Xt-EHR
0.1.0 - ci-build

Xt-EHR, published by Xt-EHR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Xt-EHR/xt-ehr-common/ and changes regularly. See the Directory of published versions

Logical Model: EHDSAppointment - Detailed Descriptions

Draft as of 2024-09-18

Definitions for the EHDSAppointment logical model.

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

0. EHDSAppointment
Definition

C.20 - EHDS refined base model for Appointment

ShortAppointment (model)
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSAppointment.identifier
Definition

Appointment identifier

ShortC.20.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSAppointment.status
Definition

The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.

ShortC.20.2 - Status
Control1..1
Binding

HL7 Appointment status

TypeCodeableConcept
6. EHDSAppointment.class
Definition

Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.

ShortC.20.3 - Class
Control0..*
Binding

HL7 Encounter class

TypeCodeableConcept
8. EHDSAppointment.serviceType
Definition

The specific service that is to be performed during this appointment

ShortC.20.4 - Service type
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
10. EHDSAppointment.specialty
Definition

The specialty of a practitioner that would be required to perform the service requested in this appointment

ShortC.20.5 - Specialty
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
12. EHDSAppointment.type
Definition

The type of appointment or patient that has been booked in the slot, e.g. Routine, check-up, walk-in, routine, emenrgency etc.

ShortC.20.6 - Type
Control0..1
Binding

TBD

TypeCodeableConcept
14. EHDSAppointment.reason
Definition

The reason that this appointment is being scheduled.

ShortC.20.7 - Reason
Control0..*
Binding

SNOMED CT

TypeCodeableReference(Condition (model), Procedure (model), Observation (model), Laboratory observation (model))
16. EHDSAppointment.priority
Definition

The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments.

ShortC.20.8 - Priority
Control0..1
Binding

HL7 Act priority

TypeCodeableConcept
18. EHDSAppointment.description
Definition

The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list.

ShortC.20.9 - Description
Control0..1
TypeNarrative
20. EHDSAppointment.supportingInformation
Definition

Additional information to support the appointment provided when making the appointment.

ShortC.20.10 - Supporting information
Control0..*
TypeReference(Condition (model), Procedure (model), Observation (model), Laboratory observation (model))
22. EHDSAppointment.start
Definition

Date/Time that the appointment is to take place.

ShortC.20.11 - Start
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSAppointment.end
Definition

Date/Time that the appointment is to conclude.

ShortC.20.12 - End
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSAppointment.requestedPeriod
Definition

A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within.

ShortC.20.13 - Requested period
Control0..*
TypePeriod
28. EHDSAppointment.slot
Definition

The slots from the participants' schedules that will be filled by the appointment.

ShortC.20.14 - Slot
Control0..*
TypeReference(Slot (model))
30. EHDSAppointment.patientInstruction
Definition

Patient facing information about the Appointment (e.g. fast from 8pm night before).

ShortC.20.15 - Patient instruction
Control0..*
TypeNarrative
32. EHDSAppointment.note
Definition

Additional notes/comments about the appointment.

ShortC.20.16 - Note
Control0..*
TypeNarrative
34. EHDSAppointment.subject
Definition

The patient or group associated with the appointment, if they are to be present (usually) then they should also be included in the participant backbone element.

ShortC.20.17 - Subject
Control0..1
TypeReference(Patient (model), Group (model))
36. EHDSAppointment.participant
Definition

List of participants involved in the appointment.

ShortC.20.18 - Participant
Control0..*
TypeBackboneElement
38. EHDSAppointment.participant.type
Definition

List of participants involved in the appointment.

ShortC.20.18.1 - Type
Control0..*
Binding

HL7 Participant Type

TypeCodeableConcept
40. EHDSAppointment.participant.actor
Definition

The individual, device, location, or service participating in the appointment.

ShortC.20.18.2 - Actor
Control0..1
TypeReference(Patient (model), Group (model), Health professional (model), Health professional role (model), Organization (model), Related person (model), Device (model))
42. EHDSAppointment.participant.required
Definition

Whether this participant is required to be present at the meeting.

