Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
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Resource Profile: CRD Appointment

This profile specifies extensions and constraints on the Appointment resource to support coverage requirements discovery.

Usage:

• Refer to this Resource Profile: Coverage Information and CRD Encounter - USCDI 3

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints
Appointment		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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	External Ids for this item
status	S	1..1	code	Appointment status Example General: proposed
serviceCategory	S	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment
serviceType	S	0..*	CodeableConcept	The specific service that is to be performed during this appointment
specialty	S	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment
appointmentType	S	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type)
reasonReference	S	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
start	S	1..1	instant	When appointment is to take place
end	S	1..1	instant	When appointment is to conclude
basedOn		0..*	Reference(CRD Service Request)	The service request this appointment is allocated to assess
participant	S	1..*	BackboneElement	Participants involved in appointment
actor	S	0..1	Reference(CRD Patient | CRD Practitioner | CRD Location)	Patient, Practitioner or Location
status	S	1..1	code	accepted | declined | tentative | needs-action
requestedPeriod	S	1..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Ids for this item
status	?!SΣ	1..1	code	Appointment status Binding: AppointmentStatus (required): The free/busy status of an appointment. Example General: proposed
serviceCategory	SΣ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	SΣ	0..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	SΣ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	SΣ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reasonReference	S	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
start	SΣ	1..1	instant	When appointment is to take place
end	SΣ	1..1	instant	When appointment is to conclude
basedOn		0..*	Reference(CRD Service Request)	The service request this appointment is allocated to assess
participant	SC	1..*	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	0..1	Reference(CRD Patient | CRD Practitioner | CRD Location)	Patient, Practitioner or Location
status	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
requestedPeriod	S	1..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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')
crd-ci-q1	error	Appointment.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	Appointment.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	Appointment.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	Appointment.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	Appointment.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
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 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(canonical) = '#').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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
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
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Ids for this item
status	?!SΣ	1..1	code	Appointment status Binding: AppointmentStatus (required): The free/busy status of an appointment. Example General: proposed
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
serviceCategory	SΣ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	SΣ	0..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	SΣ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	SΣ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference	S	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	SΣ	1..1	instant	When appointment is to take place
end	SΣ	1..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(CRD Service Request)	The service request this appointment is allocated to assess
participant	SC	1..*	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
extension		0..*	Extension	Additional content defined by implementations
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	SΣ	0..1	Reference(CRD Patient | CRD Practitioner | CRD Location)	Patient, Practitioner or Location
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	SΣ	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	S	1..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason from the FHIR Standard
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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')
crd-ci-q1	error	Appointment.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	Appointment.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	Appointment.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	Appointment.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	Appointment.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
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 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(canonical) = '#').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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Appointment

Summary

Mandatory: 3 elements
Must-Support: 14 elements

Structures

This structure refers to these other structures:

• CRD Service Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Practitioner (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner)
• CRD Location (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-location)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 2

Differential View

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints
Appointment		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)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	S	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information
identifier	S	0..*	Identifier	External Ids for this item
status	S	1..1	code	Appointment status Example General: proposed
serviceCategory	S	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment
serviceType	S	0..*	CodeableConcept	The specific service that is to be performed during this appointment
specialty	S	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment
appointmentType	S	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type)
reasonReference	S	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
start	S	1..1	instant	When appointment is to take place
end	S	1..1	instant	When appointment is to conclude
basedOn		0..*	Reference(CRD Service Request)	The service request this appointment is allocated to assess
participant	S	1..*	BackboneElement	Participants involved in appointment
actor	S	0..1	Reference(CRD Patient | CRD Practitioner | CRD Location)	Patient, Practitioner or Location
status	S	1..1	code	accepted | declined | tentative | needs-action
requestedPeriod	S	1..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Ids for this item
status	?!SΣ	1..1	code	Appointment status Binding: AppointmentStatus (required): The free/busy status of an appointment. Example General: proposed
serviceCategory	SΣ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	SΣ	0..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	SΣ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	SΣ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reasonReference	S	0..*	Reference(Condition | Procedure | Observation | ImmunizationRecommendation)	Reason the appointment is to take place (resource)
start	SΣ	1..1	instant	When appointment is to take place
end	SΣ	1..1	instant	When appointment is to conclude
basedOn		0..*	Reference(CRD Service Request)	The service request this appointment is allocated to assess
participant	SC	1..*	BackboneElement	Participants involved in appointment app-1: Either the type or actor on the participant SHALL be specified
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	0..1	Reference(CRD Patient | CRD Practitioner | CRD Location)	Patient, Practitioner or Location
status	SΣ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
requestedPeriod	S	1..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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')
crd-ci-q1	error	Appointment.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	Appointment.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	Appointment.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	Appointment.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	Appointment.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
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 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(canonical) = '#').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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Coverage-Information	SC	0..*	(Complex)	Coverage Info URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information crd-ci-q1: Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' should not exist. crd-ci-q3: If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	External Ids for this item
status	?!SΣ	1..1	code	Appointment status Binding: AppointmentStatus (required): The free/busy status of an appointment. Example General: proposed
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
serviceCategory	SΣ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	SΣ	0..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	SΣ	0..*	CodeableConcept	The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred)
appointmentType	SΣ	0..1	CodeableConcept	The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred)
reasonCode	Σ	0..*	CodeableConcept	Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
reasonReference	S	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	SΣ	1..1	instant	When appointment is to take place
end	SΣ	1..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(CRD Service Request)	The service request this appointment is allocated to assess
participant	SC	1..*	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
extension		0..*	Extension	Additional content defined by implementations
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	SΣ	0..1	Reference(CRD Patient | CRD Practitioner | CRD Location)	Patient, Practitioner or Location
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	SΣ	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	S	1..1	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 from the FHIR Standard
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason from the FHIR Standard
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.specialty	preferred	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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')
crd-ci-q1	error	Appointment.extension:Coverage-Information	Questionnaire and QuestionnaireResponse are only allowed when doc-needed exists and not equal to 'no-doc' : extension.where(url='questionnaire' or url='response').exists() implies (extension.where(url = 'doc-needed').exists() and extension.where(url = 'doc-needed').all(value != 'no-doc'))
crd-ci-q2	error	Appointment.extension:Coverage-Information	If covered is set to 'not-covered', then 'pa-needed' should not exist. : extension.where(url = 'covered' and value != 'not-covered') implies extension.where(url = 'pa-needed').exists()
crd-ci-q3	error	Appointment.extension:Coverage-Information	If 'info-needed' exists, then at least one of 'covered', 'pa-needed', or 'doc-needed' must be 'conditional'. : extension.where(url = 'info-needed').exists() implies extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1
crd-ci-q4	error	Appointment.extension:Coverage-Information	If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'PA'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'PA')
crd-ci-q5	error	Appointment.extension:Coverage-Information	'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. : extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
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 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(canonical) = '#').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	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Appointment

Summary

Mandatory: 3 elements
Must-Support: 14 elements

Structures

This structure refers to these other structures:

• CRD Service Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest)
• CRD Patient (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-patient)
• CRD Practitioner (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-practitioner)
• CRD Location (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-location)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information

Maturity: 2

Other representations of profile: CSV, Excel, Schematron