Introduction

An Appointment is a booking of a healthcare event among ehealth patients, practitioners, related persons, and locations. This may be either a physical or virtual meeting. Even though a meeting may span a number of participants, only one physical Appointment resource must be created. Participant status (approved, declined etc.) is handled using the AppointmentResponse resource, which in turn updates the status of the participant on the appointment resource.

The most important fields of the ehealth-appointment are described below:

• description: The “subject” of the appointment (textual description).

• comment: Free text description of the appointment to take place.

• participants: A list of participants invited to the meeting. These may be of type Patient, Practitioner, RelatedPerson, and Location. At least two participants are required. Each participant has a status, which may only be updated by creating an AppointmentResponse. In that case, the status on the Appointment will be updated with the participantStatus sent in the response.

• start/end: the start and end time of when the appointment is to take place.

• ehealth-responsible (extension): the responsible individual, care team and/or organization for the meeting.

• appointmentType: the type of appointment booked (checkup, emergency, followup etc).

If other resources need to be referenced as part of the appointment, it is possible to reference Condition and Procedure resources as the reason for the meeting, or using “supportingInformation” to reference other resource types. The “group-id” extension can be used for logically grouping different appointments.

Scope and Usage

In the eHealth Infrastructure the Appointment resource is used in conjunction with the following resources:

• Patient
  • If the appointment contains a participant of type Patient
• Practitioner
  • If the appointment contains a participant of type Practitioner
• RelatedPerson
  • If the appointment contains a participant of type RelatedPerson
• Location
  • If the appointment contains a participant of type Location

Notifications

The following rules apply to ehealth-appointment resources, given the appointment contains a participant of type Patient, who allows reception of NemSMS (has telecom with value ‘NemSMS’):

• a NemSMS is sent to the patient the day prior to the appointments start time.

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

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) responsible-1: Ensuring that responsible entity is a participating party single-patient-appointment: Only a single patient is allowed pr. appointment
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
responsible		1..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Responsible careteam/practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
legalBasis	C	0..1	CodeableConcept	Legal basis URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis Binding: Jurisdiction (required) governance-1: When extension is used a Episode of Care MUST be referenced responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
releasableResource		0..1	boolean	Indicates if the resource may be shared through national document repositories URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
responsibleOrganization		0..1	Reference(ehealth-organization) {r}	Responsible organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
performer		0..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Performer URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
performingOrganization		0..1	Reference(ehealth-organization) {r}	Organization who is performing in the given context URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
Slices for serviceType		1..*	CodeableConcept	The specific service that is to be performed during this appointment Slice: Unordered, Open by value:coding.code
serviceType:appointmentType		1..1	CodeableConcept	The specific service that is to be performed during this appointment
coding		0..*	Coding	Code defined by a terminology system Binding: Appointment Service Type (required)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: regular
appointmentType		1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: Appointment Type Codes (required)
reasonCode		0..1	CodeableConcept	Coded reason this appointment is scheduled Binding: Appointment Reason (required)
supportingInformation		0..1	Reference(ehealth-episodeofcare | ehealth-careplan) {r}	Additional information to support the appointment
participant		2..*	BackboneElement	Participants involved in appointment
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
careteam		0..1	Reference(ehealth-careteam) {r}	Careteam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
actor		0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c}	Person, Location/HealthcareService or Device
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Appointment.serviceType:appointmentType.coding	required	AppointmentServiceType (a valid code from Appointment Service Types) http://ehealth.sundhed.dk/vs/appointment-servicetype from this IG
Appointment.appointmentType	required	AppointmentTypeCodes (a valid code from Appointment Type Codes) http://ehealth.sundhed.dk/vs/appointmenttype-codes from this IG
Appointment.reasonCode	required	AppointmentReason (a valid code from Appointment Reason) http://ehealth.sundhed.dk/vs/appointment-reason from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
governance-1	error	Appointment.extension:legalBasis	When extension is used a Episode of Care MUST be referenced : %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1	error	Appointment	Ensuring that responsible entity is a participating party : (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference)
responsible-2	error	Appointment.extension:legalBasis	Both performing organization and responsible organization must be populated when legal basis is used : %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointment	error	Appointment	Only a single patient is allowed pr. appointment : participant.actor.where(reference.contains('/Patient')).count() < 2

