This page is in relation to the HealthcareService discussion at working group as per Agenda Drafting
Topic :: HealthcareService.type
The following Taxonomy (in DRAFT) has been prepared by the NHSD for the classification of HealthcareService.type - it shall be converted into a CodeSystem following review by the TWG.
- It should be noted that many Service Types have been "stiked out" - as to not be included in the final version. Please review these concepts and provide feedback if there are existing use cases which will require these.
Topic :: HealthcareService.serviceProvisionCode
This CodeSystem is noted as EXAMPLE - and the concepts therein does not align to the Australian Health terminologies or options available.
We recommend the following to be used as a CodeSystem eg.
|noFeeMT||No Fee (means tested)||free||Free||http://hl7.org/fhir/service-provision-conditions|
|bulkBilling||Bulk Billing Only||free||Free||http://hl7.org/fhir/service-provision-conditions|
|feesApply||Fees Apply||cost||Fees apply||http://hl7.org/fhir/service-provision-conditions|
|feesAndBulkBilling||Fees and Bulk Billing||disc||Discounts Available||http://hl7.org/fhir/service-provision-conditions|
Topic :: HealthcareService.characteristic representation
This is considered as the catchAll bucket for adhoc characteristics of a service, which do not fit within the core resource model.
Recommendation is to use this for any specific use-cases that may be relevant to a vendor, not bound by BASE or PD specification. It may also include specific slices as defined by the Technical Working Groups to offer interorability (searching, display) for key items.
See Implementation Guide at https://build.fhir.demo.nhsd.com.au/StructureDefinition-nhsd-healthcareservice.html
the characteristics currently noted therein is slightly outdated, and should be represented as below:
Three extensions are noted under the CodeableConcept:
- a grouping (which represents the slice - eg. the type of characteristic)
- a value (used for display purposed only)
- an extended list of values (used for display purposed only)
Topic :: HealthcareService.characteristic AU-BASE slices
It is recommended that there are key slices offered as part of the AU-BASE profile to ensure some key attributes/concepts are widely adopted or supported - it is recommended to include at least the following as AU-BASE slices.
- Miscellaneous Characteristics NEC
- sample valueset: https://build.fhir.demo.nhsd.com.au/ValueSet-valueset-au-nhsd-appointment.html
- ** OR extend the appointmentRequired attribute as a CodeSystem ( purely Bool value is not sufficient )
Topic :: HealthcareService.coverageArea & Home Visit Services
This use case does not pertain to all vendors, however there are healthcare services which operate by visiting your home - commonly known as their Location Service Delivery Method. These types of services do not normally provide any "physical" address information, but detail only the areas (eg. suburbs they operate in - willing to drive to)
Recommended to use FHIR-definition HealthcareService.coverageArea and make use of Location Resource Type... as per definition (HealthcareService.coverageArea:Location)
With Search Support:
|Location Delivery Type||Code||Description||Parameter|
|Physical Service||si||A Physical location, where the patient is able to visit a room or building||location.physicalType=si|
|Home Visit||home||A Home Visit based location grouping, where all the Healthcare Services linked to this Location are considered HOME VISIT services. These are predominantly services such as Home Meal Services, Home Doctor Services, but not strictly limited thereto. Distance based search behaviours are not compatible with this Location Delivery Type||location.physicalType=home|
|Virtual||virtual||A Virtual or Online based location grouping, where all the Healthcare Services linked to this Location are considered VIRTUAL services. These may include, but not limited to websites, online help lines, emergency services, etc. Distance based search behaviours are not compatible with this Location Delivery Type||location.physicalType=virtual|
Search: Location Delivery Method
- SITE VISIT => [base]/HealthcareService?location.physicalType=si - PHONE/VIRTUAL => [base]/HealthcareService?location.physicalType=virtual - HOME => [base]/HealthcareService?location.physicalType=home
General Items and Notes
- Languages List for use: LanguageCodeSystem.csv