German Practice Management FHIR Profiles (R4)
0.90.0 - STU1 Germany

German Practice Management FHIR Profiles (R4) - Local Development build (v0.90.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Praxis Healthcare Service DE

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/praxis-healthcare-service-de Version: 0.90.0
Active as of 2026-07-29 Computable Name: PraxisHealthcareServiceDE
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.315

Ambulatory practice service offering. Structurally aligned with gematik ISiK ISiKMedizinischeBehandlungseinheit (Terminplanung Stufe 5) without ISiK package dependency. Used to publish service offerings for downstream configuration consumers. KV Genehmigung evidence remains on Basic resources, not on HealthcareService.type.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business identifiers for the service offering
... providedBy SΣ 1..1 Reference(Praxis Organization DE) Organization that provides this service offering
... type SΣ 1..* CodeableConcept Service-offering category
Binding: Praxis Healthcare Service Type (extensible)
... specialty SΣ 1..* CodeableConcept Ambulatory specialty (Fachgruppe)
Binding: Praxis Healthcare Service Specialty (extensible)
... location SΣ 0..* Reference(Location) Physical sites where this service is delivered
... name SΣ 1..1 string Human-readable service offering name

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
HealthcareService.type Base extensible Praxis Healthcare Service Type 📦0.90.0 This IG
HealthcareService.specialty Base extensible Praxis Healthcare Service Specialty 📦0.90.0 This IG

Constraints

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

This structure is derived from HealthcareService

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... identifier S 0..* Identifier Business identifiers for the service offering
... active S 1..1 boolean Whether the service offering is currently available
... providedBy S 1..1 Reference(Praxis Organization DE) Organization that provides this service offering
... specialty S 1..* CodeableConcept Ambulatory specialty (Fachgruppe)
Binding: Praxis Healthcare Service Specialty (extensible)
... location S 0..* Reference(Location) Physical sites where this service is delivered
... name S 1..1 string Human-readable service offering name

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
HealthcareService.type Base extensible Praxis Healthcare Service Type 📦0.90.0 This IG
HealthcareService.specialty Base extensible Praxis Healthcare Service Specialty 📦0.90.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business identifiers for the service offering
... active ?!SΣ 1..1 boolean Whether the service offering is currently available
... providedBy SΣ 1..1 Reference(Praxis Organization DE) Organization that provides this service offering
... category Σ 0..* CodeableConcept Broad category of service being performed or delivered
Binding: ServiceCategory (example): A category of the service(s) that could be provided.
... type SΣ 1..* CodeableConcept Service-offering category
Binding: Praxis Healthcare Service Type (extensible)
... specialty SΣ 1..* CodeableConcept Ambulatory specialty (Fachgruppe)
Binding: Praxis Healthcare Service Specialty (extensible)
... location SΣ 0..* Reference(Location) Physical sites where this service is delivered
... name SΣ 1..1 string Human-readable service offering name
... comment Σ 0..1 string Additional description and/or any specific issues not covered elsewhere
... extraDetails 0..1 markdown Extra details about the service that can't be placed in the other fields
... photo Σ 0..1 Attachment Facilitates quick identification of the service
... telecom 0..* ContactPoint Contacts related to the healthcare service
... coverageArea 0..* Reference(Location) Location(s) service is intended for/available to
... serviceProvisionCode 0..* CodeableConcept Conditions under which service is available/offered
Binding: ServiceProvisionConditions (example): The code(s) that detail the conditions under which the healthcare service is available/offered.
... eligibility 0..* BackboneElement Specific eligibility requirements required to use the service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Coded value for the eligibility
Binding Description: (example): Coded values underwhich a specific service is made available.
.... comment 0..1 markdown Describes the eligibility conditions for the service
... program 0..* CodeableConcept Programs that this service is applicable to
Binding: Program (example): Government or local programs that this service applies to.
... characteristic 0..* CodeableConcept Collection of characteristics (attributes)
Binding Description: (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).
... communication 0..* CodeableConcept The language that this service is offered in
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
HealthcareService.language Base preferred Common Languages 📍4.0.1 FHIR Std.
HealthcareService.category Base example Service category 📍4.0.1 FHIR Std.
HealthcareService.type Base extensible Praxis Healthcare Service Type 📦0.90.0 This IG
HealthcareService.specialty Base extensible Praxis Healthcare Service Specialty 📦0.90.0 This IG
HealthcareService.serviceProvisionCode Base example ServiceProvisionConditions 📍4.0.1 FHIR Std.
HealthcareService.eligibility.​code Base example Not State Unknown
HealthcareService.program Base example Program 📍4.0.1 FHIR Std.
HealthcareService.characteristic Base example Not State Unknown
HealthcareService.communication Base preferred Common Languages 📍4.0.1 FHIR Std.
HealthcareService.referralMethod Base example ReferralMethod 📍4.0.1 FHIR Std.
HealthcareService.availableTime.​daysOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from HealthcareService

