eHealth Infrastructure (v2020.6.1)

StructureDefinition: ehealth-videoappointment - Detailed Descriptions

Definitions for the ehealth-videoappointment Profile.

1. Appointment
Definition

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)

Control0..*
InvariantsDefined on this element
app-2: Either start and end are specified, or neither (: start.empty() xor end.exists())
app-3: Only proposed or cancelled appointments can be missing start/end dates (: (start.exists() and end.exists()) or (status in ('proposed' | 'cancelled')))
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (: contained.text.empty())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (: contained.contained.empty())
dom-3: 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())
dom-4: 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())
single-patient-videoappointment: Only a single patient is allowed pr. video appointment (: participant.actor.where(reference.contains('/Patient')).count() < 2)
videoresponsible-2: 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))
2. Appointment.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control0..1
Typeid
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

3. Appointment.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control0..1
TypeMeta
4. Appointment.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control0..1
Typeuri
Is Modifiertrue
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

5. Appointment.language
Definition

The base language in which the resource is written.

Control0..1
BindingA human language.
The codes SHALL be taken from Common Languages; other codes may be used where these codes are not suitable
Max Binding: All Languages
Typecode
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

6. Appointment.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control0..1 This element is affected by the following invariants: dom-1
TypeNarrative
Alternate Namesnarrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

7. Appointment.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control0..*
TypeResource
Alternate Namesinline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

8. Appointment.extension
Definition

An Extension

Control0..*
TypeExtension
SlicingThis element introduces a set of slices on Appointment.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
9. Appointment.extension:endMeetingOnEndTime
SliceNameendMeetingOnEndTime
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(EndMeetingOnEndTime) (Extension Type: boolean)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
10. Appointment.extension:maxParticipants
SliceNamemaxParticipants
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(MaxParticipants) (Extension Type: integer)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
11. Appointment.extension:meetingURL
SliceNamemeetingURL
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(MeetingURL) (Extension Type: uri)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
12. Appointment.extension:vmrUri
SliceNamevmrUri
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(Virtual Meeting Room URI) (Extension Type: uri)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
13. Appointment.extension:guestPinCode
SliceNameguestPinCode
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(Guest PINCode) (Extension Type: string)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
14. Appointment.extension:hostPinCode
SliceNamehostPinCode
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(Host PINCode) (Extension Type: string)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
15. Appointment.extension:responsible
SliceNameresponsible
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(responsible) (Extension Type: Reference(ehealth-careteam | ehealth-practitioner | ehealth-organization))
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
16. Appointment.extension:responsible.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
17. Appointment.extension:responsible.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on Appointment.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
18. Appointment.extension:responsible.url
Definition

Source of the definition for the extension code - a logical name or a URL.

Control1..1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Valuehttp://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
19. Appointment.extension:responsible.value[x]:valueReference
SliceNamevalueReference
Definition

Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

Control0..1
TypeReference(ehealth-careteam | ehealth-practitioner)
[x] NoteSee Choice of Data Types for further information about how to use [x]
20. Appointment.extension:groupId
SliceNamegroupId
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(ehealth-group-id) (Extension Type: string)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
21. Appointment.extension:legalBasis
SliceNamelegalBasis
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(ehealth-ext-legalBasis) (Extension Type: CodeableConcept)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
governance-2: When extension is used a Episode of Care MUST be referenced (: %resource.supportingInformation.reference.contains('EpisodeOfCare/'))
responsible-3: 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())
22. Appointment.extension:legalBasis.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
23. Appointment.extension:legalBasis.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on Appointment.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
24. Appointment.extension:legalBasis.url
Definition

Source of the definition for the extension code - a logical name or a URL.

