NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-healthcareservice | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreHealthcareService | ||||
Sets minimum expectations for representing a health service offered by an organization in Nepal.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  HealthcareService |
0..* | HealthcareService | The details of a healthcare service available at a location | |||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| active |
0..1 | boolean | Whether this HealthcareService record is in active use
| |||||||||
 providedBy |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization that provides this service
| |||||||||
| location |
0..* | Reference(NP Core Location) | Location(s) where service may be provided
| |||||||||
| name |
1..1 | string | Description of service as presented to a consumer while searching
| |||||||||
 coverageArea |
0..* | Reference(NP Core Location) | Location(s) service is intended for/available to | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| HealthcareService |
|||
| active |
|
|
|
| providedBy |
|
|
|
| location |
|
|
|
| name |
|
|
|
| Documentation for this format | |||
| 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
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| HealthcareService |
|||
 active |
|
|
|
| providedBy |
|
|
|
| location |
|
|
|
| name |
|
|
|
| Documentation for this format | |||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HealthcareService |
0..* | HealthcareService | The details of a healthcare service available at a location | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
 meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| 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 |
0..* | Identifier | External identifiers for this item | |||||||||
| active |
0..1 | boolean | Whether this HealthcareService record is in active use
| |||||||||
| providedBy |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization that provides this service
| |||||||||
| category |
0..* | CodeableConcept | Broad category of service being performed or delivered Binding: ServiceCategory (example): A category of the service(s) that could be provided. | |||||||||
| type |
0..* | 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). | |||||||||
| specialty |
0..* | CodeableConcept | Specialties handled by the HealthcareService Binding: PracticeSettingCodeValueSet (preferred): A specialty that a healthcare service may provide. | |||||||||
| location |
0..* | Reference(NP Core Location) | Location(s) where service may be provided
| |||||||||
| name |
1..1 | string | Description of service as presented to a consumer while searching
| |||||||||
| comment |
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 |
0..1 | Attachment | Facilitates quick identification of the service | |||||||||
| telecom |
0..* | ContactPoint | Contacts related to the healthcare service | |||||||||
| coverageArea |
0..* | Reference(NP Core 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 |
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.
| |||||||||
| 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 |
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 |
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 | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| HealthcareService |
|||
| active |
|
|
|
| providedBy |
|
|
|
| location |
|
|
|
| name |
|
|
|
| Documentation for this format | |||
| 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 | example | Service type | 📍4.0.1 | FHIR Std. |
| HealthcareService.specialty | Base | preferred | Practice Setting Code Value Set | 📍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 | 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. |
| 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 | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| HealthcareService |
|||
| active |
|
|
|
| providedBy |
|
|
|
| location |
|
|
|
| name |
|
|
|
| Documentation for this format | |||
This structure is derived from HealthcareService
Summary
Mandatory: 1 element
Must-Support: 4 elements
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HealthcareService |
0..* | HealthcareService | The details of a healthcare service available at a location | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| active |
0..1 | boolean | Whether this HealthcareService record is in active use
| |||||||||
| providedBy |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization that provides this service
| |||||||||
| location |
0..* | Reference(NP Core Location) | Location(s) where service may be provided
| |||||||||
| name |
1..1 | string | Description of service as presented to a consumer while searching
| |||||||||
| coverageArea |
0..* | Reference(NP Core Location) | Location(s) service is intended for/available to | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| HealthcareService |
|||
| active |
|
|
|
| providedBy |
|
|
|
| location |
|
|
|
| name |
|
|
|
| Documentation for this format | |||
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HealthcareService |
0..* | HealthcareService | The details of a healthcare service available at a location | |||||||||
| active |
0..1 | boolean | Whether this HealthcareService record is in active use
| |||||||||
| providedBy |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization that provides this service
| |||||||||
| location |
0..* | Reference(NP Core Location) | Location(s) where service may be provided
| |||||||||
| name |
1..1 | string | Description of service as presented to a consumer while searching
| |||||||||
| coverageArea |
0..* | Reference(NP Core Location) | Location(s) service is intended for/available to | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| HealthcareService |
|||
| active |
|
|
|
| providedBy |
|
|
|
| location |
|
|
|
| name |
|
|
|
| Documentation for this format | |||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HealthcareService |
0..* | HealthcareService | The details of a healthcare service available at a location | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| 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 |
0..* | Identifier | External identifiers for this item | |||||||||
| active |
0..1 | boolean | Whether this HealthcareService record is in active use
| |||||||||
| providedBy |
0..1 | Reference(NP Core Organization | NP Core Health Facility) | Organization that provides this service
| |||||||||
| category |
0..* | CodeableConcept | Broad category of service being performed or delivered Binding: ServiceCategory (example): A category of the service(s) that could be provided. | |||||||||
| type |
0..* | 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). | |||||||||
| specialty |
0..* | CodeableConcept | Specialties handled by the HealthcareService Binding: PracticeSettingCodeValueSet (preferred): A specialty that a healthcare service may provide. | |||||||||
| location |
0..* | Reference(NP Core Location) | Location(s) where service may be provided
| |||||||||
| name |
1..1 | string | Description of service as presented to a consumer while searching
| |||||||||
| comment |
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 |
0..1 | Attachment | Facilitates quick identification of the service | |||||||||
| telecom |
0..* | ContactPoint | Contacts related to the healthcare service | |||||||||
| coverageArea |
0..* | Reference(NP Core 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 |
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.
| |||||||||
| 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 |
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 |
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 | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| HealthcareService |
|||
| active |
|
|
|
| providedBy |
|
|
|
| location |
|
|
|
| name |
|
|
|
| Documentation for this format | |||
| 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 | example | Service type | 📍4.0.1 | FHIR Std. |
| HealthcareService.specialty | Base | preferred | Practice Setting Code Value Set | 📍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 | 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. |
| 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 | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| HealthcareService |
|||
| active |
|
|
|
| providedBy |
|
|
|
| location |
|
|
|
| name |
|
|
|
| Documentation for this format | |||
This structure is derived from HealthcareService
Summary
Mandatory: 1 element
Must-Support: 4 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron