eHealth Infrastructure
3.1.0 - release

This page is part of the FUT Infrastructure (v3.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: ehealth-appointment

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-appointment Version: 3.1.0
Active as of 2024-07-01 Computable Name: 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.

Usage:

Formal Views of Profile Content

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

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C 0..* Appointment 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
single-patient-appointment: Only a single patient is allowed pr. appointment
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... responsible 1..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Responsible careteam/practitioner
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
.... groupId 0..1 string Logical id identifying a set of messages with the same recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
.... legalBasis C 0..1 CodeableConcept Legal basis
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis
Binding: Jurisdiction (required)
governance-1: When extension is used a Episode of Care MUST be referenced
responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
.... releasableResource 0..1 boolean Indicates if the resource may be shared through national document repositories
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
.... responsibleOrganization 0..1 Reference(ehealth-organization) {r} Responsible organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
.... performer 0..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Performer
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
.... performingOrganization 0..1 Reference(ehealth-organization) {r} Organization who is performing in the given context
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
... Slices for serviceType 1..* CodeableConcept The specific service that is to be performed during this appointment
Slice: Unordered, Open by value:coding.code
.... serviceType:appointmentType 1..1 CodeableConcept The specific service that is to be performed during this appointment
..... coding 0..* Coding Code defined by a terminology system
Binding: Appointment Service Type (required)
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: regular
... appointmentType 1..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Appointment Type Codes (required)
... supportingInformation 0..1 Reference(ehealth-episodeofcare | ehealth-careplan) {r} Additional information to support the appointment
... participant 2..* BackboneElement Participants involved in appointment
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... careteam 0..1 Reference(ehealth-careteam) {r} Careteam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... actor 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c} Person, Location/HealthcareService or Device

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Appointment.serviceType:appointmentType.codingrequiredAppointmentServiceType (a valid code from Appointment Service Types)
http://ehealth.sundhed.dk/vs/appointment-servicetype
from this IG
Appointment.appointmentTyperequiredAppointmentTypeCodes (a valid code from Appointment Type Codes)
http://ehealth.sundhed.dk/vs/appointmenttype-codes
from this IG
Appointment.reasonCoderequiredAppointmentReason (a valid code from Appointment Reason)
http://ehealth.sundhed.dk/vs/appointment-reason
from this IG

