Da Vinci - Coverage Requirements Discovery
2.2.1 - STU 2.2

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 2.2.1 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

## Resource Profile: CRD Appointment without Order - Detailed Descriptions

Page standards status: Trial-use | Maturity Level: 1

Definitions for the profile-appointment-no-order resource profile

- Key Elements Table
- Differential Table
- Snapshot Table

Guidance on how to interpret the contents of this table can be foundhere

0. Appointment
Definition | 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).
Short | 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)
Control | 0..*
Is Modifier | false
Summary | false
Invariants | app-2: Either start and end are specified, or neither (`start.exists() = end.exists()`) app-3: Only proposed or cancelled appointments can be missing start/end dates (`(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))`) app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show (`Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) crd-apt1: Must have either start or requestedPeriod.start (`start.exists() or requestedPeriod.start.exists()`) crd-apt2: Must have either end or requestedPeriod.end (`end.exists() or requestedPeriod.end.exists()`) app-2: Either start and end are specified, or neither (start.exists() = end.exists()) app-3: Only proposed or cancelled appointments can be missing start/end dates ((start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))) app-4: 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'))
2. Appointment.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Appointment.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | Any references found in this resource, with the exception of 'Patient' could potentially be resource-specific and thus transmitted as contained resources. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Must Support | true
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
6. Appointment.extension
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | ExtensionAdditional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Appointment.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
8. Appointment.extension:Coverage-Information
Slice Name | Coverage-Information
Definition | Indicates coverage information.
Short | CoverageInfo
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Coverage Information) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) crd-ci-q1: Questionnaire is only allowed when doc-needed exists (`extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()`) crd-ci-q2: 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: '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: If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' cannot be 'withpa'. (`extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')`) crd-ci-q5: '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: If 'info-needed' is OTH, then reason must be specified (`extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()`) crd-ci-q7: 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')`) crd-ci-q8: If doc-purpose is present with a value other than 'conditional', then reason must be present (`extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()`) crd-ci-q9: If any of 'covered', 'pa-needed', or 'doc-needed' is set to 'indeterminate', then reason must be present to explain the issue that is preventing the payer from making a coverage determination. (`extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'indeterminate').count() >= 1 implies extension.where(url = 'reason').exists()`)
10. Appointment.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Appointment.identifier
Definition | This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).
Short | External Ids for this item
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Appointment.status
Definition | The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.
Short | Appointment statusproposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Comments | This will be 'proposed' when using an initial appointment-book, but may be 'booked' or other values for appointment-book representing edits to the appointment. If the Appointment's status is "cancelled" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE. This element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid.
Control | 1..1
Binding | The codes SHALL be taken from AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1 (required to `http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1` ) The free/busy status of an appointment.
Type | code
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: proposed
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Appointment.serviceCategory
Definition | A broad categorization of the service that is to be performed during this appointment.
Short | A broad categorization of the service that is to be performed during this appointment
Control | 0..*
Binding | For example codes, see ServiceCategory http://hl7.org/fhir/ValueSet/service-category|4.0.1 (example to `http://hl7.org/fhir/ValueSet/service-category|4.0.1` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Appointment.serviceCategory`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
18. Appointment.serviceCategory:us-core
Slice Name | us-core
Definition | A broad categorization of the service that is to be performed during this appointment.
Short | A broad categorization of the service that is to be performed during this appointment
Control | 0..*
Binding | The codes SHALL be taken from For example codes, see USCoreServiceRequestCategoryCodes (7.0.0)http://hl7.org/fhir/ValueSet/service-category|4.0.1 (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|7.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Appointment.serviceCategory:encounterType
Slice Name | encounterType
Definition | A broad categorization of the service that is to be performed during this appointment.
