Guía de Implementación para la gestión de citas médicas enfocado en la APS, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/agenda/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: Perfil Cita

Una reserva de un evento de atención médica entre pacientes, médicos, personas relacionadas y/o dispositivos para una fecha/hora específica. Esto puede resultar en uno o más Encuentros.

Usage:

• Use this Resource Profile: Bundle Transacción para indicar la respuesta ante una propuesta de cita médica
• Examples for this Resource Profile: Appointment/EjemploCita1 and Appointment/EjemploCita2

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints
Appointment			Appointment
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
status		1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
specialty		0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
start		1..1	instant	Cuando se realizará la cita.
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant		2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required
participant:paciente		1..1	BackboneElement	Paciente agendado.
actor	S	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	S	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
participant:prestador		1..1	BackboneElement	Prestador individual agendado.
actor	S	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	S	1..1	code	required | optional | information-only Required Pattern: optional
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus from the FHIR Standard
Appointment.specialty	extensible	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.participant:paciente.required	required	Pattern: required http://hl7.org/fhir/ValueSet/participantrequired from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
specialty	Σ	0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
start	Σ	1..1	instant	Cuando se realizará la cita.
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant	C	2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required app-1: Either the type or actor on the participant SHALL be specified
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:paciente	C	1..1	BackboneElement	Paciente agendado. app-1: Either the type or actor on the participant SHALL be specified
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:prestador	C	1..1	BackboneElement	Prestador individual agendado. app-1: Either the type or actor on the participant SHALL be specified
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. Required Pattern: optional
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus from the FHIR Standard
Appointment.specialty	extensible	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:paciente.required	required	Pattern: required http://hl7.org/fhir/ValueSet/participantrequired from the FHIR Standard
Appointment.participant:paciente.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:prestador.required	required	Pattern: optional http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant:prestador.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant, Appointment.participant:paciente, Appointment.participant:prestador	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')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	Σ	0..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	Σ	0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
appointmentType	Σ	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		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	Σ	1..1	instant	Cuando se realizará la cita.
end	Σ	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		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant	C	2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required app-1: Either the type or actor on the participant SHALL be specified
participant:All Slices				Content/Rules for all slices
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	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	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
participant:paciente	C	1..1	BackboneElement	Paciente agendado. app-1: Either the type or actor on the participant SHALL be specified
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	SΣ	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
status	Σ	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
participant:prestador	C	1..1	BackboneElement	Prestador individual agendado. app-1: Either the type or actor on the participant SHALL be specified
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	SΣ	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. Required Pattern: optional
status	Σ	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		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus from the FHIR Standard
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason from the FHIR Standard
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.specialty	extensible	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:paciente.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant:paciente.required	required	Pattern: required http://hl7.org/fhir/ValueSet/participantrequired from the FHIR Standard
Appointment.participant:paciente.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:prestador.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant:prestador.required	required	Pattern: optional http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant:prestador.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant, Appointment.participant:paciente, Appointment.participant:prestador	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')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Appointment

Summary

Mandatory: 10 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Perfil de la Solicitud del Servicio (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/SolicitudServicio)
• Paciente (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/PacienteAgenda)
• Prestador (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/Prestador)

Extensions

This structure refers to these extensions:

• https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Appointment.participant

