eHealth Infrastructure (v2019.6)

StructureDefinition: ehealth-appointment

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.

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

Formal Views of Profile Content

The official URL for this profile is:

http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-appointment

This profile models an ehealth appointment. It is only necessary to create one appointment even though it spans more than one participant. Allowed appointment participants are patients, practitioners, relatedpersons, and locations

This profile builds on Appointment.

This profile was published on Fri Nov 08 13:01:00 UTC 2019 as a draft by ehealth.sundhed.dk.

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

This structure is derived from Appointment

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment I0..*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
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... ehealth-responsible 1..1Reference(eHealth CareTeam | eHealth Practitioner | eHealth Organization) {r}Optional Extensions Element
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
... appointmentType 1..1CodeableConceptBinding: AppointmentTypeCodes (extensible)
... reason 0..1CodeableConceptBinding: AppointmentReason (required)
.... coding 0..*CodingBinding: AppointmentReason (required)
... indication 0..*Reference(Condition | Procedure) {r}
... supportingInformation 0..*Reference(Resource) {r}
... slot 0..*Reference(Slot) {r}
... incomingReferral 0..*Reference(ReferralRequest) {r}
... participant 2..*BackboneElement
.... extension 0..*ExtensionSlice: Unordered, Open by value:url
.... ehealth-ext-careteam 0..*Reference()Optional Extensions Element
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... actor 0..1Reference(eHealth Patient | eHealth Practitioner | eHealth RelatedPerson | Location)

doco Documentation for this format

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment I0..*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
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ehealth-responsible I1..1Reference(eHealth CareTeam | eHealth Practitioner | eHealth Organization) {r}Optional Extensions Element
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this item
... status ?!Σ1..1codeproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error
Binding: AppointmentStatus (required)
... serviceCategory Σ0..1CodeableConceptA broad categorisation of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
... serviceType Σ0..*CodeableConceptThe specific service that is to be performed during this appointment
Binding: ServiceType (example)
... specialty Σ0..*CodeableConceptThe specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: Practice Setting Code Value Set (preferred)
... appointmentType Σ1..1CodeableConceptThe style of appointment or patient that has been booked in the slot (not service type)
Binding: AppointmentTypeCodes (extensible)
... reason Σ0..1CodeableConceptReason this appointment is scheduled
Binding: AppointmentReason (required)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
Binding: AppointmentReason (required)
.... text Σ0..1stringPlain text representation of the concept
... indication 0..*Reference(Condition | Procedure) {r}Reason the appointment is to takes place (resource)
... priority 0..1unsignedIntUsed to make informed decisions if needing to re-prioritize
... description 0..1stringShown on a subject line in a meeting request, or appointment list
... supportingInformation 0..*Reference(Resource) {r}Additional information to support the appointment
... start Σ0..1instantWhen appointment is to take place
... end Σ0..1instantWhen appointment is to conclude
... minutesDuration 0..1positiveIntCan be less than start/end (e.g. estimate)
... slot 0..*Reference(Slot) {r}The slots that this appointment is filling
... created 0..1dateTimeThe date that this appointment was initially created
... comment 0..1stringAdditional comments
... incomingReferral 0..*Reference(ReferralRequest) {r}The ReferralRequest provided as information to allocate to the Encounter
... participant I2..*BackboneElementParticipants involved in appointment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ehealth-ext-careteam I0..*Reference()Optional Extensions Element
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type Σ0..*CodeableConceptRole of participant in the appointment
Binding: ParticipantType (extensible)
.... actor Σ0..1Reference(eHealth Patient | eHealth Practitioner | eHealth RelatedPerson | Location)Person, Location/HealthcareService or Device
.... required Σ0..1coderequired | optional | information-only
Binding: ParticipantRequired (required)
.... status 1..1codeaccepted | declined | tentative | needs-action
Binding: ParticipationStatus (required)
... requestedPeriod 0..*PeriodPotential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

