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.
In the eHealth Infrastructure the Appointment resource is used in conjunction with the following resources:
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
This structure is derived from Appointment
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Appointment | I | 0..* | 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..* | Extension | Slice: Unordered, Open by value:url | |
ehealth-responsible | 1..1 | Reference(eHealth CareTeam | eHealth Practitioner | eHealth Organization) {r} | Optional Extensions Element URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible | |
appointmentType | 1..1 | CodeableConcept | Binding: AppointmentTypeCodes (extensible) | |
reason | 0..1 | CodeableConcept | Binding: AppointmentReason (required) | |
coding | 0..* | Coding | Binding: 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..* | Extension | Slice: 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..1 | Reference(eHealth Patient | eHealth Practitioner | eHealth RelatedPerson | Location) | ||
Documentation for this format |
This structure is derived from Appointment
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Appointment | I | 0..* | 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 | 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: Common Languages (extensible) Max Binding: All Languages | |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-responsible | I | 1..1 | Reference(eHealth CareTeam | eHealth Practitioner | eHealth Organization) {r} | Optional Extensions Element URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible |
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 Binding: AppointmentStatus (required) |
serviceCategory | Σ | 0..1 | CodeableConcept | A broad categorisation of the service that is to be performed during this appointment Binding: ServiceCategory (example) |
serviceType | Σ | 0..* | CodeableConcept | The specific service that is to be performed during this appointment Binding: ServiceType (example) |
specialty | Σ | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: Practice Setting Code Value Set (preferred) |
appointmentType | Σ | 1..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) Binding: AppointmentTypeCodes (extensible) |
reason | Σ | 0..1 | CodeableConcept | Reason this appointment is scheduled Binding: AppointmentReason (required) |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
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: AppointmentReason (required) |
text | Σ | 0..1 | string | Plain text representation of the concept |
indication | 0..* | Reference(Condition | Procedure) {r} | Reason the appointment is to takes 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..* | Reference(Resource) {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) {r} | 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 | |
incomingReferral | 0..* | Reference(ReferralRequest) {r} | The ReferralRequest provided as information to allocate to the Encounter | |
participant | I | 2..* | BackboneElement | Participants involved in appointment |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-ext-careteam | I | 0..* | Reference() | Optional Extensions Element URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
type | Σ | 0..* | CodeableConcept | Role of participant in the appointment Binding: ParticipantType (extensible) |
actor | Σ | 0..1 | Reference(eHealth Patient | eHealth Practitioner | eHealth RelatedPerson | Location) | Person, Location/HealthcareService or Device |
required | Σ | 0..1 | code | required | optional | information-only Binding: ParticipantRequired (required) |
status | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required) | |
requestedPeriod | 0..* | Period | Potential date/time interval(s) requested to allocate the appointment within | |
Documentation for this format |
This structure is derived from Appointment
Differential View
This structure is derived from Appointment
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Appointment | I | 0..* | 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..* | Extension | Slice: Unordered, Open by value:url | |
ehealth-responsible | 1..1 | Reference(eHealth CareTeam | eHealth Practitioner | eHealth Organization) {r} | Optional Extensions Element URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible | |
appointmentType | 1..1 | CodeableConcept | Binding: AppointmentTypeCodes (extensible) | |
reason | 0..1 | CodeableConcept | Binding: AppointmentReason (required) | |
coding | 0..* | Coding | Binding: 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..* | Extension | Slice: 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..1 | Reference(eHealth Patient | eHealth Practitioner | eHealth RelatedPerson | Location) | ||
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Appointment | I | 0..* | 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 | 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: Common Languages (extensible) Max Binding: All Languages | |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-responsible | I | 1..1 | Reference(eHealth CareTeam | eHealth Practitioner | eHealth Organization) {r} | Optional Extensions Element URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible |
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 Binding: AppointmentStatus (required) |
serviceCategory | Σ | 0..1 | CodeableConcept | A broad categorisation of the service that is to be performed during this appointment Binding: ServiceCategory (example) |
serviceType | Σ | 0..* | CodeableConcept | The specific service that is to be performed during this appointment Binding: ServiceType (example) |
specialty | Σ | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: Practice Setting Code Value Set (preferred) |
appointmentType | Σ | 1..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) Binding: AppointmentTypeCodes (extensible) |
reason | Σ | 0..1 | CodeableConcept | Reason this appointment is scheduled Binding: AppointmentReason (required) |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
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: AppointmentReason (required) |
text | Σ | 0..1 | string | Plain text representation of the concept |
indication | 0..* | Reference(Condition | Procedure) {r} | Reason the appointment is to takes 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..* | Reference(Resource) {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) {r} | 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 | |
incomingReferral | 0..* | Reference(ReferralRequest) {r} | The ReferralRequest provided as information to allocate to the Encounter | |
participant | I | 2..* | BackboneElement | Participants involved in appointment |
id | 0..1 | string | xml:id (or equivalent in JSON) | |
extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
ehealth-ext-careteam | I | 0..* | Reference() | Optional Extensions Element URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
type | Σ | 0..* | CodeableConcept | Role of participant in the appointment Binding: ParticipantType (extensible) |
actor | Σ | 0..1 | Reference(eHealth Patient | eHealth Practitioner | eHealth RelatedPerson | Location) | Person, Location/HealthcareService or Device |
required | Σ | 0..1 | code | required | optional | information-only Binding: ParticipantRequired (required) |
status | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required) | |
requestedPeriod | 0..* | Period | Potential date/time interval(s) requested to allocate the appointment within | |
Documentation for this format |
Path | Conformance | ValueSet |
Appointment.language | extensible | Common Languages Max Binding: All Languages |
Appointment.status | required | AppointmentStatus |
Appointment.serviceCategory | example | ServiceCategory |
Appointment.serviceType | example | ServiceType |
Appointment.specialty | preferred | Practice Setting Code Value Set |
Appointment.appointmentType | extensible | AppointmentTypeCodes |
Appointment.reason | required | AppointmentReason |
Appointment.reason.coding | required | AppointmentReason |
Appointment.participant.type | extensible | ParticipantType |
Appointment.participant.required | required | ParticipantRequired |
Appointment.participant.status | required | ParticipationStatus |
Id | Path | Details | Requirements |
dom-2 | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-1 | Appointment | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
dom-4 | Appointment | 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-3 | Appointment | If 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-3 | Appointment | Only proposed or cancelled appointments can be missing start/end dates : (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled')) | |
app-2 | Appointment | Either start and end are specified, or neither : start.empty() xor end.exists() | |
responsible-1 | 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) | |
ele-1 | Appointment.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | Appointment.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Appointment.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | Appointment.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Appointment.participant | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
app-1 | Appointment.participant | Either the type or actor on the participant SHALL be specified : type.exists() or actor.exists() | |
ele-1 | Appointment.participant.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | Appointment.participant.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | Appointment.participant.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
ext-1 | Appointment.participant.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |