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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. 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.

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 May 22 12:11:22 UTC 2020 as a draft by ehealth.sundhed.dk.

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

 

Terminology Bindings

Path	Conformance	ValueSet
Appointment.language	extensible	Common Languages Max Binding: All Languages
Appointment.extension:legalBasis.value[x]:valueCodeableConcept	required	Jurisdiction
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

Constraints

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)
single-patient-appointment	Appointment	Only a single patient is allowed pr. appointment : participant.actor.where(reference.contains('/Patient')).count() < 2
ele-1	Appointment.extension:responsible	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:responsible	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:groupId	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:groupId	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:legalBasis	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:legalBasis	Must have either extensions or value[x], not both : extension.exists() != value.exists()
governance-1	Appointment.extension:legalBasis	When extension is used a Episode of Care MUST be referenced : %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-2	Appointment.extension:legalBasis	Both performer and responsible organization must be populated when legal basis is used : %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
ele-1	Appointment.extension:releasableResource	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:releasableResource	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:responsible-organization	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:responsible-organization	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:performing-organization	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:performing-organization	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:careteam	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.participant.extension:careteam	Must have either extensions or value[x], not both : extension.exists() != value.exists()

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