Control0..1
            VinculaciónLos códigos DEBEN tomarse de ContactPointUse
            (required to http://hl7.org/fhir/ValueSet/contact-point-use|5.0.0)

            Use of contact point.

            Tipocode
            Es modificadortrue porque This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
            Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
            Resumentrue
            Requisitos

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

            Pattern Valuework
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            80. HealthcareService.contact.telecom.rank
            Definición

            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.

            ResumenSpecify preferred order of use (1 = highest)
            Comentarios

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

            Ranks need not be unique. E.g. it's possible to have multiple contacts with rank=1. If the ranks have different systems or uses, this would be interpreted to mean "X is my most preferred phone number, Y is my most preferred email address" or "X is my preferred home email and Y is my preferred work email". If the system and use for equally-ranked contacts are the same, then the level of preference is equivalent for both repetitions.

            Ranks need not be sequential and not all repetitions must have a rank. For example, it's possible to have 4 contacts with ranks of 2, 5 and two with no rank specified. That would be interpreted to mean the first is preferred over the second and no preference stated for the remaining contacts.

            Control0..1
            TipopositiveInt
            Es modificadorfalse
            Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
            Resumentrue
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            82. HealthcareService.contact.telecom.period
            Definición

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

            ResumenTime period when the contact point was/is in use
            Control0..1
            TipoPeriod
            Es modificadorfalse
            Resumentrue
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            84. HealthcareService.contact.address
            Definición

            Address for the contact.

            ResumenAddress for the contact
            Comentarios

            More than 1 address would be for different purposes, and thus should be entered as a different entry,.

            Control0..1
            TipoAddress
            Es modificadorfalse
            Resumentrue
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            86. HealthcareService.contact.organization
            Definición

            This contact detail is handled/monitored by a specific organization. If the name is provided in the contact, then it is referring to the named individual within this organization.

            ResumenThis contact detail is handled/monitored by a specific organization
            Control0..1
            TipoReference(Organization)
            Es modificadorfalse
            Resumentrue
            Requisitos

            Some specific types of contact information can be an handled by an organization (eg legal council is via a specific firm).

            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            88. HealthcareService.contact.period
            Definición

            Period that this contact was valid for usage.

            ResumenPeriod that this contact was valid for usage
            Comentarios

            If the details have multiple periods, then enter in a new ExtendedContact with the new period.

            Control0..1
            TipoPeriod
            Es modificadorfalse
            Resumentrue
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            90. HealthcareService.coverageArea
            Definición

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

            ResumenLocation(s) service is intended for/available to
            Comentarios

            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..*
            TipoReference(Location)
            Es modificadorfalse
            Must Supportfalse
            Resumenfalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            92. HealthcareService.serviceProvisionCode
            Definición

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

            ResumenConditions under which service is available/offered
            Comentarios

            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..*
            VinculaciónPara códigos de ejemplo, vea ServiceProvisionConditions
            (example to http://hl7.org/fhir/ValueSet/service-provision-conditions|5.0.0)

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

            TipoCodeableConcept
            Es modificadorfalse
            Must Supportfalse
            Resumenfalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            94. HealthcareService.eligibility
            Definición

            Qué necesita el paciente para usar el servicio, uno por ocurrencia: una referencia, una orden médica o una cobertura. Sin requisitos, el servicio es de acceso directo.

            ResumenRequisitos de acceso: referencia, orden médica o cobertura
            Control0..*
            TipoBackboneElement
            Es modificadorfalse
            Must Supporttrue
            Resumenfalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            96. HealthcareService.eligibility.id
            Definición

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

            ResumenUnique id for inter-element referencing
            Control0..1
            Este elemento está afectado por las siguientes invariantes: ele-1
            Tipostring
            Es modificadorfalse
            Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
            Resumenfalse
            98. HealthcareService.eligibility.extension
            Definición

            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 managable, 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.

