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StructureDefinition: ehealth-videoappointment

Introduction

A video appointment is a booking of a healthcare event among ehealth patients, practitioners, related persons, and locations. Even though a meeting may span a number of participants, only one physical video 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 video appointment resource.

Certain data on a video appointment will be provided by the service itself when the video appointment is created, such as the meeting PIN code and the URL at which the meeting takes place. This means that the client must consider the service response instead of just the create request itself, and that the client cannot itself decide the meeting URL or the PIN code, which is defined in the scheduling template.

The URL to the video appointment is accessible 15 minutes (currently fixed) before the meeting starts.

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

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

• comment: Free text description of the video 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 (both required for video appointments).

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

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

• end-meeting-on-end-time (extension): Indicates if the meeting must be terminated at end time.

• max-participants (extension): The maximum number of participants allowed in the video meeting.

• meeting-url (extension): the URL used to attend the meeting (provided by the service, not the client).

• vmr-uri (extension): the Virtual Meeting Room URI that can be used in eg. webRTC clients.

• guest pinCode (extension): The guest pin code to be used when entering the meeting (is provided by the service itself based on the scheduling template used).

• host pinCode (extension): The host pin code to be used when entering the meeting (is provided by the service itself based on the scheduling template used). If no host attends, the meeting is not started

If other resources need to be referenced as part of the video 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

Formal Views of Profile Content

The official URL for this profile is:

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

This profile models an ehealth video 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 Jul 01 12:30:20 UTC 2022 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.identifier:vdxMeetingId.use	required	IdentifierUse
Appointment.identifier:vdxMeetingId.type	extensible	Identifier Type Codes
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	preferred	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()
videoresponsible-2	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-videoappointment	Appointment	Only a single patient is allowed pr. video appointment : participant.actor.where(reference.contains('/Patient')).count() < 2
ele-1	Appointment.extension:endMeetingOnEndTime	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:endMeetingOnEndTime	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:maxParticipants	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:maxParticipants	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:meetingURL	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:meetingURL	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:vmrUri	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:vmrUri	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:guestPinCode	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:guestPinCode	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Appointment.extension:hostPinCode	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	Appointment.extension:hostPinCode	Must have either extensions or value[x], not both : extension.exists() != value.exists()
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-2	Appointment.extension:legalBasis	When extension is used a Episode of Care MUST be referenced : %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-3	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: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.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.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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