Short | inpatient, outpatient, etc.A broad categorization of the service that is to be performed during this appointment
Control | 0..1*
Binding | The codes SHALL be taken from For example codes, see ActEncounterCode (3.0.0)http://hl7.org/fhir/ValueSet/service-category|4.0.1 (required to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Appointment.serviceCategory:serviceType
Slice Name | serviceType
Definition | A broad categorization of the service that is to be performed during this appointment.
Short | X-ray, Lab, consulation, surgical, etc.A broad categorization of the service that is to be performed during this appointment
Control | 0..1*
Binding | The codes SHALL be taken from For example codes, see X12 Service Type http://hl7.org/fhir/ValueSet/service-category|4.0.1 (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/X12ServiceType` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Appointment.serviceType
Definition | The specific service that is to be performed during this appointment.
Short | Codes to identify requested services. (CPT, SNOMED CT or LOINC)The specific service that is to be performed during this appointment
Comments | For a provider to provider appointment the code "FOLLOWUP" may be appropriate, as this is expected to be discussing some patient that was seen in the past.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see CRD Service Request Codes Value Set http://hl7.org/fhir/ValueSet/service-type|4.0.1 (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/serviceRequestCodes` ) Codes describing the type of Service
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Appointment.serviceType.extension:BillingOptions
Slice Name | BillingOptions
Definition | Identifies billing codes that could potentially be used for this clinical code
Short | Expected Billing Code(s)
Comments | This will typically only be populated if the ordering and performing systems are the same
Control | 0..*
Type | Extension(Billing Options) (Extension Type: CodeableConcept)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
28. Appointment.specialty
Definition | The specialty of a practitioner that would be required to perform the service requested in this appointment.
Short | The specialty of a practitioner that would be required to perform the service requested in this appointment
Control | 0..*
Binding | The codes SHOULD be taken from PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Appointment.appointmentType
Definition | The style of appointment or patient that has been booked in the slot (not service type).
Short | The style of appointment or patient that has been booked in the slot (not service type)
Control | 0..1
Binding | The codes SHOULD be taken from Hl7VSAppointmentReasonCodes (3.0.0)http://terminology.hl7.org/ValueSet/v2-0276 (preferred to `http://terminology.hl7.org/ValueSet/v2-0276|3.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Appointment.reasonReference
Definition | Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.
Short | Reason the appointment is to take place (resource)
Comments | Potentially relevant for CRD in some situations.
Control | 0..*
Type | Reference(Condition, Procedure, Observation, ImmunizationRecommendation)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Appointment.start
Definition | Date/Time that the appointment is to take place.
Short | When appointment is to take place
Control | 0..1 This element is affected by the following invariants: crd-apt1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Appointment.end
Definition | Date/Time that the appointment is to conclude.
Short | When appointment is to conclude
Control | 0..1 This element is affected by the following invariants: crd-apt2
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Appointment.participant
Definition | List of participants involved in the appointment.
Short | Participants involved in appointment
Control | 21..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | app-1: Either the type or actor on the participant SHALL be specified (`type.exists() or actor.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) app-1: Either the type or actor on the participant SHALL be specified (type.exists() or actor.exists())
Slicing | This element introduces a set of slices on `Appointment.participant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ type profile @ actor.resolve()
40. Appointment.participant.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. Appointment.participant.actor
Definition | A Person, Location/HealthcareService or Device that is participating in the appointment.
Short | Person, Location/HealthcareService or Device
Control | 0..1
Type | Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Device, HealthcareService, Location)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Appointment.participant.status
Definition | Participation status of the actor.
Short | accepted | declined | tentative | needs-action
Control | 1..1
Binding | The codes SHALL be taken from ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 (required to `http://hl7.org/fhir/ValueSet/participationstatus|4.0.1` ) The Participation status of an appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Appointment.participant:Patient
Slice Name | Patient
Definition | List of participants involved in the appointment.
Short | Participants involved in appointment
Control | 1..1*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | app-1: Either the type or actor on the participant SHALL be specified (`type.exists() or actor.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) app-1: Either the type or actor on the participant SHALL be specified (type.exists() or actor.exists())
48. Appointment.participant:Patient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
50. Appointment.participant:Patient.actor
Definition | A Person, Location/HealthcareService or Device that is participating in the appointment.