            ResumenAdditional content defined by implementations
            Comentarios

            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..*
            TipoExtension
            Es modificadorfalse
            Resumenfalse
            Nombres alternativosextensions, user content
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            100. HealthcareService.eligibility.modifierExtension
            Definición

            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 managable, 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).

            ResumenExtensions that cannot be ignored even if unrecognized
            Comentarios

            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..*
            TipoExtension
            Es modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Resumentrue
            Requisitos

            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.

            Nombres alternativosextensions, user content, modifiers
            Invariantesele-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())
            102. HealthcareService.eligibility.code
            Definición

            Coded value for the eligibility.

            ResumenRequisito (referencia | orden-medica | cobertura)
            Control1..1
            VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Requisitos de acceso
            (extensible to https://hl7.or.cr/fhir/terminology/ValueSet/cr-requisito-acceso)
            TipoCodeableConcept
            Es modificadorfalse
            Must Supporttrue
            Resumenfalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            104. HealthcareService.eligibility.comment
            Definición

            Describes the eligibility conditions for the service.

            ResumenDetalle del requisito: qué cobertura se acepta, de qué nivel viene la referencia
            Comentarios

            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
            Tipomarkdown
            Es modificadorfalse
            Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
            Must Supporttrue
            Resumenfalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            106. HealthcareService.program
            Definición

            Programs that this service is applicable to.

            ResumenPrograms that this service is applicable to
            Comentarios

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

            Control0..*
            VinculaciónPara códigos de ejemplo, vea Program
            (example to http://hl7.org/fhir/ValueSet/program|5.0.0)

            Government or local programs that this service applies to.

            TipoCodeableConcept
            Es modificadorfalse
            Must Supportfalse
            Resumenfalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            108. HealthcareService.characteristic
            Definición

            Collection of characteristics (attributes).

            ResumenModalidades de imagen DICOM del servicio
            Comentarios

            These could be such things as is wheelchair accessible.

            Control0..*
            VinculaciónPara códigos de ejemplo, vea ServiceMode
            (example to http://hl7.org/fhir/ValueSet/service-mode|5.0.0)

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

            TipoCodeableConcept
            Es modificadorfalse
            Must Supporttrue
            Resumenfalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingEste elemento introduce un conjunto de slices en HealthcareService.characteristic. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
            • value @ coding.system
            • 110. HealthcareService.characteristic:modalidadImagen
              Slice NamemodalidadImagen
              Definición

              Collection of characteristics (attributes).

              ResumenModalidad de imagen DICOM: CT, MR, US, MG, DX, CR, NM, PT, XA, RF
              Comentarios

              These could be such things as is wheelchair accessible.

              Control0..*
              VinculaciónSalvo que no sean adecuados, estos códigos DEBEN tomarse de Modality .
              (extensible to http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_33.html)
              TipoCodeableConcept
              Es modificadorfalse
              Must Supporttrue
              Resumenfalse
              Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              112. HealthcareService.characteristic:modalidadImagen.id
              Definición

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

              ResumenUnique id for inter-element referencing
              Control0..1
              Este elemento está afectado por las siguientes invariantes: ele-1
              Tipoid
              Es modificadorfalse
              Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
              Resumenfalse
              114. HealthcareService.characteristic:modalidadImagen.extension
              Definición

              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 managable, 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.

              ResumenAdditional content defined by implementations
              Comentarios

              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..*
              TipoExtension
              Es modificadorfalse
              Resumenfalse
              Nombres alternativosextensions, user content
              Invariantesele-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())
              SlicingEste elemento introduce un conjunto de slices en HealthcareService.characteristic.extension. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
              • value @ url
              • 116. HealthcareService.characteristic:modalidadImagen.coding
                Definición

                A reference to a code defined by a terminology system.

                ResumenCode defined by a terminology system
                Comentarios

                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..*
                TipoCoding
                Es modificadorfalse
                Resumentrue
                Requisitos

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

                Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                118. HealthcareService.characteristic:modalidadImagen.coding.id
                Definición

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

                ResumenUnique id for inter-element referencing
                Control0..1
                Este elemento está afectado por las siguientes invariantes: ele-1
                Tipoid
                Es modificadorfalse
                Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
                Resumenfalse
                120. HealthcareService.characteristic:modalidadImagen.coding.extension
                Definición

                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 managable, 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.

