German Practice Management FHIR Profiles (R4)
Version 0.101.6 - release

HealthcareService Contract

HealthcareService Contract

PraxisHealthcareServiceDE is the ambulatory service-offering contract of this implementation guide. It is a standalone FHIR R4 profile and declares ISiKMedizinischeBehandlungseinheit as an interoperability mapping target.

Required data

Element Rule Meaning
active 1..1 Must Support Whether the offering is available
name 1..1 Must Support Human-readable offering name
identifier Must Support Stable business identifiers
providedBy 1..1 Must Support Responsible PraxisOrganizationDE
location Must Support Sites at which the offering is available
type 1..* Must Support Extensible practice-service category
specialty 1..* Must Support Extensible ambulatory specialty coding

Co-located offerings share Location references. A PraxisPractitionerRoleDE links staff to its services, organization, and locations through the corresponding standard references.

Type, specialty, and authorization

These axes remain separate:

Concern Carrier
Service category HealthcareService.type using PraxisHealthcareServiceTypeVS
Ambulatory specialty HealthcareService.specialty using PraxisHealthcareServiceSpecialtyVS
Formal qualification Practitioner.qualification.code
Authorization evidence Basic with GenehmigungenExt

Authorization catalog codes are not copied into HealthcareService.type. Implementations correlate authorization evidence to an offering through the practitioner and system-qualified specialty coding.

Interoperability boundary

Hospital integrations may add an appropriate IHE practice-setting coding or map the ambulatory specialty at the integration boundary. Such mappings use the current issuer ValueSets and compare system plus code; this IG does not publish a parallel KBV display table.

The profile adds no provenance fields. Provenance is represented with the base FHIR Provenance resource when required.