Short | Person, Location/HealthcareService or Device
Control | 0..1
Type | Reference(CRD Patient, Patient, Practitioner, PractitionerRole, RelatedPerson, Device, HealthcareService, Location)
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Appointment.participant:Patient.status
Definition | Participation status of the actor.
Short | accepted | declined | tentative | needs-action
Control | 1..1
Binding | The codes SHALL be taken from ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 (required to `http://hl7.org/fhir/ValueSet/participationstatus|4.0.1` ) The Participation status of an appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Appointment.participant:PrimaryPerformer
Slice Name | PrimaryPerformer
Definition | List of participants involved in the appointment.
Short | Participants involved in appointment
Control | 1..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | app-1: Either the type or actor on the participant SHALL be specified (`type.exists() or actor.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) app-1: Either the type or actor on the participant SHALL be specified (type.exists() or actor.exists())
56. Appointment.participant:PrimaryPerformer.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
58. Appointment.participant:PrimaryPerformer.type
Definition | Role of participant in the appointment.
Short | Role of participant in the appointment
Comments | The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.
Control | 10..1*
Binding | Unless not suitable, these codes SHALL be taken from ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` ) Role of participant in encounter.
Type | CodeableConcept
Is Modifier | false
Summary | true
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "PPRF" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. Appointment.participant:PrimaryPerformer.actor
Definition | A Person, Location/HealthcareService or Device that is participating in the appointment.
Short | Person, Location/HealthcareService or Device
Control | 0..1
Type | Reference(CRD Practitioner, HRex PractitionerRole Profile, CRD Location, Patient, Practitioner, PractitionerRole, RelatedPerson, Device, HealthcareService, Location)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Appointment.participant:PrimaryPerformer.status
Definition | Participation status of the actor.
Short | accepted | declined | tentative | needs-action
Control | 1..1
Binding | The codes SHALL be taken from ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 (required to `http://hl7.org/fhir/ValueSet/participationstatus|4.0.1` ) The Participation status of an appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Appointment.requestedPeriod
Definition | A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within. The duration (usually in minutes) could also be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time. However, in other situations the duration may be calculated by the scheduling system.
Short | Potential date/time interval(s) requested to allocate the appointment within
Comments | This does not introduce a capacity for recurring appointments.
Control | 0..1* This element is affected by the following invariants: crd-apt1, crd-apt2
Type | Period
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Appointment
2. Appointment.extension
Slicing | This element introduces a set of slices on `Appointment.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
4. Appointment.extension:Coverage-Information
Slice Name | Coverage-Information
Control | 0..*
Type | Extension(Coverage Information) (Complex Extension)
Must Support | true
6. Appointment.identifier
Note | This is a business identifier, not a resource identifier (see discussion)
Must Support | true
8. Appointment.serviceCategory
Must Support | true
Slicing | This element introduces a set of slices on `Appointment.serviceCategory`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
10. Appointment.serviceCategory:us-core
Slice Name | us-core
Control | 0..*
Binding | The codes SHALL be taken from USCoreServiceRequestCategoryCodes (7.0.0) (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|7.0.0` )
Must Support | true
12. Appointment.serviceCategory:encounterType
Slice Name | encounterType
Short | inpatient, outpatient, etc.
Control | 0..1
Binding | The codes SHALL be taken from ActEncounterCode (3.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0` )
Must Support | true
14. Appointment.serviceCategory:serviceType
Slice Name | serviceType
Short | X-ray, Lab, consulation, surgical, etc.
