CDS Hooks Library, published by Clinical Decision Support WG. This guide is not an authorized publication; it is the continuous build for version 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cds-hooks-library/ and changes regularly. See the Directory of published versions
appointment-book
This page defines a workflow hook for the purpose of providing clinical decision support using CDS Hooks. This is a release at the level of Trial Use.
Looking for Feedback: Hey implementers, we want to hear from you!
- What obstacles are there to limiting this hook to firing only when the appointment is confirmed or finalized as booked?
- For which users should this hook fire?
- Many appointments are scheduled directly into the EHR by the patient, without provider staff involvement ...
Metadata | Value |
---|---|
specificationVersion | 1.0 |
hookVersion | 1.0 |
hookMaturity | 1 - Submitted |
This hook is invoked when the user is scheduling one or more future encounters/visits for the patient. For example, the appointment-book
hook may be triggered for an appointment with the appointment creator, a clinician within the same organization as the appointment creator or even for an appointment outside the creator's organization. It may be invoked at the start and end of the booking process and/or any time between those two points. This hook enables CDS Services to intervene in the decision of when future appointments should be scheduled, where they should be scheduled, what services should be booked, to identify actions that need to occur prior to scheduled appointments, etc.
The Patient whose appointment(s) are being booked, as well as the proposed Appointment records.
Field | Optionality | Prefetch Token | Type | Description |
---|---|---|---|---|
userId |
REQUIRED | Yes | string | The id of the current user. For this hook, the user could be of type Practitioner, PractitionerRole, Patient, or RelatedPerson. For example, PractitionerRole/123 . Patient or RelatedPerson are appropriate when a patient or their proxy are booking the appointment. |
patientId |
REQUIRED | Yes | string | The FHIR Patient.id of Patient appointment(s) is/are for |
encounterId |
OPTIONAL | Yes | string | The FHIR Encounter.id of Encounter where booking was initiated |
appointments |
REQUIRED | No | object | DSTU2/STU3/R4 - FHIR Bundle of Appointments in 'proposed' state |
"context":{
"userId" : "PractitionerRole/A2340113",
"patientId" : "1288992",
"appointments" : [
{
"resourceType": "Appointment",
"id": "apt1",
"status": "proposed",
"serviceType": [
{
"coding": [
{
"code": "183",
"display": "Sleep Medicine"
}
]
}
],
"appointmentType": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0276",
"code": "FOLLOWUP",
"display": "A follow up visit from a previous appointment"
}
]
},
"reason": {
"coding": {
"system": "",
"code": "1023001",
"display": "Apnea"
}
},
"description": "CPAP adjustments",
"start": "2019-08-10T09:00:00-06:00",
"end": "2019-08-10T09:10:00:00-06:00",
"created": "2019-08-01",
"participant": [
{
"actor": {
"reference": "Patient/example",
"display": "Peter James Chalmers"
},
"required": "required",
"status": "tentative"
},
{
"actor": {
"reference": "Practitioner/example",
"display": "Dr Adam Careful"
},
"required": "required",
"status": "accepted"
}
]
},
{
"resourceType": "Appointment",
"id": "apt1",
"status": "proposed",
"appointmentType": {
"coding": [
{
"system": "http://hl7.org/fhir/v2/0276",
"code": "CHECKUP",
"display": "A routine check-up, such as an annual physical"
}
]
},
"description": "Regular physical",
"start": "2020-08-01T13:00:00-06:00",
"end": "2020-08-01T13:30:00:00-06:00",
"created": "2019-08-01",
"participant": [
{
"actor": {
"reference": "Patient/example",
"display": "Peter James Chalmers"
},
"required": "required",
"status": "tentative"
},
{
"actor": {
"reference": "Practitioner/example",
"display": "Dr Adam Careful"
},
"required": "required",
"status": "accepted"
}
]
}
]
}
"context":{
"userId" : "PractitionerRole/A2340113",
"patientId" : "1288992",
"encounterId" : "456",
"appointments" : [
{
"resourceType": "Appointment",
"id": "example",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Brian MRI results discussion</div>"
},
"status": "proposed",
"serviceCategory": {
"coding": [
{
"system": "http://example.org/service-category",
"code": "gp",
"display": "General Practice"
}
]
},
"serviceType": [
{
"coding": [
{
"code": "52",
"display": "General Discussion"
}
]
}
],
"specialty": [
{
"coding": [
{
"system": "http://example.org/specialty",
"code": "gp",
"display": "General Practice"
}
]
}
],
"appointmentType": {
"coding": [
{
"system": "http://example.org/appointment-type",
"code": "follow",
"display": "Followup"
}
]
},
"indication": [
{
"reference": "Condition/example",
"display": "Severe burn of left ear"
}
],
"priority": 5,
"description": "Discussion on the results of your recent MRI",
"start": "2013-12-10T09:00:00Z",
"end": "2013-12-10T11:00:00Z",
"created": "2013-10-10",
"comment": "Further expand on the results of the MRI and determine the next actions that may be appropriate.",
"incomingReferral": [
{
"reference": "ReferralRequest/example"
}
],
"participant": [
{
"actor": {
"reference": "Patient/example",
"display": "Peter James Chalmers"
},
"required": "required",
"status": "tentative"
},
{
"type": [
{
"coding": [
{
"system": "http://hl7.org/fhir/v3/ParticipationType",
"code": "ATND"
}
]
}
],
"actor": {
"reference": "Practitioner/example",
"display": "Dr Adam Careful"
},
"required": "required",
"status": "accepted"
},
{
"actor": {
"reference": "Location/1",
"display": "South Wing, second floor"
},
"required": "required",
"status": "action-needed"
}
]
}
]
}
Version | Description |
---|---|
1.0 | Initial Release |