Differential View

This structure is derived from Appointment

Name	Flags	Card.	Type	Description & Constraints
Appointment			Appointment
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
status		1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
specialty		0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
start		1..1	instant	Cuando se realizará la cita.
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant		2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required
participant:paciente		1..1	BackboneElement	Paciente agendado.
actor	S	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	S	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
participant:prestador		1..1	BackboneElement	Prestador individual agendado.
actor	S	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	S	1..1	code	required | optional | information-only Required Pattern: optional
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus from the FHIR Standard
Appointment.specialty	extensible	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.participant:paciente.required	required	Pattern: required http://hl7.org/fhir/ValueSet/participantrequired from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
specialty	Σ	0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
start	Σ	1..1	instant	Cuando se realizará la cita.
basedOn		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant	C	2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required app-1: Either the type or actor on the participant SHALL be specified
participant:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:paciente	C	1..1	BackboneElement	Paciente agendado. app-1: Either the type or actor on the participant SHALL be specified
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
participant:prestador	C	1..1	BackboneElement	Prestador individual agendado. app-1: Either the type or actor on the participant SHALL be specified
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	SΣ	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. Required Pattern: optional
status	Σ	1..1	code	accepted | declined | tentative | needs-action Binding: ParticipationStatus (required): The Participation status of an appointment.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus from the FHIR Standard
Appointment.specialty	extensible	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:paciente.required	required	Pattern: required http://hl7.org/fhir/ValueSet/participantrequired from the FHIR Standard
Appointment.participant:paciente.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:prestador.required	required	Pattern: optional http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant:prestador.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant, Appointment.participant:paciente, Appointment.participant:prestador	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')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Appointment	C	0..*	Appointment	A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s) app-2: Either start and end are specified, or neither app-3: Only proposed or cancelled appointments can be missing start/end dates app-4: Cancelation reason is only used for appointments that have been cancelled, or no-show
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Comentarios respecto al servicio que se realizara durante la cita. Slice: Unordered, Open by value:url
apellidoservicio	S	1..1	string	Apellido Servicio URL: https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this item
status	?!Σ	1..1	code	proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist Binding: AppointmentStatus (required)
cancelationReason	Σ	0..1	CodeableConcept	The coded reason for the appointment being cancelled Binding: AppointmentCancellationReason (example)
serviceCategory	Σ	0..*	CodeableConcept	A broad categorization of the service that is to be performed during this appointment Binding: ServiceCategory (example)
serviceType	Σ	0..*	CodeableConcept	The specific service that is to be performed during this appointment Binding: ServiceType (example)
specialty	Σ	0..*	CodeableConcept	La especialidad de un profesional que se requeriría para realizar el servicio solicitado en esta cita. Binding: PracticeSettingCodeValueSet (extensible)
appointmentType	Σ	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		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	Σ	1..1	instant	Cuando se realizará la cita.
end	Σ	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		1..1	Reference(Perfil de la Solicitud del Servicio)	Referencia a la solicitud del servicio.
Slices for participant	C	2..*	BackboneElement	Participantes de la Cita médica. Slice: Unordered, Open by value:required app-1: Either the type or actor on the participant SHALL be specified
participant:All Slices				Content/Rules for all slices
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	Σ	0..1	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)	Person, Location/HealthcareService or Device
required	Σ	0..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
status	Σ	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
participant:paciente	C	1..1	BackboneElement	Paciente agendado. app-1: Either the type or actor on the participant SHALL be specified
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	SΣ	1..1	Reference(Paciente)	Referencia al paciente agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required) Required Pattern: required
status	Σ	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
participant:prestador	C	1..1	BackboneElement	Prestador individual agendado. app-1: Either the type or actor on the participant SHALL be specified
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..*	CodeableConcept	Role of participant in the appointment Binding: ParticipantType (extensible): Role of participant in encounter.
actor	SΣ	1..1	Reference(Prestador)	Referencia al prestador agendado.
required	SΣ	1..1	code	required | optional | information-only Binding: ParticipantRequired (required): Is the Participant required to attend the appointment. Required Pattern: optional
status	Σ	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		0..*	Period	Potential date/time interval(s) requested to allocate the appointment within
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Appointment.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Appointment.status	required	AppointmentStatus http://hl7.org/fhir/ValueSet/appointmentstatus from the FHIR Standard
Appointment.cancelationReason	example	AppointmentCancellationReason http://hl7.org/fhir/ValueSet/appointment-cancellation-reason from the FHIR Standard
Appointment.serviceCategory	example	ServiceCategory http://hl7.org/fhir/ValueSet/service-category from the FHIR Standard
Appointment.serviceType	example	ServiceType http://hl7.org/fhir/ValueSet/service-type from the FHIR Standard
Appointment.specialty	extensible	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes from the FHIR Standard
Appointment.appointmentType	preferred	Hl7VSAppointmentReasonCodes http://terminology.hl7.org/ValueSet/v2-0276
Appointment.reasonCode	preferred	EncounterReasonCodes http://hl7.org/fhir/ValueSet/encounter-reason from the FHIR Standard
Appointment.participant.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant.required	required	ParticipantRequired http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:paciente.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant:paciente.required	required	Pattern: required http://hl7.org/fhir/ValueSet/participantrequired from the FHIR Standard
Appointment.participant:paciente.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard
Appointment.participant:prestador.type	extensible	ParticipantType http://hl7.org/fhir/ValueSet/encounter-participant-type from the FHIR Standard
Appointment.participant:prestador.required	required	Pattern: optional http://hl7.org/fhir/ValueSet/participantrequired|4.0.1 from the FHIR Standard
Appointment.participant:prestador.status	required	ParticipationStatus http://hl7.org/fhir/ValueSet/participationstatus|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
app-1	error	Appointment.participant, Appointment.participant:paciente, Appointment.participant:prestador	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')
dom-2	error	Appointment	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Appointment	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Appointment	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Appointment	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from Appointment

Summary

Mandatory: 10 elements
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• Perfil de la Solicitud del Servicio (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/SolicitudServicio)
• Paciente (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/PacienteAgenda)
• Prestador (https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/Prestador)

Extensions

This structure refers to these extensions:

• https://interoperabilidad.minsal.cl/fhir/ig/agenda/StructureDefinition/ApellidoServicio

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Appointment.participant

Other representations of profile: CSV, Excel, Schematron