This structure is derived from Appointment

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment I0..*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
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... ehealth-responsible 1..1Reference(eHealth CareTeam | eHealth Practitioner | eHealth Organization) {r}Optional Extensions Element
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
... appointmentType 1..1CodeableConceptBinding: AppointmentTypeCodes (extensible)
... reason 0..1CodeableConceptBinding: AppointmentReason (required)
.... coding 0..*CodingBinding: AppointmentReason (required)
... indication 0..*Reference(Condition | Procedure) {r}
... supportingInformation 0..*Reference(Resource) {r}
... slot 0..*Reference(Slot) {r}
... incomingReferral 0..*Reference(ReferralRequest) {r}
... participant 2..*BackboneElement
.... extension 0..*ExtensionSlice: Unordered, Open by value:url
.... ehealth-ext-careteam 0..*Reference()Optional Extensions Element
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... actor 0..1Reference(eHealth Patient | eHealth Practitioner | eHealth RelatedPerson | Location)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment I0..*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
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ehealth-responsible I1..1Reference(eHealth CareTeam | eHealth Practitioner | eHealth Organization) {r}Optional Extensions Element
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Ids for this item
... status ?!Σ1..1codeproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error
Binding: AppointmentStatus (required)
... serviceCategory Σ0..1CodeableConceptA broad categorisation of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
... serviceType Σ0..*CodeableConceptThe specific service that is to be performed during this appointment
Binding: ServiceType (example)
... specialty Σ0..*CodeableConceptThe specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: Practice Setting Code Value Set (preferred)
... appointmentType Σ1..1CodeableConceptThe style of appointment or patient that has been booked in the slot (not service type)
Binding: AppointmentTypeCodes (extensible)
... reason Σ0..1CodeableConceptReason this appointment is scheduled
Binding: AppointmentReason (required)
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
Binding: AppointmentReason (required)
.... text Σ0..1stringPlain text representation of the concept
... indication 0..*Reference(Condition | Procedure) {r}Reason the appointment is to takes place (resource)
... priority 0..1unsignedIntUsed to make informed decisions if needing to re-prioritize
... description 0..1stringShown on a subject line in a meeting request, or appointment list
... supportingInformation 0..*Reference(Resource) {r}Additional information to support the appointment
... start Σ0..1instantWhen appointment is to take place
... end Σ0..1instantWhen appointment is to conclude
... minutesDuration 0..1positiveIntCan be less than start/end (e.g. estimate)
... slot 0..*Reference(Slot) {r}The slots that this appointment is filling
... created 0..1dateTimeThe date that this appointment was initially created
... comment 0..1stringAdditional comments
... incomingReferral 0..*Reference(ReferralRequest) {r}The ReferralRequest provided as information to allocate to the Encounter
... participant I2..*BackboneElementParticipants involved in appointment
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ehealth-ext-careteam I0..*Reference()Optional Extensions Element
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type Σ0..*CodeableConceptRole of participant in the appointment
Binding: ParticipantType (extensible)
.... actor Σ0..1Reference(eHealth Patient | eHealth Practitioner | eHealth RelatedPerson | Location)Person, Location/HealthcareService or Device
.... required Σ0..1coderequired | optional | information-only
Binding: ParticipantRequired (required)
.... status 1..1codeaccepted | declined | tentative | needs-action
Binding: ParticipationStatus (required)
... requestedPeriod 0..*PeriodPotential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

 

Terminology Bindings

PathConformanceValueSet
Appointment.languageextensibleCommon Languages
Max Binding: All Languages
Appointment.statusrequiredAppointmentStatus
Appointment.serviceCategoryexampleServiceCategory
Appointment.serviceTypeexampleServiceType
Appointment.specialtypreferredPractice Setting Code Value Set
Appointment.appointmentTypeextensibleAppointmentTypeCodes
Appointment.reasonrequiredAppointmentReason
Appointment.reason.codingrequiredAppointmentReason
Appointment.participant.typeextensibleParticipantType
Appointment.participant.requiredrequiredParticipantRequired
Appointment.participant.statusrequiredParticipationStatus

Constraints

IdPathDetailsRequirements
dom-2AppointmentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1AppointmentIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4AppointmentIf 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-3AppointmentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
app-3AppointmentOnly proposed or cancelled appointments can be missing start/end dates
: (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled'))
app-2AppointmentEither start and end are specified, or neither
: start.empty() xor end.exists()
responsible-1AppointmentEnsuring 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)
ele-1Appointment.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Appointment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Appointment.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Appointment.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Appointment.participantAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
app-1Appointment.participantEither the type or actor on the participant SHALL be specified
: type.exists() or actor.exists()
ele-1Appointment.participant.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Appointment.participant.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Appointment.participant.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1Appointment.participant.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
.