Control | 0..1
Binding | The codes SHALL be taken from X12 Service Type (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/X12ServiceType` )
Must Support | true
16. Appointment.serviceType
Short | Codes to identify requested services. (CPT, SNOMED CT or LOINC)
Binding | Unless not suitable, these codes SHALL be taken from CRD Service Request Codes Value Set (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/serviceRequestCodes` ) Codes describing the type of Service
Must Support | true
18. Appointment.serviceType.extension:BillingOptions
Slice Name | BillingOptions
Short | Expected Billing Code(s)
Control | 0..*
Type | Extension(Billing Options) (Extension Type: CodeableConcept)
Must Support | true
20. Appointment.specialty
Must Support | true
22. Appointment.appointmentType
Must Support | true
24. Appointment.reasonReference
Comments | Potentially relevant for CRD in some situations.
Must Support | true

Guidance on how to interpret the contents of this table can be foundhere

0. Appointment
Definition | 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).
Short | 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)
Control | 0..*
Is Modifier | false
Summary | false
Invariants | app-2: Either start and end are specified, or neither (`start.exists() = end.exists()`) app-3: Only proposed or cancelled appointments can be missing start/end dates (`(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))`) app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show (`Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) crd-apt1: Must have either start or requestedPeriod.start (`start.exists() or requestedPeriod.start.exists()`) crd-apt2: Must have either end or requestedPeriod.end (`end.exists() or requestedPeriod.end.exists()`)
2. Appointment.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Appointment.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Appointment.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Appointment.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Appointment.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | Text summary of the resource, for human interpretation
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Appointment.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | Contained, inline Resources
Comments | Any references found in this resource, with the exception of 'Patient' could potentially be resource-specific and thus transmitted as contained resources.
Control | 0..*
Type | Resource
Is Modifier | false
Must Support | true
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. Appointment.extension
Definition | An Extension
Short | Extension
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Appointment.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
16. Appointment.extension:Coverage-Information
Slice Name | Coverage-Information
Definition | Indicates coverage information.
Short | CoverageInfo
Control | 0..* This element is affected by the following invariants: ele-1
Type | Extension(Coverage Information) (Complex Extension)
Is Modifier | false
Must Support | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) crd-ci-q1: Questionnaire is only allowed when doc-needed exists (`extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()`) crd-ci-q2: 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: '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: If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' cannot be 'withpa'. (`extension.where(url = 'pa-needed' and (value = 'satisfied' or value = 'noauth' or value = 'not-covered')) and extension.where(url = 'doc-purpose').exists() implies extension.where(url = 'doc-purpose').all(value != 'withpa')`) crd-ci-q5: '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: If 'info-needed' is OTH, then reason must be specified (`extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()`) crd-ci-q7: 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')`) crd-ci-q8: If doc-purpose is present with a value other than 'conditional', then reason must be present (`extension.where(url = 'doc-purpose' and value != 'conditional').exists() implies extension.where(url = 'reason').exists()`) crd-ci-q9: If any of 'covered', 'pa-needed', or 'doc-needed' is set to 'indeterminate', then reason must be present to explain the issue that is preventing the payer from making a coverage determination. (`extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'indeterminate').count() >= 1 implies extension.where(url = 'reason').exists()`)
18. Appointment.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. Appointment.identifier
Definition | This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).
Short | External Ids for this item
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Appointment.status
Definition | The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.
Short | Appointment status
Comments | This will be 'proposed' when using an initial appointment-book, but may be 'booked' or other values for appointment-book representing edits to the appointment.
Control | 1..1
Binding | The codes SHALL be taken from AppointmentStatus (required to `http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.1` ) The free/busy status of an appointment.
Type | code
Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Example | General: proposed
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Appointment.cancelationReason
Definition | The coded reason for the appointment being cancelled. This is often used in reporting/billing/futher processing to determine if further actions are required, or specific fees apply.
Short | The coded reason for the appointment being cancelled
Control | 0..1
Binding | For example codes, see AppointmentCancellationReason (example to `http://hl7.org/fhir/ValueSet/appointment-cancellation-reason|4.0.1` )
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Appointment.serviceCategory
Definition | A broad categorization of the service that is to be performed during this appointment.