Constraints

IdGradePath(s)DetailsRequirements
governance-1errorAppointment.extension:legalBasisWhen extension is used a Episode of Care MUST be referenced
: %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1errorAppointmentEnsuring 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)
responsible-2errorAppointment.extension:legalBasisBoth performing organization and responsible organization must be populated when legal basis is used
: %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointmenterrorAppointmentOnly a single patient is allowed pr. appointment
: participant.actor.where(reference.contains('/Patient')).count() < 2
NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C 0..* Appointment 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)
app-2: Either start and end are specified, or neither
app-3: Only proposed or cancelled appointments can be missing start/end dates
app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
responsible-1: Ensuring that responsible entity is a participating party
single-patient-appointment: Only a single patient is allowed pr. appointment
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... responsible 1..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Responsible careteam/practitioner
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
.... groupId 0..1 string Logical id identifying a set of messages with the same recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
.... legalBasis C 0..1 CodeableConcept Legal basis
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis
Binding: Jurisdiction (required)
governance-1: When extension is used a Episode of Care MUST be referenced
responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
.... releasableResource 0..1 boolean Indicates if the resource may be shared through national document repositories
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
.... responsibleOrganization 0..1 Reference(ehealth-organization) {r} Responsible organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
.... performer 0..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Performer
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
.... performingOrganization 0..1 Reference(ehealth-organization) {r} Organization who is performing in the given context
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for serviceType Σ 1..* CodeableConcept The specific service that is to be performed during this appointment
Slice: Unordered, Open by value:coding.code
Binding: ServiceType (example)
.... serviceType:appointmentType Σ 1..1 CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: Appointment Service Type (required)
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: regular
... appointmentType Σ 1..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Appointment Type Codes (required)
... reasonCode Σ 0..1 CodeableConcept Coded reason this appointment is scheduled
Binding: Appointment Reason (required)
... supportingInformation 0..1 Reference(ehealth-episodeofcare | ehealth-careplan) {r} Additional information to support the appointment
... participant C 2..* BackboneElement Participants involved in appointment
app-1: Either the type or actor on the participant SHALL be specified
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... careteam 0..1 Reference(ehealth-careteam) {r} Careteam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c} Person, Location/HealthcareService or Device
.... status Σ 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Appointment.statusrequiredAppointmentStatus
http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
from the FHIR Standard
Appointment.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.serviceType:appointmentTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.serviceType:appointmentType.codingrequiredAppointmentServiceType (a valid code from Appointment Service Types)
http://ehealth.sundhed.dk/vs/appointment-servicetype
from this IG
Appointment.appointmentTyperequiredAppointmentTypeCodes (a valid code from Appointment Type Codes)
http://ehealth.sundhed.dk/vs/appointmenttype-codes
from this IG
Appointment.reasonCoderequiredAppointmentReason (a valid code from Appointment Reason)
http://ehealth.sundhed.dk/vs/appointment-reason
from this IG
Appointment.participant.statusrequiredParticipationStatus
http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
governance-1errorAppointment.extension:legalBasisWhen extension is used a Episode of Care MUST be referenced
: %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1errorAppointmentEnsuring 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)
responsible-2errorAppointment.extension:legalBasisBoth performing organization and responsible organization must be populated when legal basis is used
: %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointmenterrorAppointmentOnly a single patient is allowed pr. appointment
: participant.actor.where(reference.contains('/Patient')).count() < 2
NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C 0..* Appointment 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)
app-2: Either start and end are specified, or neither
app-3: Only proposed or cancelled appointments can be missing start/end dates
app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
responsible-1: Ensuring that responsible entity is a participating party
single-patient-appointment: Only a single patient is allowed pr. appointment
... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... responsible 1..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Responsible careteam/practitioner
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
.... groupId 0..1 string Logical id identifying a set of messages with the same recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
.... legalBasis C 0..1 CodeableConcept Legal basis
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis
Binding: Jurisdiction (required)
governance-1: When extension is used a Episode of Care MUST be referenced
responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
.... releasableResource 0..1 boolean Indicates if the resource may be shared through national document repositories
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
.... responsibleOrganization 0..1 Reference(ehealth-organization) {r} Responsible organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
.... performer 0..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Performer
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
.... performingOrganization 0..1 Reference(ehealth-organization) {r} Organization who is performing in the given context
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
... 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 | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.

... cancelationReason Σ 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: AppointmentCancellationReason (example)
... serviceCategory Σ 0..* CodeableConcept A broad categorization of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
... Slices for serviceType Σ 1..* CodeableConcept The specific service that is to be performed during this appointment
Slice: Unordered, Open by value:coding.code
Binding: ServiceType (example)
.... serviceType:appointmentType Σ 1..1 CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
..... id 0..1 string Unique id for inter-element referencing
..... 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: Appointment Service Type (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: regular
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... specialty Σ 0..* CodeableConcept The specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: PracticeSettingCodeValueSet (preferred)
... appointmentType Σ 1..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Appointment Type Codes (required)
... reasonCode Σ 0..1 CodeableConcept Coded reason this appointment is scheduled
Binding: Appointment Reason (required)
... reasonReference 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the appointment is to take 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..1 Reference(ehealth-episodeofcare | ehealth-careplan) {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) 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
... patientInstruction 0..1 string Detailed information and instructions for the patient
... basedOn 0..* Reference(ServiceRequest) The service request this appointment is allocated to assess
... participant C 2..* BackboneElement Participants involved in appointment
app-1: Either the type or actor on the participant SHALL be specified
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... careteam 0..1 Reference(ehealth-careteam) {r} Careteam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in the appointment
Binding: ParticipantType (extensible): Role of participant in encounter.


.... actor Σ 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c} Person, Location/HealthcareService or Device
.... required Σ 0..1 code required | optional | information-only
Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.

.... status Σ 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.