ShortC.20.18.3 - Required
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. EHDSAppointment
Definition

C.20 - EHDS refined base model for Appointment


Base definition for all types defined in FHIR type system.

ShortAppointment (model)Base for all types and resources
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSAppointment.identifier
Definition

Appointment identifier

ShortC.20.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSAppointment.status
Definition

The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.

ShortC.20.2 - Status
Control1..1
Binding

HL7 Appointment status

TypeCodeableConcept
6. EHDSAppointment.class
Definition

Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.

ShortC.20.3 - Class
Control0..*
Binding

HL7 Encounter class

TypeCodeableConcept
8. EHDSAppointment.serviceType
Definition

The specific service that is to be performed during this appointment

ShortC.20.4 - Service type
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
10. EHDSAppointment.specialty
Definition

The specialty of a practitioner that would be required to perform the service requested in this appointment

ShortC.20.5 - Specialty
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
12. EHDSAppointment.type
Definition

The type of appointment or patient that has been booked in the slot, e.g. Routine, check-up, walk-in, routine, emenrgency etc.

ShortC.20.6 - Type
Control0..1
Binding

TBD

TypeCodeableConcept
14. EHDSAppointment.reason
Definition

The reason that this appointment is being scheduled.

ShortC.20.7 - Reason
Control0..*
Binding

SNOMED CT

TypeCodeableReference(Condition (model), Procedure (model), Observation (model), Laboratory observation (model))
16. EHDSAppointment.priority
Definition

The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments.

ShortC.20.8 - Priority
Control0..1
Binding

HL7 Act priority

TypeCodeableConcept
18. EHDSAppointment.description
Definition

The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list.

ShortC.20.9 - Description
Control0..1
TypeNarrative
20. EHDSAppointment.supportingInformation
Definition

Additional information to support the appointment provided when making the appointment.

ShortC.20.10 - Supporting information
Control0..*
TypeReference(Condition (model), Procedure (model), Observation (model), Laboratory observation (model))
22. EHDSAppointment.start
Definition

Date/Time that the appointment is to take place.

ShortC.20.11 - Start
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSAppointment.end
Definition

Date/Time that the appointment is to conclude.

ShortC.20.12 - End
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSAppointment.requestedPeriod
Definition

A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within.

ShortC.20.13 - Requested period
Control0..*
TypePeriod
28. EHDSAppointment.slot
Definition

The slots from the participants' schedules that will be filled by the appointment.

ShortC.20.14 - Slot
Control0..*
TypeReference(Slot (model))
30. EHDSAppointment.patientInstruction
Definition

Patient facing information about the Appointment (e.g. fast from 8pm night before).

ShortC.20.15 - Patient instruction
Control0..*
TypeNarrative
32. EHDSAppointment.note
Definition

Additional notes/comments about the appointment.

ShortC.20.16 - Note
Control0..*
TypeNarrative
34. EHDSAppointment.subject
Definition

The patient or group associated with the appointment, if they are to be present (usually) then they should also be included in the participant backbone element.

ShortC.20.17 - Subject
Control0..1
TypeReference(Patient (model), Group (model))
36. EHDSAppointment.participant
Definition

List of participants involved in the appointment.

ShortC.20.18 - Participant
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. EHDSAppointment.participant.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. EHDSAppointment.participant.type
Definition

List of participants involved in the appointment.

ShortC.20.18.1 - Type
Control0..*
Binding

HL7 Participant Type

TypeCodeableConcept
42. EHDSAppointment.participant.actor
Definition

The individual, device, location, or service participating in the appointment.

ShortC.20.18.2 - Actor
Control0..1
TypeReference(Patient (model), Group (model), Health professional (model), Health professional role (model), Organization (model), Related person (model), Device (model))
44. EHDSAppointment.participant.required
Definition

Whether this participant is required to be present at the meeting.

ShortC.20.18.3 - Required
Control0..1
Typeboolean
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. EHDSAppointment
Definition

C.20 - EHDS refined base model for Appointment

ShortAppointment (model)
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. EHDSAppointment.identifier
Definition

Appointment identifier

ShortC.20.1 - Identifier
NoteThis is a business identifier, not a resource identifier (see discussion)
Control0..*
TypeIdentifier
4. EHDSAppointment.status
Definition

The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.

