SDOH Clinical Care
3.0.0-ballot - STU 3 Ballot

SDOH Clinical Care - Downloaded Version 3.0.0-ballot See the Directory of published versions

## Resource Profile: SDOHCC Healthcare Service for Referral Management

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-HealthcareServiceForReferralManagement | Version: 3.0.0-ballot
Standards status: Trial-use Active as of 2025-12-13 | Maturity Level: 2 | Computable Name: SDOHCCHealthcareServiceForReferralManagement

Profile that extends SDOHCC HealthcareService to support capacity status queries, allowing referral sources to determine if a CBO has capacity before initiating a referral. Includes the capacity-status extension and elements for describing services, programs, and contact information.

Usages:

- Examples for this Profile: HACC

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HealthcareService |  | 0..* | SDOHCCHealthcareService | The details of a healthcare service available at a location
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:capacity-status |  | 1..1 | (Complex) | Is the service currently at capacity? URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceCapacityStatus
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
active | ?!S Σ | 1..1 | boolean | Whether this HealthcareService record is in active use Fixed Value: true
category | S Σ | 1..* | CodeableConcept | Broad category of service being performed or delivered Binding: ServiceCategory (example): A category of the service(s) that could be provided.
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ServiceCategory | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: SDOHCC ValueSet Service Category (required)
coding:SDOHCC | S Σ | 0..* | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
type | S Σ | 1..1 | CodeableConcept | Type of service that may be delivered or performed Binding: SDOHCC ValueSet Healthcare Service Type (extensible)
location | S Σ | 0..* | Reference(SDOHCC Location) | Location(s) where service may be provided
name | S Σ | 1..1 | string | Description of service as presented to a consumer while searching
Slices for telecom |  | 1..* | ContactPoint | Contacts related to the healthcare service Slice: Unordered, Open by exists:extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceTelecomAppointment')
telecom:AppointmentContact | S | 1..* | ContactPoint | Contacts related to the healthcare service
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ForAppointment | S | 1..1 | boolean | Telecom is for making appointments URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceTelecomAppointment
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
program | S | 0..* | CodeableConcept | Programs that this service is applicable to Binding: Social Determinants of Health Programs SNOMED CT (extensible)
communication | S | 0..* | CodeableConcept | The language that this service is offered in Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
appointmentRequired | S | 0..1 | boolean | If an appointment is required for access to this service
availableTime | S | 0..* | BackboneElement | Times the Service Site is available
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
notAvailable | S | 0..* | BackboneElement | Not available during this time due to provided reason
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 1..1 | string | Reason presented to the user explaining why time not available
availabilityExceptions | S | 0..1 | string | Description of availability exceptions
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
HealthcareService.category | Base | example | Service category | 📍4.0.1 | FHIR Std.
HealthcareService.category.​coding:ServiceCategory | Base | required | SDOHCC ValueSet Service Category | 📦3.0.0-ballot | This IG
HealthcareService.category.​coding:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
HealthcareService.type | Base | extensible | SDOHCC ValueSet Healthcare Service Type | 📦3.0.0-ballot | This IG
HealthcareService.telecom:AppointmentContact.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
HealthcareService.telecom:AppointmentContact.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
HealthcareService.program | Base | extensible | Social Determinants of Health Programs SNOMED CT | 📦20251018 | VSAC v0.24
HealthcareService.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.

