WHO Antenatal Care Guideline Implementation Guide
0.3.0 - CI Build International flag

WHO Antenatal Care Guideline Implementation Guide, published by World Health Organization (WHO). This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-anc/ and changes regularly. See the Directory of published versions

Resource Profile: ANC Appointment

Official URL: http://smart.who.int/anc/StructureDefinition/anc-appointment Version: 0.3.0
Draft as of 2026-10-16 Computable Name: ANCAppointment

ANC Appointment

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Appointment C 0..* WHOAppointment 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
Appointment.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Appointment.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Appointment.status This element is a modifier element. This element is included in summaries. 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.
Appointment.participant C 1..* BackboneElement Participants involved in appointment
Constraints: app-1
Appointment.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Appointment.participant.status This element is included in summaries. 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Appointment.status Base required AppointmentStatus 📍4.0.1 FHIR Std.
Appointment.participant.​status Base required ParticipationStatus 📍4.0.1 FHIR Std.

Constraints

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')
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 WHOAppointment

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Appointment 0..* WHOAppointment 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)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Appointment C 0..* WHOAppointment 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
Appointment.id This element is included in summaries. 0..1 id Logical id of this artifact
Appointment.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Appointment.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Appointment.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Appointment.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
Appointment.contained 0..* Resource Contained, inline Resources
Appointment.extension 0..* Extension Additional content defined by implementations
Appointment.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Appointment.identifier This element is included in summaries. 0..* Identifier External Ids for this item
Appointment.status This element is a modifier element. This element is included in summaries. 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.
Appointment.cancelationReason This element is included in summaries. 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: AppointmentCancellationReason (example)
Appointment.serviceCategory This element is included in summaries. 0..* CodeableConcept A broad categorization of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
Appointment.serviceType This element is included in summaries. 0..* CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
Appointment.specialty This element is included in summaries. 0..* CodeableConcept The specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: PracticeSettingCodeValueSet (preferred)
Appointment.appointmentType This element is included in summaries. 0..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: hl7VS-appointmentReasonCodes (preferred)
Appointment.reasonCode This element is included in summaries. 0..* CodeableConcept Coded reason this appointment is scheduled
Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
Appointment.reasonReference 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the appointment is to take place (resource)
Appointment.priority 0..1 unsignedInt Used to make informed decisions if needing to re-prioritize
Appointment.description 0..1 string Shown on a subject line in a meeting request, or appointment list
Appointment.supportingInformation 0..* Reference(Resource) Additional information to support the appointment
Appointment.start This element is included in summaries. 0..1 instant When appointment is to take place
Appointment.end This element is included in summaries. 0..1 instant When appointment is to conclude
Appointment.minutesDuration 0..1 positiveInt Can be less than start/end (e.g. estimate)
Appointment.slot 0..* Reference(Slot) The slots that this appointment is filling
Appointment.created 0..1 dateTime The date that this appointment was initially created
Appointment.comment 0..1 string Additional comments
Appointment.patientInstruction 0..1 string Detailed information and instructions for the patient
Appointment.basedOn 0..* Reference(ServiceRequest) The service request this appointment is allocated to assess
Appointment.participant C 1..* BackboneElement Participants involved in appointment
Constraints: app-1
Appointment.participant.id 0..1 string Unique id for inter-element referencing
Appointment.participant.extension 0..* Extension Additional content defined by implementations
Appointment.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Appointment.participant.type This element is included in summaries. 0..* CodeableConcept Role of participant in the appointment
Binding: ParticipantType (extensible): Role of participant in encounter.
Appointment.participant.actor This element is included in summaries. 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location) Person, Location/HealthcareService or Device
Appointment.participant.required This element is included in summaries. 0..1 code required | optional | information-only
Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
Appointment.participant.status This element is included in summaries. 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.
Appointment.participant.period 0..1 Period Participation period of the actor
Appointment.requestedPeriod 0..* Period Potential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

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 📦3.0.0 THO v7.4
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.

Constraints

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')
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 WHOAppointment

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Appointment C 0..* WHOAppointment 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
Appointment.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Appointment.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Appointment.status This element is a modifier element. This element is included in summaries. 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.
Appointment.participant C 1..* BackboneElement Participants involved in appointment
Constraints: app-1
Appointment.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Appointment.participant.status This element is included in summaries. 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Appointment.status Base required AppointmentStatus 📍4.0.1 FHIR Std.
Appointment.participant.​status Base required ParticipationStatus 📍4.0.1 FHIR Std.