Short | A broad categorization of the service that is to be performed during this appointment
Control | 0..*
Binding | For example codes, see ServiceCategory (example to `http://hl7.org/fhir/ValueSet/service-category|4.0.1` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Appointment.serviceCategory`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
28. Appointment.serviceCategory:us-core
Slice Name | us-core
Definition | A broad categorization of the service that is to be performed during this appointment.
Short | A broad categorization of the service that is to be performed during this appointment
Control | 0..*
Binding | The codes SHALL be taken from USCoreServiceRequestCategoryCodes (7.0.0) (required to `http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category|7.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Appointment.serviceCategory:encounterType
Slice Name | encounterType
Definition | A broad categorization of the service that is to be performed during this appointment.
Short | inpatient, outpatient, etc.
Control | 0..1
Binding | The codes SHALL be taken from ActEncounterCode (3.0.0) (required to `http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Appointment.serviceCategory:serviceType
Slice Name | serviceType
Definition | A broad categorization of the service that is to be performed during this appointment.
Short | X-ray, Lab, consulation, surgical, etc.
Control | 0..1
Binding | The codes SHALL be taken from X12 Service Type (required to `http://hl7.org/fhir/us/davinci-crd/ValueSet/X12ServiceType` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Appointment.serviceType
Definition | The specific service that is to be performed during this appointment.
Short | Codes to identify requested services. (CPT, SNOMED CT or LOINC)
Comments | For a provider to provider appointment the code "FOLLOWUP" may be appropriate, as this is expected to be discussing some patient that was seen in the past.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from CRD Service Request Codes Value Set (extensible to `http://hl7.org/fhir/us/davinci-crd/ValueSet/serviceRequestCodes` ) Codes describing the type of Service
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. Appointment.serviceType.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
38. Appointment.serviceType.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Appointment.serviceType.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
40. Appointment.serviceType.extension:BillingOptions
Slice Name | BillingOptions
Definition | Identifies billing codes that could potentially be used for this clinical code
Short | Expected Billing Code(s)
Comments | This will typically only be populated if the ordering and performing systems are the same
Control | 0..*
Type | Extension(Billing Options) (Extension Type: CodeableConcept)
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
42. Appointment.serviceType.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. Appointment.serviceType.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Appointment.specialty
Definition | The specialty of a practitioner that would be required to perform the service requested in this appointment.
Short | The specialty of a practitioner that would be required to perform the service requested in this appointment
Control | 0..*
Binding | The codes SHOULD be taken from PracticeSettingCodeValueSet (preferred to `http://hl7.org/fhir/ValueSet/c80-practice-codes|4.0.1` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Appointment.appointmentType
Definition | The style of appointment or patient that has been booked in the slot (not service type).
Short | The style of appointment or patient that has been booked in the slot (not service type)
Control | 0..1
Binding | The codes SHOULD be taken from Hl7VSAppointmentReasonCodes (3.0.0) (preferred to `http://terminology.hl7.org/ValueSet/v2-0276|3.0.0` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Appointment.reasonCode
Definition | The coded reason that this appointment is being scheduled. This is more clinical than administrative.
Short | Coded reason this appointment is scheduled
Control | 0..*
Binding | The codes SHOULD be taken from EncounterReasonCodes (preferred to `http://hl7.org/fhir/ValueSet/encounter-reason|4.0.1` ) The Reason for the appointment to take place.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Appointment.reasonReference
Definition | Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.
Short | Reason the appointment is to take place (resource)
Comments | Potentially relevant for CRD in some situations.
Control | 0..*
Type | Reference(Condition, Procedure, Observation, ImmunizationRecommendation)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Appointment.priority
Definition | The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).
Short | Used to make informed decisions if needing to re-prioritize
Comments | Seeking implementer feedback on this property and how interoperable it is. Using an extension to record a CodeableConcept for named values may be tested at a future connectathon.
Control | 0..1
Type | unsignedInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Appointment.description
Definition | The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.
