This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
Patient Administration Work Group | Maturity Level: 3 | Trial Use | Security Category: Business | Compartments: Device, Patient, Practitioner, RelatedPerson |
A container for slots of time that may be available for booking appointments.
Schedule resources provide a container for time-slots that can be booked using an appointment.
It provides the window of time (period) that slots are defined for and what type of appointments can be booked.
The schedule does not provide any information about actual appointments. This separation greatly assists where
access to the appointments would not be permitted for security or privacy reasons, while still being able
to determine if an appointment might be available.
Note: A schedule is not used for the delivery of medication, the Timing data type should be used for that purpose.
A schedule controls the dates and times available for the performance of a service
and/or the use of a resource. One schedule applies to one service or resource, since
each service or resource can be reserved independently of the others.
If two or more services, people, locations, or things cannot be reserved independently
of one another, they are considered to be one activity or resource.
A schedule consists of slots of time during which the controlled service or resource is potentially available for provision or use. Slots are categorized as open, booked, or blocked. An open slot on a schedule indicates that the service or resource is available for provision or use during that period of time. A booked slot indicates that the service or resource is not available during the time period, because an appointment has been scheduled. A blocked slot indicates that a service or resource is unavailable for reasons other than a scheduled appointment.
The real-world, non-automated analogue of the schedule described above is a standard appointment book. These books are generally organized with rows of time slots, during which a service or resource is available.
A slot is one unit on a schedule. A slot represents the smallest unit of time or quantity that a service or resource may be booked. Depending on the nature of the service or resource, there may be more than one defined slot at a given instant of time. For example, if a service is an open group therapy session with twelve available seats, then there are twelve slots for the given block of time.
The schedule belongs to a single instance of a service or resource. This is normally a HealthcareService,
Practitioner, Location or Device. In the case where a single resource can provide
different services, potentially at different location, then the schedulable resource is considered the composite
of the actors.
For example, if a practitioner can provide services at multiple locations, they might have one schedule per location,
where each schedule includes both the practitioner and location actors.
When booking an appointment with multiple schedulable resources, multiple schedules may need to be checked
depending on the configuration of the system.
If an appointment has two practitioners, a specific medical device and a room then there could be a schedule for
each of these resources that may need to be consulted to ensure that no collisions occur.
If the schedule needed to be consulted, then there would be one created covering the planning horizon for the
time of the appointment.
When checking availability for an appointment, the creator of the appointment should determine which schedules are applicable, then check for available slots within each schedule.
Determining which schedules should be consulted often will involve searching via the properties of the referenced actors, such as the ServiceCategory on the HealthcareService, or the Address on a Location.
The type parameter can be used to filter the type of services that can be booked within the associated slots.
If all slots are busy, the caller may attempt to book an appointment into an already-booked slot, but the server business rules will dictate whether overbooking is allowed, or whether the appointment may be given a higher precedence and allocated the overbooked slot.
Slot: Provides the granular, bookable units within the Schedule.
Schedule: Defines the broader availability and context for an individual or service.
Appointment: Is the outcome of a scheduling process. That scheduling process may involve consulting Slot and Schedule resources, or it may be the result of other processes.
Structure
See the Extensions for this resource
UML Diagram (Legend)
XML Template
<Schedule xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier External Ids for this item --></identifier> <active value="[boolean]"/><!-- 0..1 Whether this schedule is in active use --> <serviceCategory><!-- 0..* CodeableConcept High-level category --></serviceCategory> <serviceType><!-- 0..* CodeableReference(HealthcareService) Specific service --></serviceType> <specialty><!-- 0..* CodeableConcept Type of specialty needed --></specialty> <name value="[string]"/><!-- 0..1 Human-readable label --> <actor><!-- 1..* Reference(CareTeam|Device|HealthcareService|Location|Patient| Practitioner|PractitionerRole|RelatedPerson) Resource(s) that availability information is being provided for --></actor> <planningHorizon><!-- 0..1 Period Period of time covered by schedule --></planningHorizon> <comment value="[markdown]"/><!-- 0..1 Comments on availability --> </Schedule>
JSON Template
{ "resourceType" : "Schedule", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // External Ids for this item "active" : <boolean>, // Whether this schedule is in active use "serviceCategory" : [{ CodeableConcept }], // High-level category "serviceType" : [{ CodeableReference(HealthcareService) }], // Specific service "specialty" : [{ CodeableConcept }], // Type of specialty needed "name" : "<string>", // Human-readable label "actor" : [{ Reference(CareTeam|Device|HealthcareService|Location|Patient| Practitioner|PractitionerRole|RelatedPerson) }], // R! Resource(s) that availability information is being provided for "planningHorizon" : { Period }, // Period of time covered by schedule "comment" : "<markdown>" // Comments on availability }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:Schedule; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension fhir:identifier ( [ Identifier ] ... ) ; # 0..* External Ids for this item fhir:active [ boolean ] ; # 0..1 Whether this schedule is in active use fhir:serviceCategory ( [ CodeableConcept ] ... ) ; # 0..* High-level category fhir:serviceType ( [ CodeableReference(HealthcareService) ] ... ) ; # 0..* Specific service fhir:specialty ( [ CodeableConcept ] ... ) ; # 0..* Type of specialty needed fhir:name [ string ] ; # 0..1 Human-readable label fhir:actor ( [ Reference(CareTeam|Device|HealthcareService|Location|Patient|Practitioner|PractitionerRole| RelatedPerson) ] ... ) ; # 1..* Resource(s) that availability information is being provided for fhir:planningHorizon [ Period ] ; # 0..1 Period of time covered by schedule fhir:comment [ markdown ] ; # 0..1 Comments on availability ]
Changes from both R4 and R4B
Schedule | |
Schedule.serviceType |
|
Schedule.name |
|
Schedule.actor |
|
Schedule.comment |
|
See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.
Structure
See the Extensions for this resource
XML Template
<Schedule xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier External Ids for this item --></identifier> <active value="[boolean]"/><!-- 0..1 Whether this schedule is in active use --> <serviceCategory><!-- 0..* CodeableConcept High-level category --></serviceCategory> <serviceType><!-- 0..* CodeableReference(HealthcareService) Specific service --></serviceType> <specialty><!-- 0..* CodeableConcept Type of specialty needed --></specialty> <name value="[string]"/><!-- 0..1 Human-readable label --> <actor><!-- 1..* Reference(CareTeam|Device|HealthcareService|Location|Patient| Practitioner|PractitionerRole|RelatedPerson) Resource(s) that availability information is being provided for --></actor> <planningHorizon><!-- 0..1 Period Period of time covered by schedule --></planningHorizon> <comment value="[markdown]"/><!-- 0..1 Comments on availability --> </Schedule>
JSON Template
{ "resourceType" : "Schedule", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // External Ids for this item "active" : <boolean>, // Whether this schedule is in active use "serviceCategory" : [{ CodeableConcept }], // High-level category "serviceType" : [{ CodeableReference(HealthcareService) }], // Specific service "specialty" : [{ CodeableConcept }], // Type of specialty needed "name" : "<string>", // Human-readable label "actor" : [{ Reference(CareTeam|Device|HealthcareService|Location|Patient| Practitioner|PractitionerRole|RelatedPerson) }], // R! Resource(s) that availability information is being provided for "planningHorizon" : { Period }, // Period of time covered by schedule "comment" : "<markdown>" // Comments on availability }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:Schedule; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension fhir:identifier ( [ Identifier ] ... ) ; # 0..* External Ids for this item fhir:active [ boolean ] ; # 0..1 Whether this schedule is in active use fhir:serviceCategory ( [ CodeableConcept ] ... ) ; # 0..* High-level category fhir:serviceType ( [ CodeableReference(HealthcareService) ] ... ) ; # 0..* Specific service fhir:specialty ( [ CodeableConcept ] ... ) ; # 0..* Type of specialty needed fhir:name [ string ] ; # 0..1 Human-readable label fhir:actor ( [ Reference(CareTeam|Device|HealthcareService|Location|Patient|Practitioner|PractitionerRole| RelatedPerson) ] ... ) ; # 1..* Resource(s) that availability information is being provided for fhir:planningHorizon [ Period ] ; # 0..1 Period of time covered by schedule fhir:comment [ markdown ] ; # 0..1 Comments on availability ]
Changes from both R4 and R4B
Schedule | |
Schedule.serviceType |
|
Schedule.name |
|
Schedule.actor |
|
Schedule.comment |
|
See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.
Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis
Path | ValueSet | Type | Documentation |
---|---|---|---|
Schedule.serviceCategory | ServiceCategory | Example | This value set defines an example set of codes that can be used to classify groupings of service-types/specialties. |
Schedule.serviceType | ServiceType | Example | This value set defines an example set of codes of service-types. |
Schedule.specialty | PracticeSettingCodeValueSet | Preferred | This is the code representing the clinical specialty of the clinician or provider who interacted with, treated, or provided a service to/for the patient. The value set used for clinical specialty has been limited by HITSP to the value set reproduced from HITSP C80 Table 2-149 Clinical Specialty Value Set Definition. |
There is a strong desire that implementers of this resource should consider providing the resource
in the iCalendar format as an alternative representation. Many 3rd party applications and component providers
have parsers and user interface controls to display this information.
This may lower the entry point to integrate outside the health-care specific applications, and into the
consumer space. This would permit the easier creation of a mobile application that creates appointments
in the devices native calendar.
The iCalendar specification can be found at http://www.ietf.org/rfc/rfc2445.txt .
Due to the dynamic nature of slots they are not included as a part of this resource.
It is anticipated that this resource is likely to be updated intermittently when the scope of slots is changed, i.e. to change the period of slots in the planning horizon. This could be performed each night to move the start and end date forward to keep the planning horizon as exactly 4 weeks.
The slot resource however is anticipated to be updated very regularly as the appointments that reference them are created/updated/cancelled.
Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.
Name | Type | Description | Expression | In Common |
active | token | Is the schedule in active use | Schedule.active | |
actor | reference | The individual(HealthcareService, Practitioner, Location, ...) to find a Schedule for | Schedule.actor (Practitioner, CareTeam, Device, Patient, HealthcareService, PractitionerRole, RelatedPerson, Location) |
|
date | date | Search for Schedule resources that have a period that contains this date specified | Schedule.planningHorizon | |
identifier | token | A Schedule Identifier | Schedule.identifier | |
name | string | A portion of the Schedule name | Schedule.name | |
service-category | token | High-level category | Schedule.serviceCategory | |
service-type | token | The type (by coding) of appointments that can be booked into associated slot(s) | Schedule.serviceType.concept | |
service-type-reference | reference | The type (by HealthcareService) of appointments that can be booked into associated slot(s) | Schedule.serviceType.reference | |
specialty | token | Type of specialty needed | Schedule.specialty |