Amakomaya Nepal FHIR Implementation Guide
2.0.0 - ci-build Nepal

Amakomaya Nepal FHIR Implementation Guide - Local Development build (v2.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AMK Healthcare Service

Official URL: https://fhir.amakomaya.com/StructureDefinition/amk-healthcare-service | Version: 2.0.0
Active as of 2026-08-21 | Computable Name: AMKHealthcareService
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Minimal profile for describing healthcare services provided by an organization at one or more locations.

Usages:

- Examples for this Profile: Cardiology Outpatient Service

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.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
active | ?!Σ | 1..1 | boolean | Whether this HealthcareService record is in active use Required Pattern: true
providedBy | Σ | 1..1 | Reference(AMK Organization) | Organization that provides this service
category | Σ | 0..1 | CodeableConcept | Broad category of service being performed or delivered Binding: ServiceCategory (example): A category of the service(s) that could be provided.
coding | Σ | 1..* | Coding | Code defined by a terminology system
type | Σ | 0..1 | CodeableConcept | Type of service that may be delivered or performed Binding: ServiceType (example): Additional details about where the content was created (e.g. clinical specialty).
coding | Σ | 1..* | Coding | Code defined by a terminology system
location | Σ | 1..* | Reference(AMK Location) | Location(s) where service may be provided
name | Σ | 1..1 | string | Description of service as presented to a consumer while searching
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
HealthcareService.category | Base | example | Service Category | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.type | Base | example | Service Type | 📍6.0.0-ballot5 | 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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())`

This structure is derived from HealthcareService

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HealthcareService |  | 0..* | HealthcareService | The details of a healthcare service available at a location
active |  | 1..1 | boolean | Whether this HealthcareService record is in active use Required Pattern: true
providedBy |  | 1..1 | Reference(AMK Organization) | Organization that provides this service
category |  | 0..1 | CodeableConcept | Broad category of service being performed or delivered
coding |  | 1..* | Coding | Code defined by a terminology system
type |  | 0..1 | CodeableConcept | Type of service that may be delivered or performed
coding |  | 1..* | Coding | Code defined by a terminology system
location |  | 1..* | Reference(AMK Location) | Location(s) where service may be provided
name |  | 1..1 | string | Description of service as presented to a consumer while searching
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | External identifiers for this item
active | ?!Σ | 1..1 | boolean | Whether this HealthcareService record is in active use Required Pattern: true
providedBy | Σ | 1..1 | Reference(AMK Organization) | Organization that provides this service
offeredIn |  | 0..* | Reference(HealthcareService) | The service within which this service is offered
category | Σ | 0..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
coding | Σ | 1..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
type | Σ | 0..1 | CodeableConcept | Type of service that may be delivered or performed Binding: ServiceType (example): Additional details about where the content was created (e.g. clinical specialty).
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
specialty | Σ | 0..* | CodeableConcept | Specialties handled by the HealthcareService Binding: PracticeSettingCodeValueSet (example): A specialty that a healthcare service may provide.
location | Σ | 1..* | Reference(AMK Location) | Location(s) where service may be provided
name | Σ | 1..1 | string | Description of service as presented to a consumer while searching
comment | Σ | 0..1 | markdown | 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
contact |  | 0..* | ExtendedContactDetail | Official contact details for the HealthcareService
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 | C | 0..* | BackboneElement | Specific eligibility requirements required to use the service Constraints: hcs-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
code | C | 0..1 | CodeableConcept | Coded value for the eligibility Binding: Eligibility (example): Coded values under which a specific service is made available.
value[x] | C | 0..1 |  | Value associated with the eligibility code
valueCodeableConcept |  |  | CodeableConcept |
valueBoolean |  |  | boolean |
valueQuantity |  |  | Quantity |
valueRange |  |  | Range |
valueReference |  |  | Reference(Any) |
comment |  | 0..1 | markdown | Describes the eligibility conditions for the service
period |  | 0..1 | Period | The period this eligibility rule applies
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: ServiceMode (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibility).
communication |  | 0..* | CodeableConcept | The language that this service is offered in Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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.
referralRequired |  | 0..1 | boolean | A referral is required for access to this service
appointmentRequired |  | 0..1 | boolean | An appointment is required for access to this service
availability |  | 0..1 | Availability | Times the healthcare service is available (including 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 | required | All Languages | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.category | Base | example | Service Category | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.type | Base | example | Service Type | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.specialty | Base | example | Practice Setting Code Value Set | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.serviceProvisionCode | Base | example | Service Provision Conditions | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.eligibility.​code | Base | example | Eligibility Characteristics | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.program | Base | example | Program | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.characteristic | Base | example | Service Mode | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.communication | Base | required | All Languages | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.referralMethod | Base | example | Referral Method | 📍6.0.0-ballot5 | 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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())`
hcs-1 | error | HealthcareService.eligibility | To use an eligibility value a code must also be provided to determine the type of eligibility the value applies to. | `value.exists() implies code.exists()`