Short | Shown on a subject line in a meeting request, or appointment list
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Appointment.supportingInformation
Definition | Additional information to support the appointment provided when making the appointment.
Short | Additional information to support the appointment
Control | 0..*
Type | Reference(Resource)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Appointment.start
Definition | Date/Time that the appointment is to take place.
Short | When appointment is to take place
Control | 0..1 This element is affected by the following invariants: crd-apt1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Appointment.end
Definition | Date/Time that the appointment is to conclude.
Short | When appointment is to conclude
Control | 0..1 This element is affected by the following invariants: crd-apt2
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Appointment.minutesDuration
Definition | Number of minutes that the appointment is to take. This can be less than the duration between the start and end times. For example, where the actual time of appointment is only an estimate or if a 30 minute appointment is being requested, but any time would work. Also, if there is, for example, a planned 15 minute break in the middle of a long appointment, the duration may be 15 minutes less than the difference between the start and end.
Short | Can be less than start/end (e.g. estimate)
Control | 0..1
Type | positiveInt
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Appointment.slot
Definition | The slots from the participants' schedules that will be filled by the appointment.
Short | The slots that this appointment is filling
Control | 0..*
Type | Reference(Slot)
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Appointment.created
Definition | The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment.
Short | The date that this appointment was initially created
Comments | This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments.
Control | 0..1
Type | dateTime
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Appointment.comment
Definition | Additional comments about the appointment.
Short | Additional comments
Comments | Additional text to aid in facilitating the appointment. For instance, a comment might be, "patient should proceed immediately to infusion room upon arrival" Where this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Appointment.patientInstruction
Definition | While Appointment.comment contains information for internal use, Appointment.patientInstructions is used to capture patient facing information about the Appointment (e.g. please bring your referral or fast from 8pm night before).
Short | Detailed information and instructions for the patient
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Appointment.basedOn
Definition | The service request this appointment is allocated to assess (e.g. incoming referral or procedure request).
Short | The service request this appointment is allocated to assess
Control | 0..*
Type | Reference(ServiceRequest)
Is Modifier | false
Summary | false
Alternate Names | incomingReferral
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Appointment.participant
Definition | List of participants involved in the appointment.
Short | Participants involved in appointment
Control | 2..*
Type | BackboneElement
Is Modifier | false
Summary | false
Invariants | app-1: Either the type or actor on the participant SHALL be specified (`type.exists() or actor.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Appointment.participant`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ type profile @ actor.resolve()
78. Appointment.participant.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
80. Appointment.participant.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
82. Appointment.participant.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
84. Appointment.participant.type
Definition | Role of participant in the appointment.
Short | Role of participant in the appointment
Comments | The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from ParticipantType (extensible to `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` ) Role of participant in encounter.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Appointment.participant.actor
Definition | A Person, Location/HealthcareService or Device that is participating in the appointment.
Short | Person, Location/HealthcareService or Device
Control | 0..1
Type | Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Device, HealthcareService, Location)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Appointment.participant.required
Definition | Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.
Short | required | optional | information-only
Control | 0..1
Binding | The codes SHALL be taken from ParticipantRequired (required to `http://hl7.org/fhir/ValueSet/participantrequired|4.0.1` ) Is the Participant required to attend the appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Appointment.participant.status
Definition | Participation status of the actor.
Short | accepted | declined | tentative | needs-action
Control | 1..1
Binding | The codes SHALL be taken from ParticipationStatus (required to `http://hl7.org/fhir/ValueSet/participationstatus|4.0.1` ) The Participation status of an appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. Appointment.participant.period
Definition | Participation period of the actor.
Short | Participation period of the actor
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. Appointment.participant:Patient
Slice Name | Patient
Definition | List of participants involved in the appointment.
Short | Participants involved in appointment
Control | 1..1
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | app-1: Either the type or actor on the participant SHALL be specified (`type.exists() or actor.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. Appointment.participant:Patient.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
98. Appointment.participant:Patient.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
100. Appointment.participant:Patient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
102. Appointment.participant:Patient.type
Definition | Role of participant in the appointment.