Constraints

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')
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

This structure is derived from WHOAppointment

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Appointment 0..* WHOAppointment 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)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Appointment C 0..* WHOAppointment 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
Appointment.id This element is included in summaries. 0..1 id Logical id of this artifact
Appointment.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Appointment.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
Appointment.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Appointment.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
Appointment.contained 0..* Resource Contained, inline Resources
Appointment.extension 0..* Extension Additional content defined by implementations
Appointment.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
Appointment.identifier This element is included in summaries. 0..* Identifier External Ids for this item
Appointment.status This element is a modifier element. This element is included in summaries. 1..1 code proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
Binding: AppointmentStatus (required): The free/busy status of an appointment.
Appointment.cancelationReason This element is included in summaries. 0..1 CodeableConcept The coded reason for the appointment being cancelled
Binding: AppointmentCancellationReason (example)
Appointment.serviceCategory This element is included in summaries. 0..* CodeableConcept A broad categorization of the service that is to be performed during this appointment
Binding: ServiceCategory (example)
Appointment.serviceType This element is included in summaries. 0..* CodeableConcept The specific service that is to be performed during this appointment
Binding: ServiceType (example)
Appointment.specialty This element is included in summaries. 0..* CodeableConcept The specialty of a practitioner that would be required to perform the service requested in this appointment
Binding: PracticeSettingCodeValueSet (preferred)
Appointment.appointmentType This element is included in summaries. 0..1 CodeableConcept The style of appointment or patient that has been booked in the slot (not service type)
Binding: hl7VS-appointmentReasonCodes (preferred)
Appointment.reasonCode This element is included in summaries. 0..* CodeableConcept Coded reason this appointment is scheduled
Binding: EncounterReasonCodes (preferred): The Reason for the appointment to take place.
Appointment.reasonReference 0..* Reference(Condition | Procedure | Observation | ImmunizationRecommendation) Reason the appointment is to take place (resource)
Appointment.priority 0..1 unsignedInt Used to make informed decisions if needing to re-prioritize
Appointment.description 0..1 string Shown on a subject line in a meeting request, or appointment list
Appointment.supportingInformation 0..* Reference(Resource) Additional information to support the appointment
Appointment.start This element is included in summaries. 0..1 instant When appointment is to take place
Appointment.end This element is included in summaries. 0..1 instant When appointment is to conclude
Appointment.minutesDuration 0..1 positiveInt Can be less than start/end (e.g. estimate)
Appointment.slot 0..* Reference(Slot) The slots that this appointment is filling
Appointment.created 0..1 dateTime The date that this appointment was initially created
Appointment.comment 0..1 string Additional comments
Appointment.patientInstruction 0..1 string Detailed information and instructions for the patient
Appointment.basedOn 0..* Reference(ServiceRequest) The service request this appointment is allocated to assess
Appointment.participant C 1..* BackboneElement Participants involved in appointment
Constraints: app-1
Appointment.participant.id 0..1 string Unique id for inter-element referencing
Appointment.participant.extension 0..* Extension Additional content defined by implementations
Appointment.participant.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Appointment.participant.type This element is included in summaries. 0..* CodeableConcept Role of participant in the appointment
Binding: ParticipantType (extensible): Role of participant in encounter.
Appointment.participant.actor This element is included in summaries. 0..1 Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location) Person, Location/HealthcareService or Device
Appointment.participant.required This element is included in summaries. 0..1 code required | optional | information-only
Binding: ParticipantRequired (required): Is the Participant required to attend the appointment.
Appointment.participant.status This element is included in summaries. 1..1 code accepted | declined | tentative | needs-action
Binding: ParticipationStatus (required): The Participation status of an appointment.
Appointment.participant.period 0..1 Period Participation period of the actor
Appointment.requestedPeriod 0..* Period Potential date/time interval(s) requested to allocate the appointment within

doco Documentation for this format

Terminology Bindings

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 📦3.0.0 THO v7.4
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.

Constraints

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')
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 WHOAppointment

Summary

 

Other representations of profile: CSV, Excel, Schematron