Summary

Mandatory: 5 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business identifiers for the service offering
... providedBy SΣ 1..1 Reference(Praxis Organization DE) Organization that provides this service offering
... type SΣ 1..* CodeableConcept Service-offering category
Binding: Praxis Healthcare Service Type (extensible)
... specialty SΣ 1..* CodeableConcept Ambulatory specialty (Fachgruppe)
Binding: Praxis Healthcare Service Specialty (extensible)
... location SΣ 0..* Reference(Location) Physical sites where this service is delivered
... name SΣ 1..1 string Human-readable service offering name

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
HealthcareService.type Base extensible Praxis Healthcare Service Type 📦0.90.0 This IG
HealthcareService.specialty Base extensible Praxis Healthcare Service Specialty 📦0.90.0 This IG

Constraints

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

Differential View

This structure is derived from HealthcareService

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService The details of a healthcare service available at a location
... identifier S 0..* Identifier Business identifiers for the service offering
... active S 1..1 boolean Whether the service offering is currently available
... providedBy S 1..1 Reference(Praxis Organization DE) Organization that provides this service offering
... specialty S 1..* CodeableConcept Ambulatory specialty (Fachgruppe)
Binding: Praxis Healthcare Service Specialty (extensible)
... location S 0..* Reference(Location) Physical sites where this service is delivered
... name S 1..1 string Human-readable service offering name

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
HealthcareService.type Base extensible Praxis Healthcare Service Type 📦0.90.0 This IG
HealthcareService.specialty Base extensible Praxis Healthcare Service Specialty 📦0.90.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. HealthcareService 0..* HealthcareService 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business identifiers for the service offering
... active ?!SΣ 1..1 boolean Whether the service offering is currently available
... providedBy SΣ 1..1 Reference(Praxis Organization DE) Organization that provides this service offering
... category Σ 0..* CodeableConcept Broad category of service being performed or delivered
Binding: ServiceCategory (example): A category of the service(s) that could be provided.
... type SΣ 1..* CodeableConcept Service-offering category
Binding: Praxis Healthcare Service Type (extensible)
... specialty SΣ 1..* CodeableConcept Ambulatory specialty (Fachgruppe)
Binding: Praxis Healthcare Service Specialty (extensible)
... location SΣ 0..* Reference(Location) Physical sites where this service is delivered
... name SΣ 1..1 string Human-readable service offering name
... comment Σ 0..1 string Additional description and/or any specific issues not covered elsewhere
... extraDetails 0..1 markdown Extra details about the service that can't be placed in the other fields
... photo Σ 0..1 Attachment Facilitates quick identification of the service
... telecom 0..* ContactPoint Contacts related to the healthcare service
... coverageArea 0..* Reference(Location) Location(s) service is intended for/available to
... serviceProvisionCode 0..* CodeableConcept Conditions under which service is available/offered
Binding: ServiceProvisionConditions (example): The code(s) that detail the conditions under which the healthcare service is available/offered.
... eligibility 0..* BackboneElement Specific eligibility requirements required to use the service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Coded value for the eligibility
Binding Description: (example): Coded values underwhich a specific service is made available.
.... comment 0..1 markdown Describes the eligibility conditions for the service
... program 0..* CodeableConcept Programs that this service is applicable to
Binding: Program (example): Government or local programs that this service applies to.
... characteristic 0..* CodeableConcept Collection of characteristics (attributes)
Binding Description: (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy).
... communication 0..* CodeableConcept The language that this service is offered in
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
HealthcareService.language Base preferred Common Languages 📍4.0.1 FHIR Std.
HealthcareService.category Base example Service category 📍4.0.1 FHIR Std.
HealthcareService.type Base extensible Praxis Healthcare Service Type 📦0.90.0 This IG
HealthcareService.specialty Base extensible Praxis Healthcare Service Specialty 📦0.90.0 This IG
HealthcareService.serviceProvisionCode Base example ServiceProvisionConditions 📍4.0.1 FHIR Std.
HealthcareService.eligibility.​code Base example Not State Unknown
HealthcareService.program Base example Program 📍4.0.1 FHIR Std.
HealthcareService.characteristic Base example Not State Unknown
HealthcareService.communication Base preferred Common Languages 📍4.0.1 FHIR Std.
HealthcareService.referralMethod Base example ReferralMethod 📍4.0.1 FHIR Std.
HealthcareService.availableTime.​daysOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from HealthcareService

Summary

Mandatory: 5 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron