Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
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 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
| Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-appointment-no-order | Version: 2.1.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: CRDAppointmentNoOrder | ||
An appointment where the details of what the appointment is being booked for are provided inline and there is no associated ServiceRequest
CRD Clients SHALL use either this profile and/or the with-order to provide appointments context objects to CRD Servers when invoking the appointment-book hook as well as to resolve other references to Appointment resources.
This profile conveys the details of the appointment within the resource itself and doesn't make reference to a ServiceRequest.
Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CRDAppointmentBase
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Appointment |
0..* | CRDAppointmentBase | This is an abstractprofile. 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 |
| 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) |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Appointment |
C | 0..* | CRDAppointmentBase | This is an abstractprofile. 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 crd-apt1: Must have either start or requestedPeriod.start crd-apt2: Must have either end or requestedPeriod.end |
 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 is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present |
 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 |
SΣC | 0..1 | instant | When appointment is to take place |
| end |
SΣC | 0..1 | instant | When appointment is to conclude |
| 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 | US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | 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 |
SC | 0..1 | Period | Potential date/time interval(s) requested to allocate the appointment within |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Appointment.status | required | AppointmentStatushttp://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1from the FHIR Standard | |
| Appointment.serviceCategory | example | ServiceCategoryhttp://hl7.org/fhir/ValueSet/service-categoryfrom the FHIR Standard | |
| Appointment.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typefrom the FHIR Standard | |
| Appointment.specialty | preferred | PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codesfrom the FHIR Standard | |
| Appointment.appointmentType | preferred | Hl7VSAppointmentReasonCodeshttp://terminology.hl7.org/ValueSet/v2-0276 | |
| Appointment.participant.status | required | ParticipationStatushttp://hl7.org/fhir/ValueSet/participationstatus|4.0.1from the FHIR Standard |
| 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-apt1 | error | Appointment | Must have either start or requestedPeriod.start : start.exists() or requestedPeriod.start.exists() | |
| crd-apt2 | error | Appointment | Must have either end or requestedPeriod.end : end.exists() or requestedPeriod.end.exists() | |
| crd-ci-q1 | error | Appointment.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() | |
| crd-ci-q2 | error | Appointment.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not() | |
| crd-ci-q3 | error | Appointment.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists() | |
| crd-ci-q4 | error | Appointment.extension:Coverage-Information | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa') | |
| 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() | |
| crd-ci-q6 | error | Appointment.extension:Coverage-Information | If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists() | |
| crd-ci-q7 | error | Appointment.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons') | |
| 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..* | CRDAppointmentBase | This is an abstractprofile. 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 crd-apt1: Must have either start or requestedPeriod.start crd-apt2: Must have either end or requestedPeriod.end | ||||
| 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.
| |||||
| 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 is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present | ||||
| 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 |
SΣC | 0..1 | instant | When appointment is to take place | ||||
| end |
SΣC | 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 |
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 | US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | 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 |
SC | 0..1 | Period | Potential date/time interval(s) requested to allocate the appointment within | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Appointment.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Appointment.status | required | AppointmentStatushttp://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1from the FHIR Standard | ||||
| Appointment.cancelationReason | example | AppointmentCancellationReasonhttp://hl7.org/fhir/ValueSet/appointment-cancellation-reasonfrom the FHIR Standard | ||||
| Appointment.serviceCategory | example | ServiceCategoryhttp://hl7.org/fhir/ValueSet/service-categoryfrom the FHIR Standard | ||||
| Appointment.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typefrom the FHIR Standard | ||||
| Appointment.specialty | preferred | PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codesfrom the FHIR Standard | ||||
| Appointment.appointmentType | preferred | Hl7VSAppointmentReasonCodeshttp://terminology.hl7.org/ValueSet/v2-0276 | ||||
| Appointment.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonfrom the FHIR Standard | ||||
| Appointment.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Appointment.participant.required | required | ParticipantRequiredhttp://hl7.org/fhir/ValueSet/participantrequired|4.0.1from the FHIR Standard | ||||
| Appointment.participant.status | required | ParticipationStatushttp://hl7.org/fhir/ValueSet/participationstatus|4.0.1from the FHIR Standard |
| 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-apt1 | error | Appointment | Must have either start or requestedPeriod.start : start.exists() or requestedPeriod.start.exists() | |
| crd-apt2 | error | Appointment | Must have either end or requestedPeriod.end : end.exists() or requestedPeriod.end.exists() | |
| crd-ci-q1 | error | Appointment.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() | |
| crd-ci-q2 | error | Appointment.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not() | |
| crd-ci-q3 | error | Appointment.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists() | |
| crd-ci-q4 | error | Appointment.extension:Coverage-Information | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa') | |
| 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() | |
| crd-ci-q6 | error | Appointment.extension:Coverage-Information | If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists() | |
| crd-ci-q7 | error | Appointment.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons') | |
| 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 CRDAppointmentBase
Differential View
This structure is derived from CRDAppointmentBase
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Appointment |
0..* | CRDAppointmentBase | This is an abstractprofile. 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 |
| 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) |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Appointment |
C | 0..* | CRDAppointmentBase | This is an abstractprofile. 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 crd-apt1: Must have either start or requestedPeriod.start crd-apt2: Must have either end or requestedPeriod.end |
| 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 is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present |
| 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 |
SΣC | 0..1 | instant | When appointment is to take place |
| end |
SΣC | 0..1 | instant | When appointment is to conclude |
| 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 | US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | 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 |
SC | 0..1 | Period | Potential date/time interval(s) requested to allocate the appointment within |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Appointment.status | required | AppointmentStatushttp://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1from the FHIR Standard | |
| Appointment.serviceCategory | example | ServiceCategoryhttp://hl7.org/fhir/ValueSet/service-categoryfrom the FHIR Standard | |
| Appointment.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typefrom the FHIR Standard | |
| Appointment.specialty | preferred | PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codesfrom the FHIR Standard | |
| Appointment.appointmentType | preferred | Hl7VSAppointmentReasonCodeshttp://terminology.hl7.org/ValueSet/v2-0276 | |
| Appointment.participant.status | required | ParticipationStatushttp://hl7.org/fhir/ValueSet/participationstatus|4.0.1from the FHIR Standard |
| 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-apt1 | error | Appointment | Must have either start or requestedPeriod.start : start.exists() or requestedPeriod.start.exists() | |
| crd-apt2 | error | Appointment | Must have either end or requestedPeriod.end : end.exists() or requestedPeriod.end.exists() | |
| crd-ci-q1 | error | Appointment.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() | |
| crd-ci-q2 | error | Appointment.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not() | |
| crd-ci-q3 | error | Appointment.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists() | |
| crd-ci-q4 | error | Appointment.extension:Coverage-Information | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa') | |
| 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() | |
| crd-ci-q6 | error | Appointment.extension:Coverage-Information | If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists() | |
| crd-ci-q7 | error | Appointment.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons') | |
| 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..* | CRDAppointmentBase | This is an abstractprofile. 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 crd-apt1: Must have either start or requestedPeriod.start crd-apt2: Must have either end or requestedPeriod.end | ||||
| 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.
| |||||
| 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 is only allowed when doc-needed exists crd-ci-q2: If covered is set to 'not-covered', then 'pa-needed' must not exist. crd-ci-q3: 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. crd-ci-q4: If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. crd-ci-q5: 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. crd-ci-q6: If 'info-needed' is Other, then reason must be specified crd-ci-q7: If reason.coding is present and is not from the extensible value set, then reason.text must be present | ||||
| 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 |
SΣC | 0..1 | instant | When appointment is to take place | ||||
| end |
SΣC | 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 |
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 | US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | 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 |
SC | 0..1 | Period | Potential date/time interval(s) requested to allocate the appointment within | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Appointment.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Appointment.status | required | AppointmentStatushttp://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1from the FHIR Standard | ||||
| Appointment.cancelationReason | example | AppointmentCancellationReasonhttp://hl7.org/fhir/ValueSet/appointment-cancellation-reasonfrom the FHIR Standard | ||||
| Appointment.serviceCategory | example | ServiceCategoryhttp://hl7.org/fhir/ValueSet/service-categoryfrom the FHIR Standard | ||||
| Appointment.serviceType | example | ServiceTypehttp://hl7.org/fhir/ValueSet/service-typefrom the FHIR Standard | ||||
| Appointment.specialty | preferred | PracticeSettingCodeValueSethttp://hl7.org/fhir/ValueSet/c80-practice-codesfrom the FHIR Standard | ||||
| Appointment.appointmentType | preferred | Hl7VSAppointmentReasonCodeshttp://terminology.hl7.org/ValueSet/v2-0276 | ||||
| Appointment.reasonCode | preferred | EncounterReasonCodeshttp://hl7.org/fhir/ValueSet/encounter-reasonfrom the FHIR Standard | ||||
| Appointment.participant.type | extensible | ParticipantTypehttp://hl7.org/fhir/ValueSet/encounter-participant-typefrom the FHIR Standard | ||||
| Appointment.participant.required | required | ParticipantRequiredhttp://hl7.org/fhir/ValueSet/participantrequired|4.0.1from the FHIR Standard | ||||
| Appointment.participant.status | required | ParticipationStatushttp://hl7.org/fhir/ValueSet/participationstatus|4.0.1from the FHIR Standard |
| 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-apt1 | error | Appointment | Must have either start or requestedPeriod.start : start.exists() or requestedPeriod.start.exists() | |
| crd-apt2 | error | Appointment | Must have either end or requestedPeriod.end : end.exists() or requestedPeriod.end.exists() | |
| crd-ci-q1 | error | Appointment.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists : extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists() | |
| crd-ci-q2 | error | Appointment.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. : extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not() | |
| crd-ci-q3 | error | Appointment.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. : extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists() | |
| crd-ci-q4 | error | Appointment.extension:Coverage-Information | If 'pa-needed' is 'satisfied', then 'Doc-purpose' can't be 'withpa'. : extension.where(url = 'pa-needed' and value = 'satisfied') and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa') | |
| 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() | |
| crd-ci-q6 | error | Appointment.extension:Coverage-Information | If 'info-needed' is Other, then reason must be specified : extension.where(url = 'info-needed' and value = 'Other').exists() implies extension.where(url = 'reason').exists() | |
| crd-ci-q7 | error | Appointment.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present : extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons') | |
| 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 CRDAppointmentBase
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-crd#2.1.0 based on FHIR 4.0.1. Generated 2024-11-13
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