#### Constraints

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HealthcareService |  | 0..* | SDOHCCHealthcareService | The details of a healthcare service available at a location
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:capacity-status |  | 1..1 | (Complex) | Is the service currently at capacity? URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceCapacityStatus
category | S | 1..* | CodeableConcept | Broad category of service being performed or delivered
Slices for coding | S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ServiceCategory | S | 1..1 | Coding | Code defined by a terminology system Binding: SDOHCC ValueSet Service Category (required)
coding:SDOHCC | S | 0..* | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
type | S | 1..1 | CodeableConcept | Type of service that may be delivered or performed
name | S | 1..1 | string | Description of service as presented to a consumer while searching
program | S | 0..* | CodeableConcept | Programs that this service is applicable to
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
HealthcareService.category.​coding:ServiceCategory | Base | required | SDOHCC ValueSet Service Category | 📦3.0.0-ballot | This IG
HealthcareService.category.​coding:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HealthcareService |  | 0..* | SDOHCCHealthcareService | The details of a healthcare service available at a location
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:capacity-status |  | 1..1 | (Complex) | Is the service currently at capacity? URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceCapacityStatus
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External identifiers for this item
active | ?!S Σ | 1..1 | boolean | Whether this HealthcareService record is in active use Fixed Value: true
providedBy | Σ | 0..1 | Reference(Organization) | Organization that provides this service
category | S Σ | 1..* | CodeableConcept | Broad category of service being performed or delivered Binding: ServiceCategory (example): A category of the service(s) that could be provided.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ServiceCategory | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: SDOHCC ValueSet Service Category (required)
coding:SDOHCC | S Σ | 0..* | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
text | Σ | 0..1 | string | Plain text representation of the concept
type | S Σ | 1..1 | CodeableConcept | Type of service that may be delivered or performed Binding: SDOHCC ValueSet Healthcare Service Type (extensible)
specialty | Σ | 0..* | CodeableConcept | Specialties handled by the HealthcareService Binding: PracticeSettingCodeValueSet (preferred): A specialty that a healthcare service may provide.
location | S Σ | 0..* | Reference(SDOHCC Location) | Location(s) where service may be provided
name | S Σ | 1..1 | string | Description of service as presented to a consumer while searching
comment | Σ | 0..1 | string | Additional description and/or any specific issues not covered elsewhere
extraDetails |  | 0..1 | markdown | Extra details about the service that can't be placed in the other fields
photo | Σ | 0..1 | Attachment | Facilitates quick identification of the service
Slices for telecom |  | 1..* | ContactPoint | Contacts related to the healthcare service Slice: Unordered, Open by exists:extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceTelecomAppointment')
telecom:AppointmentContact | S | 1..* | ContactPoint | Contacts related to the healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ForAppointment | S | 1..1 | boolean | Telecom is for making appointments URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceTelecomAppointment
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
coverageArea |  | 0..* | Reference(Location) | Location(s) service is intended for/available to
serviceProvisionCode |  | 0..* | CodeableConcept | Conditions under which service is available/offered Binding: ServiceProvisionConditions (example): The code(s) that detail the conditions under which the healthcare service is available/offered.
eligibility |  | 0..* | BackboneElement | Specific eligibility requirements required to use the service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Coded value for the eligibility Binding Description: (example): Coded values underwhich a specific service is made available.
comment |  | 0..1 | markdown | Describes the eligibility conditions for the service
program | S | 0..* | CodeableConcept | Programs that this service is applicable to Binding: Social Determinants of Health Programs SNOMED CT (extensible)
characteristic |  | 0..* | CodeableConcept | Collection of characteristics (attributes) Binding Description: (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).
communication | S | 0..* | CodeableConcept | The language that this service is offered in Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
referralMethod |  | 0..* | CodeableConcept | Ways that the service accepts referrals Binding: ReferralMethod (example): The methods of referral can be used when referring to a specific HealthCareService resource.
appointmentRequired | S | 0..1 | boolean | If an appointment is required for access to this service
availableTime | S | 0..* | BackboneElement | Times the Service Site is available
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
daysOfWeek |  | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay |  | 0..1 | boolean | Always available? e.g. 24 hour service
availableStartTime |  | 0..1 | time | Opening time of day (ignored if allDay = true)
availableEndTime |  | 0..1 | time | Closing time of day (ignored if allDay = true)
notAvailable | S | 0..* | BackboneElement | Not available during this time due to provided reason
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 1..1 | string | Reason presented to the user explaining why time not available
during |  | 0..1 | Period | Service not available from this date
availabilityExceptions | S | 0..1 | string | Description of availability exceptions
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to electronic services operated for the healthcare service
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
HealthcareService.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
HealthcareService.category | Base | example | Service category | 📍4.0.1 | FHIR Std.
HealthcareService.category.​coding:ServiceCategory | Base | required | SDOHCC ValueSet Service Category | 📦3.0.0-ballot | This IG
HealthcareService.category.​coding:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
HealthcareService.type | Base | extensible | SDOHCC ValueSet Healthcare Service Type | 📦3.0.0-ballot | This IG
HealthcareService.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std.
HealthcareService.telecom:AppointmentContact.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
HealthcareService.telecom:AppointmentContact.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
HealthcareService.serviceProvisionCode | Base | example | ServiceProvisionConditions | 📍4.0.1 | FHIR Std.
HealthcareService.eligibility.​code | Base | example |  | Not State | Unknown
HealthcareService.program | Base | extensible | Social Determinants of Health Programs SNOMED CT | 📦20251018 | VSAC v0.24
HealthcareService.characteristic | Base | example |  | Not State | Unknown
HealthcareService.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
HealthcareService.referralMethod | Base | example | ReferralMethod | 📍4.0.1 | FHIR Std.
HealthcareService.availableTime.​daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.