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) responsible-1: Ensuring that responsible entity is a participating party single-patient-appointment: Only a single patient is allowed pr. appointment
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
responsible		1..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Responsible careteam/practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
legalBasis	C	0..1	CodeableConcept	Legal basis URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis Binding: Jurisdiction (required) governance-1: When extension is used a Episode of Care MUST be referenced responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
releasableResource		0..1	boolean	Indicates if the resource may be shared through national document repositories URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
responsibleOrganization		0..1	Reference(ehealth-organization) {r}	Responsible organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
performer		0..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Performer URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
performingOrganization		0..1	Reference(ehealth-organization) {r}	Organization who is performing in the given context URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
Slices for serviceType	Σ	1..*	CodeableConcept	The specific service that is to be performed during this appointment Slice: Unordered, Open by value:coding.code Binding: ServiceType (example)
serviceType:appointmentType	Σ	1..1	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: Appointment Service Type (required)
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: regular
appointmentType	Σ	1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: Appointment Type Codes (required)
reasonCode	Σ	0..1	CodeableConcept	Coded reason this appointment is scheduled Binding: Appointment Reason (required)
supportingInformation		0..1	Reference(ehealth-episodeofcare | ehealth-careplan) {r}	Additional information to support the appointment
participant	C	2..*	BackboneElement	Participants involved in appointment
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
careteam		0..1	Reference(ehealth-careteam) {r}	Careteam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c}	Person, Location/HealthcareService or Device
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.serviceType:appointmentType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.serviceType:appointmentType.coding	required	AppointmentServiceType (a valid code from Appointment Service Types) http://ehealth.sundhed.dk/vs/appointment-servicetype from this IG
Appointment.appointmentType	required	AppointmentTypeCodes (a valid code from Appointment Type Codes) http://ehealth.sundhed.dk/vs/appointmenttype-codes from this IG
Appointment.reasonCode	required	AppointmentReason (a valid code from Appointment Reason) http://ehealth.sundhed.dk/vs/appointment-reason from this IG
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
governance-1	error	Appointment.extension:legalBasis	When extension is used a Episode of Care MUST be referenced : %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1	error	Appointment	Ensuring that responsible entity is a participating party : (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference)
responsible-2	error	Appointment.extension:legalBasis	Both performing organization and responsible organization must be populated when legal basis is used : %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointment	error	Appointment	Only a single patient is allowed pr. appointment : participant.actor.where(reference.contains('/Patient')).count() < 2

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) responsible-1: Ensuring that responsible entity is a participating party single-patient-appointment: Only a single patient is allowed pr. appointment
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
responsible		1..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Responsible careteam/practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
legalBasis	C	0..1	CodeableConcept	Legal basis URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis Binding: Jurisdiction (required) governance-1: When extension is used a Episode of Care MUST be referenced responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
releasableResource		0..1	boolean	Indicates if the resource may be shared through national document repositories URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
responsibleOrganization		0..1	Reference(ehealth-organization) {r}	Responsible organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
performer		0..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Performer URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
performingOrganization		0..1	Reference(ehealth-organization) {r}	Organization who is performing in the given context URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
Slices for serviceType	Σ	1..*	CodeableConcept	The specific service that is to be performed during this appointment Slice: Unordered, Open by value:coding.code Binding: ServiceType (example)
serviceType:appointmentType	Σ	1..1	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
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	0..*	Coding	Code defined by a terminology system Binding: Appointment Service Type (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: regular
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	Σ	1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: Appointment Type Codes (required)
reasonCode	Σ	0..1	CodeableConcept	Coded reason this appointment is scheduled Binding: Appointment Reason (required)
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
priority		0..1	unsignedInt	Used to make informed decisions if needing to re-prioritize
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
supportingInformation		0..1	Reference(ehealth-episodeofcare | ehealth-careplan) {r}	Additional information to support the appointment
start	Σ	0..1	instant	When appointment is to take place
end	Σ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		0..*	Reference(ServiceRequest)	The service request this appointment is allocated to assess
participant	C	2..*	BackboneElement	Participants involved in appointment
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
careteam		0..1	Reference(ehealth-careteam) {r}	Careteam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	Σ	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c}	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason from the FHIR Standard
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.serviceType:appointmentType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.serviceType:appointmentType.coding	required	AppointmentServiceType (a valid code from Appointment Service Types) http://ehealth.sundhed.dk/vs/appointment-servicetype from this IG
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	required	AppointmentTypeCodes (a valid code from Appointment Type Codes) http://ehealth.sundhed.dk/vs/appointmenttype-codes from this IG
Appointment.reasonCode	required	AppointmentReason (a valid code from Appointment Reason) http://ehealth.sundhed.dk/vs/appointment-reason from this IG
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
governance-1	error	Appointment.extension:legalBasis	When extension is used a Episode of Care MUST be referenced : %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1	error	Appointment	Ensuring that responsible entity is a participating party : (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference)
responsible-2	error	Appointment.extension:legalBasis	Both performing organization and responsible organization must be populated when legal basis is used : %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointment	error	Appointment	Only a single patient is allowed pr. appointment : participant.actor.where(reference.contains('/Patient')).count() < 2