Control1..1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Valuehttp://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis
25. Appointment.extension:legalBasis.value[x]
Definition

Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

Control0..1
TypeCodeableConcept
[x] NoteSee Choice of Data Types for further information about how to use [x]
SlicingThis element introduces a set of slices on Appointment.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
  • type @ $this
26. Appointment.extension:legalBasis.value[x]:valueCodeableConcept
SliceNamevalueCodeableConcept
Definition

Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

Control0..1
BindingThe codes SHALL be taken from Jurisdiction
TypeCodeableConcept
[x] NoteSee Choice of Data Types for further information about how to use [x]
27. Appointment.extension:releasableResource
SliceNamereleasableResource
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(ehealth-ext-releasableResource) (Extension Type: boolean)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
28. Appointment.extension:performing-organization
SliceNameperforming-organization
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(ehealth-performer) (Extension Type: Reference(ehealth-careteam | ehealth-practitioner | ehealth-organization))
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
29. Appointment.extension:performing-organization.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
30. Appointment.extension:performing-organization.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on Appointment.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
31. Appointment.extension:performing-organization.url
Definition

Source of the definition for the extension code - a logical name or a URL.

Control1..1
Typeuri
Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Fixed Valuehttp://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
32. Appointment.extension:performing-organization.value[x]:valueReference
SliceNamevalueReference
Definition

Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

Control0..1
TypeReference
[x] NoteSee Choice of Data Types for further information about how to use [x]
SlicingThis element introduces a set of slices on Appointment.extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
  • type @ $this
33. Appointment.extension:performing-organization.value[x]:valueReference
SliceNamevalueReference
Definition

Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).

Control0..1
TypeReference(ehealth-organization)
[x] NoteSee Choice of Data Types for further information about how to use [x]
34. Appointment.extension:responsible-organization
SliceNameresponsible-organization
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(responsible-organization) (Extension Type: Reference(ehealth-organization))
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
35. Appointment.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

36. Appointment.identifier
Definition

This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
SlicingThis element introduces a set of slices on Appointment.identifier. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ system
37. Appointment.identifier:vdxMeetingId
SliceNamevdxMeetingId
Definition

This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).

NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..1
TypeIdentifier
38. Appointment.identifier:vdxMeetingId.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
39. Appointment.identifier:vdxMeetingId.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on Appointment.identifier.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
40. Appointment.identifier:vdxMeetingId.use
Definition

The purpose of this identifier.

Control0..1
BindingIdentifies the purpose for this identifier, if known .
The codes SHALL be taken from IdentifierUse
Typecode
Is Modifiertrue
Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

41. Appointment.identifier:vdxMeetingId.type
Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Control0..1
BindingA coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
The codes SHALL be taken from Identifier Type Codes; other codes may be used where these codes are not suitable
TypeCodeableConcept
Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.

Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

42. Appointment.identifier:vdxMeetingId.system
Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Control0..1
Typeuri
Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Fixed Valuehttp://vdx.medcom.dk/meeting
Example
General:http://www.acme.com/identifiers/patient
43. Appointment.identifier:vdxMeetingId.value
Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Control0..1
Typestring
Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.

Example
General:123456
44. Appointment.identifier:vdxMeetingId.period
Definition

Time period during which identifier is/was valid for use.

Control0..1
TypePeriod
45. Appointment.identifier:vdxMeetingId.assigner
Definition

Organization that issued/manages the identifier.

Control0..1
TypeReference(Organization)
Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

46. Appointment.status
Definition

The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.

Control1..1
BindingThe free/busy status of an appointment.
The codes SHALL be taken from AppointmentStatus
Typecode
Is Modifiertrue
Comments

If the Appointment's status is "cancelled" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.

This element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid.

47. Appointment.serviceCategory
Definition

A broad categorisation of the service that is to be performed during this appointment.

Control0..1
BindingFor example codes, see ServiceCategory
TypeCodeableConcept
48. Appointment.serviceType
Definition

The specific service that is to be performed during this appointment.

Control0..*
BindingFor example codes, see ServiceType
TypeCodeableConcept
49. Appointment.specialty
Definition

The specialty of a practitioner that would be required to perform the service requested in this appointment.

Control0..*
BindingThe codes SHOULD be taken from Practice Setting Code Value Set
TypeCodeableConcept
50. Appointment.appointmentType
Definition

The style of appointment or patient that has been booked in the slot (not service type).

Control1..1
BindingThe codes SHALL be taken from Appointment Type Codes; other codes may be used where these codes are not suitable
TypeCodeableConcept
51. Appointment.reason
Definition

The reason that this appointment is being scheduled. This is more clinical than administrative.