.... period 0..1 Period Participation period of the actor
... requestedPeriod 0..* Period Potential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Appointment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Appointment.statusrequiredAppointmentStatus
http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
from the FHIR Standard
Appointment.cancelationReasonexampleAppointmentCancellationReason
http://hl7.org/fhir/ValueSet/appointment-cancellation-reason
from the FHIR Standard
Appointment.serviceCategoryexampleServiceCategory
http://hl7.org/fhir/ValueSet/service-category
from the FHIR Standard
Appointment.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.serviceType:appointmentTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.serviceType:appointmentType.codingrequiredAppointmentServiceType (a valid code from Appointment Service Types)
http://ehealth.sundhed.dk/vs/appointment-servicetype
from this IG
Appointment.specialtypreferredPracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard
Appointment.appointmentTyperequiredAppointmentTypeCodes (a valid code from Appointment Type Codes)
http://ehealth.sundhed.dk/vs/appointmenttype-codes
from this IG
Appointment.reasonCoderequiredAppointmentReason (a valid code from Appointment Reason)
http://ehealth.sundhed.dk/vs/appointment-reason
from this IG
Appointment.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Appointment.participant.requiredrequiredParticipantRequired
http://hl7.org/fhir/ValueSet/participantrequired|4.0.1
from the FHIR Standard
Appointment.participant.statusrequiredParticipationStatus
http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
governance-1errorAppointment.extension:legalBasisWhen extension is used a Episode of Care MUST be referenced
: %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1errorAppointmentEnsuring 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)
responsible-2errorAppointment.extension:legalBasisBoth performing organization and responsible organization must be populated when legal basis is used
: %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointmenterrorAppointmentOnly a single patient is allowed pr. appointment
: participant.actor.where(reference.contains('/Patient')).count() < 2

Differential View

This structure is derived from Appointment

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C 0..* Appointment 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
single-patient-appointment: Only a single patient is allowed pr. appointment
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... responsible 1..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Responsible careteam/practitioner
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
.... groupId 0..1 string Logical id identifying a set of messages with the same recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
.... legalBasis C 0..1 CodeableConcept Legal basis
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis
Binding: Jurisdiction (required)
governance-1: When extension is used a Episode of Care MUST be referenced
responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
.... releasableResource 0..1 boolean Indicates if the resource may be shared through national document repositories
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
.... responsibleOrganization 0..1 Reference(ehealth-organization) {r} Responsible organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
.... performer 0..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Performer
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
.... performingOrganization 0..1 Reference(ehealth-organization) {r} Organization who is performing in the given context
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
... Slices for serviceType 1..* CodeableConcept The specific service that is to be performed during this appointment
Slice: Unordered, Open by value:coding.code
.... serviceType:appointmentType 1..1 CodeableConcept The specific service that is to be performed during this appointment
..... coding 0..* Coding Code defined by a terminology system
Binding: Appointment Service Type (required)
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: regular
... appointmentType 1..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Appointment Type Codes (required)
... supportingInformation 0..1 Reference(ehealth-episodeofcare | ehealth-careplan) {r} Additional information to support the appointment
... participant 2..* BackboneElement Participants involved in appointment
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... careteam 0..1 Reference(ehealth-careteam) {r} Careteam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... actor 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c} Person, Location/HealthcareService or Device

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Appointment.serviceType:appointmentType.codingrequiredAppointmentServiceType (a valid code from Appointment Service Types)
http://ehealth.sundhed.dk/vs/appointment-servicetype
from this IG
Appointment.appointmentTyperequiredAppointmentTypeCodes (a valid code from Appointment Type Codes)
http://ehealth.sundhed.dk/vs/appointmenttype-codes
from this IG
Appointment.reasonCoderequiredAppointmentReason (a valid code from Appointment Reason)
http://ehealth.sundhed.dk/vs/appointment-reason
from this IG

Constraints

IdGradePath(s)DetailsRequirements
governance-1errorAppointment.extension:legalBasisWhen extension is used a Episode of Care MUST be referenced
: %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1errorAppointmentEnsuring 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)
responsible-2errorAppointment.extension:legalBasisBoth performing organization and responsible organization must be populated when legal basis is used
: %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointmenterrorAppointmentOnly a single patient is allowed pr. appointment
: participant.actor.where(reference.contains('/Patient')).count() < 2

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C 0..* Appointment 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)
app-2: Either start and end are specified, or neither
app-3: Only proposed or cancelled appointments can be missing start/end dates
app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
responsible-1: Ensuring that responsible entity is a participating party
single-patient-appointment: Only a single patient is allowed pr. appointment
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... responsible 1..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Responsible careteam/practitioner
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
.... groupId 0..1 string Logical id identifying a set of messages with the same recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
.... legalBasis C 0..1 CodeableConcept Legal basis
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis
Binding: Jurisdiction (required)
governance-1: When extension is used a Episode of Care MUST be referenced
responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
.... releasableResource 0..1 boolean Indicates if the resource may be shared through national document repositories
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
.... responsibleOrganization 0..1 Reference(ehealth-organization) {r} Responsible organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
.... performer 0..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Performer
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
.... performingOrganization 0..1 Reference(ehealth-organization) {r} Organization who is performing in the given context
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for serviceType Σ 1..* CodeableConcept The specific service that is to be performed during this appointment
Slice: Unordered, Open by value:coding.code
Binding: ServiceType (example)
.... serviceType:appointmentType Σ 1..1 CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
..... coding Σ 0..* Coding Code defined by a terminology system
Binding: Appointment Service Type (required)
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: regular
... appointmentType Σ 1..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Appointment Type Codes (required)
... reasonCode Σ 0..1 CodeableConcept Coded reason this appointment is scheduled
Binding: Appointment Reason (required)
... supportingInformation 0..1 Reference(ehealth-episodeofcare | ehealth-careplan) {r} Additional information to support the appointment
... participant C 2..* BackboneElement Participants involved in appointment
app-1: Either the type or actor on the participant SHALL be specified
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... careteam 0..1 Reference(ehealth-careteam) {r} Careteam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c} Person, Location/HealthcareService or Device
.... status Σ 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Appointment.statusrequiredAppointmentStatus
http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
from the FHIR Standard
Appointment.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.serviceType:appointmentTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.serviceType:appointmentType.codingrequiredAppointmentServiceType (a valid code from Appointment Service Types)
http://ehealth.sundhed.dk/vs/appointment-servicetype
from this IG
Appointment.appointmentTyperequiredAppointmentTypeCodes (a valid code from Appointment Type Codes)
http://ehealth.sundhed.dk/vs/appointmenttype-codes
from this IG
Appointment.reasonCoderequiredAppointmentReason (a valid code from Appointment Reason)
http://ehealth.sundhed.dk/vs/appointment-reason
from this IG
Appointment.participant.statusrequiredParticipationStatus
http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
governance-1errorAppointment.extension:legalBasisWhen extension is used a Episode of Care MUST be referenced
: %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1errorAppointmentEnsuring 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)
responsible-2errorAppointment.extension:legalBasisBoth performing organization and responsible organization must be populated when legal basis is used
: %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointmenterrorAppointmentOnly a single patient is allowed pr. appointment
: participant.actor.where(reference.contains('/Patient')).count() < 2

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Appointment C 0..* Appointment 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)
app-2: Either start and end are specified, or neither
app-3: Only proposed or cancelled appointments can be missing start/end dates
app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
responsible-1: Ensuring that responsible entity is a participating party
single-patient-appointment: Only a single patient is allowed pr. appointment
... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... responsible 1..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Responsible careteam/practitioner
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible
.... groupId 0..1 string Logical id identifying a set of messages with the same recipient
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-group-id
.... legalBasis C 0..1 CodeableConcept Legal basis
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-legalBasis
Binding: Jurisdiction (required)
governance-1: When extension is used a Episode of Care MUST be referenced
responsible-2: Both performing organization and responsible organization must be populated when legal basis is used
.... releasableResource 0..1 boolean Indicates if the resource may be shared through national document repositories
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-releasableResource
.... responsibleOrganization 0..1 Reference(ehealth-organization) {r} Responsible organization
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization
.... performer 0..1 Reference(ehealth-careteam | ehealth-practitioner) {r} Performer
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performer
.... performingOrganization 0..1 Reference(ehealth-organization) {r} Organization who is performing in the given context
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization
... 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 | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.

... cancelationReason Σ 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: AppointmentCancellationReason (example)
... serviceCategory Σ 0..* CodeableConcept A broad categorization of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
... Slices for serviceType Σ 1..* CodeableConcept The specific service that is to be performed during this appointment
Slice: Unordered, Open by value:coding.code
Binding: ServiceType (example)
.... serviceType:appointmentType Σ 1..1 CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
..... id 0..1 string Unique id for inter-element referencing
..... 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: Appointment Service Type (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: regular
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... specialty Σ 0..* CodeableConcept The specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: PracticeSettingCodeValueSet (preferred)
... appointmentType Σ 1..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: Appointment Type Codes (required)
... reasonCode Σ 0..1 CodeableConcept Coded reason this appointment is scheduled
Binding: Appointment Reason (required)
... reasonReference 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the appointment is to take 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..1 Reference(ehealth-episodeofcare | ehealth-careplan) {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) 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
... patientInstruction 0..1 string Detailed information and instructions for the patient
... basedOn 0..* Reference(ServiceRequest) The service request this appointment is allocated to assess
... participant C 2..* BackboneElement Participants involved in appointment
app-1: Either the type or actor on the participant SHALL be specified
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... careteam 0..1 Reference(ehealth-careteam) {r} Careteam
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-ext-careteam
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 0..* CodeableConcept Role of participant in the appointment
Binding: ParticipantType (extensible): Role of participant in encounter.


.... actor Σ 0..1 Reference(ehealth-patient | ehealth-practitioner | ehealth-relatedperson | Location) {r, c} Person, Location/HealthcareService or Device
.... required Σ 0..1 code required | optional | information-only
Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.

.... status Σ 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.

.... period 0..1 Period Participation period of the actor
... requestedPeriod 0..* Period Potential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Appointment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Appointment.statusrequiredAppointmentStatus
http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1
from the FHIR Standard
Appointment.cancelationReasonexampleAppointmentCancellationReason
http://hl7.org/fhir/ValueSet/appointment-cancellation-reason
from the FHIR Standard
Appointment.serviceCategoryexampleServiceCategory
http://hl7.org/fhir/ValueSet/service-category
from the FHIR Standard
Appointment.serviceTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.serviceType:appointmentTypeexampleServiceType
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Appointment.serviceType:appointmentType.codingrequiredAppointmentServiceType (a valid code from Appointment Service Types)
http://ehealth.sundhed.dk/vs/appointment-servicetype
from this IG
Appointment.specialtypreferredPracticeSettingCodeValueSet
http://hl7.org/fhir/ValueSet/c80-practice-codes
from the FHIR Standard
Appointment.appointmentTyperequiredAppointmentTypeCodes (a valid code from Appointment Type Codes)
http://ehealth.sundhed.dk/vs/appointmenttype-codes
from this IG
Appointment.reasonCoderequiredAppointmentReason (a valid code from Appointment Reason)
http://ehealth.sundhed.dk/vs/appointment-reason
from this IG
Appointment.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Appointment.participant.requiredrequiredParticipantRequired
http://hl7.org/fhir/ValueSet/participantrequired|4.0.1
from the FHIR Standard
Appointment.participant.statusrequiredParticipationStatus
http://hl7.org/fhir/ValueSet/participationstatus|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
governance-1errorAppointment.extension:legalBasisWhen extension is used a Episode of Care MUST be referenced
: %resource.supportingInformation.reference.contains('EpisodeOfCare/')
responsible-1errorAppointmentEnsuring 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)
responsible-2errorAppointment.extension:legalBasisBoth performing organization and responsible organization must be populated when legal basis is used
: %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-performing-organization').exists() and %resource.extension.where(url = 'http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-responsible-organization').exists()
single-patient-appointmenterrorAppointmentOnly a single patient is allowed pr. appointment
: participant.actor.where(reference.contains('/Patient')).count() < 2

 

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