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 2.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-appointment-no-order | Version: 2.2.0-ballot | |||
| Standards status: Trial-use Active as of 2025-10-30 | Maturity Level: 1 | Computable Name: CRDAppointmentNoOrder | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.18.42.4 | ||||
An appointment where the details of what the appointment is being booked for are provided inline and there is no associated ServiceRequest
CRD Clients SHALL use either this profile and/or the with-order to provide appointments context objects to CRD Servers when invoking the appointment-book hook as well as to resolve other references to Appointment resources.
This profile conveys the details of the appointment within the resource itself and doesn't make reference to a ServiceRequest.
Information provided in Must Support elements will commonly be required for CRD Servers to perform coverage requirements discovery.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Appointment |
C | 0..* | CRDAppointmentBase | 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) Constraints: app-2, app-3, app-4, crd-apt1, crd-apt2 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
S | 0..* | Resource | Contained, inline Resources |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:Coverage-Information |
SC | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8 |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
SΣ | 0..* | Identifier | External Ids for this item |
| status |
?!SΣ | 1..1 | code | Appointment status Binding: AppointmentStatus (required): The free/busy status of an appointment. Example General: proposed |
| serviceCategory |
SΣ | 0..* | CodeableConcept | A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example) |
| serviceType |
SΣ | 0..* | CodeableConcept | The specific service that is to be performed during this appointment Binding: ServiceType (example) |
  Slices for extension |
Content/Rules for all slices | |||
 extension:BillingOptions |
S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) |
| specialty |
SΣ | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred) |
| appointmentType |
SΣ | 0..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred) |
 reasonReference |
S | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the appointment is to take place (resource) |
| start |
SΣC | 0..1 | instant | When appointment is to take place |
| end |
SΣC | 0..1 | instant | When appointment is to conclude |
| participant |
SC | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| actor |
SΣ | 0..1 | Reference(CRD Patient | US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | CRD Location) | Patient, Practitioner or Location |
 status |
SΣ | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. |
| requestedPeriod |
SC | 0..1 | Period | Potential date/time interval(s) requested to allocate the appointment within |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Appointment.status | Base | required | AppointmentStatus | 📍4.0.1 | FHIR Std. |
| Appointment.serviceCategory | Base | example | Service category | 📍4.0.1 | FHIR Std. |
| Appointment.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std. |
| Appointment.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std. |
| Appointment.appointmentType | Base | preferred | hl7VS-appointmentReasonCodes | 📦2.0.0 | THO v6.5 |
| Appointment.participant.status | Base | required | ParticipationStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| app-1 | error | Appointment.participant | Either the type or actor on the participant SHALL be specified |
type.exists() or actor.exists()
|
| app-2 | error | Appointment | Either start and end are specified, or neither |
start.exists() = end.exists()
|
| app-3 | error | Appointment | Only proposed or cancelled appointments can be missing start/end dates |
(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
|
| app-4 | error | Appointment | Cancelation reason is only used for appointments that have been cancelled, or no-show |
Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
|
| crd-apt1 | error | Appointment | Must have either start or requestedPeriod.start |
start.exists() or requestedPeriod.start.exists()
|
| crd-apt2 | error | Appointment | Must have either end or requestedPeriod.end |
end.exists() or requestedPeriod.end.exists()
|
| crd-ci-q1 | error | Appointment.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | Appointment.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | Appointment.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | Appointment.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't 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 | error | Appointment.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | Appointment.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified |
extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | Appointment.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| crd-ci-q8 | error | Appointment.extension:Coverage-Information | 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()
|
| dom-2 | error | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Appointment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Appointment | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Appointment |