ShortC.20.2 - Status
Control1..1
Binding

HL7 Appointment status

TypeCodeableConcept
6. EHDSAppointment.class
Definition

Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.

ShortC.20.3 - Class
Control0..*
Binding

HL7 Encounter class

TypeCodeableConcept
8. EHDSAppointment.serviceType
Definition

The specific service that is to be performed during this appointment

ShortC.20.4 - Service type
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
10. EHDSAppointment.specialty
Definition

The specialty of a practitioner that would be required to perform the service requested in this appointment

ShortC.20.5 - Specialty
Control0..*
Binding

SNOMED CT

TypeCodeableConcept
12. EHDSAppointment.type
Definition

The type of appointment or patient that has been booked in the slot, e.g. Routine, check-up, walk-in, routine, emenrgency etc.

ShortC.20.6 - Type
Control0..1
Binding

TBD

TypeCodeableConcept
14. EHDSAppointment.reason
Definition

The reason that this appointment is being scheduled.

ShortC.20.7 - Reason
Control0..*
Binding

SNOMED CT

TypeCodeableReference(Condition (model), Procedure (model), Observation (model), Laboratory observation (model))
16. EHDSAppointment.priority
Definition

The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments.

ShortC.20.8 - Priority
Control0..1
Binding

HL7 Act priority

TypeCodeableConcept
18. EHDSAppointment.description
Definition

The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list.

ShortC.20.9 - Description
Control0..1
TypeNarrative
20. EHDSAppointment.supportingInformation
Definition

Additional information to support the appointment provided when making the appointment.

ShortC.20.10 - Supporting information
Control0..*
TypeReference(Condition (model), Procedure (model), Observation (model), Laboratory observation (model))
22. EHDSAppointment.start
Definition

Date/Time that the appointment is to take place.

ShortC.20.11 - Start
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. EHDSAppointment.end
Definition

Date/Time that the appointment is to conclude.

ShortC.20.12 - End
Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. EHDSAppointment.requestedPeriod
Definition

A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within.

ShortC.20.13 - Requested period
Control0..*
TypePeriod
28. EHDSAppointment.slot
Definition

The slots from the participants' schedules that will be filled by the appointment.

ShortC.20.14 - Slot
Control0..*
TypeReference(Slot (model))
30. EHDSAppointment.patientInstruction
Definition

Patient facing information about the Appointment (e.g. fast from 8pm night before).

ShortC.20.15 - Patient instruction
Control0..*
TypeNarrative
32. EHDSAppointment.note
Definition

Additional notes/comments about the appointment.

ShortC.20.16 - Note
Control0..*
TypeNarrative
34. EHDSAppointment.subject
Definition

The patient or group associated with the appointment, if they are to be present (usually) then they should also be included in the participant backbone element.

ShortC.20.17 - Subject
Control0..1
TypeReference(Patient (model), Group (model))
36. EHDSAppointment.participant
Definition

List of participants involved in the appointment.

ShortC.20.18 - Participant
Control0..*
TypeBackboneElement
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. EHDSAppointment.participant.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
This element is affected by the following invariants: ele-1
Typeid
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
40. EHDSAppointment.participant.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on EHDSAppointment.participant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 42. EHDSAppointment.participant.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    44. EHDSAppointment.participant.type
    Definition

    List of participants involved in the appointment.

    ShortC.20.18.1 - Type
    Control0..*
    Binding

    HL7 Participant Type

    TypeCodeableConcept
    46. EHDSAppointment.participant.actor
    Definition

    The individual, device, location, or service participating in the appointment.

    ShortC.20.18.2 - Actor
    Control0..1
    TypeReference(Patient (model), Group (model), Health professional (model), Health professional role (model), Organization (model), Related person (model), Device (model))
    48. EHDSAppointment.participant.required
    Definition

    Whether this participant is required to be present at the meeting.

    ShortC.20.18.3 - Required
    Control0..1
    Typeboolean
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension