Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU
Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/4.0/StructureDefinition/profile-Appointment | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: Profile_R4_Appointment_R4B | ||
This cross-version profile allows R4 Appointment content to be represented via FHIR R4B Appointment resources.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Appointment |
C | 0..* | Appointment(4.3.0) | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| 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. |
  participant |
C | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1 |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
 status |
Σ | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Appointment.status | Base | required | AppointmentStatus | 📍4.3.0 | FHIR Std. |
| Appointment.participant.status | Base | required | ParticipationStatus | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| app-1 | error | Appointment.participant | Either the type or actor on the participant SHALL be specified |
type.exists() or actor.exists()
|
| app-2 | error | Appointment | Either start and end are specified, or neither |
start.exists() = end.exists()
|
| app-3 | error | Appointment | Only proposed or cancelled appointments can be missing start/end dates |
(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
|
| app-4 | error | Appointment | Cancelation reason is only used for appointments that have been cancelled, or no-show |
Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
|
| dom-2 | error | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Appointment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | 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-5 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Appointment | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Appointment.implicitRules, Appointment.modifierExtension, Appointment.status, Appointment.participant, Appointment.participant.modifierExtension, Appointment.participant.status | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Appointment.modifierExtension, Appointment.participant.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Appointment
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Appointment |
0..* | Appointment(4.3.0) | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Appointment |
C | 0..* | Appointment(4.3.0) | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4 | ||||
| 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): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources Constraints: dom-r4b | |||||
 extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| 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) | ||||
| serviceType |
Σ | 0..* | CodeableConcept | The specific service that is to be performed during this appointment Binding: ServiceType (example) | ||||
| specialty |
Σ | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred) | ||||
| appointmentType |
Σ | 0..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) Binding: Hl7VSAppointmentReasonCodes (3.0.0) (preferred) | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place. | ||||
 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..* | Reference(Resource) | 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 | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1 | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
Σ | 0..* | CodeableConcept | Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| actor |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location) | 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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Appointment.language | Base | preferred | Common Languages | 📍4.3.0 | FHIR Std. |
| Appointment.status | Base | required | AppointmentStatus | 📍4.3.0 | FHIR Std. |
| Appointment.cancelationReason | Base | example | AppointmentCancellationReason | 📍4.3.0 | FHIR Std. |
| Appointment.serviceCategory | Base | example | ServiceCategory | 📍4.3.0 | FHIR Std. |
| Appointment.serviceType | Base | example | ServiceType | 📍4.3.0 | FHIR Std. |
| Appointment.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.3.0 | FHIR Std. |
| Appointment.appointmentType | Base | preferred | hl7VS-appointmentReasonCodes | 📍3.0.0 | THO v7.1 |
| Appointment.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.3.0 | FHIR Std. |
| Appointment.participant.type | Base | extensible | ParticipantType | 📍4.3.0 | FHIR Std. |
| Appointment.participant.required | Base | required | ParticipantRequired | 📍4.3.0 | FHIR Std. |
| Appointment.participant.status | Base | required | ParticipationStatus | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| app-1 | error | Appointment.participant | Either the type or actor on the participant SHALL be specified |
type.exists() or actor.exists()
|
| app-2 | error | Appointment | Either start and end are specified, or neither |
start.exists() = end.exists()
|
| app-3 | error | Appointment | Only proposed or cancelled appointments can be missing start/end dates |
(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
|
| app-4 | error | Appointment | Cancelation reason is only used for appointments that have been cancelled, or no-show |
Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
|
| dom-2 | error | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Appointment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | 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-5 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Appointment | A resource should have narrative for robust management |
text.`div`.exists()
|
| dom-r4b | warning | Appointment.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems |
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
|
| ele-1 | error | Appointment.meta, Appointment.implicitRules, Appointment.language, Appointment.text, Appointment.extension, Appointment.modifierExtension, Appointment.identifier, Appointment.status, Appointment.cancelationReason, Appointment.serviceCategory, Appointment.serviceType, Appointment.specialty, Appointment.appointmentType, Appointment.reasonCode, Appointment.reasonReference, Appointment.priority, Appointment.description, Appointment.supportingInformation, Appointment.start, Appointment.end, Appointment.minutesDuration, Appointment.slot, Appointment.created, Appointment.comment, Appointment.patientInstruction, Appointment.basedOn, Appointment.participant, Appointment.participant.extension, Appointment.participant.modifierExtension, Appointment.participant.type, Appointment.participant.actor, Appointment.participant.required, Appointment.participant.status, Appointment.participant.period, Appointment.requestedPeriod | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Appointment.extension, Appointment.modifierExtension, Appointment.participant.extension, Appointment.participant.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from Appointment