0..* | CRDAppointmentBase | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:Coverage-Information |
S | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information |
 identifier |
S | 0..* | Identifier | External Ids for this item |
| serviceCategory |
S | 0..* | CodeableConcept | A broad categorization of the service that is to be performed during this appointment |
| serviceType |
S | 0..* | CodeableConcept | The specific service that is to be performed during this appointment |
| Slices for extension |
Content/Rules for all slices | |||
| extension:BillingOptions |
S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) |
| specialty |
S | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment |
| appointmentType |
S | 0..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) |
| reasonReference |
S | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the appointment is to take place (resource) |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Appointment |
C | 0..* | CRDAppointmentBase | 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) Constraints: app-2, app-3, app-4, crd-apt1, crd-apt2 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
S | 0..* | Resource | Contained, inline Resources | ||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:Coverage-Information |
SC | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8 | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 0..* | Identifier | External Ids for this item | ||||
| status |
?!SΣ | 1..1 | code | Appointment status Binding: AppointmentStatus (required): The free/busy status of an appointment. Example General: proposed | ||||
| cancelationReason |
Σ | 0..1 | CodeableConcept | The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example) | ||||
| serviceCategory |
SΣ | 0..* | CodeableConcept | A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example) | ||||
| serviceType |
SΣ | 0..* | CodeableConcept | The specific service that is to be performed during this appointment Binding: ServiceType (example) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:BillingOptions |
S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| specialty |
SΣ | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred) | ||||
| appointmentType |
SΣ | 0..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred) | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place. | ||||
| reasonReference |
S | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the appointment is to take place (resource) | ||||
| priority |
0..1 | unsignedInt | Used to make informed decisions if needing to re-prioritize | |||||
| description |
0..1 | string | Shown on a subject line in a meeting request, or appointment list | |||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support the appointment | |||||
| start |
SΣC | 0..1 | instant | When appointment is to take place | ||||
| end |
SΣC | 0..1 | instant | When appointment is to conclude | ||||
| minutesDuration |
0..1 | positiveInt | Can be less than start/end (e.g. estimate) | |||||
| slot |
0..* | Reference(Slot) | The slots that this appointment is filling | |||||
| created |
0..1 | dateTime | The date that this appointment was initially created | |||||
| comment |
0..1 | string | Additional comments | |||||
| patientInstruction |
0..1 | string | Detailed information and instructions for the patient | |||||
| basedOn |
0..* | Reference(ServiceRequest) | The service request this appointment is allocated to assess | |||||
| participant |
SC | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
Σ | 0..* | CodeableConcept | Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| actor |
SΣ | 0..1 | Reference(CRD Patient | US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | CRD Location) | Patient, Practitioner or Location | ||||
| required |
Σ | 0..1 | code | required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. | ||||
| status |
SΣ | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. | ||||
| period |
0..1 | Period | Participation period of the actor | |||||
| requestedPeriod |
SC | 0..1 | Period | Potential date/time interval(s) requested to allocate the appointment within | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Appointment.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Appointment.status | Base | required | AppointmentStatus | 📍4.0.1 | FHIR Std. |
| Appointment.cancelationReason | Base | example | Appointment cancellation reason | 📍4.0.1 | FHIR Std. |
| Appointment.serviceCategory | Base | example | Service category | 📍4.0.1 | FHIR Std. |
| Appointment.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std. |
| Appointment.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std. |
| Appointment.appointmentType | Base | preferred | hl7VS-appointmentReasonCodes | 📦2.0.0 | THO v6.5 |
| Appointment.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.0.1 | FHIR Std. |
| Appointment.participant.type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std. |
| Appointment.participant.required | Base | required | ParticipantRequired | 📍4.0.1 | FHIR Std. |
| Appointment.participant.status | Base | required | ParticipationStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| app-1 | error | Appointment.participant | Either the type or actor on the participant SHALL be specified |