                ResumenAdditional content defined by implementations
                Comentarios

                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..*
                TipoExtension
                Es modificadorfalse
                Resumenfalse
                Nombres alternativosextensions, user content
                Invariantesele-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())
                SlicingEste elemento introduce un conjunto de slices en HealthcareService.characteristic.coding.extension. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
                • value @ url
                • 122. HealthcareService.characteristic:modalidadImagen.coding.system
                  Definición

                  The identification of the code system that defines the meaning of the symbol in the code.

                  ResumenSistema de códigos del slice (valor fijo)
                  Comentarios

                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should be an absolute reference to some definition that establishes the system clearly and unambiguously.

                  Control1..1
                  Tipouri
                  Es modificadorfalse
                  Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                  Resumentrue
                  Requisitos

                  Need to be unambiguous about the source of the definition of the symbol.

                  Pattern Valuehttp://dicom.nema.org/resources/ontology/DCM
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  124. HealthcareService.characteristic:modalidadImagen.coding.version
                  Definición

                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                  ResumenVersion of the system - if relevant
                  Comentarios

                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                  NotaEs un identificador de versión de negocio, no de versión del recurso (vea discusión)
                  Control0..1
                  Tipostring
                  Es modificadorfalse
                  Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                  Resumentrue
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  126. HealthcareService.characteristic:modalidadImagen.coding.code
                  Definición

                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                  ResumenSymbol in syntax defined by the system
                  Control0..1
                  Este elemento está afectado por las siguientes invariantes: cod-1
                  Tipocode
                  Es modificadorfalse
                  Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                  Resumentrue
                  Requisitos

                  Need to refer to a particular code in the system.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  128. HealthcareService.characteristic:modalidadImagen.coding.display
                  Definición

                  A representation of the meaning of the code in the system, following the rules of the system.

                  ResumenRepresentation defined by the system
                  Control0..1
                  Este elemento está afectado por las siguientes invariantes: cod-1
                  Tipostring
                  Es modificadorfalse
                  Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                  Resumentrue
                  Requisitos

                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  130. HealthcareService.characteristic:modalidadImagen.coding.userSelected
                  Definición

                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                  ResumenIf this coding was chosen directly by the user
                  Comentarios

                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                  Control0..1
                  Tipoboolean
                  Es modificadorfalse
                  Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                  Resumentrue
                  Requisitos

                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  132. HealthcareService.characteristic:modalidadImagen.text
                  Definición

                  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.

                  ResumenPlain text representation of the concept
                  Comentarios

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

                  Control0..1
                  Tipostring
                  Es modificadorfalse
                  Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                  Resumentrue
                  Requisitos

                  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.

                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  134. HealthcareService.communication
                  Definición

                  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.

                  ResumenIdiomas en que se atiende, además del español
                  Comentarios

                  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..*
                  VinculaciónLos códigos DEBEN tomarse de AllLanguages
                  (required to http://hl7.org/fhir/ValueSet/all-languages|5.0.0)

                  IETF language tag for a human language

                  TipoCodeableConcept
                  Es modificadorfalse
                  Must Supporttrue
                  Resumenfalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  136. HealthcareService.referralMethod
                  Definición

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

                  ResumenWays that the service accepts referrals
                  Control0..*
                  VinculaciónPara códigos de ejemplo, vea ReferralMethod
                  (example to http://hl7.org/fhir/ValueSet/service-referral-method|5.0.0)

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

                  TipoCodeableConcept
                  Es modificadorfalse
                  Must Supportfalse
                  Resumenfalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  138. HealthcareService.appointmentRequired
                  Definición

                  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.