Control1..*
BindingThe codes SHOULD be taken from Appointment Reason
TypeCodeableConcept
52. Appointment.reason.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
53. Appointment.reason.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

SlicingThis element introduces a set of slices on Appointment.reason.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
54. Appointment.reason.coding
Definition

A reference to a code defined by a terminology system.

Control0..*
BindingThe codes SHALL be taken from Appointment Reason
TypeCoding
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

55. Appointment.reason.text
Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Control0..1
Typestring
Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

56. Appointment.indication
Definition

Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.

Control0..*
TypeReference(Condition | Procedure)
57. Appointment.priority
Definition

The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).

Control0..1
TypeunsignedInt
Comments

Seeking implementer feedback on this property and how interoperable it is.

Using an extension to record a codeableconcept for named values may be tested at a future connectathon.

58. Appointment.description
Definition

The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.

Control1..1
Typestring
59. Appointment.supportingInformation
Definition

Additional information to support the appointment provided when making the appointment.

Control0..1
TypeReference(ehealth-episodeofcare | ehealth-careplan)
60. Appointment.start
Definition

Date/Time that the appointment is to take place.

Control1..1
Typeinstant
61. Appointment.end
Definition

Date/Time that the appointment is to conclude.

Control1..1
Typeinstant
62. Appointment.minutesDuration
Definition

Number of minutes that the appointment is to take. This can be less than the duration between the start and end times (where actual time of appointment is only an estimate or is a planned appointment request).

Control0..1
TypepositiveInt
63. Appointment.slot
Definition

The slots from the participants' schedules that will be filled by the appointment.

Control0..*
TypeReference(Slot)
64. Appointment.created
Definition

The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment.

Control0..1
TypedateTime
Comments

This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments.

65. Appointment.comment
Definition

Additional comments about the appointment.

Control0..1
Typestring
Comments

Additional text to aid in facilitating the appointment. For instance, a comment might be, "patient should proceed immediately to infusion room upon arrival"

Where this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.

66. Appointment.incomingReferral
Definition

The referral request this appointment is allocated to assess (incoming referral).

Control0..*
TypeReference(ReferralRequest)
67. Appointment.participant
Definition

List of participants involved in the appointment.

Control2..*
TypeBackboneElement
InvariantsDefined on this element
app-1: Either the type or actor on the participant SHALL be specified (: type.exists() or actor.exists())
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
68. Appointment.participant.id
Definition

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Control0..1
Typestring
69. Appointment.participant.extension
Definition

An Extension

Control0..*
TypeExtension
SlicingThis element introduces a set of slices on Appointment.participant.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
70. Appointment.participant.extension:careteam
SliceNamecareteam
Definition

An Extension

Control0..1 This element is affected by the following invariants: ele-1
TypeExtension(ehealth-ext-careteam) (Extension Type: Reference)
InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() | (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
71. Appointment.participant.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control0..*
TypeExtension
Is Modifiertrue
Alternate Namesextensions, user content, modifiers
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

72. Appointment.participant.type
Definition

Role of participant in the appointment.

Control0..*
BindingRole of participant in encounter.
The codes SHALL be taken from ParticipantType; other codes may be used where these codes are not suitable
TypeCodeableConcept
Comments

The role of the participant can be used to declare what the actor will be doing in the scope of this appointment.

If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.

This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.

73. Appointment.participant.actor
Definition

A Person, Location/HealthcareService or Device that is participating in the appointment.

Control0..1
TypeReference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location)
74. Appointment.participant.required
Definition

Is this participant required to be present at the meeting. This covers a use-case where 2 doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.

Control0..1
BindingIs the Participant required to attend the appointment.
The codes SHALL be taken from ParticipantRequired
Typecode
75. Appointment.participant.status
Definition

Participation status of the actor.

Control1..1
BindingThe Participation status of an appointment.
The codes SHALL be taken from ParticipationStatus
Typecode
76. Appointment.requestedPeriod
Definition

A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within. When using these values, the minutes duration should be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time.

Control0..*
TypePeriod
Comments

This does not introduce a capacity for recurring appointments.