type.exists() or actor.exists()
|
| app-2 | error | Appointment | Either start and end are specified, or neither |
start.exists() = end.exists()
|
| app-3 | error | Appointment | Only proposed or cancelled appointments can be missing start/end dates |
(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
|
| app-4 | error | Appointment | Cancelation reason is only used for appointments that have been cancelled, or no-show |
Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
|
| crd-apt1 | error | Appointment | Must have either start or requestedPeriod.start |
start.exists() or requestedPeriod.start.exists()
|
| crd-apt2 | error | Appointment | Must have either end or requestedPeriod.end |
end.exists() or requestedPeriod.end.exists()
|
| crd-ci-q1 | error | Appointment.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | Appointment.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | Appointment.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | Appointment.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't 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 | error | Appointment.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | Appointment.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified |
extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | Appointment.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| crd-ci-q8 | error | Appointment.extension:Coverage-Information | 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()
|
| dom-2 | error | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Appointment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Appointment | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Must-Support: 8 elements
Extensions
This structure refers to these extensions:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Appointment |
C | 0..* | CRDAppointmentBase | 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) Constraints: app-2, app-3, app-4, crd-apt1, crd-apt2 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
S | 0..* | Resource | Contained, inline Resources |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:Coverage-Information |
SC | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8 |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
SΣ | 0..* | Identifier | External Ids for this item |
| status |
?!SΣ | 1..1 | code | Appointment status Binding: AppointmentStatus (required): The free/busy status of an appointment. Example General: proposed |
| serviceCategory |
SΣ | 0..* | CodeableConcept | A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example) |
| serviceType |
SΣ | 0..* | CodeableConcept | The specific service that is to be performed during this appointment Binding: ServiceType (example) |
| Slices for extension |
Content/Rules for all slices | |||
| extension:BillingOptions |
S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) |
| specialty |
SΣ | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred) |
| appointmentType |
SΣ | 0..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred) |
| reasonReference |
S | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the appointment is to take place (resource) |
| start |
SΣC | 0..1 | instant | When appointment is to take place |
| end |
SΣC | 0..1 | instant | When appointment is to conclude |
| participant |
SC | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| actor |
SΣ | 0..1 | Reference(CRD Patient | US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | CRD Location) | Patient, Practitioner or Location |
| status |
SΣ | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. |
| requestedPeriod |
SC | 0..1 | Period | Potential date/time interval(s) requested to allocate the appointment within |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Appointment.status | Base | required | AppointmentStatus | 📍4.0.1 | FHIR Std. |
| Appointment.serviceCategory | Base | example | Service category | 📍4.0.1 | FHIR Std. |
| Appointment.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std. |
| Appointment.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std. |
| Appointment.appointmentType | Base | preferred | hl7VS-appointmentReasonCodes | 📦2.0.0 | THO v6.5 |
| Appointment.participant.status | Base | required | ParticipationStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| app-1 | error | Appointment.participant | Either the type or actor on the participant SHALL be specified |
type.exists() or actor.exists()
|
| app-2 | error | Appointment | Either start and end are specified, or neither |
start.exists() = end.exists()
|
| app-3 | error | Appointment | Only proposed or cancelled appointments can be missing start/end dates |
(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
|
| app-4 | error | Appointment | Cancelation reason is only used for appointments that have been cancelled, or no-show |
Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
|
| crd-apt1 | error | Appointment | Must have either start or requestedPeriod.start |
start.exists() or requestedPeriod.start.exists()
|
| crd-apt2 | error | Appointment | Must have either end or requestedPeriod.end |
end.exists() or requestedPeriod.end.exists()
|
| crd-ci-q1 | error | Appointment.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | Appointment.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | Appointment.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | Appointment.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't 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 | error | Appointment.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | Appointment.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified |
extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | Appointment.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| crd-ci-q8 | error | Appointment.extension:Coverage-Information | 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()
|
| dom-2 | error | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Appointment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Appointment | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Appointment |
0..* | CRDAppointmentBase | A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:Coverage-Information |
S | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information |
| identifier |
S | 0..* | Identifier | External Ids for this item |
| serviceCategory |
S | 0..* | CodeableConcept | A broad categorization of the service that is to be performed during this appointment |
| serviceType |
S | 0..* | CodeableConcept | The specific service that is to be performed during this appointment |
| Slices for extension |
Content/Rules for all slices | |||
| extension:BillingOptions |
S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) |
| specialty |
S | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment |
| appointmentType |
S | 0..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) |
| reasonReference |
S | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the appointment is to take place (resource) |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Appointment |
C | 0..* | CRDAppointmentBase | 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) Constraints: app-2, app-3, app-4, crd-apt1, crd-apt2 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
S | 0..* | Resource | Contained, inline Resources | ||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:Coverage-Information |
SC | 0..* | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information Constraints: crd-ci-q1, crd-ci-q2, crd-ci-q3, crd-ci-q4, crd-ci-q5, crd-ci-q6, crd-ci-q7, crd-ci-q8 | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 0..* | Identifier | External Ids for this item | ||||
| status |
?!SΣ | 1..1 | code | Appointment status Binding: AppointmentStatus (required): The free/busy status of an appointment. Example General: proposed | ||||
| cancelationReason |
Σ | 0..1 | CodeableConcept | The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example) | ||||
| serviceCategory |
SΣ | 0..* | CodeableConcept | A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example) | ||||
| serviceType |
SΣ | 0..* | CodeableConcept | The specific service that is to be performed during this appointment Binding: ServiceType (example) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:BillingOptions |
S | 0..* | CodeableConcept | Expected Billing Code(s) URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-billing-options Binding: CRD Billing Codes Value Set (extensible) | ||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| specialty |
SΣ | 0..* | CodeableConcept | The specialty of a practitioner that would be required to perform the service requested in this appointment Binding: PracticeSettingCodeValueSet (preferred) | ||||
| appointmentType |
SΣ | 0..1 | CodeableConcept | The style of appointment or patient that has been booked in the slot (not service type) Binding: hl7VS-appointmentReasonCodes (preferred) | ||||
| reasonCode |
Σ | 0..* | CodeableConcept | Coded reason this appointment is scheduled Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place. | ||||
| reasonReference |
S | 0..* | Reference(Condition | Procedure | Observation | ImmunizationRecommendation) | Reason the appointment is to take place (resource) | ||||
| priority |
0..1 | unsignedInt | Used to make informed decisions if needing to re-prioritize | |||||
| description |
0..1 | string | Shown on a subject line in a meeting request, or appointment list | |||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support the appointment | |||||
| start |
SΣC | 0..1 | instant | When appointment is to take place | ||||
| end |
SΣC | 0..1 | instant | When appointment is to conclude | ||||
| minutesDuration |
0..1 | positiveInt | Can be less than start/end (e.g. estimate) | |||||
| slot |
0..* | Reference(Slot) | The slots that this appointment is filling | |||||
| created |
0..1 | dateTime | The date that this appointment was initially created | |||||
| comment |
0..1 | string | Additional comments | |||||
| patientInstruction |
0..1 | string | Detailed information and instructions for the patient | |||||
| basedOn |
0..* | Reference(ServiceRequest) | The service request this appointment is allocated to assess | |||||
| participant |
SC | 1..* | BackboneElement | Participants involved in appointment Constraints: app-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