                  ResumenSi se atiende solo con cita previa
                  Control0..1
                  Tipoboolean
                  Es modificadorfalse
                  Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                  Must Supporttrue
                  Resumenfalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  140. HealthcareService.availability
                  Definición

                  A collection of times that the healthcare service is available.

                  ResumenHorario del servicio
                  Comentarios

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

                  Systems may choose to render availability differently than it is exchanged on the interface. For example, rather than "Mon, Tue, Wed, Thur, Fri from 9am-12am; Mon, Tue, Wed, Thur, Fri from 1pm-5pm" as would be implied by two availableTime repetitions, an application could render this information as "Mon-Fri 9-12am and 1-5pm".

                  The NotAvailableTime(s) included indicate the general days/periods where the service is not available (for things such as public holidays).

                  Control0..1
                  TipoAvailability
                  Es modificadorfalse
                  Must Supporttrue
                  Resumenfalse
                  Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  142. HealthcareService.availability.id
                  Definición

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

                  ResumenUnique id for inter-element referencing
                  Control0..1
                  Este elemento está afectado por las siguientes invariantes: ele-1
                  Tipoid
                  Es modificadorfalse
                  Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
                  Resumenfalse
                  144. HealthcareService.availability.extension
                  Definición

                  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 managable, 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.

                  ResumenAdditional content defined by implementations
                  Comentarios

                  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..*
                  TipoExtension
                  Es modificadorfalse
                  Resumenfalse
                  Nombres alternativosextensions, user content
                  Invariantesele-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())
                  SlicingEste elemento introduce un conjunto de slices en HealthcareService.availability.extension. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
                  • value @ url
                  • 146. HealthcareService.availability.availableTime
                    Definición

                    Times the {item} is available.

                    ResumenBloque de días con el mismo horario
                    Control0..*
                    TipoElement
                    Es modificadorfalse
                    Must Supporttrue
                    Resumentrue
                    Requisitos

                    A collection of times that the {item} is available.

                    Invariantesav-1: Cannot include start/end times when selecting all day availability. (allDay.exists().not() or (allDay implies availableStartTime.exists().not() and availableEndTime.exists().not()))
                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    cr-servicio-horario: Un bloque de horario es de todo el día, sin horas, o tiene hora de inicio y de fin, con el inicio antes del fin. ((allDay.where($this = true).exists() and availableStartTime.empty() and availableEndTime.empty()) or (allDay.where($this = true).empty() and availableStartTime.exists() and availableEndTime.exists() and availableStartTime < availableEndTime))
                    148. HealthcareService.availability.availableTime.id
                    Definición

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

                    ResumenUnique id for inter-element referencing
                    Control0..1
                    Este elemento está afectado por las siguientes invariantes: ele-1
                    Tipostring
                    Es modificadorfalse
                    Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
                    Resumenfalse
                    150. HealthcareService.availability.availableTime.extension
                    Definición

                    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 managable, 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.

                    ResumenAdditional content defined by implementations
                    Comentarios

                    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..*
                    TipoExtension
                    Es modificadorfalse
                    Resumenfalse
                    Nombres alternativosextensions, user content
                    Invariantesele-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())
                    SlicingEste elemento introduce un conjunto de slices en HealthcareService.availability.availableTime.extension. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
                    • value @ url
                    • 152. HealthcareService.availability.availableTime.daysOfWeek
                      Definición

                      mon | tue | wed | thu | fri | sat | sun.

                      ResumenDías del bloque: mon | tue | wed | thu | fri | sat | sun
                      Control1..*
                      VinculaciónLos códigos DEBEN tomarse de DaysOfWeek
                      (required to http://hl7.org/fhir/ValueSet/days-of-week|5.0.0)

                      The purpose for which an extended contact detail should be used.

                      Tipocode
                      Es modificadorfalse
                      Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                      Must Supporttrue
                      Resumentrue
                      Requisitos

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

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      154. HealthcareService.availability.availableTime.allDay
                      Definición

                      Always available? i.e. 24 hour service.