Differential View

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) responsible-1: Ensuring that responsible entity is a participating party single-patient-appointment: Only a single patient is allowed pr. appointment
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
responsible		1..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Responsible careteam/practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
legalBasis	C	0..1	CodeableConcept	Legal basis URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis Binding: Jurisdiction (required) governance-1: When extension is used a Episode of Care MUST be referenced responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
releasableResource		0..1	boolean	Indicates if the resource may be shared through national document repositories URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
responsibleOrganization		0..1	Reference(ehealth-organization) {r}	Responsible organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
performer		0..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Performer URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
performingOrganization		0..1	Reference(ehealth-organization) {r}	Organization who is performing in the given context URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
Slices for serviceType		1..*	CodeableConcept	The specific service that is to be performed during this appointment Slice: Unordered, Open by value:coding.code
serviceType:appointmentType		1..1	CodeableConcept	The specific service that is to be performed during this appointment
coding		0..*	Coding	Code defined by a terminology system Binding: Appointment Service Type (required)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: regular
appointmentType		1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: Appointment Type Codes (required)
reasonCode		0..1	CodeableConcept	Coded reason this appointment is scheduled Binding: Appointment Reason (required)
supportingInformation		0..1	Reference(ehealth-episodeofcare | ehealth-careplan) {r}	Additional information to support the appointment
participant		2..*	BackboneElement	Participants involved in appointment
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
careteam		0..1	Reference(ehealth-careteam) {r}	Careteam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
actor		0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c}	Person, Location/HealthcareService or Device
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Appointment.serviceType:appointmentType.coding	required	AppointmentServiceType (a valid code from Appointment Service Types) http://ehealth.sundhed.dk/vs/appointment-servicetype from this IG
Appointment.appointmentType	required	AppointmentTypeCodes (a valid code from Appointment Type Codes) http://ehealth.sundhed.dk/vs/appointmenttype-codes from this IG
Appointment.reasonCode	required	AppointmentReason (a valid code from Appointment Reason) http://ehealth.sundhed.dk/vs/appointment-reason from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
governance-1	error	Appointment.extension:legalBasis	When extension is used a Episode of Care MUST be referenced : %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1	error	Appointment	Ensuring that responsible entity is a participating party : (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference)
responsible-2	error	Appointment.extension:legalBasis	Both performing organization and responsible organization must be populated when legal basis is used : %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointment	error	Appointment	Only a single patient is allowed pr. appointment : participant.actor.where(reference.contains('/Patient')).count() < 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) responsible-1: Ensuring that responsible entity is a participating party single-patient-appointment: Only a single patient is allowed pr. appointment
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
responsible		1..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Responsible careteam/practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
legalBasis	C	0..1	CodeableConcept	Legal basis URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis Binding: Jurisdiction (required) governance-1: When extension is used a Episode of Care MUST be referenced responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
releasableResource		0..1	boolean	Indicates if the resource may be shared through national document repositories URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
responsibleOrganization		0..1	Reference(ehealth-organization) {r}	Responsible organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
performer		0..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Performer URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
performingOrganization		0..1	Reference(ehealth-organization) {r}	Organization who is performing in the given context URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
Slices for serviceType	Σ	1..*	CodeableConcept	The specific service that is to be performed during this appointment Slice: Unordered, Open by value:coding.code Binding: ServiceType (example)
serviceType:appointmentType	Σ	1..1	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: Appointment Service Type (required)
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: regular
appointmentType	Σ	1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: Appointment Type Codes (required)
reasonCode	Σ	0..1	CodeableConcept	Coded reason this appointment is scheduled Binding: Appointment Reason (required)
supportingInformation		0..1	Reference(ehealth-episodeofcare | ehealth-careplan) {r}	Additional information to support the appointment
participant	C	2..*	BackboneElement	Participants involved in appointment
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
careteam		0..1	Reference(ehealth-careteam) {r}	Careteam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c}	Person, Location/HealthcareService or Device
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.serviceType:appointmentType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.serviceType:appointmentType.coding	required	AppointmentServiceType (a valid code from Appointment Service Types) http://ehealth.sundhed.dk/vs/appointment-servicetype from this IG
Appointment.appointmentType	required	AppointmentTypeCodes (a valid code from Appointment Type Codes) http://ehealth.sundhed.dk/vs/appointmenttype-codes from this IG
Appointment.reasonCode	required	AppointmentReason (a valid code from Appointment Reason) http://ehealth.sundhed.dk/vs/appointment-reason from this IG
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
governance-1	error	Appointment.extension:legalBasis	When extension is used a Episode of Care MUST be referenced : %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1	error	Appointment	Ensuring that responsible entity is a participating party : (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference)
responsible-2	error	Appointment.extension:legalBasis	Both performing organization and responsible organization must be populated when legal basis is used : %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointment	error	Appointment	Only a single patient is allowed pr. appointment : participant.actor.where(reference.contains('/Patient')).count() < 2

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) responsible-1: Ensuring that responsible entity is a participating party single-patient-appointment: Only a single patient is allowed pr. appointment
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
responsible		1..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Responsible careteam/practitioner URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
groupId		0..1	string	Logical id identifying a set of messages with the same recipient URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
legalBasis	C	0..1	CodeableConcept	Legal basis URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis Binding: Jurisdiction (required) governance-1: When extension is used a Episode of Care MUST be referenced responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
releasableResource		0..1	boolean	Indicates if the resource may be shared through national document repositories URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
responsibleOrganization		0..1	Reference(ehealth-organization) {r}	Responsible organization URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
performer		0..1	Reference(ehealth-careteam | ehealth-practitioner) {r}	Performer URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
performingOrganization		0..1	Reference(ehealth-organization) {r}	Organization who is performing in the given context URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required): The free/busy status of an appointment.
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
Slices for serviceType	Σ	1..*	CodeableConcept	The specific service that is to be performed during this appointment Slice: Unordered, Open by value:coding.code Binding: ServiceType (example)
serviceType:appointmentType	Σ	1..1	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
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	0..*	Coding	Code defined by a terminology system Binding: Appointment Service Type (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: regular
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specialty	Σ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	Σ	1..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: Appointment Type Codes (required)
reasonCode	Σ	0..1	CodeableConcept	Coded reason this appointment is scheduled Binding: Appointment Reason (required)
reasonReference		0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
priority		0..1	unsignedInt	Used to make informed decisions if needing to re-prioritize
description		0..1	string	Shown on a subject line in a meeting request, or appointment list
supportingInformation		0..1	Reference(ehealth-episodeofcare | ehealth-careplan) {r}	Additional information to support the appointment
start	Σ	0..1	instant	When appointment is to take place
end	Σ	0..1	instant	When appointment is to conclude
minutesDuration		0..1	positiveInt	Can be less than start/end (e.g. estimate)
slot		0..*	Reference(Slot)	The slots that this appointment is filling
created		0..1	dateTime	The date that this appointment was initially created
comment		0..1	string	Additional comments
patientInstruction		0..1	string	Detailed information and instructions for the patient
basedOn		0..*	Reference(ServiceRequest)	The service request this appointment is allocated to assess
participant	C	2..*	BackboneElement	Participants involved in appointment
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
careteam		0..1	Reference(ehealth-careteam) {r}	Careteam URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	Σ	0..1	Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c}	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
period		0..1	Period	Participation period of the actor
requestedPeriod		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason from the FHIR Standard
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.serviceType:appointmentType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.serviceType:appointmentType.coding	required	AppointmentServiceType (a valid code from Appointment Service Types) http://ehealth.sundhed.dk/vs/appointment-servicetype from this IG
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	required	AppointmentTypeCodes (a valid code from Appointment Type Codes) http://ehealth.sundhed.dk/vs/appointmenttype-codes from this IG
Appointment.reasonCode	required	AppointmentReason (a valid code from Appointment Reason) http://ehealth.sundhed.dk/vs/appointment-reason from this IG
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
governance-1	error	Appointment.extension:legalBasis	When extension is used a Episode of Care MUST be referenced : %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1	error	Appointment	Ensuring that responsible entity is a participating party : (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam').value.reference) or (extension('http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible').value.reference in participant.actor.reference)
responsible-2	error	Appointment.extension:legalBasis	Both performing organization and responsible organization must be populated when legal basis is used : %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointment	error	Appointment	Only a single patient is allowed pr. appointment : participant.actor.where(reference.contains('/Patient')).count() < 2

This structure is derived from Appointment

Summary

Mandatory: 5 elements (1 nested mandatory element)
Fixed Value: 1 element

Structures

This structure refers to these other structures:

• ehealth-episodeofcare (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-episodeofcare)
• ehealth-careplan (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-careplan)
• ehealth-patient (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-patient)
• ehealth-practitioner (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner)
• ehealth-relatedperson (http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-relatedperson)

Extensions

This structure refers to these extensions:

• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
• http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam

Slices

This structure defines the following Slices:

• The element Appointment.serviceType is sliced based on the value of value:coding.code