Σ | 0..* | CodeableConcept | Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter. | ||||
| actor |
SΣ | 0..1 | Reference(CRD Patient | US Core Practitioner Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | CRD Location) | Patient, Practitioner or Location | ||||
| required |
Σ | 0..1 | code | required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. | ||||
| status |
SΣ | 1..1 | code | accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment. | ||||
| period |
0..1 | Period | Participation period of the actor | |||||
| requestedPeriod |
SC | 0..1 | Period | Potential date/time interval(s) requested to allocate the appointment within | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Appointment.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Appointment.status | Base | required | AppointmentStatus | 📍4.0.1 | FHIR Std. |
| Appointment.cancelationReason | Base | example | Appointment cancellation reason | 📍4.0.1 | FHIR Std. |
| Appointment.serviceCategory | Base | example | Service category | 📍4.0.1 | FHIR Std. |
| Appointment.serviceType | Base | example | Service type | 📍4.0.1 | FHIR Std. |
| Appointment.specialty | Base | preferred | Practice Setting Code Value Set | 📍4.0.1 | FHIR Std. |
| Appointment.appointmentType | Base | preferred | hl7VS-appointmentReasonCodes | 📦2.0.0 | THO v6.5 |
| Appointment.reasonCode | Base | preferred | Encounter Reason Codes | 📍4.0.1 | FHIR Std. |
| Appointment.participant.type | Base | extensible | Participant type | 📍4.0.1 | FHIR Std. |
| Appointment.participant.required | Base | required | ParticipantRequired | 📍4.0.1 | FHIR Std. |
| Appointment.participant.status | Base | required | ParticipationStatus | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| app-1 | error | Appointment.participant | Either the type or actor on the participant SHALL be specified |
type.exists() or actor.exists()
|
| app-2 | error | Appointment | Either start and end are specified, or neither |
start.exists() = end.exists()
|
| app-3 | error | Appointment | Only proposed or cancelled appointments can be missing start/end dates |
(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))
|
| app-4 | error | Appointment | Cancelation reason is only used for appointments that have been cancelled, or no-show |
Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')
|
| crd-apt1 | error | Appointment | Must have either start or requestedPeriod.start |
start.exists() or requestedPeriod.start.exists()
|
| crd-apt2 | error | Appointment | Must have either end or requestedPeriod.end |
end.exists() or requestedPeriod.end.exists()
|
| crd-ci-q1 | error | Appointment.extension:Coverage-Information | Questionnaire is only allowed when doc-needed exists |
extension.where(url='questionnaire').exists() implies extension.where(url = 'doc-needed').exists()
|
| crd-ci-q2 | error | Appointment.extension:Coverage-Information | If covered is set to 'not-covered', then 'pa-needed' must not exist. |
extension.where(url = 'covered' and value = 'not-covered').exists() implies extension.where(url = 'pa-needed').exists().not()
|
| crd-ci-q3 | error | Appointment.extension:Coverage-Information | 'info-needed' SHALL exist if and only if at least one of 'covered', 'pa-needed', or 'doc-needed' is set to 'conditional'. |
extension.where((url = 'covered' or url = 'pa-needed' or url = 'doc-needed') and value = 'conditional').count() >= 1 implies extension.where(url = 'info-needed').exists()
|
| crd-ci-q4 | error | Appointment.extension:Coverage-Information | If 'pa-needed' is 'satisfied', 'noauth', or 'not-covered', then 'Doc-purpose' can't 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 | error | Appointment.extension:Coverage-Information | 'satisfied-pa-id' must exist if and only if 'pa-needed' is set to 'satisfied'. |
extension.where(url = 'pa-needed' and value = 'satisfied').exists() = extension.where(url = 'satisfied-pa-id').exists()
|
| crd-ci-q6 | error | Appointment.extension:Coverage-Information | If 'info-needed' is OTH, then reason must be specified |
extension.where(url = 'info-needed' and value = 'OTH').exists() implies extension.where(url = 'reason').exists()
|
| crd-ci-q7 | error | Appointment.extension:Coverage-Information | If reason.coding is present and is not from the extensible value set, then reason.text must be present |
extension.where(url = 'reason').empty() or extension.where(url = 'reason').value.text.exists() or extension.where(url = 'reason').value.memberOf('http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageAssertionReasons')
|
| crd-ci-q8 | error | Appointment.extension:Coverage-Information | 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()
|
| dom-2 | error | Appointment | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Appointment | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Appointment | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Appointment | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Must-Support: 8 elements
Extensions
This structure refers to these extensions:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-crd#2.2.0-ballot based on FHIR 4.0.1.
Generated 2025-10-30
Links: Table of Contents |
QA Report
| Version History |
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