                      ResumenSi atiende las 24 horas esos días
                      Control0..1
                      Este elemento está afectado por las siguientes invariantes: av-1
                      Tipoboolean
                      Es modificadorfalse
                      Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                      Must Supporttrue
                      Resumentrue
                      Requisitos

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

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      156. HealthcareService.availability.availableTime.availableStartTime
                      Definición

                      Opening time of day (ignored if allDay = true).

                      ResumenHora de inicio, en hora de Costa Rica (UTC−6)
                      Comentarios

                      The timezone is expected to be specified or implied by the context this datatype is used.

                      Control0..1
                      Este elemento está afectado por las siguientes invariantes: av-1
                      Tipotime
                      Es modificadorfalse
                      Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                      Must Supporttrue
                      Resumentrue
                      Requisitos

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

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      158. HealthcareService.availability.availableTime.availableEndTime
                      Definición

                      Closing time of day (ignored if allDay = true).

                      ResumenHora de fin, en hora de Costa Rica (UTC−6)
                      Comentarios

                      The timezone is expected to be specified or implied by the context this datatype is used.

                      Control0..1
                      Este elemento está afectado por las siguientes invariantes: av-1
                      Tipotime
                      Es modificadorfalse
                      Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                      Must Supporttrue
                      Resumentrue
                      Requisitos

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

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      160. HealthcareService.availability.notAvailableTime
                      Definición

                      Not available during this time due to provided reason.

                      ResumenNot available during this time due to provided reason
                      Control0..*
                      TipoElement
                      Es modificadorfalse
                      Resumentrue
                      Requisitos

                      The {item} is not available during this period of time due to the provided reason.

                      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      162. HealthcareService.availability.notAvailableTime.id
                      Definición

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

                      ResumenUnique id for inter-element referencing
                      Control0..1
                      Este elemento está afectado por las siguientes invariantes: ele-1
                      Tipostring
                      Es modificadorfalse
                      Formato XMLEn el formato XML, esta propiedad se representa como un atributo.
                      Resumenfalse
                      164. HealthcareService.availability.notAvailableTime.extension
                      Definición

                      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 managable, 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.

                      ResumenAdditional content defined by implementations
                      Comentarios

                      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..*
                      TipoExtension
                      Es modificadorfalse
                      Resumenfalse
                      Nombres alternativosextensions, user content
                      Invariantesele-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())
                      SlicingEste elemento introduce un conjunto de slices en HealthcareService.availability.notAvailableTime.extension. Los slices sonSin orden y Open, y se distinguen con los siguientes discriminadores:
                      • value @ url
                      • 166. HealthcareService.availability.notAvailableTime.description
                        Definición

                        Reason presented to the user explaining why time not available.

                        ResumenReason presented to the user explaining why time not available
                        Comentarios

                        The reason will generally be provided to give the textual reason for displaying when the {item} is not available, e.g. 'Closed public holidays' or 'Independence Day'. In cases such as this, the during might not be included and local knowledge would be required in such cases (as don't desire to keep updating when the holiday occurs each year).

                        e.g.2: 'Closed for maintenance over the summer' for this example you would want to include the during period, unless this was a university hospital and the "summer" period was well known, but would recommend its inclusion anyway.

                        Control0..1
                        Tipostring
                        Es modificadorfalse
                        Valor primitivoEste elemento primitivo puede estar presente, ausente o reemplazado por una extensión
                        Resumentrue
                        Requisitos

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

                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        168. HealthcareService.availability.notAvailableTime.during
                        Definición

                        Service not available during this period.

                        ResumenService not available during this period
                        Control0..1
                        TipoPeriod
                        Es modificadorfalse
                        Resumentrue
                        Requisitos

                        The {item} is not available (seasonally or for a public holiday) during this period.

                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        170. HealthcareService.endpoint
                        Definición

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

                        ResumenTechnical endpoints providing access to electronic services operated for the healthcare service
                        Control0..*
                        TipoReference(Endpoint)
                        Es modificadorfalse
                        Must Supportfalse
                        Resumenfalse
                        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))