Short | Role of participant in the appointment
Comments | The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.
Control | 0..*
Binding | Unless not suitable, these codes SHALL be taken from ParticipantType (extensible to `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` ) Role of participant in encounter.
Type | CodeableConcept
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Appointment.participant:Patient.actor
Definition | A Person, Location/HealthcareService or Device that is participating in the appointment.
Short | Person, Location/HealthcareService or Device
Control | 0..1
Type | Reference(CRD Patient)
Is Modifier | false
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. Appointment.participant:Patient.required
Definition | Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.
Short | required | optional | information-only
Control | 0..1
Binding | The codes SHALL be taken from ParticipantRequired (required to `http://hl7.org/fhir/ValueSet/participantrequired|4.0.1` ) Is the Participant required to attend the appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. Appointment.participant:Patient.status
Definition | Participation status of the actor.
Short | accepted | declined | tentative | needs-action
Control | 1..1
Binding | The codes SHALL be taken from ParticipationStatus (required to `http://hl7.org/fhir/ValueSet/participationstatus|4.0.1` ) The Participation status of an appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Appointment.participant:Patient.period
Definition | Participation period of the actor.
Short | Participation period of the actor
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Appointment.participant:PrimaryPerformer
Slice Name | PrimaryPerformer
Definition | List of participants involved in the appointment.
Short | Participants involved in appointment
Control | 1..*
Type | BackboneElement
Is Modifier | false
Must Support | true
Summary | false
Invariants | app-1: Either the type or actor on the participant SHALL be specified (`type.exists() or actor.exists()`) ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Appointment.participant:PrimaryPerformer.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
116. Appointment.participant:PrimaryPerformer.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
118. Appointment.participant:PrimaryPerformer.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
120. Appointment.participant:PrimaryPerformer.type
Definition | Role of participant in the appointment.
Short | Role of participant in the appointment
Comments | The role of the participant can be used to declare what the actor will be doing in the scope of this appointment. If the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning. This value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from ParticipantType (extensible to `http://hl7.org/fhir/ValueSet/encounter-participant-type|4.0.1` ) Role of participant in encounter.
Type | CodeableConcept
Is Modifier | false
Summary | true
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code" : "PPRF" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Appointment.participant:PrimaryPerformer.actor
Definition | A Person, Location/HealthcareService or Device that is participating in the appointment.
Short | Person, Location/HealthcareService or Device
Control | 0..1
Type | Reference(CRD Practitioner, HRex PractitionerRole Profile, CRD Location)
Is Modifier | false
Must Support | true
Must Support Types | No must-support rules about the choice of types/profiles
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Appointment.participant:PrimaryPerformer.required
Definition | Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.
Short | required | optional | information-only
Control | 0..1
Binding | The codes SHALL be taken from ParticipantRequired (required to `http://hl7.org/fhir/ValueSet/participantrequired|4.0.1` ) Is the Participant required to attend the appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Appointment.participant:PrimaryPerformer.status
Definition | Participation status of the actor.
Short | accepted | declined | tentative | needs-action
Control | 1..1
Binding | The codes SHALL be taken from ParticipationStatus (required to `http://hl7.org/fhir/ValueSet/participationstatus|4.0.1` ) The Participation status of an appointment.
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. Appointment.participant:PrimaryPerformer.period
Definition | Participation period of the actor.
Short | Participation period of the actor
Control | 0..1
Type | Period
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. Appointment.requestedPeriod
Definition | A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within. The duration (usually in minutes) could also be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time. However, in other situations the duration may be calculated by the scheduling system.
Short | Potential date/time interval(s) requested to allocate the appointment within
Comments | This does not introduce a capacity for recurring appointments.
Control | 0..1 This element is affected by the following invariants: crd-apt1, crd-apt2
Type | Period
Is Modifier | false
Must Support | true
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)