#### Constraints

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

Summary

Mandatory: 7 elements
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceCapacityStatus

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of HealthcareService.category.coding

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HealthcareService |  | 0..* | SDOHCCHealthcareService | The details of a healthcare service available at a location
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:capacity-status |  | 1..1 | (Complex) | Is the service currently at capacity? URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceCapacityStatus
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
active | ?!S Σ | 1..1 | boolean | Whether this HealthcareService record is in active use Fixed Value: true
category | S Σ | 1..* | CodeableConcept | Broad category of service being performed or delivered Binding: ServiceCategory (example): A category of the service(s) that could be provided.
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ServiceCategory | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: SDOHCC ValueSet Service Category (required)
coding:SDOHCC | S Σ | 0..* | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
type | S Σ | 1..1 | CodeableConcept | Type of service that may be delivered or performed Binding: SDOHCC ValueSet Healthcare Service Type (extensible)
location | S Σ | 0..* | Reference(SDOHCC Location) | Location(s) where service may be provided
name | S Σ | 1..1 | string | Description of service as presented to a consumer while searching
Slices for telecom |  | 1..* | ContactPoint | Contacts related to the healthcare service Slice: Unordered, Open by exists:extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceTelecomAppointment')
telecom:AppointmentContact | S | 1..* | ContactPoint | Contacts related to the healthcare service
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ForAppointment | S | 1..1 | boolean | Telecom is for making appointments URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceTelecomAppointment
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
program | S | 0..* | CodeableConcept | Programs that this service is applicable to Binding: Social Determinants of Health Programs SNOMED CT (extensible)
communication | S | 0..* | CodeableConcept | The language that this service is offered in Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
appointmentRequired | S | 0..1 | boolean | If an appointment is required for access to this service
availableTime | S | 0..* | BackboneElement | Times the Service Site is available
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
notAvailable | S | 0..* | BackboneElement | Not available during this time due to provided reason
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 1..1 | string | Reason presented to the user explaining why time not available
availabilityExceptions | S | 0..1 | string | Description of availability exceptions
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
HealthcareService.category | Base | example | Service category | 📍4.0.1 | FHIR Std.
HealthcareService.category.​coding:ServiceCategory | Base | required | SDOHCC ValueSet Service Category | 📦3.0.0-ballot | This IG
HealthcareService.category.​coding:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
HealthcareService.type | Base | extensible | SDOHCC ValueSet Healthcare Service Type | 📦3.0.0-ballot | This IG
HealthcareService.telecom:AppointmentContact.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
HealthcareService.telecom:AppointmentContact.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
HealthcareService.program | Base | extensible | Social Determinants of Health Programs SNOMED CT | 📦20251018 | VSAC v0.24
HealthcareService.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.

#### Constraints

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

Differential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HealthcareService |  | 0..* | SDOHCCHealthcareService | The details of a healthcare service available at a location
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:capacity-status |  | 1..1 | (Complex) | Is the service currently at capacity? URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceCapacityStatus
category | S | 1..* | CodeableConcept | Broad category of service being performed or delivered
Slices for coding | S | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ServiceCategory | S | 1..1 | Coding | Code defined by a terminology system Binding: SDOHCC ValueSet Service Category (required)
coding:SDOHCC | S | 0..* | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
type | S | 1..1 | CodeableConcept | Type of service that may be delivered or performed
name | S | 1..1 | string | Description of service as presented to a consumer while searching
program | S | 0..* | CodeableConcept | Programs that this service is applicable to
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
HealthcareService.category.​coding:ServiceCategory | Base | required | SDOHCC ValueSet Service Category | 📦3.0.0-ballot | This IG
HealthcareService.category.​coding:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG

Snapshot ViewView

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HealthcareService |  | 0..* | SDOHCCHealthcareService | The details of a healthcare service available at a location
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:capacity-status |  | 1..1 | (Complex) | Is the service currently at capacity? URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceCapacityStatus
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External identifiers for this item
active | ?!S Σ | 1..1 | boolean | Whether this HealthcareService record is in active use Fixed Value: true
providedBy | Σ | 0..1 | Reference(Organization) | Organization that provides this service
category | S Σ | 1..* | CodeableConcept | Broad category of service being performed or delivered Binding: ServiceCategory (example): A category of the service(s) that could be provided.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:ServiceCategory | S Σ | 1..1 | Coding | Code defined by a terminology system Binding: SDOHCC ValueSet Service Category (required)
coding:SDOHCC | S Σ | 0..* | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
text | Σ | 0..1 | string | Plain text representation of the concept
type | S Σ | 1..1 | CodeableConcept | Type of service that may be delivered or performed Binding: SDOHCC ValueSet Healthcare Service Type (extensible)
specialty | Σ | 0..* | CodeableConcept | Specialties handled by the HealthcareService Binding: PracticeSettingCodeValueSet (preferred): A specialty that a healthcare service may provide.
location | S Σ | 0..* | Reference(SDOHCC Location) | Location(s) where service may be provided
name | S Σ | 1..1 | string | Description of service as presented to a consumer while searching
comment | Σ | 0..1 | string | Additional description and/or any specific issues not covered elsewhere
extraDetails |  | 0..1 | markdown | Extra details about the service that can't be placed in the other fields
photo | Σ | 0..1 | Attachment | Facilitates quick identification of the service
Slices for telecom |  | 1..* | ContactPoint | Contacts related to the healthcare service Slice: Unordered, Open by exists:extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceTelecomAppointment')
telecom:AppointmentContact | S | 1..* | ContactPoint | Contacts related to the healthcare service
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:ForAppointment | S | 1..1 | boolean | Telecom is for making appointments URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceTelecomAppointment
system | S Σ C | 1..1 | code | phone | fax | email | pager | url | sms | other Binding: ContactPointSystem (required): Telecommunications form for contact point.
value | S Σ | 1..1 | string | The actual contact point details
use | ?!Σ | 0..1 | code | home | work | temp | old | mobile - purpose of this contact point Binding: ContactPointUse (required): Use of contact point.
rank | Σ | 0..1 | positiveInt | Specify preferred order of use (1 = highest)
period | Σ | 0..1 | Period | Time period when the contact point was/is in use
coverageArea |  | 0..* | Reference(Location) | Location(s) service is intended for/available to
serviceProvisionCode |  | 0..* | CodeableConcept | Conditions under which service is available/offered Binding: ServiceProvisionConditions (example): The code(s) that detail the conditions under which the healthcare service is available/offered.
eligibility |  | 0..* | BackboneElement | Specific eligibility requirements required to use the service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Coded value for the eligibility Binding Description: (example): Coded values underwhich a specific service is made available.
comment |  | 0..1 | markdown | Describes the eligibility conditions for the service
program | S | 0..* | CodeableConcept | Programs that this service is applicable to Binding: Social Determinants of Health Programs SNOMED CT (extensible)
characteristic |  | 0..* | CodeableConcept | Collection of characteristics (attributes) Binding Description: (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).
communication | S | 0..* | CodeableConcept | The language that this service is offered in Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
referralMethod |  | 0..* | CodeableConcept | Ways that the service accepts referrals Binding: ReferralMethod (example): The methods of referral can be used when referring to a specific HealthCareService resource.
appointmentRequired | S | 0..1 | boolean | If an appointment is required for access to this service
availableTime | S | 0..* | BackboneElement | Times the Service Site is available
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
daysOfWeek |  | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required): The days of the week.
allDay |  | 0..1 | boolean | Always available? e.g. 24 hour service
availableStartTime |  | 0..1 | time | Opening time of day (ignored if allDay = true)
availableEndTime |  | 0..1 | time | Closing time of day (ignored if allDay = true)
notAvailable | S | 0..* | BackboneElement | Not available during this time due to provided reason
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
description |  | 1..1 | string | Reason presented to the user explaining why time not available
during |  | 0..1 | Period | Service not available from this date
availabilityExceptions | S | 0..1 | string | Description of availability exceptions
endpoint |  | 0..* | Reference(Endpoint) | Technical endpoints providing access to electronic services operated for the healthcare service
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
HealthcareService.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
HealthcareService.category | Base | example | Service category | 📍4.0.1 | FHIR Std.
HealthcareService.category.​coding:ServiceCategory | Base | required | SDOHCC ValueSet Service Category | 📦3.0.0-ballot | This IG
HealthcareService.category.​coding:SDOHCC | Base | required | SDOHCC ValueSet SDOH Category | 📦3.0.0-ballot | This IG
HealthcareService.type | Base | extensible | SDOHCC ValueSet Healthcare Service Type | 📦3.0.0-ballot | This IG
HealthcareService.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std.
HealthcareService.telecom:AppointmentContact.​system | Base | required | ContactPointSystem | 📍4.0.1 | FHIR Std.
HealthcareService.telecom:AppointmentContact.​use | Base | required | ContactPointUse | 📍4.0.1 | FHIR Std.
HealthcareService.serviceProvisionCode | Base | example | ServiceProvisionConditions | 📍4.0.1 | FHIR Std.
HealthcareService.eligibility.​code | Base | example |  | Not State | Unknown
HealthcareService.program | Base | extensible | Social Determinants of Health Programs SNOMED CT | 📦20251018 | VSAC v0.24
HealthcareService.characteristic | Base | example |  | Not State | Unknown
HealthcareService.communication | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
HealthcareService.referralMethod | Base | example | ReferralMethod | 📍4.0.1 | FHIR Std.
HealthcareService.availableTime.​daysOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.

#### Constraints

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

Summary

Mandatory: 7 elements
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionHealthcareServiceCapacityStatus

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of HealthcareService.category.coding

Maturity: 2

Other representations of profile: CSV, Excel, Schematron