This structure is derived from HealthcareService

Summary

Mandatory: 4 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- AMK Organization (https://fhir.amakomaya.com/StructureDefinition/amk-organization)
- AMK Location (https://fhir.amakomaya.com/StructureDefinition/amk-location)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
active | ?!Σ | 1..1 | boolean | Whether this HealthcareService record is in active use Required Pattern: true
providedBy | Σ | 1..1 | Reference(AMK Organization) | Organization that provides this service
category | Σ | 0..1 | CodeableConcept | Broad category of service being performed or delivered Binding: ServiceCategory (example): A category of the service(s) that could be provided.
coding | Σ | 1..* | Coding | Code defined by a terminology system
type | Σ | 0..1 | CodeableConcept | Type of service that may be delivered or performed Binding: ServiceType (example): Additional details about where the content was created (e.g. clinical specialty).
coding | Σ | 1..* | Coding | Code defined by a terminology system
location | Σ | 1..* | Reference(AMK Location) | Location(s) where service may be provided
name | Σ | 1..1 | string | Description of service as presented to a consumer while searching
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
HealthcareService.category | Base | example | Service Category | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.type | Base | example | Service Type | 📍6.0.0-ballot5 | 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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())`

Differential View

This structure is derived from HealthcareService

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
HealthcareService |  | 0..* | HealthcareService | The details of a healthcare service available at a location
active |  | 1..1 | boolean | Whether this HealthcareService record is in active use Required Pattern: true
providedBy |  | 1..1 | Reference(AMK Organization) | Organization that provides this service
category |  | 0..1 | CodeableConcept | Broad category of service being performed or delivered
coding |  | 1..* | Coding | Code defined by a terminology system
type |  | 0..1 | CodeableConcept | Type of service that may be delivered or performed
coding |  | 1..* | Coding | Code defined by a terminology system
location |  | 1..* | Reference(AMK Location) | Location(s) where service may be provided
name |  | 1..1 | string | Description of service as presented to a consumer while searching
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | External identifiers for this item
active | ?!Σ | 1..1 | boolean | Whether this HealthcareService record is in active use Required Pattern: true
providedBy | Σ | 1..1 | Reference(AMK Organization) | Organization that provides this service
offeredIn |  | 0..* | Reference(HealthcareService) | The service within which this service is offered
category | Σ | 0..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
coding | Σ | 1..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
type | Σ | 0..1 | CodeableConcept | Type of service that may be delivered or performed Binding: ServiceType (example): Additional details about where the content was created (e.g. clinical specialty).
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..* | Coding | Code defined by a terminology system
text | Σ | 0..1 | string | Plain text representation of the concept
specialty | Σ | 0..* | CodeableConcept | Specialties handled by the HealthcareService Binding: PracticeSettingCodeValueSet (example): A specialty that a healthcare service may provide.
location | Σ | 1..* | Reference(AMK Location) | Location(s) where service may be provided
name | Σ | 1..1 | string | Description of service as presented to a consumer while searching
comment | Σ | 0..1 | markdown | 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
contact |  | 0..* | ExtendedContactDetail | Official contact details for the HealthcareService
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 | C | 0..* | BackboneElement | Specific eligibility requirements required to use the service Constraints: hcs-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Slice: Unordered, Open by value:url
code | C | 0..1 | CodeableConcept | Coded value for the eligibility Binding: Eligibility (example): Coded values under which a specific service is made available.
value[x] | C | 0..1 |  | Value associated with the eligibility code
valueCodeableConcept |  |  | CodeableConcept |
valueBoolean |  |  | boolean |
valueQuantity |  |  | Quantity |
valueRange |  |  | Range |
valueReference |  |  | Reference(Any) |
comment |  | 0..1 | markdown | Describes the eligibility conditions for the service
period |  | 0..1 | Period | The period this eligibility rule applies
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: ServiceMode (example): A custom attribute that could be provided at a service (e.g. Wheelchair accessibility).
communication |  | 0..* | CodeableConcept | The language that this service is offered in Binding: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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.
referralRequired |  | 0..1 | boolean | A referral is required for access to this service
appointmentRequired |  | 0..1 | boolean | An appointment is required for access to this service
availability |  | 0..1 | Availability | Times the healthcare service is available (including 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 | required | All Languages | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.category | Base | example | Service Category | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.type | Base | example | Service Type | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.specialty | Base | example | Practice Setting Code Value Set | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.serviceProvisionCode | Base | example | Service Provision Conditions | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.eligibility.​code | Base | example | Eligibility Characteristics | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.program | Base | example | Program | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.characteristic | Base | example | Service Mode | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.communication | Base | required | All Languages | 📍6.0.0-ballot5 | FHIR Std.
HealthcareService.referralMethod | Base | example | Referral Method | 📍6.0.0-ballot5 | 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').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())`
hcs-1 | error | HealthcareService.eligibility | To use an eligibility value a code must also be provided to determine the type of eligibility the value applies to. | `value.exists() implies code.exists()`

This structure is derived from HealthcareService

Summary

Mandatory: 4 elements(2 nested mandatory elements)

Structures

This structure refers to these other structures:

- AMK Organization (https://fhir.amakomaya.com/StructureDefinition/amk-organization)
- AMK Location (https://fhir.amakomaya.com/StructureDefinition/amk-location)

Other representations of profile: CSV, Excel, Schematron