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Appointment |
C | 0..* | Appointment(4.3.0) | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| 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. |
| participant |
C | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| status |
Σ | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Appointment.status | Base | required | AppointmentStatus | 📍4.3.0 | FHIR Std. |
| Appointment.participant.status | Base | required | ParticipationStatus | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| app-1 | error | Appointment.participant | Either the type or actor on the participant SHALL be specified |
type.exists() or actor.exists()
|
| app-2 | error | Appointment | Either start and end are specified, or neither |
start.exists() = end.exists()
|
| app-3 | error | Appointment | Only proposed or cancelled appointments can be missing start/end dates |
(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
|
| app-4 | error | Appointment | Cancelation reason is only used for appointments that have been cancelled, or no-show |
Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
|
| dom-2 | error | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Appointment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | 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-5 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Appointment | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | Appointment.implicitRules, Appointment.modifierExtension, Appointment.status, Appointment.participant, Appointment.participant.modifierExtension, Appointment.participant.status | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Appointment.modifierExtension, Appointment.participant.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from Appointment
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Appointment |
0..* | Appointment(4.3.0) | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Appointment |
C | 0..* | Appointment(4.3.0) | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) Constraints: app-2, app-3, app-4 | ||||
| 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): IETF language tag
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources Constraints: dom-r4b | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| 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) | ||||
| serviceType |
Σ | 0..* | CodeableConcept | The specific service that is to be performed during this appointment Binding: ServiceType (example) | ||||
| specialty |
Σ | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred) | ||||
| appointmentType |
Σ | 0..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) Binding: Hl7VSAppointmentReasonCodes (3.0.0) (preferred) | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place. | ||||
| 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..* | Reference(Resource) | 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 | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
Σ | 0..* | CodeableConcept | Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| actor |
Σ | 0..1 | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location) | 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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Appointment.language | Base | preferred | Common Languages | 📍4.3.0 | FHIR Std. |
| Appointment.status | Base | required | AppointmentStatus | 📍4.3.0 | FHIR Std. |
| Appointment.cancelationReason | Base | example | AppointmentCancellationReason | 📍4.3.0 | FHIR Std. |
| Appointment.serviceCategory | Base | example | ServiceCategory | 📍4.3.0 | FHIR Std. |
| Appointment.serviceType | Base | example | ServiceType | 📍4.3.0 | FHIR Std. |
| Appointment.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.3.0 | FHIR Std. |
| Appointment.appointmentType | Base | preferred | hl7VS-appointmentReasonCodes | 📍3.0.0 | THO v7.1 |
| Appointment.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.3.0 | FHIR Std. |
| Appointment.participant.type | Base | extensible | ParticipantType | 📍4.3.0 | FHIR Std. |
| Appointment.participant.required | Base | required | ParticipantRequired | 📍4.3.0 | FHIR Std. |
| Appointment.participant.status | Base | required | ParticipationStatus | 📍4.3.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| app-1 | error | Appointment.participant | Either the type or actor on the participant SHALL be specified |
type.exists() or actor.exists()
|
| app-2 | error | Appointment | Either start and end are specified, or neither |
start.exists() = end.exists()
|
| app-3 | error | Appointment | Only proposed or cancelled appointments can be missing start/end dates |
(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
|
| app-4 | error | Appointment | Cancelation reason is only used for appointments that have been cancelled, or no-show |
Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
|
| dom-2 | error | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Appointment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | 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-5 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Appointment | A resource should have narrative for robust management |
text.`div`.exists()
|
| dom-r4b | warning | Appointment.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems |
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
|
| ele-1 | error | Appointment.meta, Appointment.implicitRules, Appointment.language, Appointment.text, Appointment.extension, Appointment.modifierExtension, Appointment.identifier, Appointment.status, Appointment.cancelationReason, Appointment.serviceCategory, Appointment.serviceType, Appointment.specialty, Appointment.appointmentType, Appointment.reasonCode, Appointment.reasonReference, Appointment.priority, Appointment.description, Appointment.supportingInformation, Appointment.start, Appointment.end, Appointment.minutesDuration, Appointment.slot, Appointment.created, Appointment.comment, Appointment.patientInstruction, Appointment.basedOn, Appointment.participant, Appointment.participant.extension, Appointment.participant.modifierExtension, Appointment.participant.type, Appointment.participant.actor, Appointment.participant.required, Appointment.participant.status, Appointment.participant.period, Appointment.requestedPeriod | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Appointment.extension, Appointment.modifierExtension, Appointment.participant.extension, Appointment.participant.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
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This structure is derived from Appointment
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r4.r4b#0.1.0 based on FHIR 4.3.0. Generated 2026-03-20
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